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Basics

What is a Novel Coronavirus?


A novel coronavirus is a new coronavirus that has not been previously identified. The virus causing COVID-19 is not the same as the coronaviruses that commonly circulate like the common cold.




Why is the virus being called COVID-19?


On February 11, 2020 the World Health Organization announced an official name for the disease that is causing the 2019 novel coronavirus outbreak, first identified in Wuhan China. The new name of this disease is coronavirus disease 2019, abbreviated as COVID-19. In COVID-19, ‘CO’ stands for ‘corona,’ ‘VI’ for ‘virus,’ and ‘D’ for disease. Formerly, this disease was referred to as “2019 novel coronavirus” or “2019-nCoV”. There are many types of human coronaviruses including some that commonly cause mild upper-respiratory tract illnesses. COVID-19 is a new disease, caused by a novel (or new) coronavirus that has not previously been seen in humans.





Spread

How does the virus spread?


The virus that causes COVID-19 is thought to spread mainly from person to person, mainly through respiratory droplets produced when an infected person coughs, sneezes, or talks. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. Spread is more likely when people are in close contact with one another (within about 6 feet). COVID-19 seems to be spreading easily and sustainably in the community (“community spread”) in many affected geographic areas. Community spread means people have been infected with the virus in an area, including some who are not sure how or where they became infected.




Can the virus spread through food including take out, delivery, refrigerated or frozen?


Coronaviruses are generally thought to be spread from person to person through respiratory droplets. Currently, there is no evidence to support transmission of COVID-19 associated with food. Before preparing or eating food it is important to always wash your hands with soap and water for at least 20 seconds for general food safety. Throughout the day use a tissue to cover your coughing or sneezing, and wash your hands after blowing your nose, coughing or sneezing, or going to the bathroom.




Will warm weather stop the outbreak of COVID-19?


It is not yet known whether weather and temperature affect the spread of COVID-19. Some other viruses, like those that cause the common cold and flu, spread more during cold weather months but that does not mean it is impossible to become sick with these viruses during other months. There is much more to learn about the transmissibility, severity, and other features associated with COVID-19 and investigations are ongoing.




What is community spread?


Community spread means people have been infected with the virus in an area, including some who are not sure how or where they became infected. Each health department determines community spread differently based on local conditions. For information on community spread in your area, please visit your health department’s website.​




Can mosquitoes or ticks spread the Coronavirus?


At this time, CDC has no data to suggest that this new coronavirus or other similar coronaviruses are spread by mosquitoes or ticks. The main way that COVID-19 spreads is from person to person.





Prevention

Does the CDC recommend the use of facemasks or face coverings to prevent the spread of COVID-19?


Wear cloth face coverings in public settings when around people not living in your household and particularly where other social distancing measures are difficult to maintain, such as grocery stores, pharmacies, and gas stations. Cloth face coverings may slow the spread of the virus and help people who may have the virus and do not know it from transmitting it to others. COVID-19 can be spread by people who do not have symptoms and do not know that they are infected. That’s why it’s important for everyone to practice social distancing (staying at least 6 feet away from other people) and wear cloth face coverings in public settings. Cloth face coverings provide an extra layer to help prevent the respiratory droplets from traveling in the air and onto other people. The cloth face coverings recommended are not surgical masks or N-95 respirators. Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders, as recommended by current CDC guidance.




Is it safe to get care for other medical conditions at this time?


It is important to continue taking care of your health and wellness. Continue your medications, and do not change your treatment plan without talking to your healthcare provider. Continue to manage your disease the way your healthcare provider has told you. Have at least a 2-week supply of all prescription and non-prescription medications. Talk to your healthcare provider about whether your vaccinations are up-to-date. Call your healthcare provider: If you have any concerns about your medical conditions, or if you get sick. To find out about different ways you can connect with your healthcare provider for chronic disease management or other conditions. Do not delay getting emergency care for your health problems or any health condition that requires immediate attention. If you need emergency help, call 911. Emergency departments have infection prevention plans to protect you from getting COVID-19 if you need care for your medical condition. Continue to practice everyday prevention. Wash your hands often, avoid close contact, wear a cloth face covering, cover coughs and sneezes, and clean and disinfect frequently touched surfaces often.




Am I at risk for COVID-19 from mail, packages or products?


There is still a lot that is unknown about COVID-19 and how it spreads. Coronaviruses are thought to be spread most often by respiratory droplets. Although the virus can survive for a short period on some surfaces, it is unlikely to be spread from domestic or international mail, products or packaging. However, it may be possible that people can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.




Is it okay to donate blood?


In healthcare settings across the United States, donated blood is a lifesaving, essential part of caring for patients. The need for donated blood is constant, and blood centers are open and in urgent need of donations. CDC encourages people who are well to continue to donate blood if they are able, even if they are practicing social distancing because of COVID-19. CDC is supporting blood centers by providing recommendations that will keep donors and staff safe. Examples of these recommendations include spacing donor chairs 6 feet apart, thoroughly adhering to environmental cleaning practices, and encouraging donors to make donation appointments ahead of time.




Should contact lens wearers take special precautions to prevent COVID-19?


Currently there is no evidence to suggest contact lens wearers are more at risk for acquiring COVID-19 than eyeglass wearers. Contact lens wearers should continue to practice safe contact lens wear and care hygiene habits to help prevent against transmission of any contact lens-related infections, such as always washing hands with soap and water before handling lenses. People who are healthy can continue to wear and care for their contact lenses as prescribed by their eye care professional.




Is contact lens disinfecting solution effective against COVID-19?


Hydrogen peroxide-based systems for cleaning, disinfecting, and storing contact lenses should be effective against the virus that causes COVID-19. (For other disinfection methods, such as multipurpose solution and ultrasonic cleaners, there is currently not enough scientific evidence to determine efficacy against the virus.) Always use solution to disinfect your contact lenses and case to kill germs that may be present. Handle your lenses over a surface that has been cleaned and disinfected.




Should I use soap and water or hand sanitizer to protect against COVID-19?


Handwashing is one of the best ways to protect yourself and your family from getting sick. Wash your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food. If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol.




What cleaning products should I use to protect against COVID-19?


Clean and disinfect frequently touched surfaces such as tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks. If surfaces are dirty, clean them using detergent or soap and water prior to disinfection. To disinfect, most common EPA-registered household disinfectants will work.





If You or Someone You Know is Sick or Had Contact with Someone who Has COVID-19

What should I do if I get sick or someone in my house gets sick?


