WORKPLACE GUIDELINES FOR COVID-19

2020 SEASON ONLY

REVISED 5.20.20

The Rev Theatre Company / Workplace Guidelines for COVID-19

Table of Contents

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 1

Mission Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 1

General Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 2 + 3

Emergency Procedures in the Workplace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 3 + 4

Identifying Supervisors in the Workplace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 4

Housing Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 5

Company Vehicle Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 5

Housing and Vehicle Diagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 6 - 8

Venue: The Merry-Go-Round Playhouse / Production: Buddy, The Buddy Holly Story . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 9

Onstage Considerations and Director Notes for Buddy, The Buddy Holly Story . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 10

Merry-Go-Round Playhouse Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 11

Scene Shop Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 12

Costume Shop Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 12

Scene Shop and Costume Shop Diagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 13 - 16

Rehearsals and Rehearsal Studio Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 17

Rehearsal Studio Diagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 18 + 19

CDC – General Business Frequently Asked Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 20

CDC – Use of Cloth Face Coverings to Help Slow the Spread of COVID-19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 21

CDC – Symptoms of Coronavirus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 22

CDC – How COVID-19 Spreads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 23

CDC – How to Protect Yourself and Others . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 24 + 25

CDC – What to Do If You Are Sick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 26 - 29

CDC – Discontinuation of Isolation for Persons with COVID-19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pg. 30 - 32

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Overview

The Rev Theatre Company is a professional, not-for-profit (501C3) arts organization located in Auburn, NY. The Rev is led by Producing Artistic Director,

Brett Smock, and Managing Director, Lynette Lee, and is governed by a Board of Directors comprised of 18 community leaders of diverse backgrounds and

professional affiliations.

The Rev is comprised of two principal divisions: professional musical theatre and professional arts education. The Rev operates one of New York State’s

largest professional educational tours encompassing 75 school districts (Sept – May), an extended celebrated Broadway series at the MGR Playhouse (May

– Oct), a new works series, The PiTCH (July/Aug) at the Carriage House Theatre, multiple theatre training programs (year round) and a new venue entirely

dedicated to family theatre (The West End Theatre). In addition, The Rev operates a professional partnership with Nazareth College in Rochester, NY

offering in-class and practical learning experiences to its BFA Musical Theatre, Stage Management and Technical Theatre students.

The Rev employs a full-time administrative staff of 22 employees, an educational touring company of 15 actors and in excess of 250 seasonal actors,

writers, musicians, artisans, technicians, creatives and staff each year, sourced from around the country.

The Rev operates with the following union affiliations: AEA, SDC, USA, AFM.

The Rev is committed to operating safe and sanitary work environments at all times with heightened attention and standards during this pandemic. The

guidelines and proposed protocols herein attempt to align with governmental regulations, OSHA and CDC standards and within all union parameters.

The Rev will produce a reduced season for 2020 including a filmed benefit concert (approx. 7/22) and a live stage version of Buddy, The Buddy Holly Story

(approx. 8/19) which will serve as an archival stream for audiences.

Information in this document was researched and contributed by the staff of The Rev and reviewed and approved by Joseph Luckert / Industrial Hygienist /

OSHA/Dept of Labor on 5/14/20. Joseph.Luckert@labor.ny.gov. Workplace Guidelines for Covid-19 was designed and curated by Production Manager,

Michael Iannelli.

Mission Statement

The Rev Theatre company presents classical and contemporary works, new musicals, and arts education for a diverse audience, to spur social awareness

and cultural development in the Finger Lakes region.

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General Guidelines (applicable to all staff and departments)

• Theatre meets ‘Lower Exposure Risk’ Standards as outlined by OSHA in ‘Guidance on Preparing Workplaces for COVID-19”, created 3/20.

• Theatre will look to CDC, OSHA and other supervisory agencies as guiding authorities.

• All employees will take or will have their temperature taken at home prior to arriving at the workplace. Administrative staff will self-monitor.

All temporary, seasonal or part-time staff will have temperatures taken by an administrative staff member. Temperatures will be recorded

on a daily basis.

• All administrative staff who are required to perform infection screening will be trained on the CDC screening procedures (see page 20).

• Per CDC mandate, Theatre dictates that employees with a fever be required to self-quarantine in their apartment and call a doctor.

• Theatre has adopted flexible and remote work sites, policies and procedures.

• Theatre will post hand washing signs in all restrooms.

• Theatre will provide guidance on proper use of PPE, including how to put it on, use/wear it, and take it off correctly, including in the context

of their current and potential duties, and training procedures for the proper wearing of cloth face coverings (see page 21).

• Theatre strongly urges employees to monitor for symptoms of COVID-19 including their temperatures beginning 14 days prior to contractual

report date (see pages 22 and 23).

• Any temperature abnormalities must be reported to Theatre immediately and employee will be encouraged to seek medical consultation.

• Theatre will encourage employees to seek testing, if possible, prior to report date.

• Theatre will require sick employees to stay home.

• Theatre will provide one cloth face mask per employee. Employee is responsible for washing mask on a regular basis.

• All staff must wear a face mask during all tasks that do not allow for a minimum of 6 feet of distance from others.

• All staff must remain six feet apart whenever possible.

• Hand sanitizing stations, with tissues and garbage cans, will be placed in strategic locations throughout company workplaces.

