Californians Are Staying Infected With The Coronavirus For A Long Time ...

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Copyright © 2026, Los Angeles Times | Terms of Service | Privacy Policy | CA Notice of Collection | Do Not Sell or Share My Personal Information Breaking News Jesse Jackson, one of the nation’s most powerful voices for Black Americans, dies at 84 Advertisement California Californians are staying infected with the coronavirus for a long time. Here’s why
Shoppers visit Santee Alley. Shoppers, some wearing masks, visit Santee Alley in Los Angeles on July 14. (Irfan Khan / Los Angeles Times)
Los Angeles Times reporter Rong-Gong Lin II Luke Money staff headshot at LA Times Photo Studio in El Segundo, CA on Wednesday, July 23, 2025 By Rong-Gong Lin II and Luke Money Aug. 8, 2022 Updated 6:52 AM PT
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Health officials recommend that anyone infected with the coronavirus isolate for at least five days. But for many, that timeline is becoming overly optimistic.

The isolation period, which the U.S. Centers for Disease Control and Prevention shortened in December from 10 days to five, is more a starting point than a hard-and-fast rule in California. According to the state Department of Public Health, exiting isolation after five days requires a negative result from a rapid test on or after the fifth day following the onset of symptoms or first positive test — a step not included in federal guidelines.

But many people don’t start testing negative that early.

“If your test turns out to be positive after five days, don’t be upset because the majority of people still test positive until at least Day 7, to Day 10 even,” Dr. Clayton Chau, director of the Orange County Health Care Agency, said during a briefing Thursday. “So that’s the majority. That’s the norm.”

Advertisement LOS ANGELES, CA - DECEMBER 30: Drive thru COVID-19 testing administered by Total Testing Solutions (TTS) in front of White Memorial Medical Center in Boyle Heights on Thursday, Dec. 30, 2021 in Los Angeles, CA. The long-feared winter coronavirus wave reached new heights Thursday as Los Angeles County reported more than 20,000 new cases, fueled in part by the highly transmissible Omicron variant that is washing over the region. (Gary Coronado / Los Angeles Times)

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With Omicron surging, California calls for stricter COVID isolation for infected people

The state has issued new recommendations for when people infected with COVID-19 can end their isolation, guidance that is stricter than the CDC’s.

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But even typical, longer isolation periods carry very real effects, such as keeping people away from family and friends and out of work. While it may be disruptive, isolating is intended to stymie the spread of the coronavirus.

Dr. Robert Kosnik, director of UC San Francisco’s occupational health program, said at a campus town hall in July that there’s an expectation people will test negative on Day 5 and can return to work the next day.

“Don’t get your hopes up,” Kosnik told his colleagues. “Don’t be disappointed if you’re one of the group that continues to test positive.”

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In fact, some 60% to 70% of infected people still test positive on a rapid test five days after the onset of symptoms or their first positive test, meaning they should still stay in isolation, Kosnik said.

“It doesn’t significantly fall off until Day 8,” he said.

A member of the Salt Lake County Health Department COVID-19 testing staff performs a test on Gary Mackelprang outside the Salt Lake County Health Department Tuesday, Jan. 4, 2022, in Salt Lake City. (AP Photo/Rick Bowmer)

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CDC posts rationale for shorter isolation and quarantine

U.S. health officials are explaining why they recently shortened their COVID-19 isolation and quarantine recommendations.

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A study published by the CDC in February found that 54% of patients had positive antigen tests between five and nine days after an initial diagnosis or the onset of symptoms, though “the proportion of positive results declined over time.”

People with symptomatic COVID-19 were more likely to continue testing positive five to nine days after symptoms first appeared. In the study, 64% of symptomatic patients still tested positive in this time frame.

“However,” the study noted, “a positive antigen test result does not necessarily mean that a person is infectious. Similarly, a negative test result does not necessarily mean that a person is not infectious. Nonetheless, a positive or negative antigen test might be a useful proxy for the risk for being infectious.”

