ARCHIVED WEBPAGE: This web page is available for historical purposes. CDC is no longer updating this web page and it may not reflect CDC's current COVID-19 guidance. For the latest information, visit CDC's COVID-19 home page.

Important update: Healthcare facilities
CDC has updated select ways to operate healthcare systems effectively in response to COVID-19 vaccination. Learn more
Given new evidence on the B.1.617.2 (Delta) variant, CDC has updated the guidance for fully vaccinated people. CDC recommends universal indoor masking for all teachers, staff, students, and visitors to K-12 schools, regardless of vaccination status. Children should return to full-time in-person learning in the fall with layered prevention strategies in place.
The White House announced that vaccines will be required for international travelers coming into the United States, with an effective date of November 8, 2021. For purposes of entry into the United States, vaccines accepted will include FDA approved or authorized and WHO Emergency Use Listing vaccines. More information is available here.
Travel requirements to enter the United States are changing, starting November 8, 2021. More information is available here.

What Paratransit Operators Need to Know about COVID-19

What Paratransit Operators Need to Know about COVID-19
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The Occupational Safety and Health Administration (OSHA) provides resources to assist employers and workers identify COVID-19 exposure risks and help them take appropriate steps to prevent exposure and infection. See the OSHA Coronavirus Disease (COVID-19) topic pageexternal icon for the most current requirements, guidance, and tools.

More Info for Paratransit

Coronavirus disease 2019 (COVID-19) is a respiratory illness caused by a virus (SARS-COV-2).

COVID-19 can sometimes cause serious complications. People at increased risk for severe illness include:

How COVID-19 Spreads

COVID-19 is a new disease and we are still learning about it. Here’s what we currently know:

  • The virus that causes COVID-19 mainly spreads from person-to-person through respiratory droplets:
    • Between people who are in close contact with one another (within 6 feet for a total of 15 minutes or more).
    • Produced when a person who is infected with the virus that causes COVID-19 coughs, sneezes, or talks.
  • You can get the virus from people who don’t seem sick or don’t have any symptoms.
  • You might be able to get COVID-19 by shaking someone’s hand or touching a surface or object that has the virus on it and then touching your face, mouth, nose, or eyes.

As a paratransit operator, you might be exposed to the virus at your job when

  • In close contact (within 6 feet for a total of 15 minutes or more) with guests or passengers
    • Coming into close and often physical contact as passengers board or exit the vehicle and, in some cases, as you assist and secure passengers.
  • Touching or handling frequently touched items (such as the farebox, cash, car keys, wheelchair lifts, wheelchair securements, steering wheel, handrails, or door handles) and then touching your face, mouth, nose, or eyes.

How You Can Protect Yourself and Others

Stay home if you are having symptoms of COVID-19.

Stay at least 6 feet away from passengers and coworkers, when possible.

  • Avoid entering homes and facilities to aid passengers, if possible.
  • Seat passengers in the seats farthest from you, and have them use available rear entry doors. If only one entrance is available and you are not assisting the passenger, you can exit the vehicle before a passenger enters or exits it to maintain social distance.
  • Use a larger vehicle, such as a cutaway bus or van when feasible, to allow greater physical distance between vehicle occupants. If possible, block the seats closest to your driver’s seat to ensure social distancing.
  • Limit passenger loads whenever possible, unless passengers are immediate family or personal aides.

Masks are required on planes, buses, trains, and other forms of public transportation traveling into, within, or out of the United States and in U.S. transportation hubs such as airports and stations. Travelers are not required to wear a mask in outdoor areas of a conveyance (like on a ferry or the top deck of a bus). CDC recommends that travelers who are not fully vaccinated continue to wear a mask and maintain physical distance when traveling.

