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CDC drops its 5-day COVID isolation guidelines

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CDC drops its 5-day COVID isolation guidelines

It is no longer necessary to isolate for five days after testing positive for COVID-19, according to a Friday statement from the U.S. Centers for Disease Control and Prevention (CDC).

The new guidance tells people to stay home if they are sick, but when they are feeling better and have been fever-free for 24 hours, they can return to school or work.

The CDC does recommend continuing to wear a mask for five days, while washing hands, maintaining physical distance and focusing on good ventilation.

This is the same guidance given for flu and other respiratory illnesses.

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“Our goal here is to protect those at risk for severe illness while also reassuring folks that these recommendations are simple, clear, easy-to-understand and can be followed,” said Mandy Cohen, CDC director, in a statement to media on Friday. 

The updated guidance “reflects the progress we’ve made in protecting against severe illness from COVID,” she added.

The CDC on Friday announced that it is no longer necessary for people to isolate for five days after testing positive for COVID-19. (Elijah Nouvelage/Bloomberg via Getty Images)

Prior to Friday’s update, the CDC called for people who test positive for the virus to “stay home for at least five days and isolate from others in your home,” a recommendation that was implemented in late 2021. 

At the start of the pandemic, the agency had recommended a 10-day isolation period for people who tested positive for the virus.

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‘One set of guidelines’

Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, spoke with Cohen on Thursday ahead of the updated guidance.

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“The change is based on the fact that, according to Dr. Cohen, though wastewater analysis for COVID is very high, at the same time, case counts and hospitalizations are MUCH lower,” he told Fox News Digital.

“The goal is to have one set of guidelines for all respiratory viruses — flu, RSV, COVID, etc.,” Siegel noted.

Prior to Friday’s update, the CDC called for people who test positive for the virus to “stay home for at least five days and isolate from others in your home,” a recommendation that was implemented in late 2021.  (iStock)

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Cohen did indicate that the new recommendation does not apply to every patient.

“The immunocompromised, pregnant women and chronically ill may wait longer based on the advice of their physician,” Siegel said.

“The goal is to have one set of guidelines for all respiratory viruses.”

By the time someone tests positive for COVID, they are most likely at least two days into the illness, according to Cohen, and emerging data shows that the times of greatest transmission are right before symptoms begin and in the first few days of illness.

“Being recently vaccinated and taking Paxlovid (when indicated) within the first few days will help you recover much quicker,” Cohen told Siegel.

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SHOULD THE CDC DROP ITS 5-DAY COVID ISOLATION GUIDELINES? DOCTORS WEIGH IN

Some states had already relaxed their own guidelines prior to the CDC’s official update.

In both Oregon and California, people with COVID have not had to isolate at all — as long as they have been fever-free for 24 hours without using fever-reducing medicines and their other COVID symptoms are improving, according to each state’s health department.

At the start of the pandemic, the agency recommended a 10-day isolation after testing positive for the virus. (iStock)

Siegel said he is in agreement with removing the five-day isolation period.

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“The pandemic has been over for several months, and though there was an uptick this winter, with over 20,000 hospitalizations and 1,500 deaths per week at one point, it is now diminishing,” the doctor said.

Some doctors believe there should be at least somewhat stricter guidelines for COVID.

One doctor said the isolation period should be one to two days longer for COVID than for flu. (iStock)

Dr. Ben TenOever, head of the Virology Institute at New York University, told Siegel that he thinks the isolation period should be one to two days longer for COVID than for influenza.

“This is because SARS COV-2 travels farther on smaller droplets than flu,” Siegel said. 

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Also, flu tends to generate a lot of non-infectious material after it’s been in the body for a few days, TenOever noted, which means the flu coming out of a person’s mouth or nose when coughing or sneezing may be pieces of dead flu virus. 

SARS COV-2, by contrast, stays intact because it is more compact, so it may remain infectious longer, the doctor said.

COVID numbers continue downward trend

As of the most recently reported week ending Feb. 24, the share of administered COVID tests with positive results was 7.4%, a 0.6% decrease from the prior week, per CDC data.

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Of all emergency department visits, 1.8% of them resulted in a diagnosis of COVID, a 0.9% week-over-week decline.

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COVID-related hospitalizations decreased 10.3% from the prior week.

The share of all U.S. deaths due to COVID was 2.1%, which reflected an 8.7% decrease.

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Early peanut exposure in babies tied to sharp drop in food allergy diagnoses

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Early peanut exposure in babies tied to sharp drop in food allergy diagnoses

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Historically, parents were advised to avoid feeding peanuts to babies for the first few years of life, but emerging research has confirmed that introducing them sooner — as early as infancy — could help stave off food allergies.