• Doors will be propped open, whenever possible, to eliminate the need for touching door handles.

• Employees must wash hands frequently, especially when sharing tools or equipment.

• Theatre will monitor public health communications about COVID-19 recommendations and ensure that employees have access to that

information.

• Theatre will collaborate with all staff and employees to designate effective means of communicating important COVID-19 information.

• Theatre has utilized OSHA’s compliance assistance specialists for consultation purposes.

• Theatre will monitor and implement updated CDC-regulated cleaning practices, using EPA-registered disinfectants listed in the EPA article

labeled, “List N: Disinfectants for Use Against SARS-CoV-2”, updated 5/14/20.

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General Guidelines, Continued (applicable to all staff and departments)

• Schedules and instructions for disinfecting surfaces, tools, objects, clothing, etc. will be displayed in each facility on a laminated printout.

• Additional procedures on how to limit exposure to COVID-19 can be found in the CDC article labeled, “How to Protect Yourself & Others” (see

pages 24-27).

• For additional information and reference see pages 26-32).

• Theatre will have in place policies and procedures for employees to report when they are sick or experiencing symptoms of COVID-19. These

procedures are as follows:

Emergency Procedures in the Workplace:

• If an Employee feels ill and/or has any symptoms of COVID-19 outside of working hours, they should contact Company Management immediately.

o Common symptoms to self-monitor - fever, cough, shortness of breath, difficulty breathing, sore muscles, loss of taste or smell

• If an Employee feels ill and/or have any symptoms of COVID-19 while in the workplace,

STEP 1 - Employee contacts their supervisor.

▪ Supervisor will separate sick Employee from all other Employees.

▪ Supervisor will close off the Employee’s work area for 24 hours.

▪ Supervisor will open all windows and doors to increase air circulation for as much as possible during this 24 hour period.

▪ Supervisor will sanitize and clean all areas and tools used by the Employee after the 24 hour period.

STEP 2 - Supervisor contacts Company Management while sick Employee contacts Cayuga County Health Department (315-253-1560) to

inquire about getting a test.

▪ If Employee has a doctor here in Auburn, they can also contact them about getting a test.

STEP 3 - A member of Company Management will come to pick up sick Employee.

▪ Only the driver (a company approved driver) and said sick Employee will occupy a vehicle at one time.

▪ Vehicle will either be a company van or sprinter.

▪ Both the driver and Employee will wear a face mask.

▪ The Employee will sit in the back row of the vehicle and always maintain at least 6 feet of distance away from the driver.

▪ Hand sanitizer (with at least 60% alcohol) will be present in the vehicle, and both the driver and Employee will be required to use

hand sanitizer as they enter and exit the vehicle.

▪ After the Employee is dropped off at housing, the vehicle will be thoroughly disinfected by the driver.

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Emergency Procedures in the Workplace, Continued:

▪ Areas of focus in cleaning the vehicle

Door handles (inside and out)

Seats (and back of seats)

Steering wheel

Dashboard

Seatbelts

Interior windows

STEP 4 - Company Management will bring Employee (a) to the testing facility that was arranged by the Employee in step 2 or (b) to their

housing, where that Employee will remain in quarantine if testing is not available immediately.

▪ If tested, the Employee will be able to leave quarantine and come back to work if the following three conditions apply:

No longer have a fever without the use of medication

Other symptoms have improved (ex. cough and shortness of breath)

Had 2 negative tests 24 hours or more apart -or- they were in isolation for 10 days, and the last 3 of those days they had no

fever and no (or very minor/few) symptoms

▪ If Employee was not tested, the Employee is able to leave quarantine and come back to work if all three of these apply:

No fever for 72 hours without the use of medication

Other symptoms have improved (ex. cough and shortness of breath)

At least 10 days have passed since symptoms first appeared

▪ If Employee is not able to get a test immediately, they will contact Company Management if testing is available, and Company

Management will safely transport them to the testing facility.

Identifying Supervisors in the Workplace:

Brett Smock, Producing Artistic Director

• Administrative Offices – Brett Smock, Producing Artistic Director

• Box Office – Gina Guerriere, Director of Audience Services

• Costume Shop -- Tiffany Howard, Costume Shop Manager

• Housing and Rehearsal Rooms -- Christopher Lynch, Company Manager

• Playhouse – Production staff and designers -- Michael Iannelli, Production Manager

• Playhouse – Actors and creative staff -- Christopher Lynch, Company Manager

• Scene Shop, Prop Shop, Paint Shop -- Rocky Love, Technical Director

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Housing Guidelines (Please see Pages 6 and 7 for Company-owned Housing Diagrams)

• Theatre will provide single occupancy housing for all employees.

• Extensive cleaning procedures will follow CDC guidelines.

• Hand sanitizer will be located in all Theatre housing and at the entrance of each building.

• Laundry facilities will be available to all employees on a rotating, signup basis only, to be governed by company management.

• Laundry facilities will be sanitized after each use.

• All common areas (doorknobs, handrails etc.) will be wiped down frequently.

• Congregating in hallways or common areas will be discouraged.

Company Vehicle Guidelines (Please See Page 8 for Vehicle Diagram)

• Extensive cleaning procedures will follow CDC guidelines.

