• July 22, 2020 3:51 PM

Order of the Health Officer C19-16-I: Updated Isolation Order

Order of the Health Officer C19-16-I: Updated Isolation Order

Order of the Health Officer C19-16-I: Updated Isolation Order 150 150 Sonoma County Emergency and Preparedness Information

En español »

The County’s Health Orders and Guidance are updated as needed based on changing State requirements and current local needs as determined by the County Health Officer. In order to see the most current orders that may supersede any previous order, please view local orders and guidance, and state orders.

The public can see what’s open and what’s closed in Sonoma County to find more details on what businesses are currently open in Sonoma County. The California Blueprint for a Safer Economy provides information on the state’s criteria for loosening and tightening restrictions on activities.

Updated Public Health Emergency Isolation Order for COVID-19

DATE OF ORDER: July 22, 2020

Documentation of Service of the Health Officer Order No. C19-16-I form » (PDF)
Home Isolation Order Instructions »
Home Isolation and Quarantine Instructions »
Frequently Asked Questions »

Please read this Order carefully.  Violation of or failure to comply with this Order is a misdemeanor punishable by fine, imprisonment, or both.  (California Health and Safety Code § 120275, et seq.)

UNDER THE AUTHORITY OF CALIFORNIA HEALTH AND SAFETY CODE SECTIONS 101040, 101085, AND 120175, THE HEALTH OFFICER OF THE COUNTY OF SONOMA (“HEALTH OFFICER”) ORDERS:

  1. This Order supersedes the May 18,  2020 Order of the County of Sonoma Health Officer C19-12-I and shall become effective beginning at 12:01 a.m. on July 23, 2020, until rescinded, superseded, or amended in writing by the Health Officer.  Persons subject to Isolation Order C19-12-I must continue to comply with the terms of that order.
  2. California is in a State of Emergency because of the coronavirus pandemic. The spread of the Novel Coronavirus (COVID-19) is a substantial danger to the health of the public within the County of Sonoma (“County”). COVID-19 can easily spread between people who are in close contact with one another.  This Order is based on scientific evidence and best practices as currently known from the Centers for Disease Control and Prevention, the State of California, and the Sonoma County Health Officer to protect vulnerable members of the public from avoidable risk of serious illness or death resulting from exposure to COVID-19.
  3. The age, condition, and health of a significant portion of the population of the County places it at risk for serious health complications, including death, from COVID-19.  There is growing evidence of transmission risk from infected persons before the onset of symptoms.  Thus, all individuals who contract COVID-19, regardless of their level of symptoms (none, mild, or severe), may place other vulnerable members of the public at significant risk.  Currently, there is no vaccine available to protect against COVID-19 and no specific treatment.
  4. To help slow COVID-19’s spread, protect vulnerable individuals, and prevent the healthcare system in the County from being overwhelmed, it is necessary for the Health Officer to isolate persons with COVID-19 and persons likely to have COVID-19 as determined by their treating provider.
  5. All persons who have COVID-19 as described in Paragraph 6 and all persons who are likely to have COVID-19 as described in Paragraph 7 must isolate themselves and follow all instructions in this Order.  Isolation is required because a person with COVID-19 can easily spread the virus to others.  Isolation separates these persons from others to prevent the spread of COVID-19.
  6. For purposes of this Order a person is considered to have COVID-19 if the person was diagnosed with COVID-19 on the basis of a positive lab test for the presence of the coronavirus (known as SARS-CoV-2) that causes COVID-19.
  7. For purposes of this Order, a person is likely to have COVID-19 if the person is displaying or reporting symptoms of COVID-19 and a health care provider, in consultation with the Sonoma County Department of Health Services, Disease Control Unit, determines based on those symptoms and any other risk factors that the person is likely to have COVID-19.
  8. All persons who have COVID-19 or are likely to have COVID-19 must immediately take the following actions:
    1. Isolate themselves in their home, another residence, or a location offered by the County. They may not leave their place of isolation or enter any other public or private place except to receive necessary medical care or during an emergency that requires evacuation to protect the health and safety of the person.
    2. Review and follow all requirements listed in the Home Isolation Instructions for People Diagnosed with or Likely to Have COVID-19 attached to this Order and posted at https://socoemergency.org/
    3. Tell their close contacts that they need to quarantine themselves.  Close contacts who should be notified to quarantine are people who were near them during the infectious period, as further described below.  The infectious period commences 48 hours before symptoms began (or in absence of symptoms, 48 hours before the date the test sample of a positive test was collected) and ends when the isolation period is over as set forth in Paragraph 9.  Close contacts of an individual who has or is likely to have COVID-19 are persons who, during the individual’s infections period, were within six feet of the individual for fifteen minutes or longer.  These may include persons who:
      • live in, have visited, or have stayed overnight at the individual’s residence; or
      • are intimate sexual partners of the individual; or
      • worked within six feet of the individual; or
      • provide care to the individual without wearing a mask, a face shield or goggles, gown and gloves; or
      • have been identified as close contacts by the Sonoma County Department of Health Services.
    4. Refer their close contacts to the Home Quarantine Instructions attached to this Order and posted at https://socoemergency.org/, which described steps that close contacts must take to prevent the spread of COVID-19.  Close contacts have likely been exposed to COVID-19 and if infected, can easily spread COVID-19 to others, even if they have only mild or no symptoms.
  9. The period of isolation of a person will be one of the following:
    1. Persons with a positive test who never develop symptoms consistent with COVID-19 must isolate for 10 days from date of their positive test (which is the date the test sample was collected).
    2. Persons who are isolating because they are likely to have COVID-19 based on symptoms, but have not tested or are awaiting test results, may end their period of isolation if they test negative for COVID-19.  If the person never tests for COVID-19, the person’s period of isolation is the same as the person with symptoms and a positive test in subsection 9(c).
    3. Persons with symptoms consistent with COVID-19 and a positive test must isolate until:
      • At least 24 hours have passed since recovery, defined as resolution of both fever (100.0F or higher) without the use of fever reducing medication; and 
      • Improvement in symptoms; and
      • At least 10 days have passed since their symptoms started.