Most people who get COVID-19 will be able to recover at home. CDC has directions for people who are recovering at home and their caregivers, including: Stay home when you are sick, except to get medical care. Use a separate room and bathroom for sick household members (if possible). Wash your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food. If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty. Provide your sick household member with clean disposable facemasks to wear at home, if available, to help prevent spreading COVID-19 to others. Clean the sick room and bathroom, as needed, to avoid unnecessary contact with the sick person. However, some people may need emergency medical attention. Watch for symptoms and learn when to seek emergency medical attention. When to Seek Emergency Medical Attention Look for emergency warning signs* for COVID-19. If someone is showing any of these signs, seek emergency medical care immediately Trouble breathing Persistent pain or pressure in the chest New confusion Inability to wake or stay awake Bluish lips or face *This list is not all possible symptoms. Please call your medical provider for any other symptoms that are severe or concerning to you. Call 911 or call ahead to your local emergency facility: Notify the operator that you are seeking care for someone who has or may have COVID-19.




What should I do if I have close contact with someone who has COVID-19?


Be alert for symptoms. Watch for fever, cough, shortness of breath, or other symptoms of COVID-19. Take your temperature and follow CDC guidance if you have symptoms.





Children

What is the risk of my child becoming sick with COVID-19?


Based on available evidence, children do not appear to be at higher risk for COVID-19 than adults. While some children and infants have been sick with COVID-19, adults make up most of the known cases to date. However, a few children have developed multisystem inflammatory syndrome (MIS-C). Currently, information about this syndrome is limited. CDC is working with state and local health departments to learn more about MIS-C.




How can I protect my child from COVID-19 infection?


You can encourage your child to help stop the spread of COVID-19 by teaching them to do the same things everyone should do to stay healthy. Avoid close contact with people who are sick. Stay home when you are sick, except to get medical care. Cover your coughs and sneezes with a tissue and throw the tissue in the trash. Wash your hands often with soap and water for at least 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Clean and disinfect frequently touched surfaces and objects, like tables, countertops, light switches, doorknobs, and cabinet handles).




Are the symptoms of COVID-19 different in children than in adults?


No. The symptoms of COVID-19 are similar in children and adults. COVID-19 can look different in different people. For many people, being sick with COVID-19 would be a little bit like having the flu. People can get a fever, cough, or have a hard time taking deep breaths. Most people who have gotten COVID-19 have not gotten very sick. Only a small group of people who get it have had more serious problems. CDC and partners are investigating cases of multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19.




Should children wear face coverings?


CDC recommends that everyone 2 years and older wear a cloth face covering that covers their nose and mouth in public settings when around people not living in your household, particularly where other social distancing measures are difficult to maintain. Cloth face coverings should NOT be put on babies or children younger than 2 because of the danger of suffocation. Children younger than 2 years of age are listed as an exception as well as anyone who has trouble breathing or is unconscious, incapacitated, or otherwise unable to remove the face covering without assistance.




How do I prepare my children in case of a COVID-19 outbreak in our community?


Outbreaks can be stressful for adults and children. When you talk with your child, try to stay calm, and reassure them that they are safe. Talk to your children about COVID-19 and help them cope with stress.




What is Multisystem inflammatory syndrome in children (MIS-C) and who is at risk?


Multisystem inflammatory syndrome in children (MIS-C) is a condition where different body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. We do not yet know what causes MIS-C. However, we know that many children with MIS-C had the virus that causes COVID-19, or had been around someone with COVID-19. MIS-C can be serious, even deadly, but most children who were diagnosed with this condition have gotten better with medical care.




Can my child hang out with their friends?


The key to slowing the spread of COVID-19 is to practice social distancing. While school is out, children should not have in-person playdates with children from other households. If children are playing outside their own homes, it is essential that they remain 6 feet from anyone who is not in their own household. Some children with certain underlying medical conditions are at higher risk for severe illness from COVID-19. Make sure children practice everyday preventive behaviors, such as washing their hands often with soap and water. Remember, if children meet outside of school in groups, it can put everyone at risk.




How can I help my child continue learning?


Stay in touch with your child’s school. Many schools are offering lessons online (virtual learning). Review assignments from the school, and help your child establish a reasonable pace for completing the work. You may need to assist your child with turning on devices, reading instructions, and typing answers. Create a schedule and routine for learning at home, but remain flexible. Consider the needs and adjustment required for your child’s age group. The transition to being at home will be different for preschoolers, K-5, middle school students, and high school students. Talk to your child about expectations and how they are adjusting to being at home versus at school. Look for ways to make learning fun.




Will kids have access to school meals?


Check with your school on plans to continue meal services during the school dismissal. Many schools are keeping school facilities open to allow families to pick up meals or are providing grab-and-go meals at a central location.




How can I keep my children healthy?


Watch your child for any signs of illness. Watch for signs of stress in your child. Teach and reinforce everyday preventive actions. Help your child stay active. Help your child stay socially connected.




Should I limit time with older adults or people with chronic medical conditions?


Older adults and people who have serious underlying medical conditions are at highest risk of getting sick from COVID-19. If others in your home are at higher risk for severe illness from COVID-19, consider extra precautions to separate your child from those people. If you are unable to stay home with your child during school dismissals and someone at higher risk for severe illness from COVID-19 will be providing care (older adult or someone with a serious underlying medical condition), limit your children’s contact with other people. Consider postponing visits or trip to see older family members and grandparents. Connect virtually or by writing letters and sending via mail.




Is my child with an underlying medical condition at higher risk from COVID-19?


It’s not known yet whether all children with underlying medical conditions are at higher risk for severe illness from COVID-19. Although most COVID-19 cases in children are not severe, serious illness that needs to be treated at the hospital still happens. Some data on children reported that the majority who needed hospitalization for COVID-19 had at least one underlying medical condition. The most common underlying conditions reported among children with COVID-19 include chronic lung disease (including asthma), heart disease, and conditions that weaken the immune system. This information suggests that children with these underlying medical conditions may be at risk for more severe illness from COVID-19. More data are needed to learn which underlying or complex medical conditions may put children at increased risk. CDC is monitoring new information as it becomes available and will provide updates as needed.




What additional step should families that have a child with an underlying medical condition take?