• Occupancy limited to 50% of vehicle capacity.

• Passengers will sit separated by an empty seat.

• Hand sanitizer will be located in all company vehicles.

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Venue: The MGR Playhouse / Production: Buddy, The Buddy Holly Story (Please see Page 11 for Playhouse Diagram)

• Extensive cleaning procedures will follow CDC guidelines.

• Hand sanitizer placed at stage door entrance and in every dressing room.

• There will be no access to backstage refrigerator.

• Theatre will implement separate, parallel crossovers for backstage traffic flow. One will have traffic moving from SL to SR. One will have

traffic moving from SR to SL.

• All traffic will enter through stage door, Stage Right. All traffic will exit through either wardrobe door or A2 door (see diagram).

• Theatre will enclose each dressing station in pipe and drape creating a fully enclosed and protected alcove. This will enable actors and

wardrobe staff to safely cross each other.

• Theatre will enclose Wardrobe Head and A2 in similar Pipe and Drape surrounds.

• Backstage crew limited to four employees per side of stage.

• Crew will have individual locations taped out on the deck that will serve as their ‘home base’ between scene changes.

• Quick changes will be eliminated unless entirely necessary. For all necessary quick changes, dressers will wear gloves, plastic face shield, cloth

face mask and gown. Gloves will be changed between each quick change.

• To replace quick changes, Dressers will preset changes on chairs and hooks backstage for actors, who will change themselves and leave the

remaining clothes in a basket for dressers to retrieve later.

• Prop sharing and prop handoffs will be eliminated.

• Crew will be permitted to preset sanitized props in specific locations throughout the show for actors to retrieve.

• Microphones, headsets, etc. will be individually assigned and disinfected between each use.

• The A2 will wipe down all microphone elements and body packs prior to distribution to actors during half hour. After microphones are

cleaned, they will be prepped behind a safety partition. Once microphones are prepped, they will be place in a sanitized shoe rack outside of

the partition. Actors will retrieve mics on a rolling basis, monitored by stage management.

• Headsets will be individually assigned to crew. Each crew member will be responsible for wiping down their headset before and after each

use.

• Hair and Makeup Supervisor will wear gloves, plastic face shield, cloth face mask and gown. Gloves will be changed between each wig prep

and/or wig change.

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Onstage Considerations for Buddy, The Buddy Holly Story:

• Theatre is employing a cast of 11 – no understudies. This will ensure minimal occupancy of housing, vehicles and all workplaces.

• Buddy will be performed onstage for two live performances which will be captured on camera for archival streaming. There will be no

audience.

• Director and Designer are working closely to ensure the design accounts for 6’ of social distancing at all times. There are also several levels

on the set to make this achievable.

• Actors will be responsible for bringing their own props and instruments on and off which will cut down on transferred or shared materials.

Director Notes for Buddy, The Buddy Holly Story:

• Pg. 11 – When Vi brings coffee to boys, she can deliver it on a tray, leave it on the table and they will each come one at a time to get their

mug.

• Pg. 14 – the stage direction indicating “they shake hands,” will instead have them each raise their coffee mugs in a toasting fashion.

• Pg. 25 – For the Apollo concert, everyone will be assigned their own mic instead of sharing one main mic.

• Pg. 28 – cut the handshake between Buddy and the DJ.

• Pg. 33 – For Buddy and Tyrone’s “Give me some skin” actors will respond with physical gestures that do not require contact.

• Pg. 43 – For the entirety of the scene between Buddy and Maria in their Central Park apartment, actors will occupy opposite sides of the

couch to ensure distance between them.

• 6’ – 10’ of distance to be employed during both the Apollo and Clear Lake concerts.

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Scene Shop / Paint Shop / Props Shop Guidelines (Please see pages 13 and 14 for Scene Shop Diagrams)

• Each employee will be medically tested by healthcare professional and fitted for their own half-face respirator, which Theatre will provide.

Theatre will keep a supply of p100 pancake filters.

• Cloth facemasks are acceptable for scene shop staff when not working with aerosol sprays, loose particulate (such as sawdust), welding, or

any task that might require more protection provided by the p100 filters.

• Welding masks – user to sanitize before each use.

• Welding gloves and smocks will be individually assigned.

• Hand Sanitizer will be provided at each work station.

• Shop will implement one-way traffic flow, with work stations assembled according to workflow -- beginning of project to completion.

• All handheld tools are labeled for each individual employee if possible. (ie. Hammers, handheld drills, wrenches, etc.)

• When handheld tools are shared, user to sanitize before and after each use.

• At the end of each working day, all tabletop and stationary tools will be sanitized according to CDC guidelines.

• Employees must stay six feet apart. When a project absolutely requires close proximity, face masks and gloves will be required.

• All Scene Shop work stations will be separated by six feet or more.

Costume Shop Guidelines (Please see pages 15 and 16 for Costume Shop Diagrams)

• Extensive cleaning procedures will follow CDC guidelines.

• Theatre will provide disposable N95 masks when fabrics are being dyed.

• Cloth facemasks are acceptable for costume shop staff when not working with aerosol sprays, dyes or any task that might require more

protection provided by the N95 mask.

• Theatre will provide separate sewing stations for each staff member with barriers between sewing stations if necessary.

