COVID-19 Traveler Recommendations

 
 
 
 
 
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What you need to know

Effective June 1, 2020

Travelers

  • Nebraskans returning home from international travel (excluding healthcare workers, commuters, and other unique groups as defined below) should self-quarantine and self-monitor for 14 days upon return/arrival. Those staying less than 14 days in Nebraska should self-quarantine and self-monitor for the duration of their stay.
  • Every healthcare worker who returns from international travel should consult with a trained medical professional at their facility (e.g., infection preventionist or physician) and establish a specific infection control protocol (e.g., PPE while at work, self-monitoring, self-quarantine) that mitigates patient and co-worker exposures. Special considerations should be taken for those working with high-risk patients (e.g., patients in long-term care, chronic heart or lung conditions, diabetes, pregnant women).
  • All individuals should limit public interactions, practice strict social distancing, and self-monitor for symptoms. All individuals who develop fever or respiratory illness symptoms, should immediately self-isolate, and report to a healthcare provider if symptoms are severe or medical attention is needed (calling ahead, when possible). If symptoms are mild, follow home care guidance and guidance to discontinue self-isolation (further defined below). 

 

Definitions

  • Self-quarantine: Persons with known or potential exposure to a person with COVID-19 infection, or international travel, should remove themselves from situations where others could be exposed/infected should they develop infection, and self-monitor to identify if COVID-19 infection develops.
  • Self-monitor: Monitor yourself for symptoms consistent with COVID-19 infection, including cough, shortness of breath, fever, sore throat, and fatigue. Persons with known exposure to COVID-19 infection are asked to check for symptoms including fever twice daily (e.g., 8 am and 8 pm). Persons with COVID-19 infection should document symptoms to enable accurate determination of duration of isolation.
  • Self-isolate: Persons who tests positive for COVID-19 or develop symptoms consistent with COVID-19 (including fever of 100.4 F. or above, or a sudden onset of a cough or sudden onset of shortness of breath) should eliminate contact with others.
  • Social distancing: Minimize interactions in crowded spaces by working from home, closing schools/switching to online classes, cancelling/postponing conferences and large meetings, and keeping individuals spaced at least 6 feet apart.
  • Close contact: an individual who has been within 6 feet (2 meters) of a person who tested positive or someone with the following symptoms including: fever of 100.4 F. or above or  sudden onset of a cough or sudden onset of shortness of breath, for at least 10 minutes.

 

When quarantine and isolation are over

Discontinuation from self-isolation:

Individuals who tested positive for COVID-19 who have symptoms or had the following symptoms: fever of 100.4 F. or above or sudden onset of a cough or sudden onset of shortness of breath, may discontinue isolation under the following conditions:

  • at least ten (10) days have passed since onset of symptoms AND
  • symptoms have improved AND
  • the individual has been fever-free for at least 72 hours without the use of fever-reducing medication.

Individuals who tested positive for COVID-19 who do NOT have symptoms may discontinue isolation under the following conditions:

  • at least ten (10) days have passed since the date of their 1st positive test AND
  • have had no symptom development AND
  • for 3 days following discontinuation of isolation, these people must continue to limit contact (stay 6 feet away from others) and when possible wear a face covering (such as a bandana or cloth mask).

Discontinuation of self-monitoring and self-quarantine: Self-quarantine and self-monitoring may stop if after 14 days from most recent exposure, there has been NO development of respiratory illness symptoms. Symptoms may include: fever of 100.4 F. or above or sudden onset of a cough or sudden onset of shortness of breath.

Discontinuation of quarantine:

Individuals who are close contacts with a person who has tested positive, have the following symptoms, or have recently returned from international travel. Symptoms may include: fever of 100.4 F. or above or sudden onset of a cough or sudden onset of shortness of breath, may discontinue quarantine under the following conditions: 

  • at least 14 days have passed since the last close contact exposure with positive individual or individual with symptoms listed above AND
  • have had no symptom development