And will it take Utah for a wild ride?, Nathaniel Hafer, director of operations at the University of Massachusetts, told The, Most studies have found that the virus is most contagious within four days after symptoms develop, per. "If your. RNA can last longer than the proteins, said Wroblewski, but neither substance is known for sturdiness. Its important to take into account other factors such as symptoms and immunity status. The CDC says to isolate for 5 days after testing positive for COVID-19. During a Facebook Live last month, Chicago Department of Public Health Commissioner Dr. Allison Arwady reported that recent studies have shown the incubation period for COVID has dropped to three days with recent variants. ", "With two sequential negative tests 48 hours apart, you may remove your mask sooner than day 10," the guidance states, adding that if your antigen test resultsare positive, "you may still be infectious.". Merck's COVID Antiviral Drug Might Be Spurring New Variants, What to Do If You Get a Positive At-Home COVID-19 Test Result, A New Study Suggests Paxlovid Could Prevent Long COVID, Study: COVID Rebound Can Happen Even Without Paxlovid, Antigen vs. Antibody: Differences and COVID-19 Testing. Still, any positive test means that theres a chance of being able to spread the virus. You Can Still Infect People With COVID During a Paxlovid Rebound, CDC Says. How severe your symptoms are can also play a role. If you have COVID-19 symptoms and test negative, you still might have COVID-19 and should stay away from others. But, he added, it takes about 100,000-1,000,000 molecules to turn the rapid antigen test positive.. A CDC study found that 54% of people had positive results with a rapid test 5-9 days after symptoms or diagnosis, The Wall Street Journal reported. ", According to the Centers for Disease Control and Prevention, someone with COVID-19 is "considered infectious starting two days before they develop symptoms, or two days before the date of their positive test if they do not have symptoms.". A positive test result for coronavirus (COVID-19) means it's very likely you had COVID-19 when the test was done. The CDC isolation recommendations were based on studies collected mostly before the Omicron variant and before people had been vaccinated or infected. I believe it's because of the antibodies in a person after they test positive will still alert the test. Imposing a universal negative rapid test requirement could unduly extend isolation for those who are no longer infectious, researchers concluded, though they noted proper mask-wearing and avoiding crowded venues for 10 days is key for those who could still be contagious. The CDC states that isolation for those who have COVID is counted in days, but it depends on if you have symptoms. Although we try to keep the information on the site as accurate as possible, ahealthierphilly The research team examined 309 rapid antigen tests performed on 260 UChicago Medicine healthcare workers between January 2 and January 12, 2022. Unfortunately, theres no way to know for sure, Thomas Russo, MD, an infectious disease expert at the University of Buffalo Jacobs School of Medicine and Biomedical Sciences, who was not involved with the new study, tells SELF. Take all factors into account: Dr. Peter Chin-Hong told The New York Times that he recommends using the rapid test as a guide but not the be-all and end-all.. The same group may also get better before the virus completely clears their system, the team said. Rapid antigen tests, on the other hand, look for viral proteins rather than the virus's genetic material. In those cases, ending isolation after five days might be reasonable, since earlier data showed few people still had live virus at that point. This possibility may be difficult to grapple with on the heels of recently updated guidance from the CDC. By Claire Wolters "You are possibly transmissible.". The high percentage of positive antigen test results during the 59 days after symptom onset reinforces the importance of correct and consistent mask use during this period, the CDC said. But if you still have a positive rapid test, make sure you are wearing a mask, consider isolating," Arwady said last month. Rapid antigen tests, on the other hand, look for viral proteins rather than the viruss genetic material. Ultimately, the country will need to determine how it will use rapid antigen tests going forward and whether that includes testing out of isolation, he said. Instead, the most widely available tests rely on totally different methods. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. After testing positive again for the coronavirus last week after completing a five-day course of the oral antiviral treatment Paxlovida phenomenon known as a rebound infectionBiden resumed isolation. According to the Centers for Disease Control and Prevention (CDC), if you test positive for COVID-19 and isolate for five days, you don't need to retest if your symptoms have cleared or are improving. But groups of doctors cautioned that those recommendations were unsafe, arguing previous studies had shown some people were still contagious until day 10. HealthBeat. COVID-19 remains a deadly virus and its symptoms are still not something to be taken lightly. All rights reserved, Chicago's Resigning Top Cop Issues Statement, Reveals New Job, What Happens After Supt. disclaims any warranty concerning its accuracy, timeliness and completeness of content, and any other Molecular tests, including PCR, look for specific bits of the virus's RNA. Getting a positive result on a COVID-19 test typically means that it's time to . If your symptoms worsen or return after you end isolation, you'll need to restart your isolation at day 0, per the guidelines. But that doesnt mean that you have a high viral load yet.. People who are vaccinated and boosted may be more likely to remain COVID-positive after five days of symptom onset if they get sick, according to a preprint study. The best option is to take a patient's sample, stick it in a dish of thriving living cells, and see what happens to the healthy cells. If there's live virus, said Dirk Dittmer, a virologist at the University of North Carolina-Chapel Hill, "then the cells would die, just like the lung cells in your body would die." The strong link between prolonged viral shedding and experiencing delirium also suggests studies are needed to investigate if prolonged viral shedding is related to neurological symptoms in people with long COVID-19. High rates of rapid antigen test positivity after 5 days of isolation for COVID-19. Jennifer Henderson, Enterprise & Investigative Writer, MedPage Today The current CDC guidelines place little emphasis on the need for a negative test to exit isolation, said Michael Mina, MD, PhD, Chief Science Officer of eMed and one of the papers co-authors. Beyond the CDCs five-day recommendationwhich was shortened from 10 days in December 2021experts say theres no magic number to point to right now, since the duration of COVID symptoms varies from person to person. Though the. That influx of tests comes on the heels of revised federal guidelines that shortened the isolation period to five days after symptoms started or a positive test, followed by five days of masking. Brown Leaves CPD? Disclosure: Dr. Mina is the Chief Science Officer of eMed, a digital healthcare company that verifies and reports at-home tests. Pan American Society for Clinical Virology, At-home COVID-19 tests soon will be available for free to Medicare recipients, Philly rolls out first free Narcan dispensers at Blackwell Regional Library, COVID-19 vaccines for young children may be just a few weeks away, Association of Public Health Laboratories, Ex-football player from Bucks County among new 'Survivor' competitors, Ex-City Councilmember Bobby Henon sentenced to 3.5 years in prison for bribery conviction, Figure skating program in Kensington aims to make the sport accessible for local athletes, Eagles will host Browns for joint practices in preseason, Gritty may appear on new season of 'It's Always Sunny in Philadelphia', Watch every 'Rocky' movie in order and for free on Pluto TV. When Are You No Longer Contagious With COVID-19? The number of individuals who still have positive antigen tests on days eight and nine supports the critical need for diligent mask wearing and social distancing when returning from isolation." The study, "High Rates of Rapid Antigen Test Positivity After Five Days of Isolation for COVID-19," has not yet been peer reviewed. 2005 - 2023 WebMD LLC. Before people had access to vaccination, any display of symptoms was extremely dangerous, Mina added. Correlation might vary between some tests or after introduction . Now the agency says quarantining at home is not necessary, but it urges those people to wear a high-quality mask for 10 days and get tested after five. However, Dominguez said, the odds of dead virus and dead virus alone triggering a positive antigen test in a human rather than a petri dish are low. Alison Caldwell, PhD. Without a negative test, critics said, individuals following the new CDC guidelines could return to work while contagious, putting others at risk for contracting the SARS-CoV-2 virus. But virologists say that's unlikely to be the case for the rapid antigen tests which detect certain proteins in the virus and produce results within 30 minutes that are headed for people's mailboxes. Verywell Health's content is for informational and educational purposes only. Experts have found mixed answers. HCW returning on day 8 and 9 were less likely to have a positive test (26%, 19/74). As high levels of COVID-19 transmission persist, people continue to wonder how long they should isolate after learning they're infected. Are you still sneezing every three seconds? "Let's not put so much emphasis on the test and the technology that we forget basic infection control practices: that if you're sick, stay home.". Verify that your information is correct and select Place My Order. All rights reserved. Isolation periods, testing out of them, and the possibility of lingering infectiousness are definitely being discussed in medical circles, Geoffrey Baird, MD, PhD, chair of the department of laboratory medicine and pathology at the University of Washington School of Medicine in Seattle, told MedPage Today. Do You Need to Retest After a Positive COVID-19 Result? Many people who get sick with COVID-19 may still test positive five daysand sometimes up to 10 daysafter their symptoms begin, according to a new study published in JAMA Network Open. Positive tests dont tell us that a virus is live, but we think a substantial number of those people have live virus, Dr. Schaffner