What are the symptoms and complications of COVID-19?
Current symptoms reported for patients with COVID-19 have included mild to severe respiratory illness with fever cough, and difficulty breathing. Read the CDC's guide: COVID-19 Symptoms.
How does COVID19 spread?
The virus spreads largely by respiratory droplets. These spread by coughing, sneezing, or through respiratory secretions.
The virus that causes COVID-19 is spreading from person-to-person. Someone who is sick with COVID-19 can spread the illness to others. That is why CDC recommends that these patients be isolated either in the hospital or at home (depending on how sick they are) until they are better and no longer pose a risk of infecting others.
How long someone is actively sick can vary so the decision on when to release someone from isolation is made on a case-by-case basis in consultation with doctors, infection prevention and control experts, and public health officials and involves considering specifics of each situation including disease severity, illness signs and symptoms, and results of laboratory testing for that patient.
Current CDC guidance for when it is OK to release someone from isolation is made on a case by case basis and includes meeting all of the following requirements:
- The patient is free from fever without the use of fever-reducing medications.
- The patient is no longer showing symptoms, including cough.
- The patient has tested negative on at least two consecutive respiratory specimens collected at least 24 hours apart.
Someone who has been released from isolation is not considered to pose a risk of infection to others.
Is there a vaccine?
There is currently no vaccine to protect against COVID-19. The best way to prevent infection is to avoid being exposed to the virus that causes COVID-19.
Is there a treatment?
There is no specific antiviral treatment for COVID-19. Studies are currently ongoing to determine the efficacy of different antiviral treatments. People with COVID-19 can seek medical care to help relieve symptoms.
Why are COVID-19 cases in Massachusetts reported by county?
Please note: To protect privacy and confidentiality of individuals who test positive for COVID-19, the Massachusetts Department of Public Health only publicly reports positive case counts and deaths by county on COVID-19 Cases, Quarantine and Monitoring. The decision to share more detailed case counts by community rests with each city or town, based on the assessment of the situation in their own communities. DPH only asks local boards of health to respect the privacy and confidentiality of residents when providing community case counts.
Should I be tested?
If you are a close contact of someone with COVID-19 or you are a resident in a community where there is ongoing spread of COVID-19 and develop symptoms of COVID-19, call your healthcare provider and tell them about your symptoms and your exposure. They will decide whether you need to be tested, but keep in mind that there is no treatment for COVID-19 and people who are mildly ill may be able to isolate and care for themselves at home.
For detailed information, visit the CDC’s webpage: Testing for COVID-19
You can also call 2-1-1, a 24-hour state-supported telephone hotline.
Is there a list of places where I can get tested for COVID-19 if I think I have symptoms?
Yes. If you think you may have symptoms, first call your health care provider. If your clinician thinks you should be tested but they are unable to offer a test at their own health care facility, they will provide a referral and you can be tested at test site near you. An appointment is necessary. View the current list: MA COVID-19 Testing Sites | Doc.
What should I do if someone in my household is quarantined?
- Establish a room (and a bathroom if possible) which only the quarantined person can use.
- The quarantined person should not leave home at all, except for urgent medical care. If urgent care is needed, they should wear a surgical mask at all times while outside of the home. Do not take buses, subways or ride shares like Uber or Lyft. Use a personal vehicle or call an ambulance to get to the provider’s location. And call ahead to your provider so they can be ready.
- All household members should practice strict personal hygiene. That means washing your hands frequently with soap and warm water. When you cough or sneeze, use a tissue every time. Then wash your hands.
- Do not share plates, glasses, cups, or utensils. Wash all these items in a dishwasher or with dishwashing liquid and warm water.
- Wipe down frequently used surfaces with a household disinfecting cleaner – especially if they’ve come in contact with bodily fluids like spit, mucus, urine, feces, or vomit.
- Do not allow visitors in your home.
All household members should monitor their own health and call their healthcare provider if they develop symptoms suggestive of COVID-19 (e.g., fever, cough, shortness of breath).
In addition, the CDC has provided a list of recommendations for how to best care for someone at home which can be found on the CDC website.
Is it safe to attend events and gatherings?
The Department of Public Health has posted recommendations to mitigate the spread of COVID-19, which are available here: COVID-19 Prevention and Treatment.
What is the limit on the number of people in gatherings?
As of March 23rd, Governor Baker has restricted gatherings to no more than 10 people. Read more: March 23 Press Release.
Is it safe to travel/fly in the United States?
A number of states have issued travel restrictions. The situation is rapidly changing. For national travel information, please visit www.travel.state.gov.
All travelers arriving to Massachusetts are instructed to self-quarantine for 14 days. In addition, visitors are instructed not to travel to Massachusetts if they are displaying symptoms. Health care workers, public health workers, public safety workers, transportation workers and designated essential workers are exempt from this requirement.
Is it safe to travel internationally?
All nonessential international travel is discouraged at this time. Please refer to the CDC website for ongoing data on worldwide transmission in different countries: www.cdc.gov/coronavirus/2019-ncov/travelers.
Should I wear a mask when I go out in public?
As of April 3, CDC recommends wearing cloth face coverings in public settings. This recommendation is made in light of recent studies that have shown individuals with the virus who lack symptoms can transmit the virus to others. CDC recommends wearing cloth face coverings in public settings including places where social distancing measures are difficult to maintain (such as grocery stores and pharmacies) especially in areas of significant community-based transmission.
It is critical to emphasize that social distancing measures remain in effect and keeping 6 feet apart from others remains important to slowing the spread of the virus.
Learn more at the CDC website, including recommendations for making a face covering.
What if I am pregnant?
What if I am having anxiety and stress?
The CDC has resources for Manage Anxiety & Stress, including information about reducing stress in yourself and others.
The Massachusetts Department of Mental Health has resources and tips for Maintaining Emotional Health & Well-Being During the COVID-19 Outbreak.
The Massachusetts Department of Public Health also has resources for managing stress, anxiety, or other strong emotions:
- English: COVID-19 Wellness Tips and Resources
- Spanish: Consejos y recursos para su bienestar COVID-19
The Disaster Distress Helpline, 1-800-985-5990, is a 24/7, 365-day-a-year, national hotline dedicated to providing immediate crisis counseling for people who are experiencing emotional distress related to any natural or human-caused disaster, including disease outbreaks like COVID-19. This toll-free, multilingual, and confidential crisis support service is available to all residents in the United States and its territories.
What resources are available to me if I am struggling with issues related to sexual or domestic violence during this time?
Help and support are available to you. Many services for people struggling with issues related to sexual and domestic violence are available remotely during this COVID-19 public health emergency. Visit the Domestic Violence Program and the Sexual Assault Prevention and Survivor Services page for more information.
What should health care professionals and health departments do?
This DPH website has a number of guidance documents tailored for a number of groups including clinicians, long term care facilities, schools, emergency responders and others. Visit COVID-19 Guidance and Directives. If you have specific questions, you may contact the DPH Bureau of Infectious Disease and Laboratory Sciences 24/7 at (617) 983-6800.
Additional recommendations and guidance on persons under investigation; infection control, including personal protective equipment guidance; home care and isolation; and case investigation, can be found on the CDC website: Information for Healthcare Professionals. For information on specimen collection and shipment, see Information for Laboratories. For information for public health professionals on COVID-19, see Information for Public Health Professionals.
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