For more information, check the CDC Guidance for When You Can be Around Others After You Had or Likely Had COVID-19 https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/end-home-isolation.html

  1. The Sonoma County Health Officer may take additional action(s), which may include civil detention or requiring an individual to stay at a health facility or other location, to protect the public’s health if an individual who is subject to this Order violates or fails to comply with this Order.  Violation of this Order is a misdemeanor punishable by imprisonment, fine or both.
  2. Pursuant to Government Code sections 26602 and 41061 and Health and Safety Code section 101029,    the Health Officer requests that the Sheriff and all chiefs of police in the County ensure compliance and enforce this Order.  The violation of any provision of this Order constitutes an imminent threat to public health.
  3. Copies of the Order shall promptly be made available (1) at the County Administration Center at 575   Administration Drive (2) by posting on the County’s website and (3) provided to any member of the public requesting a copy.

IT IS SO ORDERED:

Signed by Dr. Sundari R. Mase, MD, MPH
Health Officer, County of Sonoma

Frequently Asked Questions

When may I end my isolation period?

Ending your isolation period depends on specific factors for different situations. Here are the CDC’s recommendations for the following questions and scenarios:

Do I have to get tested?

Your healthcare provider may recommend a test. They will let you know when you can resume being around others based on your test results.

The CDC does not recommend using a test-based strategy for returning to work. Ten days after the symptoms and fever resolve, some people with confirmed COVID-19 will continue to have positive viral tests for several weeks, even though they are otherwise healthy and no longer contagious. This is because you can still have non-contagious dead viruses and viral debris in your system. A symptom-based screening strategy is sufficient to identify when an individual may return to work.

Have you been tested for COVID-19?

Yes. I tested positive for COVID-19 but never developed any symptoms.

If you continue to have no symptoms, you can end your isolation 10 days after your positive viral test for COVID-19.

Yes. I tested positive for COVID-19 and I had symptoms.

You can end your isolation only after you meet these three criteria:

  • 10 days since symptoms first appeared, AND
  • 24 hours with no fever without the use of fever-reducing medications, AND
  • COVID-19 symptoms (cough, shortness of breath, chills, etc.) have improved.

No. I had COVID-19 symptoms but was not tested.

You can end your isolation only after you meet these three criteria:

  • 10 days since symptoms first appeared, AND
  • 24 hours with no fever without the use of fever-reducing medications, AND
  • COVID-19 symptoms (cough, shortness of breath, chills, etc.) have improved.

No, but I have been in close contact with a person who has COVID-19

Anyone who has had close contact with someone with COVID-19 should stay home for 14 days after their last exposure to that person.

No, but I have recently been in close contact with a person who has COVID-19. However, I had COVID-19 in the past 3 months and have recovered.

If you remain without COVID-19 symptoms (for example, cough, shortness of breath, etc.), you do not need to isolate.

What if I was severely ill or have a weakened immune system?

I was severely ill with COVID-19.

People who are severely ill with COVID-19 might need to stay home longer than 10 days and up to 20 days after symptoms first appeared. Talk to your healthcare provider to see if they recommend a test. Your healthcare provider will let you know if you can resume being around other people based on the results of your testing.

I was ill with COVID-19 and have a severely weakened immune system (immunocompromised) due to a health condition or medication.

Persons who are severely immunocompromised may require testing to determine when they can be around others. They might need to stay home longer than 10 days, and up to 20 days after symptoms first appeared. Talk to your healthcare provider to see if they recommend a test. Your healthcare provider will let you know if you can resume being around other people based on the results of your testing.

See CDC website for additional details.

The short answer is yes. While not all employers will ask you to provide documentation of a negative test result, “employers may take steps to determine if employees entering the workplace have COVID-19 because an individual with the virus will pose a direct threat to the health of others” (Source: U.S. Equal Employment Opportunity Commission).

Load More