Post by karinothing on Aug 6, 2020 12:52:31 GMT -5
I just got notice that someone in DS2's daycare tested positive for Covid19. We haven't been informed who it is and were just told that they had been in multiple rooms, which makes me think custodial since teachers are keeping cohorts and not mixing them. Should we get tested? Quarantine for 14 days? Do nothing? DS1 is supposed to go to camp on Monday.
In order to be considered an contact you need to have been within 6 feet of the person for more than 15 minutes without PPE.
I would want the daycare to tell me if this person met that criteria for my child. If so, I would test and quarantine and if not, I wouldn't.
Thanks she emailed back to say that she was in direct contact with his room, but I still don't know if that means the test you meant above. I will email again. Thanks.
I’d also want to know what day the person began to exhibit symptoms. They would have been contagious 48 hours prior to exhibiting symptoms, and 48 hours after. If the close contact (6 feet for more than a few minutes, even if masked) didn’t occur within this window, it’s very unlikely that transmission occurred.
I would test if they said he was in direct contact.
I’m gonna sound like a broken record soon, but testing does nothing within the 14 day window if you’re not symptomatic. You could be neg on day 5 and pos on day 10.
I feel like we need a Covid FAQ post pinned to the top lol. You can put your testing stuff and VillainV can post what she learned in contact tracing training.
I’d also want to know what day the person began to exhibit symptoms. They would have been contagious 48 hours prior to exhibiting symptoms, and 48 hours after. If the close contact (6 feet for more than a few minutes, even if masked) didn’t occur within this window, it’s very unlikely that transmission occurred.
Okay. He was last in contact with her on Friday. She started to experience symptoms on Monday.
I would test if they said he was in direct contact.
I’m gonna sound like a broken record soon, but testing does nothing within the 14 day window if you’re not symptomatic. You could be neg on day 5 and pos on day 10.
Yes, but you can also be positive without symptoms. I would still test and self quarantine to be safe. I'd rather have a negative test and no symptoms and self quarantine than wait it out and expose others. You also have no guarantee of exposure date and if he is seeing her everyday at daycare, he could have been exposed a week ago. JMO
I’d also want to know what day the person began to exhibit symptoms. They would have been contagious 48 hours prior to exhibiting symptoms, and 48 hours after. If the close contact (6 feet for more than a few minutes, even if masked) didn’t occur within this window, it’s very unlikely that transmission occurred.
So if someone is not symptomatic and doesn’t become symptomatic until 72 hours after you interacted with them, it’s unlikely you would be exposed, even if they were clearly positive three days later?
So she said the person was wearing a mask but he did have exposure for longer than 15 mins and w/in 6 feet.
This counts as an exposure. It totally sucks, but I think the safest thing would be a 14 day quarantine. The 14 days doesn't have to start today, but at the date of last exposure.
So she said the person was wearing a mask but he did have exposure for longer than 15 mins and w/in 6 feet.
This counts as an exposure. It totally sucks, but I think the safest thing would be a 14 day quarantine. The 14 days doesn't have to start today, but at the date of last exposure.
I agree. I would quarantine the entire family 14 days from the date of exposure.
I’d also want to know what day the person began to exhibit symptoms. They would have been contagious 48 hours prior to exhibiting symptoms, and 48 hours after. If the close contact (6 feet for more than a few minutes, even if masked) didn’t occur within this window, it’s very unlikely that transmission occurred.
So if someone is not symptomatic and doesn’t become symptomatic until 72 hours after you interacted with them, it’s unlikely you would be exposed, even if they were clearly positive three days later?
Yes. This isn’t to say there is NO risk, but it’s very unlikely that transmission occurred. If she became symptomatic on Monday, and they last had contact on Friday, then they are at very low risk and don’t need to quarantine.
This is per the Johns Hopkins contact tracing course. It’s free on Coursera for anyone who wants to take a look!
Yes, but you can also be positive without symptoms. I would still test and self quarantine to be safe. I'd rather have a negative test and no symptoms and self quarantine than wait it out and expose others. You also have no guarantee of exposure date and if he is seeing her everyday at daycare, he could have been exposed a week ago. JMO
Edited for clarity
But regardless you should still quarantine if exposed, not sure what you mean by exposing others if you’re quarantined? A negative test means nothing b/c it can be pos two days later.