• Shop will implement one-way traffic flow, with work stations assembled according to workflow -- beginning of project to completion.

• Sewing projects will be dropped off and picked up from laundry baskets to eliminate handoffs.

• Each employee to be assigned equipment for their work station. Nothing will be shared. This includes but is not limited to: sheers, snips,

seam rippers, sewing machines, needles, etc.

• Fittings will be limited to three people in the room, including actor, Costume Shop Manager and Assistant Costume Shop Manager.

• Actors will be required to wear face masks during fittings.

• Costumers will wear gloves, plastic face shield, cloth face mask and gown for each fitting. Gloves will be changed between each fitting.

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Rehearsals and Rehearsal Studio Guidelines (Please see Pages 18 and 19 for rehearsal room diagrams)

• Extensive cleaning procedures will follow CDC guidelines.

• All administrative offices will be off limits to all seasonal staff.

• Rehearsal studios will be limited to production-related employees only.

• All production and design meetings prior to reporting will take place remotely.

• All production meetings on site will be held in Rehearsal Studio #1, in order to achieve social distancing.

• Hand sanitizers will be located in strategic locations in rehearsal studios.

• All Designer Runs to be held in Rehearsal Studio #1 with social distancing measures implemented.

• Total occupancy in any rehearsal room not to exceed 20 employees.

• Band layout for orchestra rehearsals, run throughs with cast, and performances will be created per instrument, with social distancing in mind.

• Actor sign-in sheet will convert to a google doc to be individually digitally accessed by actors and stage management.

• Actor storage spaces to be sanitized at the end of each rehearsal day.

• All communal coffee and concessions areas will be eliminated.

• Actor seating available outside studio with social distance measures implemented.

• In Rehearsal Studio #1, each actor will have a personal alcove of approx. six square feet to be defined by pipe and drape. This space will be

exclusively assigned to an actor and will house actors’ personal goods and rehearsal props to avoid sharing or interference.

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Screening employees is an optional strategy that employers may use. There are several methods that employers can useto protect the employee conducting the temperature screening. The most protective methods incorporate socialdistancing (maintaining a distance of 6 feet from others), or physical barriers to eliminate or minimize the screener’sexposures due to close contact with a person who has symptoms during screening. Examples to consider thatincorporate these types of controls for temperature screening include:

Reliance on Social Distancing: Ask employees to take their own temperature either before coming to the workplace orupon arrival at the workplace. Upon their arrival, stand at least 6 feet away from the employee and:

Ask the employee to con�rm that their temperature is less than 100.4  F (38.0  C), and con�rm that they are notexperiencing coughing or shortness of breath.

Make a visual inspection of the employee for signs of illness, which could include �ushed cheeks or fatigue.

Screening sta� do not need to wear personal protective equipment (PPE) if they can maintain a distance of 6 feet.

Reliance on Barrier/Partition Controls: During screening, the screener stands behind a physical barrier, such as a glassor plastic window or partition, that can protect the screener’s face and mucous membranes from respiratory dropletsthat may be produced when the employee sneezes, coughs, or talks. Upon arrival, the screener should wash handswith soap and water for at least 20 seconds or, if soap and water are not available, use hand sanitizer with at least60% alcohol. Then:

Make a visual inspection of the employee for signs of illness, which could include �ushed cheeks or fatigue.

Should we be screening employees for COVID-19 symptoms (such as temperature checks)? What is the best way todo that?

o o

Conduct temperature and symptom screening using this protocol:Put on disposable gloves.

Check the employee’s temperature, reaching around the partition or through the window. Make sure thescreener’s face stays behind the barrier at all times during the screening.

If performing a temperature check on multiple individuals, make sure that you use a clean pair of gloves foreach employee and that the thermometer has been thoroughly cleaned in between each check. Ifdisposable or non-contact thermometers are used and you did not have physical contact with an individual,you do not need to change gloves before the next check. If non-contact thermometers are used, clean anddisinfect them according to manufacturer’s instructions and facility policies.

Remove and discard PPE (gloves), and wash hands with soap and water for at least 20 seconds. If soap and waterare not available, use hand sanitizer with at least 60% alcohol.

If social distance or barrier controls cannot be implemented during screening, PPE can be used when the screener iswithin 6 feet of an employee during screening. However, reliance on PPE alone is a less e�ective control and moredi�cult to implement given PPE shortages and training requirements.

Reliance on Personal Protective Equipment (PPE): Upon arrival, the screener should wash their hands with soap andwater for at least 20 seconds or use hand sanitizer with at least 60% alcohol, put on a facemask, eye protection(goggles or disposable face shield that fully covers the front and sides of the face), and a single pair of disposablegloves. A gown could be considered if extensive contact with an employee is anticipated. Then:

Make a visual inspection of the employee for signs of illness, which could include �ushed cheeks or fatigue, andcon�rm that the employee is not experiencing coughing or shortness of breath.

Take the employee’s temperature.If performing a temperature check on multiple individuals, make sure that you use a clean pair of gloves foreach employee and that the thermometer has been thoroughly cleaned in between each check. Ifdisposable or non-contact thermometers are used and you did not have physical contact with an individual,you do not need to change gloves before the next check. If non-contact thermometers are used, you shouldclean and disinfect them according to manufacturer’s instructions and facility policies.

