Covid-19 Decision Tree

      Covid Decision Tree

      Narrative for the Decision Tree

      • Narrative for the MACCRAY COVID-19 Decision Tree

        Subject to change due to local transmission rates and/or updated public health guidance/mandates.

        Updated on 1/10/22

        Introduction

        MACCRAY is committed to providing a safe and healthy learning environment for all students and staff.  While we continue to navigate the COVID-19 pandemic, it is imperative that we all work together to reduce the risk of transmission in our school environment.  One of the key ways we achieve this goal is by staff and students staying home when they are experiencing symptoms of COVID-19, have tested positive for COVID-19, and vigilantly watching for symptoms when a household member has a lab-confirmed positive for COVID-19.

        COVID-19 symptoms fall into two groups:

        • Major symptoms: fever of 100.4 degrees Fahrenheit or higher; and new loss of taste or smell.
        • Minor symptoms:  new cough or a cough that gets worse; difficulty/hard time breathing; sore throat; nausea; vomiting; diarrhea; chills; muscle pain; extreme fatigue/feeling very tired; new severe/very bad headache; and new nasal congestion/stuffy or runny nose.

        Guidance for people experiencing COVID-19 Symptoms

        If a student or staff member is experiencing major symptoms of COVID-19, they are encouraged to make contact with Nurse Laura Dannen.

        First Path

        1. Use this path when the person has only two or more minor symptoms.
        2. The person should stay home or be sent home.
          1. If the person does not develop any other symptoms, they may return to school 24 hours after the symptoms have improved.
          2. Consider an evaluation from a doctor or healthcare provider and/or consider getting a COVID-19 test.
            1. If the person is tested for COVID-19, they are expected to stay home and follow the second path.

        Second Path

        1. Use this path when the person has one major symptom or when a person has any symptoms while under quarantine due to exposure (within the 14 days post exposure), or when a person who started on the first path decides to get an evaluation from a doctor/healthcare provider or get a COVID-19 test.
        2. The person should stay home or be sent home.
        3. If the person does not get an evaluation from a doctor or another health care provider or get a COVID-19 test, they should stay at home away from others (isolation), including those who live in the house if possible, for at least 7 days starting from the time their symptoms started and until their symptoms have improved and they have no fever for 24 hours without using fever-reducing medications.
        4. If the person receives an alternate diagnosis (a diagnosis other than COVID-19) or tests negative for COVID-19, they can return to school 24 hours after their symptoms have improved, they have been fever-free for 24 hours without using fever-reducing medications, or as directed by their healthcare provider.
          1. Documentation of the alternate diagnosis or negative COVID-19 test may be required in order to return to school.
        1. If the person tests positive for COVID-19 and has symptoms, they should stay at home and away from others who live in the house (isolation) for at least 7 days from the time the symptoms started and until symptoms have improved and they have had no fever for 24 hours without using fever-reducing medications. If they have no symptoms but test positive, they should stay home for  7 days counting from the day they were tested.

        ***Masks are highly recommended on day 8-10 when the positive person returns.

        1. MSHSL Rules: An athlete that tests positive for COVID can attend practice when they return after they have completed the 7 days of isolation but must wear a tight-fitting mask from days 8-10. MSHSL does not allow students to compete until they have completed the full 10 days of isolation.

        Guidance for close contact with a positive COVID-19 case

        People who have close contact with someone who tests positive for COVID-19 outside of their household should follow this guidance: A close contact is someone who has been within 6 feet of a person who has COVID-19 for a total of 15 minutes or more throughout the course of a day (24 hours).  Close contacts are determined based on the positive case’s infectious period- 2 days prior to starting symptoms and 10 days from the onset of symptoms or from the test date for asymptomatic cases.

        The Centers for Disease Control (CDC) and the Minnesota Department of Health maintain that the safest recommendation for people who have been exposed to COVID-19 is a 14-day quarantine.  Individuals may choose to follow this recommendation, however the MACCRAY District will not be requiring quarantine for close contacts as long as they meet the following criteria:

        1. The close contact is not experiencing ANY major or minor symptoms of COVID-19.
          1. If the person who is a close contact develops any of the major or minor symptoms of COVID-19, they are expected to follow the second/pink path of the decision tree.
            1. If symptoms are experienced, the close contact must get tested for COVID-19 or stay home for 10 days from the onset of symptoms.