In addition to following the recommendations to prevent getting sick and running essential errands, families should take extra steps recommended for persons with higher risk of severe COVID-19 illness and steps outlined for those with potential COVID-19 exposure or confirmed illness. Identify potential alternative caregivers, if you or other regular caregivers become sick and are unable to care for your child. If possible, these alternative caregivers would not be at higher risk of severe illness from COVID-19 themselves. Try to have at least one month of medication and medical supplies on hand. Some health plans allow for a 90-day supply of prescription medications. Consider discussing this option with your child’s healthcare provider. Review any care plans for your child, such as an asthma action plan, and make sure caregivers and backup caregivers are familiar with these plans. If you do not have care plans or an emergency notebook, try to make them. They typically include important information about your child’s medical conditions, how to manage those conditions, how to get in touch with your child’s doctors, allergies, information on medications (names, dosages, and administration instructions), preferences (food and other) or special needs, daily routines and activities, friends, and details about routines that are important to support behavioral and emotional health. Learn if your child’s healthcare providers, including doctors and therapists, have new ways to be contacted or new ways of providing appointments. If they offer telemedicine visits, find out how those are arranged and any additional information you need. If your child receives any support care services in the home that need to be continued, make plans for what you will do if those direct care providers get sick, or if persons in your household are sick. Discuss with the support care agencies and the providers ways to minimize risk for exposure to the virus that causes COVID-19. If your child or other persons in your household are sick with COVID-19 and are able to recover at home, inform your direct care providers and consider postponing or rescheduling services until the criteria for discontinuing home isolation have been met. Ask service providers if they are experiencing any symptoms of COVID-19, or if they have been in contact with someone who has COVID-19. Tell the service provider to: Wear a cloth face covering if they will be close (less than 6 feet) to you or persons in your household. Their cloth face covering helps protect you if they are infected but do not have symptoms. Ask them to wash their hands with soap and water or, if unavailable, use hand sanitizer with at least 60% alcohol when they enter your home, before and after helping your child (dressing, bathing/showering, transferring, toileting and/or diapering, feeding), after handling tissues, and after changing linens or doing laundry. Service providers and families should: Routinely clean and disinfect frequently touched objects and surfaces (counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, bedside tables), and equipment such as wheelchairs, scooters, walkers, oxygen tanks and tubing, communication boards, and other assistive devices.




What can I do if my child has difficulties adjusting to new routines and following recomendations?


Helping children understand and follow recommendations, like social distancing and wearing cloth face coverings, can be challenging if your child has intellectual disabilities, sensory issues, or other special healthcare needs. Keeping children at home can lower stress created by social distancing and cloth face covering recommendations. Reach out to others for help in running essential errands. Behavioral techniques can be used to address behavioral challenges and to develop new routines. These include social stories, video modeling, picture schedules, and visual cues. Try rewarding your child in small ways with his or her favorite non-food treat or activities to help switch routines and to follow recommendations. Many of the organizations you turn to for information and support around your child’s complex, chronic medical condition may have information on their websites to help families address issues related to COVID-19. Your child’s therapist(s) and teachers may also have resources to help successfully introduce new routines to your child. While learning at home, continue special education services, accommodations, or services received in school through your child’s 504 plan or Individualized Educational Plan (IEP), as much as possible. Many schools are continuing interventions like speech therapy, small group classes, extended time and more.




How can my family cope with the added stress?


Supporting children with special healthcare needs can put additional demands and stress on families, especially during emergency situations. You have likely found ways to manage the stress and challenges unique to your family’s situation. It is important to continue your family’s coping methods, including reaching out to other family members, friends, support groups, and organizations that have been helpful in the past. See information on helping children cope and coping with stress (such as visiting parks, trails, or open spaces) and making your family stronger. If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety, or feel like you want to harm yourself or others: Call 911 Call the Disaster Distress Helpline at 1-800-985-5990, or text TalkWithUs to 66746 Call the National Domestic Violence Hotline at 1-800-799-7233 and TTY 1-800-787-3224




What if my child or someone else in the home is sick with symptoms of COVID-19?


If your child with special healthcare needs becomes sick with symptoms of COVID-19, contact your child’s healthcare provider. If your child has new or worsening emergency warning signs, such as trouble breathing, pain or pressure in the chest, confusion or inability to wake them up, or bluish lips or face, call 911. If you think your child may have COVID-19, notify the operator so that first responders may be appropriately prepared to protect themselves and others. Notify your child’s healthcare provider if someone else in your house becomes sick with COVID-19, so they can provide any advice specific for your child.




What if my child's symptoms of their underlying medical condition get worse?


Call your child’s healthcare provider if you have any concerns about your child’s medical conditions. If you need emergency help, call 911. Emergency departments have infection prevention plans to protect you and your child from getting COVID-19 if your child needs care for medical conditions not related to COVID-19. Do not delay getting emergency care for your child’s underlying condition or complex medical condition because you are afraid of getting exposed to COVID-19 when visiting the healthcare setting.




What if my child needs to go to the hospital?


If your child’s healthcare provider tells you to go to the hospital for any health problem, including COVID-19 Ask the healthcare provider to let the hospital know you are coming and to share important information about caring for your child. Visiting policies may have changed due to COVID-19. If your child’s hospital policy does not allow an adult to stay with a child, ask your child’s healthcare provider for a statement explaining your child’s need for a familiar adult to be present. Bring your care plans/emergency notebook with you along with paper and pen to write down questions you have during your time at the hospital.





Preparing for an Outbreak

How can I prepare for an outbreak in my area?


Create a household plan of action to help protect your health and the health of those you care about in the event of an outbreak of COVID-19 in your community: Talk with the people who need to be included in your plan, and discuss what to do if a COVID-19 outbreak occurs in your community. Plan ways to care for those who might be at greater risk for serious complications. Make sure they have access to 2 weeks of medications and supplies in case you need to stay home for prolonged periods of time. Get to know your neighbors and find out if your neighborhood has a website or social media page to stay connected. Create a list of local organizations that you and your household can contact in the event you need access to information, healthcare services, support, and resources. Create an emergency contact list of family, friends, neighbors, carpool drivers, health care providers, teachers, employers, the local public health department, and other community resources.




How can I prepare for COVID-19 at work?


Plan for potential changes at your workplace. Talk to your employer about their emergency operations plan, including sick-leave policies and telework options.




Should I make my own hand sanitizer if I can't find it in stores?


CDC does not encourage the production and use of homemade hand sanitizer products because of concerns over the correct use of the ingredients and the need to work under sterile conditions to make the product. Organizations should revert to the use of commercially produced, FDA-approved product once such supplies again become available. To be effective against killing some types of germs, hand sanitizers need to have a strength of at least 60% alcohol and be used when hands are not visibly dirty or greasy. Do not rely on “Do It Yourself” or “DIY” recipes based solely on essential oils or formulated without correct compounding practices. Do not use hand sanitizer to disinfect frequently touched surfaces and objects.