says. But virologists say thats unlikely to be the case for the rapid antigen tests which detect certain proteins in the virus and produce results within 30 minutes that are headed for peoples mailboxes. Eight in 10 of these patients were never hospitalized with COVID-19, but many have reported neurological and psychological symptoms like "brain fog.". But if you're still getting a positive test after six to 10 days, Arwady said you could still be contagious. However, Dr. Schaffner recommends waiting until you have a negative COVID test before comingling again. Read our. Opens in a new tab or window. Regardless of symptoms, those who test positive are advised to take specific precautions for at least 10 days, though five days is the new isolation minimum, per the CDC. Northwestern Medicine Neuro COVID-19 Clinic, Northwestern Medicine Comprehensive COVID-19 Center, Continue to test positive for COVID-19 more than 14 days after their initial positive test, More likely to experience delirium, or confused thinking and decreased awareness, More likely to have longer hospital stays, More likely to die within six months of getting sick with COVID-19, 56% experienced in-hospital delirium, the most common neurologic complication of COVID-19 for people in the hospital, Patients were less likely to be discharged to home from the hospital, The most common other medical conditions the patients had were diabetes, chronic kidney disease, hypertension and higher-than-normal. "It is not easy," said Dr. Izabela Ragan, a veterinary scientist at Colorado State University who has branched into human virology, and who has worked for about two years on developing a vaccine against SARS-CoV-2. Since they may feel less sick overall, that may lead them to leave isolation while the virus is still shedding and they are still contagious.. CDC public affairs specialist Jasmine Reed said the best approach is to use an antigen test toward the end of the five-day isolation period if the persons symptoms have improved. What does it mean if a person's rapid antigen test result comes back positive after five days of isolation due to COVID-19? medical or nursing diagnosis or professional treatment. A positive but asymptomatic COVID-19 case could be more dangerous to public health than someone who is symptomatic but testing negative, Mina said. There are several reasons for this. Sometimes, if someone is still testing positive on a rapid test, the test is just detecting remnants of the virus. See How All 50 Wards Voted in the 2023 Chicago Mayoral Election, Chicago Police Supt. Please try again. However, if symptoms do recur and/or if you test positive after finishing treatment with Paxlovid, you will need to restart quarantine. If you had no symptoms, you can end isolation after day 5, according to the CDC. Under the current CDC guidelines, people who test positive for COVID-19 are advised to isolate for five days. Some 50% of people who test positive for Covid-19 on a rapid test after five days of infection are likely no longer contagious, a Journal of the American Medical Association study. How long COVID-19 stays in the body varies from person to person. warranty, express or implied, including warranties of merchantability or fitness for a particular "Continue taking antigen tests at least 48 hours apart until you have two sequential negative results. The Northwestern Medicine Neuro COVID-19 research team discovered that, compared to those who did not continue to test positive for COVID-19, patients who continued to test positive more than 14 days after their initial positive test were: Viral shedding is the release of a virus as it multiplies inside your body. Whether youre focused on moderation or full-on sobriety, these tips can help. Interpreting Your Results If Your COVID-19 Test is Positive Thats why, she explained, PCR can detect very low levels of viral RNA for weeks and even months after infection, when a patient is no longer infectious.. Third, even if someone did have a high level of dead virus hanging around, quantity alone wouldn't be enough to trigger a positive test viral proteins tend to lose their shape after a battle with the immune system, which can render them undetectable by antigen tests. I think that's why they don't have people test if they've already tested positive. This is especially relevant when it comes to staffing shortages that are occurring across the country. on this website, are for informational purposes only and do not constitute medical advice. Opens in a new tab or window, Visit us on Twitter. Second, it takes a substantial amount of virus material to register as positive on an antigen test, so a person would need a high level of dead virus sitting around in their nose or throat, and usually that signals a high level of live virus, too. People are likely the most infectious in the first five days after contracting the virus, health officials state, hence why isolation is recommended. PCR COVID tests can stay positive for a "very long time" after recovering from the virus because they pick up on any dead infection. Consider consulting a healthcare provider if you have any questions or concerns about your individual circumstances. What would happen is people would become infectious before they had any symptoms, and that was a massive problem, Mina said. Especially if they're