After each screening, remove and discard PPE and wash hands with soap and water for at least 20 seconds oruse hand sanitizer with at least 60% alcohol.

Should we be screening employees for COVID-19 symptoms (such as temperature checks)? What is the best way todo that?Should we be screening employees for COVID-19 symptoms (such as temperature checks)? What is the best way todo that?

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General Business Frequently Asked Questions

How to Wear Cloth Face CoveringsCloth face coverings should—

• fit snugly but comfortably against the side of the face

• be secured with ties or ear loops

• include multiple layers of fabric

• allow for breathing without restriction

• be able to be laundered and machine dried without damage or change to shape

CDC on Homemade Cloth Face CoveringsCDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies), especially in areas of significant community-based transmission.

CDC also advises the use of simple cloth face coverings to slow the spread of the virus and help people who may have the virus and do not know it from transmitting it to others. Cloth face coverings fashioned from household items or made at home from common materials at low cost can be used as an additional, voluntary public health measure.

Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the cloth face covering without assistance.

The cloth face coverings recommended are not surgical masks or N-95 respirators. Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders, as recommended by current CDC guidance.

Should cloth face coverings be washed or otherwise cleaned regularly? How regularly?Yes. They should be routinely washed depending on the frequency of use.

How does one safely sterilize/clean a cloth face covering?A washing machine should suffice in properly washing a cloth face covering.

How does one safely remove a used cloth face covering?Individuals should be careful not to touch their eyes, nose, and mouth when removing their cloth face covering and wash hands immediately after removing.

Use of Cloth Face Coverings to Help Slow the Spread of COVID-19

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Coronavirus Disease 2019 (COVID-19)

Symptoms of CoronavirusAnyone can have mild to severe symptoms.

Older adults and people who have severe underlying medical conditions like heart or lung disease or diabetes seemto be at higher risk for developing more serious complications from COVID-19 illness.

Watch for symptomsPeople with COVID-19 have had a wide range ofsymptoms reported – ranging from mildsymptoms to severe illness.

Symptoms may appear 2-14 days afterexposure to the virus. People with thesesymptoms may have COVID-19:

Cough

Shortness of breath or di�culty breathing

Fever

Chills

Muscle pain

Sore throat

New loss of taste or smell

This list is not all possible symptoms. Other less common symptoms have been reported, including gastrointestinalsymptoms like nausea, vomiting, or diarrhea.

Self-Checker

A guide to help you make decisions and seek appropriate medical care.

When to Seek Emergency Medical AttentionLook for emergency warning signs* for COVID-19. If someone is showing any of these signs, seek emergency medical careimmediately

Trouble breathing

Persistent pain or pressure in the chest

New confusion

Inability to wake or stay awake

Bluish lips or face

*This list is not all possible symptoms. Please call your medical provider for any other symptoms that are severe orconcerning to you.

Call 911 or call ahead to your local emergency facility: Notify the operator that you are seeking care for someone who hasor may have COVID-19.

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Coronavirus Disease 2019 (COVID-19)

How COVID-19 SpreadsCOVID-19 is thought to spread mainly through close contact from person-to-person. Some people without symptoms may beable to spread the virus. We are still learning about how the virus spreads and the severity of illness it causes.

Person-to-person spreadThe virus is thought to spread mainly from person-to-person.

Between people who are in close contact with one another (within about 6 feet).

Through respiratory droplets produced when an infected person coughs, sneezes, or talks.

These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.

COVID-19 may be spread by people who are not showing symptoms.

The virus spreads easily between peopleHow easily a virus spreads from person-to-person can vary. Some viruses are highly contagious, like measles, while otherviruses do not spread as easily. Another factor is whether the spread is sustained, which means it goes from person-to-person without stopping.

The virus that causes COVID-19 is spreading very easily and sustainably between people. Information from the ongoingCOVID-19 pandemic suggest that this virus is spreading more e�ciently than in�uenza, but not as e�ciently as measles,which is highly contagious.

The virus does not spread easily in other waysCOVID-19 is a new disease and we are still learning about how it spreads. It may be possible for COVID-19 to spread in otherways, but these are not thought to be the main ways the virus spreads.

From touching surfaces or objects. It may be possible that a person can get COVID-19 by touching a surface or objectthat has the virus on it and then touching their own mouth, nose, or possibly their eyes. This is not thought to be themain way the virus spreads, but we are still learning more about this virus.

From animals to people. At this time, the risk of COVID-19 spreading from animals to people is considered to be low.Learn about COVID-19 and pets and other animals.

From people to animals. It appears that the virus that causes COVID-19 can spread from people to animals in somesituations. CDC is aware of a small number of pets worldwide, including cats and dogs, reported to be infected with thevirus that causes COVID-19, mostly after close contact with people with COVID-19. Learn what you should do if you havepets.

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Coronavirus Disease 2019 (COVID-19)

How to Protect Yourself & OthersOlder adults and people who have severe underlying medical conditions like heart or lung disease or diabetes seem tobe at higher risk for developing serious complications from COVID-19 illness. More information on Are you at higher riskfor serious illness.

Know how it spreadsThere is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).

The best way to prevent illness is to avoid being exposed to this virus.

The virus is thought to spread mainly from person-to-person.Between people who are in close contact with one another (within about 6 feet).

