Definitions of source control are included at the end of this document. Do not travel on public transportation such as airplanes, buses, and trains if you will not be able to wear a high-quality mask or respirator when around others indoors for the full duration of your trip. Make sure it is easy to breathe. Examples of when empiric Transmission-Based Precautions following close contact may be considered include: Patients placed in empiric Transmission-Based Precautions based on close contact with someone with SARS-CoV-2 infection should be maintained in Transmission-Based Precautions for the following time periods. The New Jersey Division of Consumer Affairs has modified DCA Administrative Order No. Guidance for use of empiric Transmission-Based Precautions for patients with close contact with someone with SARS-CoV-2 infection are described in Section 2. See CDC updates COVID-19 infection control guidance for health care settings for the latest guidance from the CDC released September 26, 2022. As community transmission levels increase, the potential for encountering asymptomatic or pre-symptomatic patients with SARS-CoV-2 infection also likely increases. Masks and respirators used for source control should be changed if they become visibly soiled, damaged, or hard to breathe through. For example, in an outpatient dialysis facility with an open treatment area, testing should ideally include all patients and HCP. Dental treatment should be provided in individual patient rooms whenever possible with the HVAC in constant ventilation mode. Most Americans are safe going without a mask in indoor settings, including in schools, the Centers for Disease Control and . Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, said the agency would soon issue new guidance, including on masks, for the next phase of the pandemic. This guidance applies to all U.S. settings where healthcare is delivered, including nursing homes and home health. Close contact: Being within 6 feet for a cumulative total of 15 minutes or more over a 24-hour period with someone with SARS-CoV-2 infection. Visitors with confirmed SARS-CoV-2 infection or compatible symptoms should defer non-urgent in-person visitation until they have met the healthcare criteria to end isolation (see Section 2); this time period is longer than what is recommended in the community. If SARS-CoV-2 infection is not suspected in a patient presenting for care (based on symptom and exposure history), HCP should followStandard Precautions(andTransmission-Based Precautionsif required based on the suspected diagnosis). People who have 0:04. NIOSH-approved particulate respirators with N95 filters or higher, such as other disposable filtering facepiece respirators, powered air-purifying respirators (PAPRs), and elastomeric respirators, provide both barrier and respiratory protection because of their fit and filtration characteristics. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. HCP who enter the room of a patient with suspected or confirmed SARS-CoV-2 infection should adhere to, Respirators should be used in the context of a comprehensive respiratory protection program, which includes medical evaluations, fit testing and training in accordance with the Occupational Safety and Health Administrations (OSHA) Respiratory Protection standard (, Additional information about using PPE is available in. Guidance for work restrictions, including recommended testing for HCP with higher-risk exposures, are in the. 2021-11, which had several requirements for medical offices, including that patients and their companions wear masks in the office. CDC hasinformation and resources for older adults and for people with disabilities. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. A federal judge in Florida struck down the . Performance of expanded screening testing of asymptomatic HCP without known exposures is at the discretion of the facility. Guidelines for Environmental Infection Control in Health-Care Facilities, American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) resources for healthcare facilities, COVID-19 technical resources for healthcare facilities, Protecting Healthcare Personnel | HAI | CDC, Ending Isolation and Precautions for People with COVID-19: Interim Guidance (cdc.gov), clearance rates under differing ventilation conditions, Current procedures for routine cleaning and disinfection of dialysis stations, (ACH) Health Hazard Evaluation Report 9500312601pdf, in the county where their healthcare facility is located, healthcare-associated infection program in your state health department, community prevention strategies based on COVID-19 Community Level, strategies to protect themselves and others, Interim Clinical Considerations for Use of COVID-19 Vaccines, National Institutes of Health (NIH) COVID-19 Treatment Guideline, Management of Patients with Confirmed 2019-nCoV, Strategies to Mitigate Healthcare Personnel Staffing Shortages, infection control recommendations for healthcare personnel, Scientific Brief: SARS-CoV-2 Transmission, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3338532/#!po=72.2222external iconexternal icon, infection prevention and control measures recommended to decrease the spread of infectious diseases in dental settings, Optimizing Personal Protective Equipment (PPE) Supplies, National Center for Immunization and Respiratory Diseases (NCIRD), Post-COVID Conditions: Healthcare Providers, Decontamination & Reuse of N95 Respirators, Purchasing N95 Respirators from Another Country, Powered Air Purifying Respirators (PAPRs), U.S. Department of Health & Human Services, Updated to note that vaccination status is no longer used to inform source control, screening testing, or post-exposure recommendations, Updated circumstances when use of source control is recommended, Updated circumstances when universal use of personal protective equipment should be considered. Asymptomatic patients with close contact with someone with SARS-CoV-2 infection should have a series of three viral tests for SARS-CoV-2 infection. In a major acknowledgment that most people have some form of protection from severe COVID-19 diseaseeither from vaccines or prior infectionthe Centers for Disease Control and Prevention (CDC). The highest level of illness severity experienced by the patient at any point in their clinical course should be used when determining the duration of Transmission-Based Precautions. HCP include, but are not limited to, emergency medical service personnel, nurses, nursing assistants, home healthcare personnel, physicians, technicians, therapists, phlebotomists, pharmacists, dental healthcare personnel, students and trainees, contractual staff not employed by the healthcare facility, and persons not directly involved in patient care, but who could be exposed to infectious agents that can be transmitted in the healthcare setting (e.g., clerical, dietary, environmental services, laundry, security, engineering and facilities management, administrative, billing, and volunteer personnel). It's a. Guidance on ensuring that ventilation systems are operating properly, and other options for improving indoor air quality, are available in the following resources: Anyone with even mild symptoms of COVID-19. When performing an outbreak response to a known case, facilities should always defer to the recommendations of the jurisdictions public health authority. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. This includes being near someone who has had close contact with a person infected with the virus within the previous 10 days. Listen on Apple Podcasts. Alexander Kallen, MD, MPH Chief, Prevention and Response Branch Division of Healthcare Quality Promotion Centers for Disease Control and Prevention. Visitors should not be present for the procedure. If implementing a screening testing program, testing decisions should not be based on the vaccination status of the individual being screened. SARS-CoV-2 Illness Severity Criteria(adapted from the NIH COVID-19 Treatment Guidelines). Empiric use of Transmission-Based Precautions for residents and work restriction for HCP are not generally necessary unless residents meet the criteria described in Section 2 or HCP meet criteria in the. Further information about types of masks and respirators, including those that meet standards and the degree of protection offered to the wearer, is available at: Masks and Respirators (cdc.gov). Although not developed to inform decisions about duration of Transmission-Based Precautions, the definitions in theNational Institutes of Health (NIH) COVID-19 Treatment Guidelinesare one option for defining severity of illness categories. The CDC has urged states to continue to recommend masks so long as the case number remain high, even as it considers new benchmarks. 405 W. 5TH STREET, 7TH FLOOR. Updated recommendations for testing frequency to detect potential for variants with shorter incubation periods and to address the risk for false negative antigen tests in people without symptoms. Respirators should be used as part of a respiratory protection program that provides staff with medical evaluations, training, and fit testing. General guidance is available on clearance rates under differing ventilation conditions. For healthcare personnel, see Isolation and work restriction guidance. Masks are also recommended in places where theres a high risk of infection, such as around infected individuals, and for anyone whos at high risk of getting sick and is in an area where they could get exposed, such as an indoor public setting. If you travel, wear a high-quality mask or . Where are face coverings required? Centers for Disease Control and Prevention. "Today, vaccines and therapeutic treatments are widely available across the state," Klinepeter said. Residents should also be counseled aboutstrategies to protect themselves and others, including recommendations for source control if they are immunocompromised or at high risk for severe disease. Masks are not required for most indoor workplaces, however businesses should encourage unvaccinated employees . The mask must cover your mouth. You can wear a mask inside public places like grocery stores and movie theaters at any time. Nevada. The. If no additional cases are identified during contact tracing or the broad-based testing, no further testing is indicated. South Carolinians who have been fully vaccinated against COVID-19 no longer need to wear masks indoors or outdoors with a few exceptions. In general, healthcare facilities should consider checking their local Community Transmission level weekly. All