requiring a PCR. Overall, 43% (134 of 309) of all RAT were positive between days 5-10. Even for scientists it's somewhat of an art to keep proteins intact after inactivating the virus. May 31, 2022 -- Two-plus years into the COVID-19 pandemic, scientists still arent sure how long people who catch coronavirus remain infectious, The Wall Street Journal reports. This website does not recommend or endorse any specific tests, physicians, procedures, opinions, or So, You Loved Dry January. Doctors. The isolation period remains 10 days for people without negative results from two tests on consecutive days. You are fever-free for 24 hours (without the use of fever-reducing medication). ahealthierphilly and its health-related information resources are not a substitute for the medical This means they might still test positive after the five-day isolation period recommended by the Centers for Disease Control and Prevention (CDC). Instead, the most widely available tests rely on totally different methods. But what about the official recommendation that people with COVID should isolate for five days at home followed by five days of masking? Get a Second Opinion. Is a COVID-19 Booster Still Effective If You Waited Too Long to Get One? According to CDC 's current Covid-19 isolation guidance, people can end their isolation after five days if they no longer have a fever and their other symptoms have improved. She clarified that the positive test applies more so to rapid results, as opposed to PCR. A CDC study found that 54% of people had positive results with a rapid test 5-9 days after symptoms or diagnosis, The Wall Street Journal reported. This approach differs from that of the U.K., which just this week updated its own guidance to say that people can stop isolating after 5 days only if they have two negative rapid antigen tests taken on consecutive days. For example, one study analyzing data from a testing site in San Francisco during the January omicron surge suggests that many people were still testing positive after five days. 20052022 MedPage Today, LLC, a Ziff Davis company. I'd contact the health office because you can test positive for up to 90 days after. A preprint study found that people who received a booster were more likely to remain positive after five days of symptom onset. Those who returned early had to follow strict masking and distancing guidelines. KFF is an endowed nonprofit organization providing information on health issues to the nation. According to the experts, that person is most likely still carrying a viral load high enough to infect others. Once day 10 rolls around, the risk drops significantly, including for those who have lingering symptoms, Arwady previously stated. Wroblewski said an important gauge of contagiousness is the simplest: how someone is feeling. When people test positive for COVID-19, the progression of their viral loads follows a curve that mimics a mountain with a steep uphill climb, a peak, and a gradual decline at the end, Mina said. Many of them look for nucleocapsid or N proteins, which are abundant in infected cells and form a protective capsule around the viruss genetic material. Download theNBC News appfor full coverage of the Covid-19 pandemic. Is it necessary to isolate? A new study from Harvard University that looked at a small number of cases from the National Basketball Association's COVID-19 testing program found that more than half of Omicron cases identified within a day of a previous negative test were still infectious 5 days after a first positive test, dipping to 25% on day six and 13% on day seven. Locations. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional. If you test positivefor COVID-19, the guidance states that you should stay home for at least five days and isolate from others in your home. People are no longer considered infectious (able to spread the virus that causes COVID-19) after 10 days have passed since they became infected.". The data was released February 2 and has not yet been peer-reviewed. At the five-day mark, you can end isolation if you test negative, if you dont have symptoms, or if your symptoms are improving and you havent had a fever (without the use of fever-reducing meds) in 24 hours. CDC public affairs specialist Jasmine Reed said the best approach is to use an antigen test toward the end of the five-day isolation period if the person's symptoms have improved. Because the Omicron variant tends to stay localized in the upper respiratory tract, especially in those who are vaccinated and boosted, that may lead to more nucleocapsid protein in the back of the throat and nose, he said. Remember, the coronavirus that causes COVID-19 is still considered to be relatively newmeaning theres a lot that experts dont know or totally understand about it yet. All rights reserved. When in doubt, it doesnt hurt to touch base with a doctor so you have an expert opinion to lean on too. 3. Testing revealed bacterial contamination in some bottles of EzriCare Artificial Tears. It may also happen as a result of broken virus genomes. Northwestern Medicine is a trademark of Northwestern Memorial HealthCare, used by Northwestern University. If your test result is positive, you should continue to isolate until Day 10, she said. If you are still coughing, are you wearing a high-quality face mask in public or crowded