        Guidance for household contacts of a positive COVID-19 case

        Students or staff who live with someone who has tested positive for COVID-19 must follow this guidance.

        household contact is ANY person who lives in the same household as a person who tested positive for COVID-19.

        Household contacts of a person positive for COVID-19 are at a higher risk of exposure and developing COVID-19.  For that reason, the MACCRAY school district will require household contacts to quarantine.

        Quarantine Requirements:

        Fully vaccinated household members who are not experiencing symptoms are not required to quarantine.

        • A person is fully vaccinated 2 weeks after they have received their final dose of the COVID-19 vaccine.
        • Proof of vaccination is required in order to avoid quarantine.  If a person refuses to provide proof of vaccination, they will be required to quarantine per the requirements for unvaccinated household contacts.

        Household members who are not fully vaccinated or have not had lab confirmed COVID-19 within the last 90 days must stay home and away from all activities (quarantine).

        • If the positive case is unable to isolate away from household members in the home, the household members must quarantine for at least 14 days.
        • If the positive case is able to isolate away from household members in the home, the household members will be eligible for shortened quarantine as long as they are not experiencing ANY symptoms.  There are 2 options for shortened quarantine:
        • 10 days from the last exposure without a COVID-19 test.
        • 7 days with a negative PCR COVID test  if the test occurred on day five after exposure or later.  *Proof of the negative test is required in order to qualify for the 7 day quarantine.
        • 7 days with a negative antigen test (binax now) performed on day 5 and 7 from last close contact.
        • Household contacts are expected to watch for symptoms for the full 14 days after exposure.
        • If the household contact develops any of the more or less common symptoms of COVID-19, they are expected to follow the second path on the decision tree.
        • If symptoms are experienced, the household contact must get tested for COVID-19 or stay home for 10 days from the onset of symptoms.

        Symptoms:

        • Fever of 100.4 degrees Fahrenheit or higher
        • New cough or a cough that gets worse
        • Difficulty/hard time breathing
        • New loss of taste or smell
        • Sore throat
        • Nasal congestion/stuffy or runny nose
        • Nausea, vomiting, or diarrhea
        • Muscle pain
        • Extreme fatigue/feeling very tired
        • Severe/very bad headache
        • Chill

        **A positive case isolating in the home consists of:  Staying in a separate room and avoiding contact with all other household members as much as possible, using a separate bathroom if possible (sanitizing touched surfaces after each use if a bathroom must be shared), not sharing personal household items.

        Testing Recommendations for Close Contacts & Household Contacts

        • Close contacts should be tested at the onset of any symptoms and isolated at home while waiting for results.

        Handling of COVID-19 case exposure at school

        Staff and students who test positive for COVID-19 are required to isolate at home for at least 7 days from the onset of symptoms and until symptoms have improved and they have been fever-free for 24 hours without using fever-reducing medication.  If they have no symptoms but test positive, they must stay home for 7 days counting from the day they were tested.  The school district will determine return dates for positive cases.

        If a COVID-19 positive person attended school while infectious (2 days prior to the onset of symptoms and  7 days after the onset of symptoms), parents will be notified as follows:

        • Elementary  and Junior High- parents will be contacted when there is a positive case in their child’s classroom.
        • High School- parents will be contacted if their child has classroom contact in a positive case.

         

        Additional details and recommendations

        • The MACCRAY school district acknowledges that parents may choose to follow public health guidance and keep their kids home, even when not required per district protocol.  If parents choose to keep their kids home in accordance with public health guidance, absences will be excused.
        • If a person has had lab-confirmed COVID-19 in the past 90 days and is experiencing symptoms consistent with COVID-19 with no known exposure, retesting is not recommended.  The person should remain home until symptoms have improved and they have been fever free for 24 hours.
        • For positive COVID-19 cases, return dates are to be determined by the individual school district per MDH. 
        • In general, “improved symptoms” means that a person no longer feels ill, they can keep up and do their daily routine just as they did before they were ill, and any remaining symptoms, such as a cough or runny nose, are very mild, intermittent, or infrequent and do not interfere with daily living.
        • If a household member is being tested for COVID-19, non-symptomatic household members can attend school.

      Return-to-School Plan

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