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Should the CDC drop its 5-day COVID isolation guidelines? Doctors weigh in

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Should the CDC drop its 5-day COVID isolation guidelines? Doctors weigh in

Is the COVID quarantine on its way out?

Amid reports that the U.S. Centers for Disease Control and Prevention (CDC) may be considering a change to its COVID isolation guidelines, doctors are sharing their own recommendations.

The current CDC guidance, which was implemented in late 2021, calls for people who test positive for the virus to “stay home for at least five days and isolate from others in your home,” its website states.

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This was a reduction from the 10-day isolation that was recommended at the start of the pandemic.

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Although some reports have claimed that the CDC is currently working on revising isolation guidelines ahead of an April announcement, the agency has not confirmed that any updates are forthcoming.

The current CDC guidance, which was implemented in late 2021, calls for people who test positive for the virus to “stay home for at least five days and isolate from others in your home.” (iStock)

When contacted by Fox News, the CDC issued the following statement.

“No updates to COVID guidelines to announce at this time. We will continue to make decisions based on the best evidence and science to keep communities healthy and safe.”

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Some states have already relaxed their own guidelines.

In both Oregon and California, people with COVID do not have 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.

Both states do call for COVID-positive people to continue wearing a mask for 10 days, even after coming out of isolation.

Some reports suggest that the CDC may be considering an update to its COVID isolation guidelines, although the agency said no changes have been announced. (REUTERS/Tami Chappell/File Photo)

“We are now at a different point in time with reduced impacts from COVID-19 compared to prior years, due to broad immunity from vaccination and/or natural infection, and readily available treatments for infected people,” the California Department of Public Health said in a Jan. 9 statement on its website.

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“We are now at a different point in time with reduced impacts from COVID-19 compared to prior years.”

“Most of our policies and priorities for intervention are now focused on protecting those most at risk for serious illness, while reducing social disruption that is disproportionate to recommendations for the prevention of other endemic respiratory viral infections.”

Doctors express thoughts

Timothy Brewer, M.D., professor of medicine and epidemiology at UCLA, said on Feb. 14 that he has seen news reports suggesting that the CDC may change its COVID isolation recommendations — “but to my knowledge and in checking the CDC’s website today, their recommendations have not yet changed.”

As of the most recently reported week ending Feb. 3, 2024, the share of administered COVID tests with positive results was 10%, a 0.6% decrease from the prior week.  (iStock)

“Most respiratory viruses — including SARS-CoV-2, the virus that causes COVID-19 disease — influenza and respiratory syncytial virus (RSV) are capable of being spread while persons with these infections are ill,” Brewer told Fox News Digital. 

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“Being able to isolate oneself when sick with a respiratory viral infection should reduce community spread of these viruses, which remains high or moderately high in much of the country,” he went on. 

“Removing the current guidelines is a correct step to helping to restore the work force.”

Advising people to stay home and isolate while sick “makes excellent public health sense,” according to Brewer. 

“I don’t think the exact number of days matters as much as waiting until the person is feeling better, meaning no fever for at least 24 hours off antipyretic medicines and all other symptoms are improving,” he said.

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Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, said that he thinks the CDC isolation recommendations should be changed, “but not in the same way that Oregon and California have.”

“I think they will be changed and should have been changed a while ago,” Siegel told Fox News Digital.

The current five-day isolation guidance is a reduction from the original 10-day recommendation implemented at the start of the pandemic. (iStock)

“I recently interviewed Dr. Mandy Cohen, head of the CDC, and she told me that they are shifting their focus more toward putting doctors and their patients in charge in general, acknowledging individual differences,” he added.

Siegel recommends 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,” he said. 

“The pandemic has been over for several months, and though there was an uptick this winter, it is now diminishing.”

For those who are sick — particularly if they feel fatigued, are coughing and sneezing, or have a fever — Siegel’s guidance is to stay home.

“If you feel well and the above symptoms have been gone for two days or more, you can return to work with a mask,” the doctor said. 

In addition to isolating for five days, the CDC recommends wearing a high-quality mask when around others at home. (iStock)

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Paxlovid should shorten the amount of time a patient needs to stay at home, Siegel added. 

