` – The quarantine obligation drops from 10 to 7 days for vaccinated people who have completed their cycle for at least 14 days and have come into ‘close contact’ with people infected with covid. It is one of the innovations contained in the circular of the Ministry of Health, signed by Giovanni Rezza, director general of health prevention, with an update of the measures in light of the new circulation of variants in Italy.

Furthermore, no quarantine for low-risk asymptomatic contacts, provided that the vaccination cycle has been completed for at least 14 days.

Another issue concerns subjects who have not been vaccinated or who have not completed the vaccination cycle for at least 14 days. Asymptomatic high-risk contacts (close contacts) of cases with suspected or confirmed non-Beta VOC SARS-CoV-2 infection or for which sequencing is not available, identified by health authorities, who have not completed the vaccination course from at least 14 days, they can return to the community after a quarantine period of at least 10 days from the last exposure to the case, at the end of which a molecular or antigen test is performed with a negative result.

If it is not possible to perform a molecular or antigenic test between the tenth and the fourteenth day, it is possible to consider ending the quarantine period after at least 14 days from the last exposure to the case, even in the absence of a molecular or antigenic diagnostic test for research. by SARS-CoV-2.

Asymptomatic low-risk contacts of COVID-19 cases confirmed by a suspected or confirmed non-Beta VOC variant or for which sequencing is not available, identified by health authorities, who have not completed the vaccination course for at least 14 days, should not undergo quarantine, but must continue to maintain the common sanitation measures envisaged to contain the spread of the virus, such as wearing a mask, maintaining physical distancing, frequently sanitizing hands, and following good respiratory hygiene practices. Where, through sequencing, cases of VOC Beta variant are identified, the latter variant of very rare occurrence, considering the evidence on the lower efficacy of the vaccine against the Beta3 variant, they remain in force for high and low risk contacts not vaccinated or not have completed the vaccination cycle for at least 14 days, ten days of quarantine remain.

And again: asymptomatic people who have tested positive for SARS-CoV-2 from a suspected or confirmed non-Beta VOC variant or for which sequencing is not available, can return to the community after an isolation period of at least 10 days from the date swab with a positive result, at the end of which a molecular or antigen test is performed with a negative result. Symptomatic people who have tested positive for SARS-CoV-2 from a suspected or confirmed non-Beta VOC variant or for which sequencing is not available, may return to the community after an isolation period of at least 10 days from the onset of symptoms accompanied by a molecular or antigenic test with negative result performed after at least 3 days without symptoms (excluding anosmia and ageusia / dysgeusia which may have prolonged persistence over time).

In case of further positive finding of the diagnostic test performed after 10 days from the onset of symptoms or from the positive swab in asymptomatic patients, it is advisable to repeat the test after 7 days (17th day). COVID-19 cases from suspected or confirmed non-Beta VOC variant or for which sequencing is not available that continue to be positive for the molecular or antigen test for SARS-CoV-2, in case of absence of symptoms for at least 7 days (except for ageusia / dysgeusia and anosmia), will be able to interrupt the isolation at the end of the 21st day. For cases of SARS-CoV-2 from suspected or confirmed VOC Beta variant, both symptomatic and asymptomatic, the 10 days of isolation (asymptomatic and symptomatic) and the negativity of the molecular test for long-term positives remain in force.

By Editor

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