Symptoms and Emergency Warning Signs

What are the symptoms and complications that COVID-19 can cause?


People with COVID-19 have reported a wide range of symptoms – from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. If you have fever, cough, or other symptoms, you might have COVID-19.




When should I seek emergency care if I have COVID-19?


Look for emergency warning signs* for COVID-19. If someone is showing any of these signs, seek emergency medical care immediately Trouble breathing Persistent pain or pressure in the chest New confusion Inability to wake or stay awake Bluish lips or face *This list is not all possible symptoms. Please call your medical provider for any other symptoms that are severe or concerning to you. Call 911 or call ahead to your local emergency facility: Notify the operator that you are seeking care for someone who has or may have COVID-19.




Is it possible to have the flu and COVID-19 at the same time?


Yes. It is possible to test positive for flu (as well as other respiratory infections) and COVID-19 at the same time.





Testing

Should I be tested for a current infection?


Maybe; not everyone needs to be tested for COVID-19. If you have symptoms of COVID-19 and want to get tested, call your healthcare provider first. Most people will have mild illness and can recover at home without medical care and may not need to be tested. CDC has guidance for who should be tested, but decisions about testing are made by state and local health departments and healthcare providers. You can also visit your state or local health department’s website to look for the latest local information on testing.




How can I get tested for a current infection (viral test) and what does my test mean?


Decisions about testing are made by state and local health departments or healthcare providers. If you have symptoms of COVID-19 and are not tested, it is important to stay home. What to do if you are sick. COVID-19 testing differs by location. If you have symptoms of COVID-19 and want to get tested, call your healthcare provider first. You can also visit your state or local health department’s website to look for the latest local information on testing. The U.S. Food and Drug Administration (FDA) has authorized viral tests that let you collect either a nasal swabexternal icon or a saliva sampleexternal icon at home. However, you will still need to send your sample to a laboratory for analysis. If you test positive for COVID-19, know what protective steps to take if you are sick or caring for someone. If you test negative for COVID-19, you probably were not infected at the time your sample was collected. However, that does not mean you will not get sick. The test result only means that you did not have COVID-19 at the time of testing. You might test negative if the sample was collected early in your infection and test positive later during your illness. You could also be exposed to COVID-19 after the test and get infected then. This means you could still spread the virus. If you develop symptoms later, you might need another test to determine if you are infected with the virus that causes COVID-19.




How can I get tested for a past infection (antibody test) and what does my test mean?


Antibody tests for COVID-19 are available through healthcare providers and laboratories. Check with your healthcare provider to see if they offer antibody tests and whether you should get one. A positive test result shows you might have antibodies from an infection with the virus that causes COVID-19. However, there is a chance a positive result means that you have antibodies from an infection with a virus from the same family of viruses (called coronaviruses), such as the one that causes the common cold. Having antibodies to the virus that causes COVID-19 might provide protection from getting infected with the virus again. If it does, we do not know how much protection the antibodies might provide or how long this protection might last. You should continue to protect yourself and others since you could get infected with the virus again. If you test negative, you might not have ever had COVID-19. Talk with your healthcare provider about your test result and the type of test you took to understand what your result means. Regardless of whether you test positive or negative, the results do not confirm whether or not you are able to spread the virus that causes COVID-19. Until we know more, continue to take steps to protect yourself and others.




Can someone test negative and later test positive on a viral test for COVID-19?


Yes, it is possible. You may test negative if the sample was collected early in your infection and test positive later during this illness. You could also be exposed to COVID-19 after the test and get infected then. Even if you test negative, you still should take steps to protect yourself and others.





People at Higher Risk for Severe Illness

Who is at higher risk for serious illness from COVID-19?


COVID-19 is a new disease and there is limited information regarding risk factors for severe disease. Based on currently available information and clinical expertise, older adults and people with underlying medical conditions are at higher risk for severe illness from COVID-19.




What should people at higher risk for serious illness from COVID-19 do?


If you are at higher risk for severe illness from COVID-19, you should: Limit your interactions with other people as much as possible. Take precautions to prevent getting COVID-19 when you do interact with others. If you decide to engage in public activities, continue to protect yourself by practicing everyday preventive actions. Keep these items on hand and use them when venturing out: a cloth face covering, tissues, and a hand sanitizer with at least 60% alcohol, if possible. If possible, avoid others who are not wearing cloth face coverings or ask others around you to wear cloth face coverings. Delay or cancel a visit if you or your visitors have symptoms of COVID-19 or have been exposed to someone with COVID-19 in the last 14 days. Anyone who has had close contact with a person with COVID-19 should stay home and monitor for symptoms. Continue your medicines and do not change your treatment plan without talking to your healthcare provider. Have at least a 30-day supply of prescription and non-prescription medicines. Do not delay getting emergency care for your underlying medical condition because of COVID-19. Emergency departments have contingency infection prevention plans to protect you from getting COVID-19 if you need care.




Are people with disabilities at higher risk?


Most people with disabilities are not inherently at higher risk for becoming infected with or having severe illness from COVID-19. Some people with physical limitations or other disabilities might be at a higher risk of infection because of their underlying medical condition. People with certain disabilities might experience higher rates of chronic health conditions that put them at higher risk of serious illness and poorer outcomes from COVID-19. Adults with disabilities are three times more likely to have heart disease, stroke, diabetes, or cancer than adults without disabilities. You should talk with your healthcare provider if you have a question about your health or how your health condition is being managed.





Contact Tracing

What is contact tracing


Contact tracing is used by health departments to prevent the spread of infectious disease. In general, contact tracing involves identifying people who have an infectious disease (cases) and their contacts (people who may have been exposed) and working with them to interrupt disease transmission. For COVID-19, this includes asking cases to isolate and contacts to quarantine at home voluntarily. Contact tracing for COVID-19 typically involves Interviewing people with COVID-19 to identify everyone with whom they had close contact during the time they may have been infectious, Notifying contacts of their potential exposure, Referring contacts for testing, Monitoring contacts for signs and symptoms of COVID-19, and Connecting contacts with services they might need during the self-quarantine period. To prevent the further spread of disease, COVID-19 contacts are encouraged to stay home and maintain social distance (at least 6 feet) from others until 14 days after their last exposure to a person with COVID-19. Contacts should monitor themselves by checking their temperature twice daily and watching for symptoms of COVID-19.




What happens during contact tracing?