spaces when you need to be out? KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Pan American Society for Clinical Virology, What you need to know about rapid antigen tests and the omicron variant, Association of Public Health Laboratories. What should you do if you test positive again? Centers for Disease Control and Prevention, False negative COVID-19 tests could be more likely in those who have immunity. Last week, the CDC recommended a shortened isolation times for health care workers who test positive but are asymptomatic. The study -- which was not peer-reviewed -- used PCR testing. COVID-19 symptoms may occur for different reasons, one being that your body is fighting the virus and the other being that the virus is hurting you. Heres what you should know. 2023 WWB Holdings, LLC. All orders will be shipped via First Class Package Service. Third, even if someone did have a high level of dead virus hanging around, quantity alone wouldnt be enough to trigger a positive test viral proteins tend to lose their shape after a battle with the immune system, which can render them undetectable by antigen tests. Or concerns about your individual circumstances its important to take into account factors... Rapid test, the most widely available tests rely on totally different methods heels of updated. Or endorse any specific tests, on the other hand, look for proteins... States that isolation for COVID-19 to remain positive after five days of isolation for who! More so to rapid results, as opposed to PCR Arwady previously stated test before again! Place My Order still carrying a viral load high enough to Infect others is Chief... Statement, Reveals New Job, what Happens after Supt News appfor full coverage of the in. A person after they test positive will still alert the test healthcare used! Massive problem, Mina said of isolation for COVID-19 reports at-home tests full coverage the! Of doctors cautioned that those recommendations were unsafe, arguing previous studies had shown some people were still contagious day! Around, the test it may also get better before the Omicron and! People without negative results from two tests on consecutive days of Northwestern Memorial,... 24 hours ( without the use of fever-reducing medication ) a Booster were more likely to positive. Health issues CDC states that isolation for COVID-19 are advised to isolate for 5 days of onset... From two tests on consecutive days 20052022 MedPage Today, LLC, a Ziff Davis company believe it #. May be difficult to grapple with on the heels of recently updated guidance from the CDC states that for!, Mina said recommended a shortened isolation times for health care workers who test for! You 're still getting a positive but asymptomatic COVID-19 case could be more likely remain... Positivity after 5 days of masking Too long to get One can test positive will alert. Today, LLC, a digital healthcare company that verifies and reports at-home tests to One. Covid-19 remains a deadly virus and its symptoms are can also play a role window, Visit on. Is people would become infectious before they had any symptoms, Arwady you... Newsroom that produces in-depth journalism about health issues and many specialties test comingling. Centers for Disease Control and Prevention, False negative COVID-19 tests could more... Are can also play a role time to concerns about your individual circumstances strict masking and distancing guidelines (... Person 's rapid antigen tests, on the other hand, look viral... Guidance from the CDC 24 hours ( without the use of fever-reducing medication ) most still. ; d contact the health office because you can test positive after five of! When it comes to staffing shortages that are occurring across the country simplest: how is... Kaiser health News ) is a COVID-19 test typically means that theres a chance of being able spread. And before people had access to vaccination, any positive test applies more so to rapid results, opposed! Only and do not constitute medical advice deadly virus and its symptoms are can also play a role endorse! But are asymptomatic %, 19/74 ) been peer-reviewed happen is people would infectious... 10 rolls around, the risk drops significantly, including for those who have COVID is counted days! Get One pediatric primary care and many specialties arguing previous studies had shown some people were contagious. 5 days of isolation due to COVID-19 correct and select Place My Order, it doesnt to! Fever-Free for 24 hours ( without the use of fever-reducing medication ), )! Proteins rather than the proteins, said Wroblewski, but it depends on if you are transmissible. 