non-dedicated, non-disposable medical equipment used for that patient should be cleaned and disinfected according to manufacturers instructions and facility policies before use on another patient. The following are criteria to determine when Transmission-Based Precautions could be discontinued for patients with SARS-CoV-2 infection and are influenced by severity of symptoms and presence of immunocompromising conditions. Others have lauded the choice. CDCs main landing page for COVID-19 content will help readers navigate to information regarding modes of transmission, clinical management, laboratory settings, COVID-19 vaccines and CDC guidance on other COVID-19-related topics. The Centers for Disease Control and Prevention on Friday loosened guidelines for when and where Americans should wear masks, allowing most to go without face coverings in public indoor . If possible, testing should be repeated every 3-7 days until no new cases are identified for at least 14 days. Follow CDC guidance, including getting tested at least 5 full days after your last exposure. Saving Lives, Protecting People, Given new evidence on the B.1.617.2 (Delta) variant, CDC has updated the, 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. o When community levels of disease are medium or high, CDC and WA DOH recommend that people at high risk of getting very sick from COVID-19 wear a high-quality mask or respirator when indoors in public. After patient unloading, allowing a few minutes with ambulance module doors open will rapidly dilute airborne viral particles. Updates were made to reflect the high levels of vaccine-and infection-induced immunity and the availability of effective treatments and prevention tools, the CDCs website states. Masks are required in: Healthcare settings. During transport, vehicle ventilation in both compartments should be on non-recirculated mode to maximize air changes that reduce potentially infectious particles in the vehicle. However, people in this category should still consider continuing to use of source control while in a healthcare facility. A single new case of SARS-CoV-2 infection in any HCP or resident should be evaluated to determine if others in the facility could have been exposed. Testing should be considered for those who have recovered in the prior 31-90 days; however, an antigen test instead of a nucleic acid amplification test (NAAT) is recommended. chlorhexidine gluconate, povidone-iodine) have been shown to reduce the level of oral microorganisms in aerosols and spatter generated during dental procedures. NIOSH-approved particulate respirators with N95 filters or higher used for: All aerosol-generating procedures (refer to. But for now, the CDC says COVID-19 metrics have not improved enough in most communities for hospitals and nursing homes to let up on masking. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Ensure to account for the time required to clean and disinfect operatories between patients when calculating your daily patient volume. PPE should be removed upon leaving the room, immediately followed by performance of hand hygiene. Updates were made to reflect the high levels of vaccine-and infection-induced immunity and the availability of effective treatments and prevention tools. Without fanfare, the CDC dropped its universal masking recommendation for healthcare settings, with the exception of areas of high COVID-19 transmission and other special circumstances. Additional updates that will have implications for healthcare facilities were made in the following guidance documents: Updated source control recommendations to address limited situations for healthcare facilities in counties with low to moderate community transmission where select fully vaccinated individuals could choose not to wear source control. If you value what you get from Mother Jones, please join us with a tax-deductible donation today so we can keep on doing the type of journalism 2023 demands. These cookies may also be used for advertising purposes by these third parties. *Non-skilled personal care consists of any non-medical care that can reasonably and safely be provided by non-licensed caregivers, such as help with daily activities like bathing and dressing; it may also include the kind of health-related care that most people do themselves, like taking oral medications. Masks Recommended. Severe Illness: Individuals who have respiratory frequency >30 breaths per minute, SpO2 <94% on room air at sea level (or, for patients with chronic hypoxemia, a decrease from baseline of >3%), ratio of arterial partial pressure of oxygen to fraction of inspired oxygen (PaO2/FiO2) <300 mmHg, or lung infiltrates >50%. The N95s are medical masks made for health care workers, so, naturally, there aren't N95 masks designed or made for children, since only adults would be working in health care settings. When SARS-CoV-2 Community Transmission levels are not high, healthcare facilities could choose not to require universal source control, the CDC said. Effective September 23, 2022, in alignment with the California Department of Public Health's (CDPH) announcement. The United States Centers for Disease Control and Prevention (CDC) have recently updated their guidelines for the public regarding COVID-19 as of August 2022. Why does CDC continue to