travel

This information is current as of the publication date; it is general medical information that helps doctors and patients make decisions about what is right for them. Medical recommendations and practice change as we learn new things. Discuss with your physician or appropriate healthcare provider.

Now that many of us have been vaccinated against the coronavirus we want to know what we can safely do. We should also be wondering what is the risk of various activities, as nothing will ever be risk free.

In the White House Rose Garden, within a mask, President Biden announced updated guidelines from the CDC, based on ongoing studies of vaccinated persons.

update May 13, 2021

Fully vaccinated people no longer need to wear a mask or physically distance in any setting, except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance

Fully vaccinated people can refrain from testing following a known exposure unless they are residents or employees of a correctional or detention facility or a homeless shelter

Here is what the CDC, Centers for Disease Control and Prevention, posted on their web site as of May 13, 2021.

Interim Public Health Recommendations for Fully Vaccinated People

For the purposes of this guidance, people are considered fully vaccinated for COVID-19

≥2 weeks after they have received the second dose in a 2-dose series (Pfizer-BioNTech or Moderna), or We
≥2 weeks after they have received a single-dose vaccine (Johnson and Johnson (J&J)/Janssen ).

Dr. Aletha inspecting her arm after a COVID-19 shot — Three days after my first vaccination the soreness in my arm was almost gone, and I had no redness or swelling. After the second shot, minimal soreness. No other side effects to report. I feel fortunate. I am now fully vaccinated.

Fully vaccinated people can:

Resume activities without wearing masks or physically distancing, except where required by federal, state, local, tribal, or territorial laws, rules and regulations, including local business and workplace guidance
Resume domestic travel and refrain from testing before or after travel or self-quarantine after travel
Refrain from testing before leaving the United States for international travel (unless required by the destination) and refrain from self-quarantine after arriving back in the United States
Refrain from testing following a known exposure, if asymptomatic, with some exceptions for specific settings
Refrain from quarantine following a known exposure if asymptomatic
Refrain from routine screening testing if feasible
Get tested if experiencing COVID-19 symptoms
Follow CDC and health department travel requirements and recommendations

For now, masks are still required for everyone on public transportation, until those policies are updated.

Healthcare facilities

For now, you will likely be required to wear a mask in hospitals, clinics, medical offices, and other facilities that provide direct healthcare.

Immune compromise

We don’t have enough data on vaccine protection in people who are immunocompromised. People with immunocompromising conditions, including those taking immunosuppressive medications (for instance drugs, such as mycophenolate and rituximab, to suppress rejection of transplanted organs or to treat rheumatologic conditions), should discuss the need for personal protective measures with their healthcare provider after vaccination.

Testing, testing, testing

Testing helps us identify cases, trace contacts, and prevent spread. With fewer cases, public health professionals can find contacts easier and sooner. Stopping spread will make the variant viruses less of a threat.

So please don’t stop seeking testing if you have symptoms; it is still important to know how many cases of COVID-19 there are. If we only know about the severe cases that required hospitalization, it will skew the statistics, and be less representative of the true extent of the pandemic.

Masks and Vaccines -“do unto others”

I’m not here to debate the use of masks. If you are not yet vaccinated, you should continue to do so. Better yet, just get vaccinated; it’s available and easy to get. Just click on this link

VACCINES.GOV

Remember, this is a contagious infectious disease spread by direct person to person contact. It’s not just about you, we’re here for each other.

Information and misinformation

There has been much of both in the past year, some deliberate, some well intentioned, some valuable, some just plain wrong. Whenever possible, get your information directly from the source, not “a friend of a friend’s second cousin”. Here are some tips for finding reliable information

Final comments from the CDC

CDC will continue to evaluate and update public health recommendations for fully vaccinated people as more information, including on new variants, becomes available. Further information on evidence and considerations related to these recommendations is available in the Science Brief.
CDC website

exploring the HEART of ending the pandemic

And if you found this information interesting and helpful, please share with your friends on social media and elsewhere. They and I will appreciate it.

Dr. Aletha

And many state governors, including mine, are removing COVID-19 mitigation measures, including mask mandates and recommendations. So we need to stay informed so we can be “personally responsible.” (My governor’s favorite phrase.)

update April 27, 2021

The CDC has updated the guidelines and address wearing masks outdoors.

fully vaccinated people can travel domestically with pre or post testing

Here is what the CDC, Centers for Disease Control and Prevention, posted on their web site as of April 27, 2021.

Interim Public Health Recommendations for Fully Vaccinated People

For the purposes of this guidance, people are considered fully vaccinated for COVID-19

≥2 weeks after they have received the second dose in a 2-dose series (Pfizer-BioNTech or Moderna), or We
≥2 weeks after they have received a single-dose vaccine (Johnson and Johnson (J&J)/Janssen ).

Fully vaccinated people can:

Visit with other fully vaccinated people indoors without wearing masks or physical distancing
Visit with unvaccinated people from a single household who are at low risk for severe COVID-19 disease indoors without wearing masks or physical distancing
You can gather or conduct activities outdoors without wearing a mask except in certain crowded settings and venues.
Refrain from quarantine and testing following a known exposure if asymptomatic
If you travel in the United States, you do not need to get tested before or after travel or self-quarantine after travel.
You need to pay close attention to the situation at your international destination before traveling outside the United States.

For now, fully vaccinated people should continue to:

Take precautions in public like wearing a well-fitted mask and physical distancing
Wear masks, practice physical distancing, and adhere to other prevention measures when visiting with unvaccinated people who are at increased risk for severe COVID-19 disease or who have an unvaccinated household member who is at increased risk for severe COVID-19 disease
Wear masks, maintain physical distance, and practice other prevention measures when visiting with unvaccinated people from multiple households
Avoid medium- and large-sized in-person gatherings
Get tested if experiencing COVID-19 symptoms
Follow guidance issued by individual employers
Follow CDC and health department travel requirements and recommendations

My key points from these recommendations

Refrain from quarantine and testing if exposed, unless you have symptoms.
Interactions involving ONLY people who are fully vaccinated are low risk.
Interactions involving people not vaccinated have more risk.
Interactions with people who are at increased risk of severe disease should be approached cautiously, with safeguards fully in place.
Attending large group gatherings still carries significant risk to all involved.
Outdoor activities are very low risk, but are not 100% safe either, especially for unvaccinated people
Testing is still important.
Travel within the United States requires no pre or post testing or quarantine.
For international travel, you will still be required to follow the rules for the countries you are visiting upon arrival and while there.

Testing, testing, testing

Practice social distancing and wear a mask.

Masks-“do unto others”

I’m not here to debate the use of masks. If you’ve been wearing one, you probably should continue to do so, unless in a setting with others who you can confirm are vaccinated or immune due to natural infection.

Remember, this is a contagious infectious disease spread by direct person to person contact. It’s not just about you, we’re here for each other.

Information and misinformation

Final comments from the CDC

This is the first set of public health recommendations for fully vaccinated people. This guidance will be updated and expanded based on the level of community spread of SARS-CoV-2, the proportion of the population that is fully vaccinated, and the rapidly evolving science on COVID-19 vaccines.
CDC website

exploring the HEART of ending the pandemic

And if you found this information interesting and helpful, please share with your friends on social media and elsewhere. They and I will appreciate it.