What New Yorkers Need to Know Now About COVID-19

This document provides basic information on COVID-19, including prevention, transmission, groups at
increased risk, symptoms, testing, what to do if sick or exposed, and managing stress and anxiety.

For more information on COVID-19, visit nyc.gov/health/coronavirus. If you have any questions, call 311.

COVID-19 Prevention and Transmission

How does COVID-19 spread?

COVID-19 most commonly spreads between people who are in close contact (within about 6 feet) with one
another. It is spread through droplets that are sprayed when a person infected with the virus coughs,
sneezes, talks, sings or breathes. Inhaling these particles into the nose, mouth, airways and lungs is the
main way the virus spreads.

It may be possible for people to get COVID-19 by touching a surface that has the virus on it and then
touching their mouth, nose, or eyes, but this is not thought to be the main way the virus spreads.

Under certain conditions, COVID-19 can remain in the air and travel distances beyond 6 feet. COVID-19 may
then be spread when someone breathes in these particles. The risk of spreading COVID-19 in this way
increases in indoor spaces with poor ventilation and during activities that increase respiration, such as
singing or exercising.

How can I protect myself and others from COVID-19?

The following prevention measures are critical to stopping the spread of COVID-19, whether or not you
have been vaccinated:
• Stay home. Stay home if you are not feeling well or test positive for COVID-19.
• Keep physical distance. Keep at least 6 feet from others.
• Wear a face covering. Protect yourself and those around you by wearing a face covering at all times
outside your home.
• Keep your hands clean. Wash your hands often and carry alcohol-based hand sanitizer when
outside your home. Avoid touching your face with unwashed hands and cover your coughs and
sneezes.

Where can I get information about COVID-19 vaccination?

All people ages 16 and older who live, work, or study in New York State (NYS) are eligible for COVID-19
vaccination. COVID-19 vaccines are safe and getting vaccinated is the most important way to protect
yourself from severe COVID-19 illness, hospitalization and death. For information on COVID-19 vaccines,
visit nyc.gov/covidvaccine. Visit nyc.gov/vaccinefinder to find a vaccination site and make an appointment.
If you need assistance making an appointment at a City-run vaccination site, call 877-VAX-4NYC (877-829-
4692).

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What is a face covering and how does it help prevent the spread of COVID-19?
A face covering is a well-secured cloth covering or disposable mask that covers your nose and mouth. Face
coverings are critical to stopping the spread of COVID-19. Wear one at all times when outside your home
and around other people, and even while at home if you are with people you do not live with or if you or
someone you live with is sick, recently tested positive for COVID-19, or was recently exposed to someone
with COVID-19. Make sure the face covering snugly covers both your nose and mouth.

Face coverings help prevent the spread of COVID-19 by:

• Protecting the wearer, by reducing their exposure to respiratory particles that may contain the virus.
• Protecting others, by reducing the amount of respiratory particles that enter the air when someone
with COVID-19 coughs, sneezes, talks or breathes.

For more information on face coverings, see COVID-19 Face Coverings: Frequently Asked Questions and
How to Put on a Face Covering and How to Wear Two Face Coverings.

People at Increased Risk of Severe COVID-19 Illness

Who is at increased risk of severe COVID-19 illness?

Severe illness means that the person with COVID-19 may require hospitalization, intensive care or a
ventilator to help them breathe, or may even die. People who are at increased risk of severe illness need
to be especially careful about monitoring their health and taking precautions.

Among adults, the risk of severe COVID-19 illness increases with age, with older adults at highest risk. For
example, people in their 50s are at higher risk for severe illness than people in their 40s. People in their
60s or 70s are, in general, at higher risk for severe illness than people in their 50s.

Long-standing systemic health and social inequities have put people from some racial and ethnic groups
(including Black, Latino and Indigenous groups) at increased risk of getting sick and dying from COVID-19.
Studies have shown that people from some racial and ethnic groups are dying from COVID-19 at younger
ages. People of color are often younger when they develop chronic medical conditions and may be more
likely to have more than one condition.

In addition, people of any age with certain underlying health conditions are at increased risk for COVID-19
illness. This includes cancer, chronic kidney disease, chronic lung disease, heart conditions, obesity,
pregnancy and diabetes. See COVID-19 Prevention and Groups at Higher Risk for a full list of conditions.

Can children be at increased risk of severe COVID-19 illness?

Severe COVID-19 illness in children is uncommon. There is currently limited evidence about which specific
medical conditions can lead to increased risk for children. However, children with certain underlying
conditions, such as asthma, cancer, diabetes and obesity, can be at increased risk of severe illness. See
COVID-19 Prevention and Groups at Higher Risk for a full list of conditions.

