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USA | Jan 16, 2022

Concerns growing over CDC isolation guidelines amid new research finding

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New data is showing that people with the Omicron coronavirus (COVID-19) variant frequently stay infectious for longer than five days, thus raising concerns about the US Centers for Disease Control and Prevention (CDC) updated isolation guidelines.

Experts say the issue could be resolved by using rapid tests to determine whether it is safe to exit isolation, but the CDC has not recommended a negative test as a condition to end isolation. However, a new study of NBA players and staff, which has yet to be peer-reviewed, has found that a large percentage of Omicron-infected people still had viral loads over a certain threshold five days after their first positive test.

The study used this threshold as a proxy for infectiousness and for triggering a positive antigen test, which suggests that a sizable portion of Omicron infections will still be infectious at day five. Nathan Grubaugh, a Yale professor and an author of the study, tweeted that the “main take-away = ending isolation at day 5 should include a negative rapid antigen test. Otherwise isolation needs to be extended.”

He questioned why do all of the work to identify infections if we are going to just let them go back to work while still potentially infectious. The data adds to growing anecdotal evidence in the form of positive antigen tests past the recommended isolation period that there’s no guarantee that someone isn’t infectious after five days.

The CDC does recommend that people who leave isolation after five days wear a mask around others but there’s at least one hugely practical argument for allowing people to leave isolation (with a mask) after five days. As such many Americans are infected right now that it threatens basic societal functions for them all to stay home longer.

In addition, there is a shortage of rapid tests, given the surge of demand for them, meaning that recommending people use them to leave isolation may fall flat if there aren’t any tests to be found.

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