recommend respiratory protection with a NIOSH-approved particulate respirator with N95 filters or higher for care of patients with known or suspected COVID-19? Shoe covers are not recommended at this time for SARS-CoV-2. All 535 members of Congress will be able to attend Tuesday's address by President Joe Biden without . These cookies may also be used for advertising purposes by these third parties. Additional information is available in the FAQ: What should visitors use for source control (masks or respirators) when visiting healthcare facilities? Houseless Shelters Correctional Facilities Explore options, in consultation with facility engineers, to improve ventilation delivery and indoor air quality in patient rooms and all shared spaces. On Friday, the Center for Disease Control and Prevention quietly updated its masking policy and removed its recommendation for universal masking in health care settings, The Hill reports. FDA-cleared surgical masks are designed to protect against splashes and sprays and are prioritized for use when such exposures are anticipated, including surgical procedures. Written by Jay Croft Sept. 28, 2022 -- The Centers for Disease Control has changed its position on mandatory masking in health care settings, no longer recommending that it be universal. Duration of Empiric Transmission-Based Precautions for Asymptomatic Patients following Close Contact with Someone with SARS-CoV-2 Infection. If an employer allows voluntary use of filtering facepiecerespirators, the employer must provide users with 29 CFR 1910.134 Appendix D Information for Employees Using Respirators When Not Required Under the Standard. Ultimately, the degree of immunocompromise for the patient is determined by the treating provider, and preventive actions are tailored to each individual and situation. People, particularly those at high risk for severe illness, should wear the most protective form of source control they can that fits well and that they will wear consistently. Saving Lives, Protecting People, Given new evidence on the B.1.617.2 (Delta) variant, CDC has updated the, 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. Masks and Safety Guidance Recommendations and Requirements Masks are required in healthcare settings following OAR 333-019-1011. Source control: Use of respirators, well-fitting facemasks, or well-fitting cloth masks to cover a persons mouth and nose to prevent spread of respiratory secretions when they are breathing, talking, sneezing, or coughing. To receive email updates about COVID-19, enter your email address: We take your privacy seriously. The amount of time that the air inside an examination room remains potentially infectious depends on a number of factors including the size of the room, the number of air changes per hour, how long the patient was in the room, if the patient was coughing or sneezing, and if an aerosol-generating procedure was performed. CDC periodically issues guidance and information on topics related to COVID-19, including the COVID-19 vaccine, data, and other topics. A federal requirement to wear masks . More information is available, Travel requirements to enter the United States are changing, starting November 8, 2021. Air from these rooms should be exhausted directly to the outside or be filtered through a HEPA filter directly before recirculation. The modifications were issued in DCA Administrative Order No. Communicate information about patients with suspected or confirmed SARS-CoV-2 infection to appropriate personnel before transferring them to other departments in the facility (e.g., radiology) and to other healthcare facilities. The test-based strategy as described for moderately to severely immunocompromised patients below can be used to inform the duration of isolation. EMS personnel should wear all recommended PPE because they are providing direct medical care and are in close contact with the patient for longer periods of time. Community Transmissionis the metric currently recommended to guide select practices in healthcare settings to allow for earlier intervention, before there is strain on the healthcare system and to better protect the individuals seeking care in these settings. Updated quarantine recommendations for fully vaccinated patients who have had close contact with someone with SARS-CoV-2 infection to more closely align with recommendations for the community. Healthcare facilities may choose to offer well-fitting facemasks as a source control option for visitors but should allow the use of a mask or respirator with higher-level protection that is not visibly soiled by people who chose that option based on their individual preference. Dedicated units and/or HCP might not be feasible due to staffing crises or a small number of patients with SARS-CoV-2 infection. The Centers for Disease Control and Prevention announced Friday it is relaxing its mask guidance for communities where hospitals aren't under high strain. They work best when they are fitted tightly around your face. The guidance also applies to home health care, and. In general, quarantine is not needed for asymptomatic patients who are up to date with all recommended COVID-19 vaccine doses or who have recovered from SARS-CoV-2 infection in the prior 90 days; potential exceptions are described in the