I am older or have an underlying health condition, is it safe for me to go out?

The New York City (NYC) Commissioner of Health has issued an Advisory for people 65 and older and people
with underlying health conditions that increase their risk of severe COVID-19 illness, and household
members and caregivers of such people. The Advisory recommends that people stay at home as much as
possible and be extra vigilant in following proven COVID-19 prevention measures, such as wearing a face
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covering and practicing physical distancing and hand hygiene. Vaccination is the best way to prevent severe
COVID-19 illness, hospitalization and death.

Here are some tips on staying healthy:

• Avoid crowds and indoor gatherings.
• Consider wearing two masks (a cloth covering over a disposable mask) or using a higher-grade mask
like a KN95 mask.
• Get your groceries and other necessities delivered, have someone get them for you or shop during
off-peak hours.
• Exercise is important! Go outside to get fresh air but wear a face covering and practice physical
distancing when you do.

Where can I get more information on risk of severe COVID-19 illness?

For more information on people at increased risk of severe COVID-19 illness, including individual factors and
living situations that may require extra precautions, visit the Centers for Disease Control and Prevention
(CDC) website.

COVID-19 Symptoms

What are the symptoms of COVID-19?

People with COVID-19 have reported a wide range of symptoms. Some people do not have any symptoms.
Symptoms may include (among others):
• Fever or chills
• Cough
• Shortness of breath or difficulty breathing
• Fatigue
• Muscle or body aches
• Headache
• Loss of taste or smell
• Sore throat
• Congestion or runny nose
• Nausea or vomiting
• Diarrhea

Symptoms may appear two to 14 days after exposure to the virus. Most people with COVID-19 have mild
to moderate symptoms and recover on their own. Less commonly, COVID-19 may lead to pneumonia,
other severe complications, hospitalization or death.

Do children have the same symptoms of COVID-19?

Children have similar symptoms as adults and generally have mild illness. Doctors have identified a rare but
serious condition in some children, called multisystem inflammatory systems in children (MIS-C), that is
associated with COVID-19. For more information, see MIS-C.

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COVID-19 Testing

What kinds of COVID-19 tests are available?

There are two types of COVID-19 tests currently available:
• Diagnostic tests (also called virus tests), which are swab or saliva tests used to identify whether
someone currently has COVID-19; and
• Antibody tests (also called serology tests), which are blood tests used to identify whether someone
had COVID-19 in the past.

Who should get a diagnostic test for COVID-19?

In general, all New Yorkers should get tested for COVID-19. It is especially important to get tested if you:
• Have symptoms
• Had close contact with someone who was diagnosed with COVID-19 or had COVID-19 symptoms
• Recently attended an indoor gathering of 10 people or more
• Were recently traveling
• Are planning to visit someone at increased risk of severe COVID-19 illness

Health care workers and other workers who have in-person contact with people as part of their jobs
should consider getting tested periodically.

In general, people who had COVID-19 in the past three months and recovered and people who are fully
vaccinated against COVID-19 do not need to be tested, unless they have COVID-19 symptoms. There may
be different testing requirements in certain settings, such as schools and group living facilities.

Where can I get tested?

If your provider does not offer COVID-19 testing, call 311, text “COVID TEST” to 855-48 or visit
nyc.gov/covidtest to find a testing site near you. Many sites offer testing at no cost to you.

For additional information on COVID-19 testing, see COVID-19 Testing: Frequently Asked Questions.

What to Do If You Have or May Have COVID-19 (Isolation and Care)

What should I do if I have COVID-19 (positive diagnostic test) or symptoms of COVID-19?

If you test positive for COVID-19 or have symptoms of COVID-19, you should isolate. Isolation means staying
home, monitoring your health and safely separating from others to prevent the spread of COVID-19. People
with symptoms should get tested for COVID-19.

People with COVID-19 or symptoms of COVID-19 must stay home, even if they are fully vaccinated against
COVID-19. Do not leave home except to get a COVID-19 test or other essential medical care, or for basic
needs such as grocery shopping or picking up medications at your pharmacy if someone cannot get them
for you. You should call your health care provider, especially if you are an older adult or have an underlying
condition that puts you at increased risk of severe COVID-19 illness. Use telephone or telemedicine when
possible.

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What if I do not have a health care provider or health insurance?
If you need a health care provider, NYC Health + Hospitals welcomes all New Yorkers, regardless of
immigration status or ability to pay. Visit nychealthandhospitals.org for more information and to search for
a health care provider, or call 844-NYC-4NYC (844-692-4692) or 311.

Many low- to no-cost health insurance plans are available through the NYS of Health Marketplace. To make
an appointment with a Certified Application Counselor, call 311, text “CoveredNYC” to 877-877 or visit
nyc.gov/health/healthcoverage.

