New York State has expanded COVID-19 vaccination eligibility to the following select 1b groups, beginning January 11, 2021: o People aged 75 years or older o First responders and support staff of first responder agencies o Corrections staff o Pre-K to grade 12 teachers and staff o Group childcare providers and staff o Public transit workers o Public-facing grocery store workers o In-person college instructors o Residents and at-risk staff of group residential homeless shelters
• Hospitals and other health care providers must continue to prioritize health care workers and others in Phase 1a for vaccination. • Providers should communicate with their patients about vaccination. Answer their questions, address concerns, and inform them of when and where to get vaccinated. • Encourage patients to continue to wear a face covering and practice physical distancing.
• Visit the NYC Health Department’s website regularly for the most current information on: o Groups eligible to receive COVID-19 vaccine nyc.gov/covidvaccinedistribution o Vaccine site locations for eligible New Yorkers nyc.gov/vaccinefinder
Updated NYC Health Department COVID-19 Recommendations
Discontinuation of Isolation and Monitoring for People Who Are Asymptomatic; Isolation and Transmission-Based Precautions for People with COVID-19 Including Non-Hospitalized Patients, Residents and Patients in Special Settings, and People Who Are Immunocompromised
• Extended duration of self-monitoring and isolation for asymptomatic people and health care workers who test positive for SARS-CoV-2 with a molecular-based diagnostic test (e.g., rRT- PCR) is 10 days
• Updated minimum duration of isolation for non-hospitalized people with possible or confirmed COVID-19 extended from 7 to 10 days
• Discontinuing isolation and transmission-based precautions for people with possible or confirmed COVID-19 in special settings or who are immunocompromised
• Managing non-hospitalized persons who have a subsequent positive molecular COVID-19 test following an appropriate period of isolation
SARS-CoV-2 antigen tests perform best when there is a high probability the individual who will be tested is infected with the virus.
• Consider the pretest probability before using SARS-CoV-2 antigen tests and when interpreting results, especially in the context of increasing community transmission. Conduct confirmatory testing when someone who: o Has symptoms, tests negative. o Has no symptoms, and no known exposure in the past 14 days, tests positive.
• Confirmatory testing should only be done using a nucleic acid amplification (NAA)- based test performed at a clinical laboratory on a specimen collected within 48 hours of the initial specimen (or as soon thereafter as possible). Individuals should isolate while awaiting confirmatory test results. - Provided that their limitations are taken into consideration, SARS-CoV-2 antigen tests can be a valuable screening tool to identify or monitor spread of the virus in congregate settings (e.g., long term care facilities, schools).
- Follow-up testing cannot be used to test out of isolation after an established diagnosis of COVID-19. • New York State (NYS) has modified the timeframe for provider and laboratory. reporting of SARS-CoV-2 and influenza test results to require reporting within 24 hours of receiving test results, instead of three hours.