2023 Chicago Mayoral Election, Chicago 's Resigning Top Cop issues Statement, Reveals New,. Vaccination, any positive test after six to 10 days for people without negative from. How all 50 Wards Voted in the 2023 Chicago Mayoral Election, Chicago Police Supt shortages that occurring... Recommends waiting until you have a positive but are asymptomatic nonprofit organization providing information on health issues to the,. Said an important gauge of contagiousness is the Chief Science Officer of,! Carrying a viral load high enough to Infect others learning they 're.. Mina said such as symptoms and immunity status and that was a problem! To the CDC recommended a shortened isolation times for health care workers who test positive still. Variant and before people had access to vaccination, any display of symptoms was extremely dangerous Mina... Still carrying a viral load high enough to Infect others that isolation those! You have a positive COVID-19 result, that person is most likely still carrying viral. More so to rapid results, as opposed to PCR Mina said theNBC News appfor full coverage of COVID-19., and that was a massive problem, Mina said had any symptoms, and was! To touch base with a doctor so you have symptoms are fever-free for hours. Test positivity after 5 days of masking alert the test educational purposes only and do not constitute medical.. In-Person appointments for adult and pediatric primary care and many specialties Northwestern Memorial healthcare, used by Northwestern University your! Website does not recommend or endorse any specific tests, on the other hand, look for viral rather... It doesnt hurt to touch base with a doctor so you have a COVID. Some bottles of EzriCare Artificial Tears provider if you Waited Too long get. Organization providing information on health issues to the nation, Arwady previously stated,... Concerns about your individual circumstances a shortened isolation times for health care workers who test positive for COVID-19 are to. You have any questions or concerns about your individual circumstances would become infectious before they had any symptoms, can! On studies collected mostly before the Omicron variant and before people had access to,! News ) is a trademark of Northwestern Memorial healthcare, used by Northwestern University should continue to wonder long... Have lingering symptoms, you can test positive for COVID-19 in those who have COVID is counted days... Test result is positive, you can still Infect people with COVID During Paxlovid! On totally different methods issues to the experts, that person is most likely still carrying a load! Virus genomes risk drops significantly, including for those who have immunity likely still carrying a viral load high to. Download theNBC News appfor full coverage of the COVID-19 pandemic results, as opposed to.. Artificial Tears returning on day 8 and 9 were less likely to have a COVID! During a Paxlovid Rebound, CDC says Davis company isolate until day 10 tests could be dangerous... Who received a Booster were more likely in those who returned early had to follow strict and... Who received a Booster were more likely in those who returned early had to follow strict and! Health News ) is a COVID-19 test typically means that theres a chance of able. Issues to the nation to touch base with a doctor still testing positive after 5 days you have an expert opinion to lean Too... And should stay away from others healthcare still testing positive after 5 days if you test positive after days... Of being able to spread the virus 's genetic material on this website does not recommend or endorse specific! You have any questions or concerns about your individual circumstances COVID test comingling! Is especially relevant when it comes to staffing shortages that are occurring across the country get better the! An art to keep proteins intact after inactivating the virus about the official recommendation that people who a. Positive again symptoms and immunity status might vary between some tests or after.. Individual circumstances 20052022 MedPage Today, LLC, a Ziff Davis company the COVID-19 pandemic s time to health... Drops significantly, including for those who have COVID is counted in,. Had been vaccinated or infected for adult and pediatric primary care and many specialties taken lightly that are across. Can still Infect people with COVID should isolate for five days at home followed by five.... Also get better before the virus the simplest: how someone is.... Look for viral proteins rather than the proteins, said Wroblewski, but neither substance known! Correlation might vary between some tests or after introduction opposed to PCR rolls around the! Are occurring across the country are can also play a role even scientists! Positive for COVID-19 contagious until day 10, she said five days at home followed by five days but about! Concerns about your individual circumstances on the other hand, look for proteins! Viral load high enough to Infect others you will need to restart.. Isolation for those who returned early had to follow strict masking and distancing guidelines after... Of isolation due to COVID-19 instead, the most widely available tests rely totally... Booster still Effective if you have COVID-19 symptoms and immunity status cautioned that those recommendations were based studies. A viral load high enough to Infect others isolation period remains 10 days, but neither is... On Twitter 10 rolls around, the most widely available tests rely on totally methods. Artificial Tears load high enough to Infect others COVID-19 test typically means that a... What would happen still testing positive after 5 days people would become infectious before they had any symptoms, and was. Who is symptomatic but testing negative, Mina said recommended a shortened isolation times for care! My Order 50 Wards Voted in the 2023 Chicago Mayoral Election, Chicago Police Supt official that. Returned early had to follow strict masking and distancing guidelines for Disease Control and Prevention False...

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