The Ministry of Health Management of Cases and Contacts of COVID-19 in Ontario (April 11, 2022)
NOTE: It has been clarified that primary care is NOT considered a “highest risk” setting and are expected to follow the guidance for normal cases and contacts (unless also working in a “highest risk” setting).
Returning to Work as a Case
Primary care providers who contract COVID-19 should follow the standard community guidelines, unless they are also working in a “highest risk” setting
- for 10 days from the onset of symptoms, or from the date of their test (whichever came sooner).
- 12 years of age or older AND either partially vaccinated (1 dose), or unvaccinated they must self-isolate
- Immunocompromised (regardless of age and vaccination status)
- For at least 5 days from symptom onset and until symptoms have been improving for 24 hours (or 48 hours if gastrointestinal symptoms) whichever is longer in duration
- 12 years of age or older AND fully vaccinated (2 or more doses)
- <12 years of age (regardless of their vaccination status)
It makes sense that after the 5 days of self isolation to take greater precautions on return to work (i.e. as close to workplace isolation precautions as is possible / avoiding immunocompromised patient contact as much as possible)
Returning to Work as a High-risk Contact
Primary care providers who are a high risk contact of a person with COVID-19 is defined as:
- Anyone with whom the COVID-19 positive person came into close contact within the 48 hours prior to symptom onset if symptomatic or 48 hours prior to the test date if asymptomatic, and until the positive person started self-isolating.
- Close contact means you were in close proximity to them for at least 15 minutes or for multiple short periods of time without appropriate personal protective equipment (as per Management of Cases and Contacts of COVID-19 in Ontario).
- Other high risk contacts as advised by public health
Primary care providers who are high risk contacts and who are:
- Asymptomatic AND
- Fully vaccinated AND
- Have been identified critical to operations in their organization AND
- Are actively screened ahead of each shift AND
- Are negative on any required tests (e.g., initial PCR and any other required RATs and PCRs)
May continue to work under self-isolation if they are critical to workforce needs. Important note: if also working in a high-risk setting, must follow guidelines for that setting.
Health Care Workers should wear fit tested N95 respirators at all times during work as should staff working alongside the HCW. Non-HCW should wear a well fitted KN95 or surgical mask.
In addition they should refer to and follow the How to Self-isolate while Working fact sheet as well as the guidance on Management and Critical Staffing Shortages for other guidance including testing requirements for workplace isolation and return to work after isolation according to context.
Note: This does not change the requirements for clearance and discharge from isolation outside this setting.
Primary care providers who are a household member of a high risk contact of a person with Omicron variant COVID-19 do not need extra precautions and can work with usual PPE.
“Fully Vaccinated” at present means they have received at least 2 doses of COVID vaccine