Generally, contact tracing includes the following steps: Case investigation: Public health staff work with a patient to help them recall everyone with whom they have had close contact during the time when they may have been infectious. Contact tracing: Public health staff begin contact tracing by notifying exposed individuals (contacts) of their potential exposure as rapidly and sensitively as possible, not revealing the infected patient’s identity. Contact support: Contacts are provided with education, information, and support to help them understand their risk, what they should do to separate themselves from others who are not exposed, and how to monitor themselves for illness. In addition, they are informed of the possibility that they could spread the infection to others even if they do not feel ill. Self-quarantine: Contacts are encouraged to stay home, monitor their health, and maintain social distance (at least 6 feet) from others until 14 days after their last exposure to the infected patient, in case they also become ill.




Who is considered a close contact to someone with COVID-19?


For COVID-19, a close contact is defined as anyone who was within 6 feet of an infected person for at least 15 minutes starting from 48 hours before the person began feeling sick until the time the patient was isolated.




What can a person diagnosed with COVID-19 expect to happen during contact tracing?


If you are diagnosed with COVID-19, a case investigator from the health department may call you to check-in on your health, discuss who you’ve been in contact with, and ask where you spent time while you may have been infectious and able to spread COVID-19 to others. You will also be asked to stay at home and self-isolate, if you are not doing so already. Your name will not be revealed to those you may have exposed, even if they ask. Self-isolation means staying at home in a specific room away from other people and pets, and using a separate bathroom, if possible. Self-isolation helps slow the spread of COVID-19 and can help keep your family, friends, neighbors, and others you may come in contact with healthy. If you need support or assistance while self-isolating, your health department or community organizations may be able to provide assistance. Symptoms of COVID-19 can include fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, and diarrhea. If your symptoms worsen or become severe, you should seek medical care. Severe symptoms include trouble breathing, persistent pain or pressure in the chest, confusion, inability to wake or stay awake, or bluish lips or face.




What can close contacts expect to happen during contact tracing?


If you have been in close contact with someone who has COVID-19, a contact tracer from the health department might contact you to inform you that you’ve been exposed to COVID-19. You should stay at home and self-quarantine for 14 days, starting from the last day you were possibly exposed to COVID-19. The contact tracer will help identify the dates of your self-quarantine. The contact tracer can also provide resources about COVID-19 testing in your area. Self-quarantine means staying home, monitoring your health, and maintaining social distancing (at least 6 feet) from others at all times. If you need to be around other people or animals in or outside of the home, wear a cloth face covering. This will help protect the people around you. If you need support or assistance with self-quarantine, your health department or community organizations may be able to provide assistance. You should take your temperature twice a day, watch for symptoms of COVID-19, and notify your health department if you develop symptoms. You should also notify people you had close contact with recently if you become ill, so they can monitor their health. If your symptoms worsen or become severe, you should seek medical care. Severe symptoms include trouble breathing, persistent pain or pressure in the chest, confusion, inability to wake or stay awake, or bluish lips or face.




Am I considered a close contact if I was wearing a cloth face covering?


Yes, you are still considered a close contact even if you were wearing a cloth face covering while you were around someone with COVID-19. Cloth face coverings are meant to prevent someone from transmitting the disease to others, and not to protect someone from becoming infected.




What will happen with my personal information during contact tracing?


Discussions with health department staff are confidential. This means that your personal and medical information will be kept private and only shared with those who may need to know, like your health care provider. Your name will not be revealed to those you came in contact with. The health department will only notify your close contacts that they might have been exposed to COVID-19. How data are collected, stored, and shared are specific to each state or jurisdiction.




What if I have been around someone who is identified as a close contact?


If you have been around someone who was identified as a close contact to a person with COVID-19, you should closely monitor yourself for any symptoms of COVID-19. You do not need to self-quarantine.





Funerals

Am I at risk if I go to a funeral or visitation for someone who died of COVID-19?


There is currently no known risk associated with being in the same room at a funeral or visitation service with the body of someone who died of COVID-19.




Am I at risk if I touch someone who died of COVID-19 after they have passed away?


COVID-19 is a new disease and we are still learning how it spreads. The virus that causes COVID-19 is thought to spread mainly from person-to-person through respiratory droplets produced when an infected person coughs, sneezes, or talks. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. This type of spread is not a concern after death. It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes. This is not thought to be the main way the virus spreads. People should consider not touching the body of someone who has died of COVID-19. Older people and people of all ages with severe underlying health conditions are at higher risk of severe illness from COVID-19. There may be less of a chance of the virus spreading from certain types of touching, such as holding the hand or hugging after the body has been prepared for viewing. Other activities, such as kissing, washing, and shrouding should be avoided before, during, and after the body has been prepared, if possible. If washing the body or shrouding are important religious or cultural practices, families are encouraged to work with their community’s cultural and religious leaders and funeral home staff on how to reduce their exposure as much as possible. At a minimum, people conducting these activities should wear disposable gloves. If splashing of fluids is expected, additional personal protective equipment (PPE) may be required (such as disposable gown, face shield, or goggles and N-95 respirator).




How can loved ones safely handle belongings of someone who has died from COVID-19?


If desired, you may retrieve the belongings of a loved one who has died of COVID-19 outside their home (for example, in a hospital setting). Depending on local rules and regulations, family members may retrieve these belongings at the funeral home or the healthcare facility. You should use gloves and practice good hand hygiene when handling your loved ones’ belongings. Depending on the type of belongings, such as electronics, you should also follow the household item-specific cleaning and disinfection guidelines when handling these items.




What should I do if a family member dies from COVID-19 while overseas?


When a US citizen dies outside the United States, the deceased person’s next of kin or legal representative should notify US consular officials at the Department of State. Consular personnel are available 24 hours a day, 7 days a week, to provide assistance to US citizens for overseas emergencies. If a family member, domestic partner, or legal representative is in a different country from the deceased person, he or she should call the Department of State’s Office of Overseas Citizens Services in Washington, DC, from 8 am to 5 pm Eastern time, Monday through Friday, at 888-407-4747 (toll-free) or 202-501-4444. For emergency assistance after working hours or on weekends and holidays, call the Department of State switchboard at 202-647-4000 and ask to speak with the Overseas Citizens Services duty officer. In addition, the US embassy closest to or in the country where the US citizen died can provide assistance.




My family member died from COVID-19 while overseas, what are the requirements for returning the body to the United States?


