• Fever greater than 100.4o F, chills, or a presumed fever (your child feels very warm)

• New cough

• Fatigue

• Muscle or body aches

• New loss of taste or smell

• Sore throat

• Congestion or runny nose

• Nausea or vomiting, diarrhea

• Skin Lesions/Rash

• Exposure to someone with the above symptoms or someone with known COVID-19

  • If your child has traveled outside the state of Alaska, they will need to follow the state guidelines on testing/quarantine before returning to school (see below for details)*

• Difficulty breathing

• Not eating or drinking

• Difficulty waking or staying awake

• Call your child’s doctor’s office and speak with their team about telehealth visit, in-person visit, or COVID-19 testing

• Your child will not be able to return to school until they have testing and/or have a period of isolation at home as outlined below for a confirmed COVID-19 case.

  • You may be required to provide a clearance note from their doctor’s office or proof of a negative COVID-19 test prior to returning to school

• Continue to have your child wear a cloth face covering, wash their hands often, and maintain social distancing.

• If they had symptoms of illness (cough, congestion, diarrhea) and positive COVID-19 test:

  • 10 days since symptoms first appeared AND

  • 24 hours with no fever (without the use of Tylenol/acetaminophen or Motrin/ibuprofen) AND

  • Symptoms have improved

• If they had no symptoms of illness and positive COVID-19 test:

  • 10 days have passed since test

Contact your school nurse or Health Services at 742-4136

• Staff/students have two options for returning to work/school
  • Option 1
  1. Submit proof of a negative test taken within 72 hours before arrival
  2. Must follow strict social distancing** for 5 days after arrival. (NEW)
  3. A second test between 5-14 days after arrival is recommended but not required. (NEW)
  • Option 2
  1. Arrive in Alaska without a test and receive a test at the airport at no cost.
  2. Self-quarantine until a negative test returns.
  3. All travelers with negative results from the arrival test must follow strict social distancing** for 5 days after their arrival in Alaska.
  4. A second test between 5-14 days after arrival is recommended but not required.
  • A resident may decline a test; however, they must quarantine for the 14 days after arrival.
  • An Alaska resident may travel outside of the state for less than 72 hours with the following requirements.
    • No test or quarantine is required
    • Residents will self-monitor for 14 days after arrival for any symptoms, even mild ones.
      *No school/work during strict social distancing. At the end of the 5 days, the person can come back to work/school without a test.*
       
      Full details at: http://dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/travel.aspx

Assuming the infected individual did not enter the school, this would not be considered a confirmed case in the school. The student or staff member who lives with the infected individual would be considered a close contact and will be required to self quarantine for 14 days. Note: If the student or staff member develops symptoms and/or tests positive while in quarantine, a new case investigation and 10-day isolation period would begin.

Each positive case within a classroom will be investigated to determine if other students/staff are close contacts. The Centers for Disease Control defines a close contact as any individual who was within 6 feet of an infected person for at least 15 minutes starting from two days before illness onset or, for asymptomatic patients, two days prior to positive specimen collection until the time the patient is isolated. Close contacts will be notified and will be required to complete a 14-day quarantine period to monitor for symptoms.

The Anchorage Health Department (AHD) will notify the designated ASD nurse of a positive case related to the school. Through the AHD investigation and in coordination with the school nurses, school close contacts will be determined. The process for school notification is as follows:

1. ASD will be notified of a positive case. Positive cases will be required to isolate for 10 days.
2. The AHD will work closely with the school nurses to identify close contacts. Close contacts will be required to quarantine for 14 days.
3. Once close contacts are identified, the school will notify the identified close contacts using email,  phone call, or letter sent home. The school may include the following information:

1. Your child has been identified as a close contact
2. Your child will be required to quarantine at home for 14 days.

4. Following the school’s notification directing close contacts of the above information (#3), close contacts will be provided with education around quarantine and monitoring of symptoms The school is NOT responsible for conducting the contact tracing.

Dismissal at the end-of-day is appropriate. However, many factors would go into the decision to close parts, or all, of a school building. Schools will work with their school nurse, state health officials, and district leadership to make decisions regarding earlier dismissal.

No. If a student tests negative during their quarantine period, the individual still needs to remain in quarantine until 14 days have passed since their last exposure.

The school will work with the AHD to obtain a public health order. If the child continues to come to school, in violation of the public health order, the AHD and ASD may seek court enforcement of the order.

The AHD will alert the school nurse of any student in the school who has tested positive, but will not alert the school when an individual (positive case or close contact) is released from isolation or quarantine. AHD will provide a letter, upon request, to positive cases who complete their isolation period indicating they can return to school. Parents will be responsible to provide these letters to the school.

CDC guidance states that a close contact is defined as any individual who was within 6 feet of an infected person for at least 15 minutes. The AHD follows CDC guidance to determine close contacts.

