The Brief

Californians infected with COVID-19 may go about their lives without isolating or testing negative as long as their symptoms are improving, according to new and significantly loosened guidelines from the California Department of Public Health.

California’s top public health official, Dr. Tomás Aragón, last week quietly rescinded the state’s previous order, which encouraged people infected with COVID-19 to isolate for five days.

The new health order allows Californians with COVID-19 to return to work or school as long as their symptoms are improving and they are fever-free for 24 hours without medication. Asymptomatic individuals who test positive are not considered infectious and do not need to isolate, according to the order.

“Instead of staying home for a minimum of five days, individuals may return to work or school when they start to feel better,” state public health officials said in an unsigned statement.

The guidelines came down as California tipped over the edge of a major respiratory illness surge fueled by COVID-19, seasonal influenza and respiratory syncytial virus, also known as RSV. Flu and COVID-19 hospitalizations both peaked during the first week of January and have been trending downward since, according to state data.

Masking requirements have not changed, and people with COVID-19 should wear masks for 10 days whether or not they have symptoms. The new guidelines do not apply to employees at high-risk health care settings like hospitals and nursing homes, which may also have different policies for visitors.

It is unclear whether employers can require workers to return to work if they wish to isolate until they test negative. Cal/OSHA, the agency that enforces state workplace safety laws, did not respond to a request for clarification on the rule by deadline.

Some experts say the new guidelines represent a major shift in California’s COVID-19 strategy, but they are not necessarily an unexpected change.

“I think it’s reasonable, mainly for the amount of population immunity that we have including in kids, and for the fact that we have a menu of options to prevent and treat COVID,” said Dr. Peter Chin-Hong, an infectious disease expert with UCSF Health. “It does come with responsibility…we still have to wear masks and be cautious around people who are older or immunocompromised.”

A national study from the Centers for Disease Control and Prevention in June estimated about 96% of people 16 and older had acquired COVID-19 immunity either through vaccination, previous infection or both. State data shows that while relatively few Californians are fully vaccinated with updated boosters — only about 12% — at least 82.5% of the population has gotten at least one COVID-19 shot.

The state’s move also signals a shift toward treating COVID-19 like all other endemic respiratory infections.

“Many people may be infected with COVID-19 or other respiratory infections and do not test or know what infection they may have. Updating our public health approach and recommendations incorporates our recommendations into a broader, multi-pronged approach to multiple respiratory viruses,” department officials said in a statement.

Dr. Noha Aboelata, chief executive of Roots Community Health Center in Oakland, is one of many community doctors who have expressed disappointment in the state’s new direction. COVID-19 does not necessarily behave like other respiratory viruses — hospitalizations and deaths have never dropped to zero the way flu does outside of the winter months — and it is still unpredictable, Aboelata said.

“We still believe that if there’s enough to detect (on a test), there’s enough to infect,” Aboelata said. “So I would recommend people test negative before going around others.”

California schools adjust to new COVID-19 rules

The state’s new strategy also seeks to minimize disruptions in school where long periods of quarantine and virtual instruction adversely impacted student learning and led to widespread mental health challenges for young people.

Some California school districts adopted the new guidelines immediately, while others said they were waiting for direction from their local public health agencies.

Oakland Unified was among those that notified parents of its new policy not long after the state released the guidelines. In an email to families, the district said students and staff can come to school if they test positive for COVID-19, as long as they’re asymptomatic, wear masks and avoid people who are at high risk of sickness, such as those who are immunocompromised.

In line with the state guidelines, those with COVID-19 symptoms should stay home but can return to school once the symptoms improve. The district said it will continue to stock masks and COVID-19 tests and keep air purifiers in classrooms.

Los Angeles Unified, the largest school district in the state, said it was waiting for direction from the county public health agency. In a note to families, Fresno Unified recommended that students and staff who test positive for COVID-19 stay home, regardless of their symptoms.

The mixed response mirrored schools’ earlier reactions to COVID-19 in 2020. While most districts closed in March that year, some started bringing back special education students as soon as late spring while others — mainly larger districts — didn’t reopen for in-person instruction until fall 2021.

Teachers and parents on board with COVID rules

For many districts, re-opening decisions hinged on negotiations with teacher unions. This week, California’s largest teacher union was generally supportive of the state’s update to COVID-19 guidelines, saying that schools have adopted enough safety measures to keep staff, students and families safe.

“We’re always concerned about individuals who are high-risk, and we’ll continue monitoring the situation and re-open (contracts) if necessary,” said Rachel Warino, a spokesman for the California Teachers Association. “But we’re confident that negotiations that happened at the height of the pandemic — over air filtration, testing, masks, reasonable accommodations — will be sufficient for now.”

Some parents were relieved at the new guidelines because they encourage students to be in school. Thousands of students statewide are still struggling to catch up academically after remote learning, and many suffered mental health challenges during quarantine.

Scott Davison, who’s part of a parent group in Carlsbad Unified near San Diego, said parents have been sending asymptomatic students to school for a year or more, regardless of state or local guidelines.