The proportion of positive test results “was lower after asymptomatic than symptomatic infection,” researchers found.

In general, the study said, “lower prevalence of positive test results over time and after asymptomatic infections might reflect lower infectiousness.”

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Here’s a summary on guidance for isolation from the California Department of Public Health, which are also requirements in Los Angeles County.

Day 0: Start of COVID-19 symptoms or the day of your first positive coronavirus test, if you’re asymptomatic. Wear a highly protective mask around others if in the same room as others in your home.

Days 1-5: Remain in isolation.

Day 5: You can take a rapid test. If you test negative, don’t have a fever and your symptoms are improving, you can exit isolation on Day 6.

Days 6-10: You can end isolation if your rapid test result — taken on Day 5 or later — is negative, you’ve been fever-free for 24 hours without taking fever-reducing medicines and your symptoms are improving or you don’t have symptoms. The California Department of Public Health strongly recommends still wearing a well-fitting mask around other people until the end of Day 10. In L.A. County, it’s a requirement that recently infected people who return to their workplace wear a mask through the end of Day 10.

Day 11: You can generally end isolation without needing a negative rapid test result. But if you still have a fever, stay isolated until 24 hours after the fever ends. And if you are immunocompromised or have had severe COVID-19, you might need to isolate longer.

“If you do not have access to an antigen test, then we feel pretty comfortable that 10 days after your symptoms start, you are no longer infectious,” Orange County Deputy Health Officer Dr. Matthew Zahn said.

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California says asymptomatic people exposed to coronavirus don’t need to quarantine

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It’s worth noting that the isolation guidance from the state Department of Public Health is stricter than what is issued by the CDC. Federal guidance says people can end isolation — without a negative test result — on Day 6 as long as they are fever-free for 24 hours without using fever-reducing drugs and other symptoms have improved; however, they should wear a well-fitting mask around people through the end of Day 10.

But the CDC guidance has come under criticism from some experts who say it’s too lax.

Some people experience a recurrence of coronavirus-related symptoms or may start testing positive again. It can sometimes happen after taking Paxlovid, an anti-COVID oral medication that dramatically reduces the risk of hospitalization. But it also can happen without taking that medication.

The most recent notable example of Paxlovid “rebound” was President Biden, who again tested positive for the coronavirus over the weekend, just days after exiting isolation.

“I’ve got no symptoms, but I am going to isolate for the safety of everyone around me,” he wrote on Twitter after his latest positive test.

A person holds the drug Paxlovid from the U.S. pharmaceutical company Pfizer against Covid-19.

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I have COVID-19. What to know about Paxlovid, molnupiravir, other treatments in California

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Though the rebound issue no longer appears to be as rare as once thought, officials note that Paxlovid remains highly effective.

“Paxlovid still works. The goal of Paxlovid is to keep you from getting seriously ill and ending up in the hospital,” Zahn said Thursday. “People who take Paxlovid don’t get as seriously ill and, if they have rebound symptoms, those rebound symptoms aren’t as severe.”

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If COVID-19 symptoms return, or rapid test results turn back positive after testing negative, the CDC recommends following isolation guidance again to reduce risk of coronavirus transmission to other people.

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Enter email address Agree & Continue Rong-Gong Lin II

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Rong-Gong Lin II is a reporter for the Los Angeles Times based in San Francisco who specializes in covering statewide earthquake safety issues and other natural disasters, public health and extreme weather. The Bay Area native is a graduate of UC Berkeley and started at The Times in 2004.

Luke Money

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Luke Money is an assistant editor on the Fast Break Desk, the Los Angeles Times’ breaking news team. He joined the newsroom as a reporter in 2020, specializing in breaking news and coverage of the COVID-19 pandemic. He previously was a reporter and assistant city editor for the Daily Pilot and before that covered education, politics and government for the Santa Clarita Valley Signal. He earned his bachelor’s degree in journalism from the University of Arizona.

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