Typically, ASD and/or AHD will begin reaching out within 24 hours of identification of a close contact. Some contacts may require additional time if staff are unable to connect, the person doesn’t answer the call, or the staff have limited or no contact information. Close contacts will be required to quarantine at home for 14 days.

The school should exclude the positive case and will begin gathering close contact information. School nurses and school leadership can determine who they feel are close contacts without confirmation by AHD and will begin notifying them.

On July 23, CDC released guidance specific to screening. This guidance does not recommend universal screening of students be conducted by schools. The guidance does say that parents/caregivers should conduct daily monitoring of their children for signs of infectious illness, and students who are sick should not attend school in-person.

Yes all students and staff are required to wear a face covering.

From a public health perspective, clear face shields are a tool for protection against COVID-19, specifically around the eyes, but they do not replace face coverings due to large gaps on the side and bottom. From an educational perspective, clear face shields may be appropriate when it is important that students can see a teacher’s facial expressions and mouth movements.  For example, face shields would be appropriate when teaching English language learners and students who are deaf or hearing impaired.

Cloth masks should be washed regularly. Each school will have a supply of disposable and washable face coverings to give to students who need a clean mask.

Generally, schools will need to purchase their own infection control supplies. There may be times when schools can access certain items from the State’s supply of personal protective equipment, which is normally reserved for healthcare workers. These opportunities will be communicated by Anchorage Emergency Operations Center.

Some states are requiring sentinel testing for schools. Sentinel testing involves testing a few asymptomatic individuals over time (i.e. each week or month) to monitor SARS-CoV-2 in a population. The State of Alaska is looking into this process, but no decision has been made at this time

Schools in collaboration with the AHD communicate directly with individuals who test positive for COVID-19, as well as their close contacts. The AHD can also assist a school in determining best methods for communicating with the larger school community about a positive case(s). Communication should be designed to address the school community’s desire for information, while also protecting student/staff privacy.

Communication to the broader school community will need to be general and protect student/staff privacy. AHD may enlist the help of school leaders in identifying close contacts.

When AHD shares this type of information, school nurses would be bound by FERPA requirements to keep this information confidential.

Communication is critical. Be transparent in your communications at the local level with your school community. This is crucial to managing expectations. Let parents, staff, and students know that guidance, practices, and policy will change as our understanding of the virus improves. Remember that this is a stressful time for everyone. Encourage kindness and empathy.

Yes, state law requires any child, prior to admission, to provide certification that the child has received, or is in the process of receiving, adequate immunization against certain infectious diseases. Religious and Medical exemptions are required to be up-to-date.

Your last day of quarantine is 14 days from the date you had close contact. Date of last close contact with person who has COVID-19 + 14 days= end of quarantine

You can be with others after 24 hours with no fever AND Symptoms improved AND  10 days since symptoms first appeared. Depending on your healthcare provider’s advice and availability of testing, you might get tested to see if you still have COVID-19. If you will be tested, you can be around others when you have no fever, symptoms have improved, and you receive two negative test results in a row, at least 24 hours apart.

If you continue to have no symptoms, you can be with others after: 10 days have passed since the test. Depending on your healthcare provider’s advice and availability of testing, you might get tested to see if you still have COVID-19. If you develop symptoms after testing positive, follow the guidance above for Scenario 2.

I live in a household where I cannot avoid close contact with the person who has COVID-19. I am providing direct care to the person who is sick, don’t have a separate bedroom to isolate the person who is sick, or live in close quarters where I am unable to keep a physical distance of 6 feet. You should avoid contact with others outside the home while the person is sick, and quarantine for 14 days AFTER the person who has COVID-19 meets the criteria to end home isolation. Date the person with COVID-19 ends home isolation + 14 days = end of quarantine (could be 24+ days of quarantine). 

Watch for COVID-19 symptoms, but no quarantine is recommended for contacts of contacts. If the close contact tests positive for COVID-19, then follow the criteria for Scenario 1. 

You can return to work after 10 days from the start of symptoms AND you are fever free for 24 hours AND your symptoms are resolving OR You receive a negative test and have been fever free for 24 hours AND symptoms are improving OR You have a doctor’s note that says that your symptoms are not COVID-19 related AND you are fever free for 24 hours AND symptoms are improving. 

I live with someone who has COVID-19 and started my 14-day quarantine period because we had close contact. What if I ended up having close contact with the person who is sick during my quarantine? What if another household member gets sick with COVID-19? Do I need to restart my quarantine?Yes. You will have to restart your quarantine from the last day you had close contact with anyone in your house who has COVID-19. Any time a new household member gets sick with COVID-19 and you had close contact, you will need to restart your quarantine. Date of additional close contact with person who has COVID-19 + 14 days = end of quarantine

I live with someone who has COVID-19 (e.g., roommate, partner, family member), and that person is isolated by staying in a separate bedroom. I have had no close contact with the person since they were isolated. Your last day of quarantine is 14 days from when the person with COVID-19 began home isolation. Date person with COVID-19 began home isolation + 14 days = end of quarantine