“This changes nothing for most parents,” Davison said. “We could have had these guidelines two years ago and the result would be the same. … we all know kids belong in school.”

Concern for vulnerable Californians

Disability and equity advocates are particularly critical of the new guidelines. They contend the change could increase risk of infection for vulnerable Californians.

“This policy is not based in science, equity or public health. It devalues the lives of immunocompromised and disabled people, and completely ignores the risk of long COVID,” said Lisa McCorkell, co-founder of the Patient-Led Research Collaborative, which studies the impacts of long COVID.

There is no treatment for long COVID, which can leave some patients debilitated for years, and increased transmission will disproportionately harm poor communities, McCorkell said.

California officials have made other significant changes to the state’s COVID-19 response strategy in recent months, including returning the majority of the state’s Paxlovid stockpile to the federal government in December, effectively ending California’s free antiviral program.

The free COVID-19 hotline where residents could get Paxlovid prescriptions and vaccine appointments will also shut down at the end of February, state public health officials told CalMatters in a statement. The state has spent $2.3 million on the hotline since July 2022.

These changes, too, are worrisome for equity advocates.

“Not everybody has a primary care doctor. If you don’t have a primary care provider or good access to a primary care provider that’s knowledgeable about treating, then you’re going to have a difficult time accessing it,” Aboelata said.

State-regulated health insurance plans are required to permanently cover in-network COVID-19 testing, vaccination and treatment free of charge, although about 6 million Californians are enrolled in federally regulated plans that are only required to cover vaccines. You can ask your employer what kind of coverage you have.

Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.

A slow leak from a chemical tank smeared an orange cloud across the sky of a Southern California neighborhood on Tuesday, but authorities said they quickly got it under control.

Los Angeles County Fire Capt. Aaron Katon said authorities responded to a business that makes cleaning products after receiving a call shortly before noon about the cloud. Police evacuated a nearby middle school as a precaution, Katon said.

They do not yet know what the chemical was, but all shelter-in-place orders have been lifted, he said. The regional air quality management district has deployed staff to the area to investigate, said Connie Villanueva, a spokesperson for the South Coast Air Quality Management District.

The company, Shepard Bros., could not immediately be reached for comment.

Three company employees reported minor respiratory irritation and declined further treatment, Katon said.

The leak occurred in the city of La Habra near a mix of residential neighborhoods and industrial warehouses about 10 miles (16 kilometers) north of Anaheim.

Keary Godinez, who works in a nearby restaurant, said she saw what appeared to be a dark yellow cloud spread across the sky. The 20-year-old said she watched students across the street board buses to evacuate, but police told her the eatery could remain open.

“It looked like pollen dust,” Godinez said, adding she didn’t detect a smell from the cloud. “It just kind of smeared in the sky and started going away.”

La Habra Mayor Jose Medrano had urged residents to shelter in place and said some streets were being evacuated.

Luis Gomez, who manages a nearby pickleball program, said earlier Tuesday he saw the cloud, called police and was told anyone within a mile radius of the location was under an evacuation order.

The Los Angeles Lakers will unveil a statue of former coach Phil Jackson outside their downtown arena next year.

The Lakers announced the plan Tuesday to honor Jackson, who led the Lakers to five championships and seven NBA Finals appearances during two stints totaling 11 seasons as their head coach.

The statue will be unveiled April 9 before the Lakers’ home game against Minnesota.

After his famed tenure leading Michael Jordan’s Chicago Bulls to six championships, Jackson joined the Lakers in 1999 and immediately began another era of major success for the 17-time NBA champion franchise.

His first three teams in Los Angeles won championships behind the dynamic duo of Kobe Bryant and Shaquille O’Neal, and the Lakers added two more titles in 2009 and 2010 led by Bryant and Pau Gasol. His Lakers also made the NBA Finals in 2004 and 2008.

Jackson set the Lakers franchise record for coaches with 610 victories while leading his teams to the playoffs in every year of his tenure, which ended in 2011.

“Phil Jackson defines championship basketball for a reason,” Lakers governor Jeanie Buss said in a statement. “His masterful approach to coaching brought out the best in some of the greatest athletes to ever play the game. After he accepted my dad’s invitation to join the Lakers, Phil’s unmatched creativity and commitment to excellence restored our championship legacy, bringing five titles and setting a standard of excellence for generations to come. It is a great joy to be able to mark that achievement with the statue he so richly deserves.”

Jackson will be the ninth person associated with the Lakers to be honored with a statue in Star Plaza outside their arena. He joins Magic Johnson, Kareem Abdul-Jabbar, Jerry West, Elgin Baylor, Bryant, O’Neal, broadcaster Chick Hearn and former coach Pat Riley, whose statue was unveiled earlier this year.

Jackson’s 11 championships as a head coach are the most in NBA history. The North Dakota native and former New York Knicks forward is a member of the Basketball Hall of Fame.