A 2025 study led by the Children’s Hospital of Philadelphia analyzed medical records from dozens of pediatric practices across the U.S., finding that early introduction of peanuts resulted in a 27% decrease in peanut allergy diagnoses among children and a 38% decrease in overall food allergies.

The latest research also found that eggs had surpassed peanuts as the most common food allergen in the children studied. Beyond peanuts, other common food allergens include milk, egg and wheat.

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The new research — published in Pediatrics, the journal of the American Academy of Pediatrics, in October 2025 — focused on a two-year period after new guidance was issued by the National Institute of Allergy and Infectious Diseases, which first advised parents to introduce peanuts earlier. 

Emerging research has confirmed that introducing peanuts as early as infancy could help stave off food allergies. (iStock)

That updated guidance was based on a landmark 2015 study — the Learning Early About Peanut Allergy (LEAP) trial — which found that for infants who had severe eczema or an egg allergy, exposing them to peanuts when they were between 4 and 11 months old could reduce peanut allergy risk by 81%.

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The guidelines were updated again in 2021, encouraging the introduction of peanut, egg and other major food allergens as early as 4 to 6 months for all children — including those without a history of prior reaction, according to health experts.

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“Everyone has been wondering whether these landmark public health interventions have had an impact on reducing rates of IgE-mediated food allergies in the United States,” said first author Stanislaw Gabryszewski, M.D., Ph.D., an attending physician in the Division of Allergy and Immunology at the Children’s Hospital of Philadelphia, in a statement.

A 2025 study led by the Children’s Hospital of Philadelphia found that early introduction of peanuts resulted in a 27% decrease in peanut allergy diagnoses among children and a 38% decrease in overall food allergies. (iStock)

“We now have data that suggest the effect of this landmark public health intervention is occurring.”

The latest findings “are supportive of efforts to increase education and advocacy related to early food introduction practices,” the study authors wrote.

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“If confirmed, these findings would represent a meaningful public health advance — affirming that clinical research, when coupled with clear guidelines and committed dissemination, can indeed shift the trajectory of childhood food allergy.”

Study limitations

The study only included data through early 2019 and did not consider the guidance released in 2021, which recommended early introduction of multiple allergens regardless of risk, the researchers acknowledged.

It also relied on allergy diagnoses from electronic health records, which may miss some cases. Also, the researchers did not capture individual feeding patterns.

Parents are encouraged to discuss any concerns with their pediatrician before introducing potential food allergens. (iStock)

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Because the study was observational, it cannot prove cause and effect, but only association, the researchers noted. Other factors may influence the outcome.

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In some children, peanut allergy can trigger severe, life-threatening reactions, including difficulty breathing, swelling of the throat and a dangerous drop in blood pressure, according to Mayo Clinic. These reactions require immediate treatment with epinephrine, a life-saving allergy medication.

Not all parents may be comfortable with these revised guidelines, health experts say.

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“Not everyone has followed those guidelines, but this is further evidence that this early introduction is effective at preventing food allergies,” Dr. Susan Schuval, chief of the Division of Pediatric Allergy and Immunology at Stony Brook Children’s Hospital in New York, previously told Fox News Digital.

Parents are encouraged to discuss any concerns with their pediatrician before introducing potential food allergens.

Amy McGorry contributed reporting.

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Homeless encampment at center of health alert over rat-borne disease

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Homeless encampment at center of health alert over rat-borne disease

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encampment in Berkeley, California.

Leptospirosis, which is caused by Leptospira bacteria, is a zoonotic infection that can be passed from animals to people.

The disease has been confirmed in multiple rats and dogs at the homeless encampments along Harrison Street near Eighth Street in West Berkeley, according to an alert from City of Berkeley Public Health.

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Rats and their urine are the primary vectors of the disease, officials warned. It can also be transmitted through contaminated soil or water exposed to infected animal urine.

“People or animals who touch or drink contaminated water or mud are potentially exposed to the bacteria,” the alert stated. “The disease is transmitted to humans and animals when the contaminated water touches mucous membranes, such as eyes, nose, mouth or skin cuts. This disease is not spread in the air or by coughing or sneezing.”

Health officials are warning of a dangerous bacterial infection that has been detected at a homeless encampment in Berkeley, Calif. (iStock)

There is a higher risk after heavy rainfall, flooding or hurricanes, as this increases contact with infected water or soil.

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Leptospirosis typically causes flu-like symptoms, including fever, chills, headache, body aches, vomiting or nausea, according to the CDC. Infected people may also experience yellowed eyes or skin, rash, stomach pain or diarrhea.

Rats and their urine are the primary vectors of the disease, officials warned. It can also be transmitted through contaminated soil or water exposed to infected animal urine. (iStock)

Without antibiotic treatment, the disease can lead to serious illness, including kidney damage, liver failure, meningitis and difficulty breathing. In rare cases, it can be fatal to humans and animals, health officials say.