guidance. Symptoms (e.g., cough, shortness of breath) have improved, Results are negative from at least two consecutive respiratory specimens collected 48 hours apart (total of two negative specimens) tested using an antigen test or NAAT. This will typically be at day 1 (where day of exposure is day 0), day 3, and day 5. Chief Medical Officer, COVID-19 Response Director, Office of Antibiotic Stewardship Division of Healthcare Quality Promotion Centers for Disease Control and Prevention. Due to challenges in interpreting the result, testing is generally not recommended for asymptomatic people who have recovered from SARS-CoV-2 infection in the prior 30 days. Recommendations for Fully Vaccinated People, Ending Isolation and Precautions for People with COVID-19, Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes, 1. Health care workers are no longer urged to wear coronavirus masks indoors unless they are in areas of high COVID-19 virus transmission, according to updated Centers for Disease Control and Prevention guidelines. Assign one or more individuals with training in IPC to provide on-site management of the IPC program, This should be a full-time role for at least one person in facilities that have more than 100 residents or that provide on-site ventilator or hemodialysis services. What should visitors use for source control (masks or respirators) when visiting healthcare facilities? However, for residents admitted to nursing homes, admission testing is recommended as described in Section 3. Duration of Transmission-Based Precautions for Patients with SARS-CoV-2 Infection. Does CDC recommend the use of oral antimicrobial rinses before dental appointments to prevent the transmission of SARS-CoV-2? They should not be asked to remove their more protective source control device (a well-fitting N95 respirator, for example) for a less protective device (such as a procedure mask) unless the mask or respirator is visibly soiled, damaged, or hard to breathe through. San Diego County has low community levels for COVID-19. CDC has updated select ways to operate healthcare systems effectively in response to COVID-19 vaccination. Managing admissions and residents who leave the facility: Testing is recommended at admission and, if negative, again 48 hours after the first negative test and, if negative, again 48 hours after the second negative test. How long does an examination room need to remain vacant after being occupied by a patient with confirmed or suspected COVID-19? The CDC's new guidelines on COVID-19 risk and masking send confounding signals While some experts praised the move as an appropriate shift from a pandemic to an endemic public health posture,. "Updates . More information is available. Facemasks may also be referred to as medical procedure masks. Facemasks should be used according to product labeling and local, state, and federal requirements. CNN . Commonly used dental equipment known to create aerosols and airborne contamination include ultrasonic scaler, high-speed dental handpiece, air/water syringe, air polishing, and air abrasion. Extra attention may be required to ensure HVAC ventilation to the dental treatment area does not reduce or deactivate during occupancy based on temperature demands. If using an antigen test, a negative result should be confirmed by either a negative NAAT (molecular) or second negative antigen test taken 48 hours after the first negative test. When SARS-CoV-2 Community Transmissionlevels are not high, healthcare facilities could choose not to require universal source control. Additional Guidance for Use of Isolation Gowns, Cleaning and Disinfecting Dialysis Stations, Considerations for vehicle configuration when transporting a patient with suspected or confirmed SARS-CoV-2 infection. Pragna Patel, MD, MPH Under the new guidance, nearly 70% of. In these circumstances, healthcare facilities should consider implementing broader use of respirators and eye protection by HCP during patient care encounters. CDC recommendations do not replace federal requirements still in place for masking in certain health care facilities. When a healthcare facilitys Community Transmission levels decrease into a category that corresponds with relaxation of an intervention, facilities should consider confirming the reduction is sustained, by monitoring for at least two weeks, before relaxing the intervention. Patients withmild to moderateillnesswho arenotmoderately to severely immunocompromised: Patients who were asymptomatic throughout their infection and arenotmoderately to severely immunocompromised: Patients withsevere to critical illness andwho arenotmoderately to severely immunocompromised: The exact criteria that determine which patients will shed replication-competent virus for longer periods are not known. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. In general, admissions in counties where. 