Skip to main content

If You Test Positive for COVID-19

Follow these steps

  • Start isolating yourself right away. You will need to isolate for a minimum of 5 days according to current NYS DOH and CDC guidance.
  • Stay home except for urgent medical care. Inform your doctor’s office of your positive test result before going to your appointment. It may be preferable to arrange for a telehealth or virtual visit to avoid transmitting the virus to others. 
  • Talk to your healthcare provider about treatment options including oral and IV antivirals or IV monoclonal antibodies treatments, which have received federal emergency-used authorization and are available locally, include Paxlovid, Remdesivir, Molnupiravir and Bebtelovimab.  These treatments are most effective within the first few days of symptoms starting and are especially important for those at high risk of developing severe COVID-19 symptoms.
  • Isolation is 5 full days. Day 0 is the day of symptom onset or day of positive test. Day 1 is the first day of isolation.
    • If you are asymptomatic at the end of 5 days, or if symptoms are resolving, isolation ends.
  • Wear a well-fitting mask (preferably N95 or KN95) while around others for an additional 5 days.
    • If you are unable to wear a well-fitting mask for 5 additional days after a 5-day isolation period, you should follow standard (not-shortened) 10-day isolation guidance.
  • Individuals who are moderately to severely immunocompromised should continue to follow standard (not shortened) 10-day isolation guidance.
  • Individuals who work in healthcare or other congregate care settings may have different isolation requirements. Please see the NYS DOH return-to-work guidance for healthcare personnel
  • Notify your close contacts so they can quarantine themselves.
    • Close contacts = those who were within 6 feet for 15 minutes or more total in a 24 hour period, when the person was contagious.
    • Contagious = starts 2 days before symptoms appear (or 2 days before positive test if there are no symptoms) through the end of the isolation period.

Test to Treat

For those that test positive for COVID-19 oral and IV antivirals or IV monoclonal antibodies treatments have been found to be an effective option for tackling the virus right away, giving your body extra time to make its own antibodies. Some include, Paxlovid, Remdesivir, Molnupiravir and Bebtelovimab. These treatments are most effective within the first few days of symptoms starting and are especially important for those at high risk of developing severe COVID-19 symptoms. 

Dutchess County continues to partner with PulseMD Urgent Care to offer “Test to Treat” which provides rapid telehealth appointments for residents whose provider-performed COVID-19 returns a positive result, who do not have a primary care physician or have had difficulty setting up an appointment with their primary care physician. During the online appointment, the provider will discuss treatment options and the criteria required to receive them. Based on a resident’s assessment, they may be eligible for antiviral medication or monoclonal antibody treatments. Virtual appointments can be made online with PulseMD Urgent Care at Pulse-MDUrgentCare.com

 In addition, New York State has launched a free 24/7 hotline for those who test positive for COVID-19, but don’t have a health care provider. Callers will be connected to experienced professionals from NYC Health + Hospitals who have the clinical training to prescribe treatment and referrals if needed. Dutchess County residents who test COVID-19 positive can utilize this hotline regardless of income or health insurance coverage and are eligible to be evaluated for treatment by calling 888-TREAT-NY (888-873-2869).

 

If You Were Exposed to Someone Who is Positive for COVID-19

Follow these steps:

If you are up to date on vaccines, including having received your booster(s) as indicated, or have tested positive for COVID-19 in the last 90 days:

  • No quarantine is required if you do not have any symptoms.
  • Wear a well-fitting mask and monitor for symptoms for 10 days.
  • Test at day 5 if possible
    • If you had COVID-19 in the last 90 days, no need to get tested
  • If you develop symptoms, isolate and seek testing.

If you are eligible for a booster vaccine, but have not gotten your booster shot OR are unvaccinated, and have not tested positive for COVID-19 in the last 90 days:

  • You must quarantine for 5 days. Day 0 is the last date of exposure. Day 1 is first day of quarantine.
  • Wear a well-fitting mask (preferably N95 or KN95) while around others for an additional 5 days after quarantine ends.
  • Test at day 5 if possible.

Reporting At-Home Positive Test

Quarantine vs. Isolation Definitions

Quarantine means someone who was in close contact with a person who has COVID-19 and who must stay home to keep away from others.

People in isolation stay home AND stay separate from others in the household by remaining in one room or area and use a separate bathroom (if available).

New York State Protocols for Isolation and Quarantine

Letter of Isolation/Release from Quarantine

If needed for work or school, you can obtain a New York State AFFIRMATION OF ISOLATION (.pdf) or AFFIRMATION OF QUARANTINE (.pdf). These New York State forms may be used as if it were an individual Order for Isolation issued by the New York State Health Commissioner or County Commissioner. The Attestation Form will contain your start and end date, as you indicate, based on your particular circumstances, in accordance with Guidance from the New York State Department of Health.