Correct, I just meant even if its negative stay self quarantining. But if its positive you can take further action.
In this particular case/circumstances, I would test.
I would test if they said he was in direct contact.
I’m gonna sound like a broken record soon, but testing does nothing within the 14 day window if you’re not symptomatic. You could be neg on day 5 and pos on day 10.
Can you explain this a little more?
I'm currently recovering from COVID. I was exposed via someone who was asymptomatic.
Our health system is recommending to get tested even if you don't have symptoms, but they are asking you to wait until at least day 4 of exposure, if possible day 7. I have known many people who tested positive without any symptoms and just got tested because they found out they had been exposed.
So if someone is not symptomatic and doesn’t become symptomatic until 72 hours after you interacted with them, it’s unlikely you would be exposed, even if they were clearly positive three days later?
Yes. This isn’t to say there is NO risk, but it’s very unlikely that transmission occurred. If she became symptomatic on Monday, and they last had contact on Friday, then they are at very low risk and don’t need to quarantine.
This is per the Johns Hopkins contact tracing course. It’s free on Coursera for anyone who wants to take a look!
This is not what I have heard all along. I've heard that positive carriers of the virus are most contagious the week BEFORE and the first few days after showing symptoms.
If it was only contagious in symptomatic carriers, there wouldn't be nearly so many sick people worldwide.
I would test if they said he was in direct contact.
I’m gonna sound like a broken record soon, but testing does nothing within the 14 day window if you’re not symptomatic. You could be neg on day 5 and pos on day 10.
This is not true. The test is not predicated on the presence of symptoms. The outcome of the test depends on the amount of viral load present in the nasal passages, and whether or not the swab goes over an area where the virus is present. You can be positive with no symptoms, but if the swab hits in the right place, the test will be positive. You can also be positive with every symptom out there and swab in a spot where there is no virus present, and the test will come back negative. ETA: It IS true that over several days, viral load will increase, and therefore, the later you wait to get the test, the more likely it will be that you would get a positive result and not a false negative (still not guaranteed though).
Related: did you see Alyssa Milano's interview? She had multiple covid symptoms and was very sick in March, had 2 negative tests, and later had a negative finger prick antibody test. She recently had a proper antibody test via blood draw, and it came back positive.
Also, I don't remember if this was local to me, but in April someone who was postive but asymptomatic (knowingly) went to a large family gathering. He thought without symptoms, he couldn't spread it. 18 people caught it, and three died.
I’m gonna sound like a broken record soon, but testing does nothing within the 14 day window if you’re not symptomatic. You could be neg on day 5 and pos on day 10.
This is not true. The test is not predicated on the presence of symptoms. The outcome of the test depends on the amount of viral load present in the nasal passages, and whether or not the swab goes over an area where the virus is present. You can be positive with no symptoms, but if the swab hits in the right place, the test will be positive. You can also be positive with every symptom out there and swab in a spot where there is no virus present, and the test will come back negative. ETA: It IS true that over several days, viral load will increase, and therefore, the later you wait to get the test, the more likely it will be that you would get a positive result and not a false negative (still not guaranteed though).
Related: did you see Alyssa Milano's interview? She had multiple covid symptoms and was very sick in March, had 2 negative tests, and later had a negative finger prick antibody test. She recently had a proper antibody test via blood draw, and it came back positive.
Also, I don't remember if this was local to me, but in April someone who was postive but asymptomatic (knowingly) went to a large family gathering. He thought without symptoms, he couldn't spread it. 18 people caught it, and three died.
I think mofongo's point is that it's like a pregnancy test. You may get a negative test and assume you're ok, but in a few more days you might test positive. I don't think she's saying you're not contagious without symptoms.
I know at my work if you are contacted about exposure, you quarantine for 14 days. I would assume the same thing here. I’m guessing the entire family doesn’t have to quarantine unless your son tests positive and then you all would be exposed. But I would try my best for all of you to stay home for 14 days. I’m sorry.