“I would not adopt the exact same recommendations as flu, which is one day after a fever subsides, because COVID spreads more easily than flu, and we still want to keep you out of the workplace if you are contagious,” he said. 

“I would say two days for COVID after major symptoms resolve rather than one day,” Siegel said. 

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The doctor also urged the CDC to emphasize that the main guidance should come from the doctor/patient interaction.

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“There are individual differences between patients, and those who are immunocompromised or have multiple diseases or are elderly should stay out longer,” he told Fox News Digital. “A doctor should help decide.”

“Removing the current guidelines is a correct step to helping to restore the work force.”

COVID numbers continue downward trend

As of the most recently reported week ending Feb. 3, 2024, the share of administered COVID tests with positive results was 10%, a 0.6% decrease from the prior week. 

Out of all emergency department visits, 1.8% of them were diagnosed with COVID, a 10.8% week-over-week decline.

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COVID-related hospitalizations decreased 10% from the prior week.

The share of all U.S. deaths due to COVID was 3.1%, which reflected a 6.1% decrease.

COVID vaccines have shown to be 54% effective in preventing COVID symptoms in adults, according to CDC data, but a majority of people are opting to skip the vaccine. (Julian Stratenschulte/picture alliance via Getty Images)

People now have more resources to protect against the virus and its potentially adverse effects, including the availability of antiviral medications, such as Paxlovid, as well as COVID vaccines.

The vaccines have shown to be 54% effective in preventing COVID symptoms in adults, according to CDC data from Feb. 1.

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A majority of people, however, are opting to skip the vaccine.

The share of U.S. adults who have received the updated COVID vaccine is 21.9%, while only 12.2% of children are up-to-date.

The vaccination rate is higher for older adults, at 42% among adults age 65 and up.

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Heart disease threat projected to climb sharply for key demographic

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Heart disease threat projected to climb sharply for key demographic

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A new report by the American Heart Association (AHA) included some troubling predictions for the future of women’s health.

The forecast, published in the journal Circulation on Wednesday, projected increases in various comorbidities in American females by 2050.

More than 59% of women were predicted to have high blood pressure, up from less than 49% currently.

The review also projected that more than 25% of women will have diabetes, compared to about 15% today, and more than 61% will have obesity, compared to 44% currently.

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As a result of these risk factors, the prevalence of cardiovascular disease and stroke is expected to rise to 14.4% from 10.7%.

The prevalence of cardiovascular disease and stroke in women is expected to rise to 14.4% from 10.7% by 2050. (iStock)

Not all trends were negative, as unhealthy cholesterol prevalence is expected to drop to about 22% from more than 42% today, the report stated.

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Dr. Elizabeth Klodas, a cardiologist and founder of Step One Foods in Minnesota, commented on these “jarring findings.”

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“The fact that on our current trajectory, cardiometabolic disease is projected to explode in women within one generation should be a huge wake-up call,” she told Fox News Digital.

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“Hypertension, diabetes, obesity — these are all major risk factors for heart disease, and we are already seeing what those risks are driving. Heart disease is the No. 1 killer of women, eclipsing all other causes of death, including breast cancer.”

Cardiovascular disease is the leading cause of death for women in the U.S. and around the world. (iStock)

Klodas warned that heart disease starts early, progresses “stealthily,” and can present “out of the blue in devastating ways.”

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The AHA published another study on Thursday revealing one million hospitalizations, showing that heart attack deaths are climbing among adults below the age of 55.

The more alarming finding, according to Klodas, is that young women were found more likely to die after their first heart attack than men of the same age.

DOCTOR SHARES 3 SIMPLE CHANGES TO STAY HEALTHY AND INDEPENDENT AS YOU AGE

“This is all especially tragic since heart disease is almost entirely preventable,” she said. “The earlier you start, the better.”

Children can show early evidence of plaque deposition in their arteries, which can be reversed through lifestyle changes if “undertaken early enough and aggressively enough,” according to the expert.