Through respiratory droplets produced when an infected person coughs, sneezes or talks.

These droplets can land in the mouths or noses of people who are nearby or possibly be inhaledinto the lungs.

Some recent studies have suggested that COVID-19 may be spread by people who are not showingsymptoms.

Everyone Should

Wash your hands oftenWash your hands often with soap and water for at least 20 seconds especially after you have been in apublic place, or after blowing your nose, coughing, or sneezing.

If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Coverall surfaces of your hands and rub them together until they feel dry.

Avoid touching your eyes, nose, and mouth with unwashed hands.

Avoid close contactAvoid close contact with people who are sick, even inside your home. If possible, maintain 6 feet betweenthe person who is sick and other household members.

Put distance between yourself and other people outside of your home.Remember that some people without symptoms may be able to spread virus.

Stay at least 6 feet (about 2 arms’ length) from other people.

Do not gather in groups.

Stay out of crowded places and avoid mass gatherings.

Keeping distance from others is especially important for people who are at higher risk of gettingvery sick.

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You could spread COVID-19 to others even if you do not feel sick.

Everyone should wear a cloth face cover when they have to go out in public, for example to the grocerystore or to pick up other necessities.

Cloth face coverings should not be placed on young children under age 2, anyone who has troublebreathing, or is unconscious, incapacitated or otherwise unable to remove the mask withoutassistance.

The cloth face cover is meant to protect other people in case you are infected.

Do NOT use a facemask meant for a healthcare worker.

Continue to keep about 6 feet between yourself and others. The cloth face cover is not a substitute forsocial distancing.

Cover coughs and sneezesIf you are in a private setting and do not have on your cloth face covering, remember to always cover yourmouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.

Throw used tissues in the trash.

Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are notreadily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.

Clean and disinfectClean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches,countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.

If surfaces are dirty, clean them. Use detergent or soap and water prior to disinfection.

Then, use a household disinfectant. Most common EPA-registered household disinfectants  will work.

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Cover your mouth and nose with a cloth face cover when aroundothers

Coronavirus Disease 2019 (COVID-19)

What to Do If You Are Sick

Steps to help prevent the spread of COVID-19 if you are sickFollow the steps below:  If you are sick with COVID-19 or think you might have COVID-19, follow the steps below to care foryourself and to help protect other people in your home and community.

If you have a fever, cough or other symptoms, you might have COVID-19. Most people have mild illness and are able torecover at home. If you think you may have been exposed to COVID-19, contact your healthcare provider immediately.

Keep track of your symptoms.

If you have an emergency warning sign (including trouble breathing), get medical attention right away.

Self-CheckerA guide to help you make decisions and seek appropriate medical care

Stay home except to get medical careStay home. Most people with COVID-19 have mild illness and can recover at home without medical care.Do not leave your home, except to get medical care. Do not visit public areas.

Take care of yourself. Get rest and stay hydrated. Take over-the-counter medicines, such asacetaminophen, to help you feel better.

Stay in touch with your doctor. Call before you get medical care. Be sure to get care if you have troublebreathing, or have any other emergency warning signs, or if you think it is an emergency.

Avoid public transportation, ride-sharing, or taxis.

Separate yourself from other peopleAs much as possible, stay in a speci�c room and away from other people and pets in your home. If possible,you should use a separate bathroom. If you need to be around other people or animals in or outside of thehome, wear a cloth face covering.

Additional guidance is available for those living in close quarters and shared housing.

See COVID-19 and Animals if you have questions about pets.

Monitor your symptomsSymptoms of COVID-19 include fever, cough, and shortness of breath but other symptoms may be presentas well. Trouble breathing is a more serious symptom that means you should get medical attention.

Follow care instructions from your healthcare provider and local health department. Your local healthauthorities may give instructions on checking your symptoms and reporting information.

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Look for emergency warning signs* for COVID-19. If someone is showing any of these signs, seekemergency medical care immediately

Trouble breathing

Persistent pain or pressure in the chest

New confusion

Inability to wake or stay awake

Bluish lips or face

*This list is not all possible symptoms. Please call your medical provider for any other symptoms that aresevere or concerning to you.

Call 911 or call ahead to your local emergency facility: Notify the operator that you are seeking care forsomeone who has or may have COVID-19.

Call ahead before visiting your doctorCall ahead. Many medical visits for routine care are being postponed or done by phone or telemedicine.

If you have a medical appointment that cannot be postponed, call your doctor’s o�ce, and tell them youhave or may have COVID-19. This will help the o�ce protect themselves and other patients.

If you are sick wear a cloth covering over your nose and mouthYou should wear a cloth face covering, over your nose and mouth if you must be around other people oranimals, including pets (even at home)

You don’t need to wear the cloth face covering if you are alone. If you can’t put on a cloth face covering(because of trouble breathing, for example), cover your coughs and sneezes in some other way. Try tostay at least 6 feet away from other people. This will help protect the people around you.

Cloth face coverings should not be placed on young children under age 2 years, anyone who has troublebreathing, or anyone who is not able to remove the covering without help.

Note: During the COVID-19 pandemic, medical grade facemasks are reserved for healthcare workers and some�rst responders. You may need to make a cloth face covering using a scarf or bandana.