I called his doctor who said he should quarantine for 14 days past exposure, but the rest of us don't have to quarantine.
Why don’t you have to quarantine? If your kid has been exposed and you don’t know if he’s positive, shouldn’t it be assumed you are positive? ETA: Or exposed at least?
Why don’t you have to quarantine? If your kid has been exposed and you don’t know if he’s positive, shouldn’t it be assumed you are positive?
I guess at some point we’d all be quarantined at home by degrees of separation? I don’t know, really.
Well I wouldn’t quarantine if like my neighbor was exposed, but the kid I live with is different. I don’t know either, I would just assume the whole household should quarantine.
I guess at some point we’d all be quarantined at home by degrees of separation? I don’t know, really.
Well I wouldn’t quarantine if like my neighbor was exposed, but the kid I live with is different. I don’t know either, I would just assume the whole household should quarantine.
Because it's not a fact that her kid has it and she had no contact with the person that tested positive. So in essence, she should be good. It's like mofongo said, everyone would be quarantined if we didn't put limits on degrees of separation.
That said, if it was my child or close family member I lived with, I would still quarantine.
I guess at some point we’d all be quarantined at home by degrees of separation? I don’t know, really.
Well I wouldn’t quarantine if like my neighbor was exposed, but the kid I live with is different. I don’t know either, I would just assume the whole household should quarantine.
If I'm understanding correctly, this is the guidance at my workplace - if you think you've been exposed, or if someone in your household believes they've been exposed, you should stay home for 14 days.
This is why most things really shouldn't be open right now. Quarantining everyone who has any possibility of being exposed, every time this happens, is going to be a never ending task!
Post by sillygoosegirl on Aug 6, 2020 15:40:10 GMT -5
You should be following the guidance of your local health department, which I would guess would be quarantine the individual or the family (I feel like some places only say 10 days now, rather than 14, but I'd check for the latest guidance), and get tested if symptoms develop. False negatives are so common in pre-symptomatic patients that you should absolutely still quarantine for the same amount of time even if you get a negative test, so there isn't really that much point in getting tested if still asymptomatic.
Ideally the exposed person also quarantines as completely as possible from other members of the household, but clearly that's not really possible for a small child.
It really sucks that your other kid was about to start camp... but what would you want another parent with exposure in their family to do to protect your family?
Post by karinothing on Aug 6, 2020 15:45:54 GMT -5
I am taking him for a rapid test tomorrow, which will be day 8 post exposure. So hopefully if it is going to be positive it will be. Its nearly $300 at a place that doesn't take insurance.
So if someone is not symptomatic and doesn’t become symptomatic until 72 hours after you interacted with them, it’s unlikely you would be exposed, even if they were clearly positive three days later?
Yes. This isn’t to say there is NO risk, but it’s very unlikely that transmission occurred. If she became symptomatic on Monday, and they last had contact on Friday, then they are at very low risk and don’t need to quarantine.
This is per the Johns Hopkins contact tracing course. It’s free on Coursera for anyone who wants to take a look!
It’s much sexier when women on this board we respect drop knowledge on us though!
You should be following the guidance of your local health department, which I would guess would be quarantine the individual or the family (I feel like some places only say 10 days now, rather than 14, but I'd check for the latest guidance), and get tested if symptoms develop. False negatives are so common in pre-symptomatic patients that you should absolutely still quarantine for the same amount of time even if you get a negative test, so there isn't really that much point in getting tested if still asymptomatic.
Ideally the exposed person also quarantines as completely as possible from other members of the household, but clearly that's not really possible for a small child.
It really sucks that your other kid was about to start camp... but what would you want another parent with exposure in their family to do to protect your family?
Local health guidance is 14 day quarentine for close contact exposure with someone who is symptomatic or w/48 hours of symptoms or a positive test. He was in close contact 72 hours plus before. His pediatrician said they technically would not consider it exposure.
I would absolutely quarantine and if you really want to get him tested, wait a few more days. Testing too early can give false negatives. No matter what you do, quarantine. And if it was my child, I would quarantine too, especially since he is still young and as a result comes a lot more in contact with you.