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Illness usually begins between two and 30 days of exposure to the bacteria, according to the CDC. People generally start feeling better within a few days or weeks, but recovery without treatment could take several months.

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“The presence of rats that are transmitting leptospirosis has made the area unsafe for human encampment conditions in the vicinity of Harrison Street encampments in the area generally bounded by San Pablo Avenue, Gilman Street, Codornices Creek and the railroad tracks,” the alert stated.

The disease has been confirmed in multiple rats and dogs at the homeless encampments along Harrison Street near Eighth Street in West Berkeley, according to an alert from City of Berkeley Public Health. (iStock)

The city has designated public health risk zones, with the Red Zone marking the highest risk area inside the encampment. Surrounding areas have been defined as the Yellow Zone, with an elevated but lower risk.

“The City’s Health Officer strongly recommends that encampment residents move out of the defined encampment ‘RED ZONE’ area as soon as possible and at least ⅓ of a mile away due to the public health risk caused by the rat infestation transmitting leptospirosis in the area,” officials advised.

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Residents in the area are encouraged to avoid contact with standing water and mud, use protective clothing and monitor themselves and their pets for signs of illness.

Anyone who has been exposed or is experiencing symptoms should seek immediate medical attention.

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Forcing an early wake-up time could harm your health, sleep doctors warn

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Forcing an early wake-up time could harm your health, sleep doctors warn

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With a new year underway, it might seem like a good idea to embrace a stricter morning routine of waking up early and getting a jump-start on the day — but a 6 a.m. alarm isn’t for everyone, experts say.

“Morning birds” fall asleep and reach deep sleep earlier, often waking up more alert, while “night owls” naturally sleep later and rely more on late-night and early-morning REM. Waking too early can leave night owls groggy and less mentally restored. 

“We need to move beyond the ‘early bird gets the worm’ sayings and consider the biological cost of fighting one’s internal clock,” Dr. Aaron Pinkhasov, chair of the Department of Psychiatry at NYU Grossman Long Island School of Medicine, told Fox News Digital.

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The science of sleep

People sleep in repeated 90- to 110-minute cycles that alternate between deep NREM sleep and REM sleep, according to Pinkhasov. 

Early in the night, deep sleep dominates, supporting physical repair, immunity and memory. Later cycles include more REM sleep, which supports learning, emotional regulation and brain function. Brief awakenings between cycles are normal.

Woman stopping an alarm clock (iStock)

Whether someone naturally rises early or late depends on the body’s “chronotype,” that is, whether they’re a morning bird or a night owl, he said.

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The chronotype is a “genetic blueprint” that determines when the body is naturally more alert or ready to rest, according to Pinkhasov.

“About 40% to 50% of our sleep-wake preference is inherited, meaning our internal clock is hardwired,” he noted.

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Waking earlier than one’s body’s clock often means sacrificing REM sleep. Forcing this discrepancy between the internal clock and the alarm clock can lead to “wired but tired” fatigue, mood instability and long-term metabolic risks, Pinkhasov warned.

“About 40% to 50% of our sleep-wake preference is inherited, meaning our internal clock is hardwired,” one expert said. (iStock)

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“Unfortunately, because a lot of people have early work, family or social commitments, night owls have a higher prevalence of anxiety, depression, eating disorders, obesity, obstructive sleep apnea and [type 2 diabetes],” Dr. Nissa Keyashian, a California board-certified psychiatrist and author of “Practicing Stillness,” told Fox News Digital.

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Ultimately, health and productivity are highest when prioritizing consistency and sleep quality over an early-morning goal, experts say.

“The main benefit of switching to an earlier schedule is social alignment. It makes it easier to navigate a world built around a 9-to-5 lifestyle. However, the drawbacks can be significant if the shift is forced,” Pinkhasov said.

While waking at set times may improve social alignments, it can harm those who don’t naturally fit the mold. (iStock)

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Smart shifts

There are some ways to “rewire” internal clocks or at least lessen the negative effects. Experts agree that having a regular bedtime and wake-up time — even on the weekends — can help.

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Pinkhasov recommends a wind-down nighttime routine that includes minimizing electronics, meditating, using essential oils, taking a warm shower or bath or drinking warm, herbal tea.

Pushing up your wake-up time by just 15 minutes a day is the most helpful, according to Keyashian.

Briefly waking up between REM cycles is normal, and adjusting to those cycles may help people wake up easier. (iStock)

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The expert also recommends exposure to bright light in the morning, which can be helpful for mood, energy and concentration. People who experience dips in mood during the winter months can also benefit from using a therapeutic light box.

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“If you believe this might be you, I recommend speaking with a psychiatrist,” she advised. “I also recommend minimizing caffeine. Some people also notice difficulty falling asleep with exercise late in the day, so be mindful of this as well.”

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