Cover your coughs and sneezesCover your mouth and nose with a tissue when you cough or sneeze.

Throw away used tissues in a lined trash can.

Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are notavailable, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol.

Clean your hands oftenWash your hands often with soap and water for at least 20 seconds. This is especially important afterblowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food.

Use hand sanitizer if soap and water are not available. Use an alcohol-based hand sanitizer with at least60% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry.

When to Seek Emergency Medical Attention

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Soap and water are the best option, especially if hands are visibly dirty.

Avoid touching your eyes, nose, and mouth with unwashed hands.

Handwashing Tips

Avoid sharing personal household items

Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people in yourhome.

Wash these items thoroughly after using them with soap and water or put in the dishwasher.

Clean all “high-touch” surfaces everydayClean and disinfect high-touch surfaces in your “sick room” and bathroom; wear disposable gloves. Letsomeone else clean and disinfect surfaces in common areas, but you should clean your bedroom andbathroom, if possible.

If a caregiver or other person needs to clean and disinfect a sick person’s bedroom or bathroom, theyshould do so on an as-needed basis. The caregiver/other person should wear a mask and disposablegloves prior to cleaning. They should wait as long as possible after the person who is sick has used thebathroom before coming in to clean and use the bathroom.

Clean and disinfect areas that may have blood, stool, or body �uids on them.

Use household cleaners and disinfectants. Clean the area or item with soap and water or anotherdetergent if it is dirty. Then, use a household disinfectant.

Be sure to follow the instructions on the label to ensure safe and e�ective use of the product. Manyproducts recommend keeping the surface wet for several minutes to ensure germs are killed. Manyalso recommend precautions such as wearing gloves and making sure you have good ventilationduring use of the product.

Most EPA-registered household disinfectants should be e�ective. A full list of disinfectants can befound here .

Complete Disinfection Guidance

High-touch surfaces include phones, remote controls, counters, tabletops, doorknobs, bathroom �xtures,toilets, keyboards, tablets, and bedside tables.

How to discontinue home isolationPeople with COVID-19 who have stayed home (home isolated) can leave home under the followingconditions**:

If you have not had a test to determine if you are still contagious, you can leave home after these threethings have happened:

You have had no fever for at least 72 hours (that is three full days of no fever without the use ofmedicine that reduces fevers)AND

other symptoms have improved (for example, when your cough or shortness of breath haveimproved)AND

at least 10 days have passed since your symptoms �rst appeared

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If you have had a test to determine if you are still contagious, you can leave home after these threethings have happened:

You no longer have a fever (without the use of medicine that reduces fevers)AND

other symptoms have improved (for example, when your cough or shortness of breath haveimproved)AND

you received two negative tests in a row, at least 24 hours apart. Your doctor will follow CDCguidelines.

People who DID NOT have COVID-19 symptoms, but tested positive and have stayed home (home isolated)can leave home under the following conditions**:

If you have not had a test to determine if you are still contagious, you can leave home after these twothings have happened:

At least 10 days have passed since the date of your �rst positive testAND

you continue to have no symptoms (no cough or shortness of breath) since the test.

If you have had a test to determine if you are still contagious, you can leave home after:You received two negative tests in a row, at least 24 hours apart. Your doctor will follow CDCguidelines.

Note: if you develop symptoms, follow guidance above for people with COVID19 symptoms.

**In all cases, follow the guidance of your doctor and local health department. The decision to stop homeisolation should be made in consultation with your healthcare provider and state and local healthdepartments. Some people, for example those with conditions that weaken their immune system, mightcontinue to shed virus even after they recover.

Find more information on when to end home isolation.

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Coronavirus Disease 2019 (COVID-19)

Discontinuation of Isolation for Persons with COVID-19 Not in Healthcare SettingsInterim Guidance

Related Pages

Ending Home Isolation for Immunocompromised Patients

Criteria for Return to Work for Healthcare Personnel with Con�rmed or Suspected COVID-19 (Interim Guidance)

Symptom-Based Strategy to Discontinue Isolation for Persons with COVID-19

CDC guidance for COVID-19 may be adapted by state and local health departments to respond to rapidly changinglocal circumstances.

Summary Page

Who this is for:

Healthcare providers and public health o�cialsmanaging persons with coronavirus disease 2019(COVID-19) under isolation who are not in healthcaresettings. This includes, but is not limited to, at home, ina hotel or dormitory room, or in a group isolationfacility.

For Hospitalized Patients, see (Discontinuation ofTransmission-Based Precautions and Disposition ofPatients with COVID-19 in Healthcare Settings (InterimGuidance).

Summary of Recent Changes

Updates as of May 3, 2020

Changed the name of the ‘non-test-based strategy’ tothe ‘symptom-based strategy’ for those withsymptoms. Added a ‘time-based strategy’ and namedthe ‘test-based strategy’ for asymptomatic personswith laboratory-con�rmed COVID-19. Extended thehome isolation period from 7 to 10 days sincesymptoms �rst appeared for the symptom-basedstrategy in persons with COVID-19 who havesymptoms and from 7 to 10 days after the date oftheir �rst positive test for the time-based strategy inasymptomatic persons with laboratory-con�rmedCOVID-19. This update was made based on evidencesuggesting a longer duration of viral shedding andwill be revised as additional evidence becomesavailable. This time period will capture a greaterproportion of contagious patients; however, it willnot capture everyone.