CDC does not require an autopsy before the remains of a person who died overseas are returned to the United States. Depending on the circumstances surrounding the death, some countries may require an autopsy. Sources of support to the family include the local consulate or embassy, travel insurance provider, tour operator, faith-based and aid organizations, and the deceased’s employer. There likely will need to be an official identification of the body and official documents issued by the consular office. CDC requirements for importing human remains depend upon if the body has been embalmed, cremated, or if the person died from a quarantinable communicable disease. At this time, COVID-19 is a quarantinable communicable disease in the United States and the remains must meet the standards for importation found in 42 Code of Federal Regulations Part 71.55 and may be cleared, released, and authorized for entry into the United States only under the following conditions: The remains are cremated; OR The remains are properly embalmed and placed in a leak-proof container; OR The remains are accompanied by a permit issued by the CDC Director. The CDC permit (if applicable) must accompany the human remains at all times during shipment. Permits for the importation of the remains of a person known or suspected to have died from a quarantinable communicable disease may be obtained through the CDC Division of Global Migration and Quarantine by calling the CDC Emergency Operations Center at 770-488-7100 or emailing dgmqpolicyoffice@cdc.gov.





Cleaning and Disinfection

What is the difference between cleaning and disinfecting?


Cleaning with soap and water removes germs, dirt, and impurities from surfaces. It lowers the risk of spreading infection. Disinfecting kills germs on surfaces. By killing germs on a surface after cleaning, it can further lower the risk of spreading infection.




Is it safe to vacuum in a school, business, or community facility after someone with suspected or confirmed COVID-19 has been present?


The risk of transmitting or spreading SARS-CoV-2, the virus that causes COVID-19, during vacuuming is unknown. At this time, there are no reported cases of COVID-19 associated with vacuuming. If vacuuming is necessary or required in a school, business, or community facility that was used by a person with suspected or confirmed COVID-19, first follow the CDC recommendations for Cleaning and Disinfection for Community Facilities that apply, which includes a wait time of 24 hours, or as long as practical. After cleaning and disinfection, the following recommendations may help reduce the risk to workers and other individuals when vacuuming: Consider removing smaller rugs or carpets from the area completely, so there is less that needs to be vacuumed. Use a vacuum equipped with a high-efficiency particulate air (HEPA) filter, if available. Do not vacuum a room or space that has people in it. Wait until the room or space is empty to vacuum, such as at night, for common spaces, or during the day for private rooms. Consider temporarily turning off room fans and the central HVAC system that services the room or space, so that particles that escape from vacuuming will not circulate throughout the facility.




What is routine cleaning? How frequently should facilities be cleaned in order to reduce the spread of COVID-19?


Routine cleaning is the everyday cleaning practices that businesses and communities normally use to maintain a healthy environment. Surfaces frequently touched by multiple people, such as door handles, bathroom surfaces, and handrails, should be cleaned with soap and water or another detergent at least daily when facilities are in use. More frequent cleaning and disinfection may be required based on level of use. For example, certain surfaces and objects in public spaces, such as shopping carts and point of sale keypads, should be cleaned and disinfected before each use. Cleaning removes dirt and impurities, including germs, from surfaces. Cleaning alone does not kill germs, but it reduces the number of germs on a surface.




Is cleaning alone effective against the virus that causes COVID-19?


Cleaning does not kill germs, but by removing them, it lowers their numbers and the risk of spreading infection. If a surface may have gotten the virus on it from a person with or suspected to have COVID-19, the surface should be cleaned and disinfected. Disinfecting kills germs on surfaces.




Who should clean and disinfect community spaces?


Regular cleaning staff can clean and disinfect community spaces. Cleaning staff should be trained on appropriate use of cleaning and disinfection chemicals and provided with the personal protective equipment (PPE) required for the chemicals used.




How long do companies need to close for disinfection after an exposure? How long before other workers can come back to work?


Companies do not necessarily need to close after a person with confirmed or suspected COVID-19 has been in a company facility. The area(s) used or visited by the ill person should be closed for 24 hours or as long as possible. Open outside doors and windows as much as possible ensuring that doing so does not pose a safety risk to children using the facility (i.e. make sure that children are not able to enter the closed off area through any windows or doors). and use ventilating fans to increase air circulation in the area. Once the area has been appropriately disinfected, it can be opened for use. Workers without close contact with the person with confirmed or suspected COVID-19 can return to work immediately after disinfection is completed.




How effective are alternative disinfection methods such as ultrasonic waves, high intensity UV radiation and LED blue light?


The efficacy of these disinfection methods against the virus that causes COVID-19 is not known. EPA only recommends use of the surface disinfectants identified against the virus that causes COVID-19. EPA does not routinely review the safety or efficacy of pesticidal devices, such as UV lights, LED lights, or ultrasonic devices. Therefore, EPA cannot confirm whether, or under what circumstances, such products might be effective against the spread of COVID-19.




Should outdoor playgrounds, like those in schools and parks, be cleaned and disinfected to prevent COVID-19?


Outdoor areas generally require normal routine cleaning and do not require disinfection. Spraying disinfectant on outdoor playgrounds is not an efficient use of disinfectant supplies and has not been proven to reduce the risk of COVID-19 to the public. You should maintain existing cleaning and hygiene practices for outdoor areas. If practical, high touch surfaces made of plastic or metal, such as grab bars and railings, should be cleaned routinely. Cleaning and disinfection of wooden surfaces (e.g., play structures, benches, tables) or groundcovers (e.g., mulch, sand) is not recommended.




Can sanitizing tunnels be used at building entrances or exits to prevent the spread of COVID-19?


CDC does not recommend the use of sanitizing tunnels. There is no evidence that they are effective in reducing the spread of COVID-19. Chemicals used in sanitizing tunnels could cause skin, eye, or respiratory irritation or damage.




Should sidewalks and roads be disinfected to prevent COVID-19?


CDC does not recommend disinfection of sidewalks or roads. Spraying disinfectant on sidewalks and roads is not an efficient use of disinfectant supplies and has not been proven to reduce the risk of COVID-19 to the public. The risk of spreading the virus that causes COVID-19 from these surfaces is very low and disinfection is not effective on these surfaces.





Pets and Animals

Can I get COVID-19 from my pets or other animals?


At this time, there is no evidence that animals play a significant role in spreading the virus that causes COVID-19. Based on the limited information available to date, the risk of animals spreading COVID-19 to people is considered to be low. A small number of pets have been reported to be infected with the virus that causes COVID-19, mostly after contact with people with COVID-19. Pets have other types of coronaviruses that can make them sick, like canine and feline coronaviruses. These other coronaviruses cannot infect people and are not related to the current COVID-19 outbreak. However, since animals can spread other diseases to people, it’s always a good idea to practice healthy habits around pets and other animals, such as washing your hands and maintaining good hygiene.