Are there treatment options available for COVID-19?

There are treatment options for people with COVID-19, including monoclonal antibody (mAb) treatment.
mAb treatment is for people at high risk for severe COVID-19 illness who have tested positive for COVID-19
and are not sick enough to be in the hospital. mAb treatment can lower the amount of virus in your body,
reduce symptoms and help avoid a trip to the hospital. It is most effective when received soon after COVID-
19 symptoms begin, so it is important to get tested and care right away.

NYC Health + Hospitals offers mAb treatment at several of its outpatient facilities. Patients with a positive
COVID-19 test can be screened for eligibility and scheduled for an appointment with NYC Health + Hospitals
by connecting to ExpressCare.nyc and clicking “Talk to a Doctor Now” or they can call 212-COVID19 (212-
268-4319) and press 9 for monoclonal antibody treatments.

For more information, see Monoclonal Antibody Treatment for COVID-19.

When should I go to the hospital or call 911?

It is important that you get emergency medical care for COVID-19 and other health problems when needed.
Go to an emergency room or call 911 immediately if you have:
• Trouble breathing
• Persistent pain or pressure in the chest or abdomen
• New confusion or inability to stay awake
• Blue lips or face
• Difficulty speaking
• Sudden face drooping
• Numbness in the face, arm or leg
• Seizure
• Any sudden and severe pain
• Uncontrolled bleeding
• Severe or persistent vomiting or diarrhea
• Any other emergency condition

For how long do I have to stay home (isolate)?

If you have COVID-19 or COVID-19 symptoms you can leave your home when all the following are true:
• It has been at least 10 days since you started feeling sick, or since the date you were tested if you
have not felt sick.
• You have not had a fever for at least 24 hours without taking of fever- and pain-reducing medicines,
such as Advil, Motrin, Tylenol or aspirin.
• Your overall illness has improved.

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What if my symptoms of COVID-19 continue?
You are considered no longer contagious after your isolation period ends, even if your symptoms continue.
Most people who have COVID-19 completely recover, but some have lasting symptoms and health
problems. Post-acute COVID-19 syndrome, also called long COVID or chronic COVID, refers to a wide range
of symptoms that develop during or after COVID-19 illness and continue for several weeks or months.
Symptoms include fatigue, breathing problems and muscle pain. For more information on symptoms and
available care options in NYC, see Post-Acute COVID-19 Syndrome: Frequently Asked Questions.

For more information about isolation, see COVID-19: Understanding Quarantine and Isolation. For more
information about what to do when sick, see the Health Department’s Symptoms and Care webpage.

What to Do If Exposed to Someone With COVID-19 (Quarantine)

What should I do if I was exposed to someone with COVID-19?

In general, people who are exposed to someone with COVID-19 must quarantine. Quarantine means staying
home, monitoring your health and safely separating from others after you were recently exposed to
someone with COVID-19. You should quarantine if you have been in close contact with someone who has
COVID-19 (within 6 feet for at least 10 minutes over a 24-hour period).

People who have had COVID-19 in the past three months and recovered and people who have been fully
vaccinated against COVID-19 do not need to quarantine following an exposure. However, if they develop
symptoms, they should seek COVID-19 testing and isolate at home.

Who must quarantine due to travel?

International travelers must quarantine upon arriving to the U.S. Quarantine is not required following
domestic travel but is recommended. For more information about travel quarantine, visit the NYS Travel
Advisory website.

What does it mean to quarantine?

People in quarantine must stay home. Do not leave home except to get a COVID-19 test or other essential
medical care, or for basic needs such as grocery shopping or picking up medications at your pharmacy if
someone cannot get them for you. You should also get tested for COVID-19. Remember it is possible to
have COVID-19 and not have symptoms.

How do I figure out the date my quarantine ends?

If you are a close contact, you must quarantine for 10 days from your last close contact to the person who
has COVID-19. Your employer may require you to stay out of work for a different period of time based on
NYS requirements for specific industries.

For more information about quarantine, see COVID-19: Understanding Quarantine and Isolation

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Protecting Others During Quarantine and Isolation

What can I do to protect others in my household during quarantine or isolation?

