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COVID-19 milestone: How Houston’s response to the virus has changed in the last four years

FILE - McKenna Shuster works on a linocut art print which she does as a hobby in her home on the last night of a two-week self-isolation while recovering from symptoms of COVID-19 in Somerville, Mass., on March 26, 2020. On Friday, March 1, 2024, the Centers for Disease Control and Prevention said people who test positive for COVID-19 no longer need to stay in isolation for five days. The CDC changed its longstanding guidance, saying that people can return to work or regular activities if their symptoms are mild and improving and it's been a day since they've had a fever. (AP Photo/David Goldman, File) (David Goldman, Copyright 2020 Associated Press)

NEW YORK – Monday marks four years since the World Health Organization declared the COVID-19 outbreak a global pandemic.

Earlier this month, the Centers for Disease Control and Prevention changed its longstanding guidance and said people who test positive for COVID-19 no longer need to stay in isolation for five days.

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The CDC now says people can return to work or regular activities if their symptoms are mild and improving and it’s been a day since they’ve had a fever.

The change comes at a time when COVID-19 is no longer the public health menace it once was. It dropped from being the nation's third leading cause of death early in the pandemic to 10th last year.

Most people have some degree of immunity to the coronavirus from vaccinations or from infections.

“Our goal here is to continue to protect those at risk for severe illness while also reassuring folks that these recommendations are simple, clear, easy to understand, and can be followed,” said Dr. Mandy Cohen, the CDC’s director.

Hear new insights about COVID-19 in Houston at 8:00 a.m. in the KPRC 2+ livestream player below:

WHY ARE THE GUIDELINES CHANGING?

COVID-19 is not causing as many hospitalizations and deaths as it did in the first years of the pandemic. The change is an effort to streamline recommendations so they are similar to longstanding recommendations for flu and other respiratory viruses. Many people with a runny nose, cough or other symptoms aren't testing to distinguish whether it's COVID-19, flu, or something else, officials say.

People are likely still contagious when they test positive, and that hasn’t changed, said Jennifer Nuzzo, director of the Pandemic Center at Brown University’s School of Public Health.

“What has changed is how much COVID is harming us as a population,” Nuzzo said.

WHAT ARE THE NEW GUIDELINES?

If you have symptoms, stay home until your symptoms are mild and improving and it’s been a day since you've had a fever. But then you can remain cautious by wearing a mask and keeping a distance from others.

However, the CDC guidance for workers at nursing homes and other health care facilities is staying the same. That includes a recommendation that medical personnel stay home at least seven days after symptoms first appear, and that they test negative within two days of returning to work.

The agency is emphasizing that everyone should still try to prevent infections in the first place, by getting vaccinated, washing their hands, and taking steps to bring in more outdoor fresh air.

COVID-19 remains especially dangerous to older people and those with other medical conditions. There are still more than 20,000 hospitalizations and more than 2,000 deaths each week due to the coronavirus, according to the CDC. Those 65 and older have the highest hospitalization and death rates.

The Associated Press contributed to this report.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.


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