Do I need to get my pet tested for COVID-19?


No. At this time, routine testing of animals for COVID-19 is not recommended.




Can animals carry the virus that causes COVID-19 on their skin or fur?


Although we know certain bacteria and fungi can be carried on fur and hair, there is no evidence that viruses, including the virus that causes COVID-19, can spread to people from the skin, fur, or hair of pets. However, because animals can sometimes carry other germs that can make people sick, it’s always a good idea to practice healthy habits around pets and other animals, including washing hands before and after interacting with them.




Should I avoid contact with pets or other animals if I am sick with COVID-19?


We are still learning about this virus, but it appears that it can spread from people to animals in some situations. Until we learn more about this new coronavirus, you should restrict contact with pets and other animals while you are sick with COVID-19, just like you would with people. When possible, have another member of your household care for your animals while you are sick. If you are sick with COVID-19, avoid contact with your pet, including Petting Snuggling Being kissed or licked Sharing food or bedding If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with pets and wear a cloth face covering.




What animals can get COVID-19?


We don’t know for sure which animals can be infected with the virus that causes COVID-19. CDC is aware of a small number of pets, including dogs and cats, reported to be infected with the virus that causes COVID-19, mostly after close contact with people with COVID-19. A tiger at a zoo in New York has also tested positive for the virus. Recent research shows that ferrets, cats, and golden Syrian hamsters can be experimentally infected with the virus and can spread the infection to other animals of the same species in laboratory settings. Pigs, chickens, and ducks did not become infected or spread the infection based on results from these studies. Data from one study suggested dogs are not as likely to become infected with the virus as cats and ferrets. These findings were based on a small number of animals, and do not show whether animals can spread infection to people. At this time, there is no evidence that animals play a significant role in spreading the virus that causes COVID-19. Based on the limited information available to date, the risk of animals spreading COVID-19 to people is considered to be low. Further studies are needed to understand if and how different animals could be affected by the virus that causes COVID-19 and the role animals may play in the spread of COVID-19.




Should I worry about my pet cat?


We are still learning about this virus and how it spreads, but it appears it can spread from humans to animals in some situations. CDC is aware of a small number of pets, including cats, reported to be infected with the virus that causes COVID-19, mostly after close contact with people with COVID-19. Most of these animals had contact with a person with COVID-19. A tiger at a New York zoo has also tested positive for the virus that causes COVID-19. At this time, there is no evidence that animals play a significant role in spreading the virus that causes COVID-19. Based on the limited data available, the risk of animals spreading COVID-19 to people is considered to be low. The virus that causes COVID-19 spreads mainly from person to person, typically through respiratory droplets from coughing, sneezing, or talking. People sick with COVID-19 should isolate themselves from other people and animals, including pets, during their illness until we know more about how this virus affects animals. If you must care for your pet or be around animals while you are sick, wear a cloth face covering and wash your hands before and after you interact with pets.




Can I walk my dog during the COVID-19 pandemic?


Walking your dog is important for both animal and human health and wellbeing. Walk dogs on a leash, and stay at least 6 feet (2 meters) away from others. Do not gather in groups, stay out of crowded places, and avoid mass gatherings. To help maintain social distancing, do not let other people pet your dog when you are out for a walk.




Can I take my dog to a dog park?


Dog parks provide socialization and exercise for dogs, which is an important part of their wellbeing. Because there is a small risk that people with COVID-19 could spread it to animals, CDC recommends that you do not let pets interact with people outside of your household, especially in places with community spread of COVID-19. Therefore, you should consider avoiding dog parks or other places where large numbers of people and dogs gather. Some areas are allowing dog parks to open. If you choose to go to a dog park, follow local guidelines. There are ways to reduce the risk of you or your dog getting infected with COVID-19 if you go to a dog park. Do not take your dog to a dog park if you are sick or if you have recently been in close contact with a person with COVID-19. Do not take your dog to a dog park if your dog is sick. Signs of sickness in dogs may include fever, coughing, difficulty breathing or shortness of breath, lethargy, sneezing, discharge from the nose or eyes, vomiting, or diarrhea. If your dog has tested positive for the virus that causes COVID-19, talk to your veterinarian about when it is appropriate for your pet to go back to normal activities. Try to limit your dog’s interaction with other people outside of your household while at the dog park. As much as possible, avoid touching common items in the dog park like water bowls. Wash your hands or use hand sanitizer after touching items from the park. To make sure your dog has fresh water, consider bringing your own portable water bowl. Limit other pet items brought to the dog park, such as toys. Clean and disinfect anything taken to the park and returned home (leashes, toys, water bowls). Do not wipe or bathe your dog with chemical disinfectants, alcohol, hydrogen peroxide, or any other products not approved for animal use.




Can I take my dog to daycare or a groomer?


Until we know more about how this virus affects animals, CDC encourages pet owners to treat pets as you would other human family members to protect them from possible infection. This means limiting contact between your pets and people outside your household as much as possible and avoiding places where large numbers of people gather. Some areas are allowing groomers and boarding facilities such as dog daycares to open. If you must take your pet to a groomer or boarding facility, follow any protocols put into place at the facility, such as wearing a cloth face covering and maintaining at least 6 feet of space between yourself and others if possible. Limit pet items brought from home to the groomer or boarding facility, and disinfect any objects that are taken into a facility and returned home (such as leashes, bowls, and toys). Use an EPA-registered disinfectantexternal icon to clean items and rinse thoroughly with clean water afterwards. Do not wipe or bathe your pet with chemical disinfectants, alcohol, hydrogen peroxide, or any other products not approved for animal use. Do not put face coverings on pets, and do not take a sick pet to a groomer or boarding facility. Signs of sickness in animals may include: Fever Coughing Difficulty breathing or shortness of breath Lethargy Sneezing Nasal/ocular discharge Vomiting Diarrhea If you think your pet is sick, call your veterinarian. Some veterinarians may offer telemedicine consultations or other plans for seeing sick pets. Your veterinarian can evaluate your pet and determine the next steps for your pet’s treatment and care.




What should I do if my pet gets sick and I think it's COVID-19?