  • Be careful when putting on, wearing, and taking off cloth masks:
    • Do not touch your cloth mask while wearing it.
    • Do not touch your face, mouth, nose, or eyes while taking off the cloth mask.
    • Wash your hands before putting on and after taking off the cloth mask.
    • Wash the mask after each use.
  • Ensure cloth masks do not create a new risk (for example, interferes with driving or vision, or contributes to heat-related illness) that exceeds their COVID-19 related benefits of slowing the spread of the virus.
  • For those with sensory, cognitive, or behavioral issues, cloth masks may be difficult to wear, especially for extended periods of time. CDC provides information on adaptations and alternatives that should be considered when cloth masks may not be feasible.
  • If you are concerned about the use of cloth masks at your workplace, discuss them with your employer.
  • Consider carrying a spare cloth mask.

Clean high-touch surfaces and objects regularly (daily or as needed).

  • Clean the following areas on a routine basis or at least daily:
    • Car keys, wheelchair lifts, wheelchair securements, steering wheels, handrails, door handles, digital touchscreens, fareboxes, fingerprint scanners, and other commonly touched surfaces in the passenger boarding and seating areas
  • Avoid touching your face, mouth, nose, or eyes when handling frequently touched items.
  • Follow the directions on the cleaning product’s label.
  • Wash your hands with soap and water for at least 20 seconds after touching frequently touched objects or surfaces.

Wash your hands regularly with soap and water for at least 20 seconds. You don’t need to wear gloves if you wash your hands regularly (unless they are already required for your job).

  • Use an alcohol-based hand sanitizer containing at least 60% alcohol if soap and water aren’t available.
  • Wash your hands at these key times:
    • Before, during, and after preparing food.
    • Before eating food.
    • After using the toilet.
    • After blowing your nose, coughing, or sneezing.
    • After putting on, touching, or removing cloth face coverings or masks.
    • Before and after work and work breaks.
    • Before and after contact with a passenger.
    • After handling cash and/or fare cards.
    • Before and after fueling.

Do not touch your face, mouth, nose, or eyes.

Cover your coughs and sneezes.

  • Use tissues to cover your mouth and nose when you cough or sneeze or use the inside of your elbow.
  • Throw used tissues in a lined driver-only trash receptacle.
    • Place lined trash receptacles at the rear of vehicle for passengers.
  • Wash your hands with soap and water for at least 20 seconds, or use hand sanitizer with at least 60% alcohol when soap and water are not available.

Avoid using the recirculated air option for the vehicle’s ventilation during and immediately after transporting a passenger.

  • Make sure the vehicle is well ventilatedexternal icon. Use the vehicle’s vents to bring in fresh outside air, and lower the rear vehicle windows if outdoor conditions allow and it does not pose a health or safety risk to passengers.
  • After transporting passengers, allow for sufficient air exchanges to remove any potentially infectious particles.

When no alternative transportation is available, and it is necessary to transport a passenger who has a confirmed case of COVID-19 or symptoms of COVID-19, or who has had close contact in the past two weeks with someone confirmed to have COVID-19:

  • Contact your employer to discuss your concerns if you feel unsafe transporting the passenger or if you are at increased risk of severe illness.
  • Follow the CDC recommendations for transporting known or suspected persons with COVID-19 using non-emergency vehicle services.
  • If available, turn on the rear exhaust ventilation in addition to supplying outside air through the front vents.
  • Ensure the passenger wears a cloth mask, if appropriate. Wearing cloth masks may be difficult for individuals with physical, sensory, cognitive, or behavioral impairments, and is not recommended for children under age 2 years or for anyone who has trouble breathing or is unconscious, incapacitated, or otherwise unable to remove the cloth mask without assistance.
  • After transporting the passenger, clean and disinfect the vehicle and wash your hands.

How to Cope with Stress

Mental health and emotional well-being are important parts of worker safety and health. The COVID-19 pandemic has created new challenges in the ways many people work and connect with others, which may raise feelings of stress, anxiety, or depression. It is important to pay attention to these in yourself and others and be aware of resources available to manage them.

Information and resources about mental health, knowing signs of stress, taking steps to manage stress, and knowing where to go if you need help are available here.

How Your Employer Can Protect You

Your employer should develop a COVID-19 response plan and share it with you. We created a fact sheet to help your employer.