Important update: Healthcare facilities
CDC has updated select ways to operate healthcare systems effectively in response to COVID-19 vaccination. Learn more
To maximize protection from the Delta variant and prevent possibly spreading it to others, get vaccinated as soon as you can and wear a mask indoors in public if you are in an area of substantial or high transmission.
UPDATE
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.
UPDATE
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.

Recommendations for Quarantine Duration in Correctional and Detention Facilities

Recommendations for Quarantine Duration in Correctional and Detention Facilities

Summary of Recent Changes

  • Clarification that incarcerated/detained persons who are fully vaccinated and do not have symptoms of COVID-19 do not need to quarantine at intake, after transfer, or following exposure to suspected or confirmed COVID-19.
  • Clarification that incarcerated/detained persons who are fully vaccinated should continue to be tested for SARS-CoV-2 following exposure to suspected or confirmed COVID-19 or if they develop any symptoms of COVID-19.

View Previous Updates

Congregate settings, including correctional and detention facilities, are characterized by a diverse and varying set of factors that can increase risk and affect exposure to and transmission of COVID-19. These factors mean incarcerated/detained persons exiting quarantine prior to 14 days may not be able to comply with prevention measures necessary to reduce the risk of post-quarantine transmission (e.g. mask-wearing, physical distancing).

Failure to detect transmission among people exiting quarantine prior to 14 days can result in a repeated cycle of medically isolating infected people and quarantining their close contacts, placing an even higher operational burden on the staff and further stretching limited healthcare resources and space constraints. For these reasons, CDC recommends continued use of a 14-day quarantine in correctional and detention facilities for people who are not fully vaccinated.

Before implementing a shortened quarantine duration (<14 days) for incarcerated/detained persons or staff who are not fully vaccinated, facilities should weigh the risks and benefits of different quarantine scenarios. Facilities should:

Modifications to quarantine duration for staff or people who are incarcerated/detained who are not fully vaccinated should be made in consultation with public health authorities and with an understanding of the residual risk of transmission. Refer to CDC guidance for correctional and detention facilities for further details regarding how to most effectively lower the risk of post-quarantine transmission.

If a reduced quarantine duration is implemented for staff who are not fully vaccinated, facility management should require staff to:

Vaccinated Staff and Incarcerated/Detained Persons in Correctional and Detention Facilities

Incarcerated/Detained persons who are fully vaccinated

Incarcerated/detained persons who are fully vaccinated (i.e., ≥2 weeks after receiving the second dose in a two-dose series [Pfizer-BioNTech or Moderna], or ≥2 weeks after receiving a single-dose vaccine [Johnson and Johnson/Janssen]) and do not have symptoms consistent with COVID-19 do not need to quarantine at intake, after transfer, or following exposure to suspected or confirmed COVID-19. Regardless of whether they develop symptoms of COVID-19, incarcerated/detained persons who are fully vaccinated should continue to be tested for SARS-CoV-2 following an exposure to someone with suspected or confirmed COVID-19.

Incarcerated/detained persons with symptoms of COVID-19, regardless of vaccination status, should be given a mask (if not already wearing one and if it can be worn safely), immediately placed under medical isolation in a separate environment from other individuals, tested for SARS-CoV-2, and medically evaluated. Refer to CDC guidance for correctional and detention facilities for further details regarding medical isolation of individuals with confirmed or suspected COVID-19.

Staff who are fully vaccinated

Correctional and detention staff who are fully vaccinated (i.e., ≥2 weeks after receiving the second dose in a two-dose series [Pfizer-BioNTech or Moderna], or ≥2 weeks after receiving a single-dose vaccine [Johnson and Johnson/Janssen]) and do not have symptoms consistent with COVID-19 do not need to quarantine or be excluded from work following exposure to suspected or confirmed COVID-19. However, testing and symptom monitoring following an exposure are still recommended.

Staff with symptoms of COVID-19, regardless of COVID-19 vaccination status, should be excluded from work, immediately self-isolate, and be tested for SAR-CoV-2.

More details can be found on the Interim Public Health Recommendations for Fully Vaccinated People website.

Considerations for Staff Travel

Vaccinated and unvaccinated staff should follow:

  • CDC domestic and international travel requirements and recommendations before, during, and after travel
  • State and local government travel recommendations or requirements
  • Their employer’s policies on returning to work after work-related or personal travel

Previous Updates

As of March 18, 2021

A revision was made on 3/18/2021 to reflect the following:

  • Clarification that fully vaccinated correctional and detention staff who do not have symptoms of COVID-19 do not need to quarantine following exposure to suspected or confirmed COVID-19
  • Additional information on testing and travel after being fully vaccinated.