There is a small number of animals around the world reported to be infected with the virus that causes COVID-19, mostly after having contact with a person with COVID-19. Talk to your veterinarian about any health concerns you have about your pets. If your pet gets sick after contact with a person with COVID-19, do not take your pet to the veterinary clinic yourself. Call your veterinarian and let them know the pet was around a person with COVID-19. Some veterinarians may offer telemedicine consultations or other plans for seeing sick pets. Your veterinarian can evaluate your pet and determine the next steps for your pet’s treatment and care.




Why are animals being tested when many people can't get tested?


Animals are only being tested in very rare circumstances. Routine testing of animals is not recommended at this time, and any tests done on animals are done on a case by case basis. For example, if the pet of a COVID-19 patient has a new, concerning illness with symptoms similar to those of COVID-19, the animal’s veterinarian might consult with public health and animal health officials to determine if testing is needed.




Are pets from a shelter safe to adopt?


Based on the limited information available to date, the risk of animals spreading COVID-19 to people is considered to be low. There is no reason to think that any animals, including shelter pets, play a significant role in spreading the virus that causes COVID-19.




What should I do if there are pets at my long-term care facility or assisted living facility?


Based on the limited information available to date, the risk of animals spreading COVID-19 to people is considered to be low. However, it appears that the virus that causes COVID-19 can spread from people to animals after close contact with people with COVID-19. Until we learn more about how this virus affects animals, use similar precautions for pets and other animals in your facility as you would for other people in your facility. This will help protect both people and pets in your facility from COVID-19. Do not let pets in the facility interact with sick people. Pets or other animals should not be allowed to roam freely around the facility. Residents should avoid letting their pets interact with people as much as possible. Dogs should be walked on a leash at least 6 feet (2 meters) away from others. People sick with COVID-19 should avoid contact with pets and other animals. Do not allow pets into common areas of the facility such as cafeterias and social areas. Cats should be kept indoors to prevent them from interacting with other animals or people outside of the facility. Talk to a veterinarian if a pet in your facility gets sick or if you have any concerns about the health of any pets in the facility. If you think a pet in the facility was exposed to or is showing signs consistent with COVID-19, contact your state health official to discuss guidance on testing pets or other animals for the virus that causes COVID-19. People who are at higher risk for severe illness from COVID-19 should avoid providing care for sick pets, if possible.




What about imported animals or animal products?


CDC does not have any evidence to suggest that imported animals or animal products pose a risk for spreading COVID-19 in the United States. This is a rapidly evolving situation and information will be updated as it becomes available. CDC, the U. S. Department of Agriculture (USDA), and the U.S. Fish and Wildlife Service (FWS) play distinct but complementary roles in regulating the importation of live animals and animal products into the United States.




Can wild animals spread the virus that causes COVID-19 to people or pets?


Currently, there is no evidence to suggest the virus that causes COVID-19 is circulating in free-living wildlife in the United States, or that wildlife might be a source of infection for people in the United States. The first case of a wild animal testing positive for the virus in the United States was a tiger with a respiratory illness at a zoo in New York City. However, this tiger was in a captive zoo environment ,and public health officials believe the tiger became sick after being exposed to a zoo employee who was infected and spreading the virus. If a wild animal were to become infected with the virus, we don’t know whether the infection could then spread among wildlife or if it could spread to other animals, including pets. Further studies are needed to understand if and how different animals, including wildlife, could be affected by COVID-19. Because wildlife can carry other diseases, even without looking sick, it is always important to enjoy wildlife from a distance. Take steps to prevent getting sick from wildlife in the United States: Keep your family, including pets, a safe distance away from wildlife. Do not feed wildlife or touch wildlife droppings. Always wash your hands and supervise children washing their hands after working or playing outside. Leave orphaned animals alone. Often, the parents are close by and will return for their young. Consult your state wildlife agency’s guidance if you are preparing or consuming legally harvested game meat. Do not approach or touch a sick or dead animal – contact your state wildlife agency instead.




Can bats in the United States get the virus that causes COVID-19, and can they spread it back to people?


Other coronaviruses have been found in North American bats in the past, but there is currently no evidence that the virus that causes COVID-19 is present in any free-living wildlife in the United States, including bats. In general, coronaviruses do not cause illness or death in bats, but we don’t yet know if this new coronavirus would make North American species of bats sick. Bats are an important part of natural ecosystems, and their populations are already declining in the United States. Bat populations could be further threatened by the disease itself or by harm inflicted on bats resulting from a misconception that bats are spreading COVID-19. However, there is no evidence that bats in the United States are a source of the virus that causes COVID-19 for people. Further studies are needed to understand if and how bats could be affected by COVID-19.





Community Mitigation

What is community mitigation?


Community mitigation activities are actions that people and communities can take to slow the spread of infectious diseases, and prepare for it if it occurs, including COVID-19. Community mitigation is especially important before a vaccine or drug becomes widely available.




What are community mitigation actions for COVID-19?


For individuals: Washing hands often Avoiding close contact with people who are sick, and practicing social distancing Covering mouth and nose with a cloth face cover when around others Covering coughs and sneezes Cleaning and disinfecting frequently touched surfaces daily For communities: Promoting behaviors that prevent spread Maintaining healthy environments Maintaining healthy operations Preparing for when someone gets sick Closing businesses and schools and limiting other services




Who is involved in community mitigation actions?


Individual people, communities, schools, businesses, and healthcare organizations have a role to play in community mitigation. Policies*, which include limits on large gatherings, restrictions on businesses, and school closures are often needed to fully put in place community mitigation strategies. Each community is unique. Because some actions can be very disruptive to daily life, mitigation activities will be different depending on how much disease has spread within the community, what the community population is like, and the ability to take these actions at the local level. To identify appropriate activities, all parts of a community that might be affected need to be considered, including populations most vulnerable to severe illness, and those who might be more affected socially or economically. When selecting mitigation activities, states and communities need to consider the spread of disease locally, characteristics of the people who live in the community (for example, age groups, languages spoken, overall health status), and the kind of public health resources and healthcare systems (like hospitals) that are available in the community. State and local officials may need to adjust community mitigation activities and immediately take steps to scale them up or down depending on the changing local situation. Putting mitigation into practice is based on Emphasizing individual responsibility for taking recommended personal-level actions Empowering businesses, schools, and community organizations to take recommended actions, particularly in ways that protect persons at increased risk of severe illness Focusing on settings that provide critical infrastructure or services to individuals at increased risk of severe illness Minimizing disruptions to daily life to the extent possible *CDC cannot address the policies of any business or organization. CDC shares recommendations based on the best available science to help people make decisions that improve their health and safety. In all cases, follow the guidance of your healthcare provider and local health department. Local decisions depend on local circumstances.





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