• Create physical distance. Stay at least 6 feet from others. Stay in a separate room, if possible. Sleep
head-to-toe if you share a bed or have someone sleep on the couch. Move seating and other
furniture around to maintain physical distance. Keep people who are sick separate from others,
especially from people at increased risk for serious illness. Do not have visitors come to your home.
• Cover up. Wear a face covering at all times unless you are alone in a separate room; you should also
wear a face covering when you are around pets. Other household members should also wear a face
covering when they are in the same room as you.
• Keep it clean. Throw tissues into the garbage immediately after use. Wash your hands often with
soap and water for 20 seconds, especially after you cough or sneeze. Use alcohol-based hand
sanitizer if you are unable to wash your hands. Frequently clean surfaces you touch, such as
counters, doorknobs, light switches, faucet handles, phones and remote controls, using household
cleaning spray or wipes. Wash towels, blankets, sheets and clothes at the warmest possible setting
with your usual detergent, and dry completely. Do not share glasses, cups, plates or utensils with
others and wash them after every use. Do not share food.
• Stay in a Take Care Hotel. The NYC Test & Trace Corps will make sure that anyone who tests positive
for COVID-19 and their close contacts will have the resources needed to safely separate in a hotel,
free of charge, or at home to help prevent the spread of the virus. NYC Test & Trace Corps Contact
Tracers can refer to the hotel program or anyone can call 212-COVID19 (212-268-4319) to book a
room. For more information on Take Care Hotels, visit nychealthandhospitals.org/test-and-
trace/take-care.

What should I do if I am in quarantine or isolation and need to leave home for medical care or essential
supplies?
• Wear a face covering that snugly covers your nose and mouth and stay at least 6 feet apart from
others.
• Wash your hands with soap and water before going out and use an alcohol-based hand sanitizer
while outside the home.
• Avoid other people as much as possible — walk if you can and do not enter crowded stores or use
public transportation.

Activities During COVID-19

Is it safe to get medical care?

You should continue to get medical care, such as vaccinations for you or your children, care for chronic
conditions, routine testing and screenings, and well check exams. Health care providers are taking extra
steps to keep you safe during the COVID-19 public health emergency. For more information, see Get the
Medical Care You Need.

Is it safe to meet up with others?

Gathering with other people, especially indoors, increases the risk of spreading COVID-19. You should not
host or attend a gathering, especially if you are an older adult or have a health condition that increases your
risk of severe COVID-19 illness.

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If you are going to meet up with others, only meet up with people who you know are careful about using a
face covering and keeping at least 6 feet from others. Keep your gathering small and short. The more
people that gather close together and the longer the gathering, the greater the risk of COVID-19. Also, being
outdoors is much safer. COVID-19 spreads easier indoors because there is less air circulation and the
temperature and humidity may help spread the virus more easily. For more information, see COVID-19: Tips
on Getting Together Safely.

Is it safe to travel?
Many parts of the country and outside the U.S. have high levels of COVID-19. Traveling may put you, your
family and your community at risk of getting sick and spreading the virus to others. If you must travel, plan
ahead and take precautions during travel and at your destination. Make sure you check testing and
quarantine requirements at your destination.

Visitors and returning New Yorkers, whether or not vaccinated, must take steps when they enter New York
State to minimize the risk of spreading COVID-19, including monitoring themselves closely for COVID-19
symptoms; strictly following COVID-19 prevention measures such as wearing a face covering whenever
around other people and maintaining 6 feet of distance from others; and immediately isolating if they feel
unwell or test positive for COVID-19.

Check out these additional activity-specific guidance documents:

• Tips on Shopping Safely During the COVID-19 Public Health Emergency
• How to Dine Out Safely During the COVID-19 Public Health Emergency
• COVID-19: Tips on Getting Together Safely
• COVID-19: Tips on Staying Physically Active and Spending Time Outdoors
• How to Protest Safely During the COVID-19 Public Health Emergency
• Commuting Safely During the COVID-19 Public Health Emergency
• Safer Sex and COVID-19

Managing Stress and Anxiety

These are difficult times. How can I manage stress and anxiety?
During this ongoing period of uncertainty, it is natural to feel overwhelmed, sad, anxious or afraid, or to
experience other symptoms of distress, such as trouble sleeping. Below are tips to help you cope.
• Stay connected with friends and loved ones by phone, social media and video chat. You can also
meet at a park or other open space but remember to keep at least 6 feet from other and wear a face
covering.
• Visit the “App Library” at nyc.gov/nycwell for online tools to help you manage your health and
emotional well-being.
• NYC Well is your connection to free, confidential mental health support. Speak to a trained
counselor 24/7 and get access to mental health and substance use services in more than 200
languages. For more information, call 888-NYC-WELL (888-692-9355), text "WELL" to 65173 or visit
nyc.gov/nycwell.
• Call NYS’ COVID-19 Emotional Support Helpline at 844-863-9314 to talk to specially trained
volunteer professionals. They are there to listen, support and offer referrals from 8 a.m. to 10 p.m.,
seven days a week.

The NYC Health Department may change recommendations as the situation evolves. 4.8.21
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