FREQUENTLY ASKED QUESTIONS
The following information is from the Center for Disease Control and Prevention on 3/4/20. Please not that the information is subject to change as the situation evolves. Visit the CDC website for more information.
What is the source of the virus?
Coronaviruses are a large family of viruses. Some cause illness in people, and others, such as canine and feline coronaviruses, only infect animals. Rarely, animal coronaviruses that infect animals have emerged to infect people and can spread between people. This is suspected to have occurred for the virus that causes COVID-19. Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS) are two other examples of coronaviruses that originated from animals and then spread to people. More information about the source and spread ofCOVID-19 is available on the Situation Summary: Source and Spread of the Virus.
How does the virus spread?
This virus was first detected in Wuhan City, Hubei Province, China. The first infections were linked to a live animal market, but the virus is now spreading from person-to-person. It’s important to note that person-to-person spread can happen on a continuum. Some viruses are highly contagious (like measles), while other viruses are less so. The virus that causes COVID-19 seems to be spreading easily and sustainably in the community (‘?community spread”) in some affected geographic areas. Community spread means people have been infected with the virus in an area, including some who are not sure how or where they became infected.
Can someone who has had COVID-19 spread the illness to others?
The virus that causes COVID-19 is spreading from person-to-person. Someone who is actively 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.
Can someone who has been quarantined for COVID-19 spread the illness to others?
Quarantine means separating a person or group of people who have been exposed to a contagious disease but have not developed illness (symptoms) from others who have not been exposed, in order-to prevent the possible spread of that disease. Quarantine is usually established for the incubation period of the communicable disease, which is the span of time during which people have developed illness after exposme. For COVID-19, the period of quarantine is 14 days from the last date of exposure, because 14 days is the longest incubation period seen for similar coronaviruses. Someone who has been released from COVID-19 quarantine is not considered a risk for spreading the virus to others because they have not developed illness during the incubation period.
Can the virus that causes COVID-19 be spread through food, including refrigerated or frozen food?
Coronaviruses are generally thought to be spread from person-to-person through respiratory droplets. Currently there is no evidence to support transmission ofCOVID-19 associated with food. Before preparing or eating food it is important to always wash your hands \\11th soap and water for 20 seconds for general food safety. Throughout the day wash your hands after blowing your nose, coughing or sneezing, or going to the bathroom. It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads. In general, because of poor survivability of these coronaviruses on surfaces, there is likely very low risk of spread from food products or packaging that are shipped over a period of days or weeks at ambient, refrigerated, or frozen temperatures. Learn what is known about the spread of COVID-19.
Will wann weather stop the outbreak of COVID-19?
It is not yet known whether weather and temperature impact the spread of COVID-19. Some other viruses, like the common cold and flu, sprea,d more during cold weather months but that does not mean it is impossible to become sick with these viruses during other months. At this time, it is not known whether the spread of COVID-19 will decrease when weather becomes wanner. There is much more to learn about the transmissibility, severity, and other features associated with COVID-19 and investigations are ongoing.
What is community spread?
Community spread means people have been infected with the vims in an area, including some who are not sure how or where they became infected.
Am I at risk for COVID-19 in the United States?
This is a rapidly evolving situation and the risk assessment may change daily. The latest updates are available on CDC’s Coronavirus Disease 2019 (COVID-19) website.
Has anyone in the United States gotten infected?
Yes. There have been cases ofCOVID-19 in the U.S. related to travel and person-to-person spread. U.S. case counts are updated regularly on Mondays, Wednesday, and Fridays. See the current U.S. s:ase count of_COVID-19. How can I help protect myself? Visit the COVID-19 Prevention and Treatment page to learn about how t,0 protect yourself from respiratory illnesses, like COVID-19.
What should I do if I had close contact with someone who has COVID-19?
There is information for people who have had close contact with a person confirmed to have, or being evaluated for, COVID-19 available online.
Does CDC recommend the use of facemask to prevent COVID-19?
CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory illnesses, including COVID-19. You should only wear a mask if a healthcare professional recommends it. A facemask should be used by people who have COVID-19 and.are showing symptoms. This is to protect others from the risk of getting infected. The use of facemasks also is crucial for health workers and other people who are taking care of someong_ infected with_ COVID-19 in close settings (at home or in a health care facility).
Am I at risk for COVID-19 from a package or products shipping from China?
There is still a lot that is unknown about the newly emerged COVID-19 and how it spreads. Two other coronaviruses have emerged previously to cause severe illness in people (MERS-Co V and SARS-Co V). The virus that causes COVID-19 is more genetically related to SARS-Co V than MERS-CoV, but both are betacoronaviruses with their origins in bats. While we don’t know for sure that this virus will behave the same way as SARS-Co V and ME RS-Co V, we can use the infonnation gained from both of these, earlier coronaviruses to guide us. In general, because of poor survivability of these coronaviruses on surfaces, there is likely very low risk of spread from products ot packaging that are shipped over a period of days or weeks at ambient temperatures .. Coronaviruses are generally thought to be spread most often by respiratory droplets. Currently there is no evidence to support transmission of COVID-19 associated with imported goods and there have not been any cases of COVID-19 in the United States associated with imported goods. Information -will be provided on the Coronavirus Disease 2019 (COVID-19) website as it becomes available.
What are the symptoms and complications that COVID-19 can cause?
Current symptoms reported for patients with COVID-19 have included mild to severe respiratory illness with fever1, cough, and difficulty breathing. Read about COVID-19 Symptoms.
Should I be tested for COVJD-19?
Call your healthcare professional if you feel sick with fever, cough, or difficulty breathing, and have been in close contact with a person known to have COVID-19, or if you live in or have recently traveled from an area with ongoing spread of COVID-19. Your healthcare professional will work with your state’s public health department and CDC to determine ifyou need to be tested for COVID-19.
How do you test a person for COVID-19?
State and local health departments who have identified a person under investigation (PUI) should immediately notify CDC’s Emergency Operations Center (EOC) to report the PUI and determine whether testing for COVJD-19 at CDC is indicated. The EOC will assist local/state health departments to collect, store, and ship specimens appropriately to CDC, including during afterhours or on weekends/holidays.
For more information on specimen collection see CDC Information for Laboratories.
Can a person test negative and later test positive for COVID-19?
Using the CDC-developed diagnostic test, a negative result means that the virus that causes COVID-19 was not found in the person’s sample. In the early stages of infection, it is possible the virus will not be detected. For COVID-19, a negative test result for a sample collected while a person has symptoms likely means that the COViD-19 virus is not causing their current illness.
What should healthcare professionals and health departments do?
For recommendations and guidance on persons under investigation; infection control, including personal protective equipment guidance; hoine care and isolation; and case investigation, see Information for Healthcare Professionals. For information on specimen collection and shipment, see Information for Laboratories. For information for public health professional on COVID-19, see Information for Public Health Professionals.