Removed specifying use of nasopharyngeal swabcollection for the test-based strategy and linked tothe Interim Guidelines for Collecting, Handling, andTesting Clinical Specimens for 2019 NovelCoronavirus (2019-nCoV), so that the most currentspecimen collection strategies are recommended.

Updates as of April 4, 2020

Revised title to include isolation in all settings otherthan health settings, not just home.

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Limited information is available to characterize the spectrum of clinical illness, transmission e�ciency, and the duration ofviral shedding for persons with novel coronavirus disease (COVID-19). This guidance is based on available information aboutCOVID-19 and subject to change as additional information becomes available.

For Persons with COVID-19 Under Isolation:

The decision to discontinue home isolation for persons with con�rmed or suspected COVID-19 should be made in thecontext of local circumstances. Options include a symptom-based (i.e., time-since-illness-onset and time-since-recoverystrategy) or a test-based strategy. Of note, there have been reports of prolonged detection of RNA without directcorrelation to viral culture.

1). Symptom-based strategy

Persons with COVID-19 who have symptoms and were directed to care for themselves at home may discontinue isolationunder the following conditions:

At least 3 days (72 hours) have passed since recovery de�ned as resolution of fever without the use of fever-reducingmedications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and,

At least 10 days have passed since symptoms �rst appeared.

2). Test-based strategy Previous recommendations for a test-based strategy remain applicable; however, a test-basedstrategy is contingent on the availability of ample testing supplies and laboratory capacity as well as convenient access totesting.

Persons who have COVID-19 who have symptoms and were directed to care for themselves at home may discontinueisolation under the following conditions:

Resolution of fever without the use of fever-reducing medications and

Improvement in respiratory symptoms (e.g., cough, shortness of breath), and

Negative results of an FDA Emergency Use Authorized COVID-19 molecular assay for detection of SARS-CoV-2 RNAfrom at least two consecutive respiratory specimens collected ≥24 hours apart (total of two negative specimens)*. SeeInterim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Persons for Coronavirus Disease 2019(COVID-19). Of note, there have been reports of prolonged detection of RNA without direct correlation to viral culture.

For Persons Who have NOT had COVID-19 Symptoms but Tested Positive and are UnderIsolation:

Options now include both a 1) time-based strategy, and 2) test-based strategy.

1). Time-based strategy

Persons with laboratory-con�rmed COVID-19 who have not had any symptoms and were directed to care for themselvesat home may discontinue isolation under the following conditions:

At least 10 days have passed since the date of their �rst positive COVID-19 diagnostic test assuming they have notsubsequently developed symptoms since their positive test. If they develop symptoms, then the symptom-based ortest-based strategy should be used. Note, because symptoms cannot be used to gauge where these individuals are inthe course of their illness, it is possible that the duration of viral shedding could be longer or shorter than 10 daysafter their �rst positive test.

2). Test-based strategy

Persons with laboratory-con�rmed COVID-19 who have not had any symptoms and were directed to care for themselvesat home may discontinue isolation under the following conditions:

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Footnotes

*All test results should be �nal before isolation is ended. Testing guidance is based upon limited information and is subject tochange as more information becomes available. In persons with a persistent productive cough, SARS-CoV-2-RNA might bedetected for longer periods in sputum specimens than in respiratory specimens.

Negative results of an FDA Emergency Use Authorized COVID-19 molecular assay for detection of SARS-CoV-2 RNAfrom at least two consecutive respiratory specimens collected ≥24 hours apart (total of two negative specimens)*. See

Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Persons for Coronavirus Disease 2019(COVID-19). Note, because of the absence of symptoms, it is not possible to gauge where these individuals are in thecourse of their illness. There have been reports of prolonged detection of RNA without direct correlation to viralculture.

The symptom-based, time-based, and test-based strategies may result in di�erent timeframes for discontinuation ofisolation post-recovery. For all scenarios outlined above, the decision to discontinue isolation should be made in thecontext of local circumstances.

Note that recommendations for discontinuing isolation in persons known to be infected with COVID-19 could, in somecircumstances, appear to con�ict with recommendations on when to discontinue quarantine for persons known to havebeen exposed to COVID-19. CDC recommends 14 days of quarantine after exposure based on the time it takes to developillness if infected. Thus, it is possible that a person known to be infected could leave isolation earlier than a person who isquarantined because of the possibility they are infected.

This recommendation will prevent most, but cannot prevent all, instances of secondary spread. The risk of transmissionafter recovery is likely substantially less than that during illness; recovered persons will not be shedding large amounts ofvirus by this point, if they are shedding at all. Employers and local public health authorities can choose to apply morestringent criteria for certain persons where a higher threshold to prevent transmission is warranted.

For certain populations, a longer timeframe after recovery may be desired to minimize the chance of prolonged sheddingof replication-competent virus. Such persons include 1) healthcare personnel in close contact with vulnerable persons athigh-risk for illness and death if those persons get COVID-19 and 2) persons who have conditions that might weaken theirimmune system which could  prolong viral shedding after recovery. Such persons should consult with their healthcareprovider; this might include additional PCR testing. Prolonged viral shedding has been demonstrated without directcorrelation with replication competent virus.

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