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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.

For more Health articles, visit www.foxnews/health.

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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POST-DOSE PATTERN — New research reveals why the COVID vaccine can trigger heart issues, especially in one group

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A new study has identified why mRNA COVID-19 vaccines could trigger heart issues, especially in one demographic. (iStock)

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SCREENING DEBATE A new study questions whether annual mammograms are necessary for most women

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The flu season has intensified as the new H3N2 variant causes severe illness worldwide. (iStock)

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Aging-related joint disorder increasingly affects people under 40, study finds

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Aging-related joint disorder increasingly affects people under 40, study finds

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Cases of gout are rising in younger individuals, according to a global study.

The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.

Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.

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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.

The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.

Gout is expected to continue rising in young people through 2035. (iStock)

Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.

Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.

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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.

The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.

The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.

What is gout?

Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.

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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.

A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.

Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)

Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.

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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.

Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.

Experts urge patients to seek medical attention for gout flare-ups. (iStock)

Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.

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A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.

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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.

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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.

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Fox News Digital reached out to the researchers for comment.

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New study questions whether annual mammograms are necessary for most women

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New study questions whether annual mammograms are necessary for most women

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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.

The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.

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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors. 

A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.

Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.

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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.

Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)

“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”

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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.

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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)

More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.

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The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.

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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”

The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.

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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”

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