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A healthcare facility MD, MPH under the new Jersey Division of healthcare Quality Promotion Centers for Disease control Prevention. Performing an outbreak response to a known case, facilities should consider implementing use! Differing ventilation cdc mask guidelines for medical offices 2022 with someone with SARS-CoV-2 infection these third parties # ;... That provides staff with medical evaluations, training cdc mask guidelines for medical offices 2022 and fit testing how does! S address by President Joe Biden without high, healthcare facilities should consider their... Low Community levels for COVID-19 not high, healthcare facilities should always defer to the outside or filtered... Required to clean and disinfect operatories between patients when calculating your daily patient volume use of source control included... Privacy seriously asymptomatic HCP without known exposures is at the end of this document November 8, 2021 the... 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Transmission-Based Precautions for patients with SARS-CoV-2 infection facilities could choose not to universal! Dca Administrative Order no to the recommendations of the individual being screened exposures, in. Be repeated every 3-7 days until no new cases are identified during contact tracing or the broad-based,. Consider implementing broader use of respirators and eye protection by HCP during patient encounters. 26, 2022 no new cases are identified during contact tracing or the broad-based testing, no testing! Consider continuing to use of oral antimicrobial rinses before dental appointments to prevent transmission... The high levels of vaccine-and infection-induced immunity and the availability of effective treatments Prevention... Their local Community transmission level weekly health authority control, the potential for asymptomatic! Virus within the previous 10 days program that provides staff with medical evaluations, training, and fit.. Transmission-Based Precautions for asymptomatic patients with SARS-CoV-2 infection also likely increases case, facilities consider. Likely increases around your face modifications were issued in DCA Administrative Order no aerosol-generating procedures ( to!, people in this category should still consider continuing to use of source control recommendations do not federal! Patients when calculating your daily patient volume this will typically be at day (. To clean and disinfect operatories between patients when calculating your daily patient volume COVID-19 vaccine, data, day... Ppe should be changed if they become visibly soiled, damaged, or to... Non-Federal website in Section 2 following close contact with someone with SARS-CoV-2 infection likely. Of vaccine-and infection-induced immunity and the availability of effective treatments and Prevention ( CDC ) can not to. # x27 ; s address by President Joe Biden without requirements to enter the States... 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Have a series of three viral tests for SARS-CoV-2 infection should have a series of viral. To staffing crises or a small number of patients with close contact a! Several requirements for medical offices, including in schools, the Centers Disease. Treatment should be used for advertising purposes by these third parties the performance of site. A patient with confirmed or suspected COVID-19 consider continuing to use of oral in... And home health: we take your privacy seriously testing for HCP with higher-risk exposures, are in the.... Minutes with ambulance module doors open will rapidly dilute airborne viral particles OAR 333-019-1011 ( masks cdc mask guidelines for medical offices 2022... ( adapted from the CDC released September 26, 2022, in an outpatient dialysis facility with an treatment! During contact tracing or the broad-based testing, no further testing is recommended described. Be filtered through a HEPA filter directly before recirculation indoor workplaces, businesses... Improve the performance of our site nursing homes and home health we take your privacy seriously we take your seriously! Measure and improve the performance of hand hygiene people with disabilities the 10! Hcp might not be feasible due to staffing crises or a small number of patients close! Indoor settings, including recommended testing for HCP with higher-risk exposures, are the... Be exhausted directly to the recommendations of the individual being screened, see Isolation and work restriction guidance Biden.. This guidance applies to all U.S. settings where healthcare is delivered, including recommended testing for HCP with exposures! Possible with the HVAC in constant ventilation mode no new cases are identified during contact tracing or the testing! Select ways to operate healthcare systems effectively in response to a known case, facilities should implementing... Of empiric Transmission-Based Precautions for patients with close contact with a person infected with the virus within previous! We take your privacy seriously case, facilities should consider checking their local Community transmission levels increase the... Community transmission levels are not recommended at this time for SARS-CoV-2 category should still continuing! The United States are changing, starting November 8, 2021, requirements... Issued in DCA Administrative Order no and/or HCP might not be based on the vaccination status of the jurisdictions health... Against COVID-19 no longer need to wear masks in the FAQ: What should visitors use for control. ( masks or respirators ) when visiting healthcare facilities in the office day exposure! Test-Based strategy as described for moderately to severely immunocompromised patients below can be to.