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Moving more is one part of protecting a healthy heart, according to experts. (iStock)

Klodas suggested that rising heart conditions are associated with traditional risk factors, like smoking, high blood pressure, high cholesterol, diabetes, obesity and a sedentary lifestyle.

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Doctors are also seeing higher rates of preeclampsia, or high blood pressure during pregnancy, as well as gestational diabetes. Klodas noted that these are sex-specific risk factors that don’t typically contribute to complications until after menopause.

The best way to protect a healthy heart is to “do the basics,” Klodas recommended, including the following lifestyle habits.

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Klodas especially emphasized making improvements to diet, as the food people eat affects “every single risk factor that the AHA’s report highlights.”

“High blood pressure, high blood sugar, high cholesterol, excess weight – these are all conditions that are driven in part or in whole by food,” she said. “We eat multiple times every single day, which means what we eat has profound cumulative effects over time.”

“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health,” a doctor said. (iStock)

“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health.”

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The doctor also recommends changing out a few snacks per day for healthier choices, which has been proven to “yield medication-level cholesterol reductions” in a month.

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“Keep up that small change and, over the course of a year, you could also lose 20 pounds and reduce your sodium intake enough to avoid blood pressure-lowering medications,” Klodas added.

“Women should not view the AHA report as inevitable. We have power over our health destinies. We just need to use it.”

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Vanessa Williams, 62, Opens up About Weight Loss and HRT After Menopause

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Vanessa Williams, 62, Opens up About Weight Loss and HRT After Menopause


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Common vision issue linked to type of lighting used in Americans’ homes

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Common vision issue linked to type of lighting used in Americans’ homes

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Nearsightedness (myopia) is skyrocketing globally, with nearly half of the world’s population expected to be myopic by 2050, according to the World Health Organization.

Heavy use of smartphones and other devices is associated with an 80% higher risk of myopia when combined with excessive computer use, but a new study suggests that dim indoor lighting could also be a factor.

For years, scientists have been puzzled by the different ways myopia is triggered. In lab settings, it can be induced by blurring vision or using different lenses. Conversely, it can be slowed by something as simple as spending time outdoors, research suggests.

Nearsightedness occurs when the eyeball grows too long from front to back, according to the American Optometric Association (AOA). This physical elongation causes light to focus in front of the retina rather than directly on it, making distant objects appear blurry.

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The study suggests that myopia isn’t caused by the digital devices themselves, but by the low-light environments where they are typically used. (iStock)

Researchers at the State University of New York (SUNY) College of Optometry identified a potential specific trigger for this growth. When someone looks at a phone or a book up close, the pupil naturally constricts.

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“In bright outdoor light, the pupil constricts to protect the eye while still allowing ample light to reach the retina,” Urusha Maharjan, a SUNY Optometry doctoral student who conducted the study, said in a press release.

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“When people focus on close objects indoors, such as phones, tablets or books, the pupil can also constrict — not because of brightness, but to sharpen the image,” she went on. “In dim lighting, this combination may significantly reduce retinal illumination.”

High-intensity natural light prevents myopia because it provides enough retinal stimulation to override the “stop growing” signal, even when pupils are constricted. (iStock)

The hypothesis suggests that when the retina is deprived of light during extended close-up work, it sends a signal for the eye to grow.

In a dim environment, the narrowed pupil allows so little light through that the retinal activity isn’t strong enough to signal the eye to stop growing, the researchers found.

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In contrast, being outdoors provides light levels much brighter than indoors. This ensures that even when the pupil narrows to focus on a nearby object, the retina still receives a strong signal, maintaining healthy eye development.

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The team noted some limitations of the study, including the small subject group and the inability to directly measure internal lens changes, as the bright backgrounds used to mimic the outdoors made pupils too small for standard equipment.

Researchers believe that increasing indoor brightness during close-up work could be a simple, testable way to slow the global nearsightedness epidemic. (iStock)

“This is not a final answer,” Jose-Manuel Alonso, MD, PhD, SUNY distinguished professor and senior author of the study, said in the release.

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“But the study offers a testable hypothesis that reframes how visual habits, lighting and eye focusing interact.”

The study was published in the journal Cell Reports.

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