What COVID-19 prevention measures should I follow?

Based on recommendations from the State, CDC, availability of vaccines, and stakeholder feedback, YKHC created the following tool to help people and communities understand what steps to take to reduce the spread of COVID-19.

This tool relies on the Community Advisory Update, offering guidance for vaccinated and unvaccinated individuals, published on August 10, 2021. View the complete guidance document here. 

YKHC strongly urges all eligible individuals to be vaccinated against COVID-19. Schedule an appointment today with your YKHC provider to ask questions about COVID-19 vaccines or sign-up for vaccination online.

YKHC’s guidance for safe in-person learning at schools may differ from these recommendations based on variables specific to that setting. View the most updated recommendations for schools here. 

1. WHat is Your Vaccination Status?

2. Recommendations for Vaccinated Individuals

Whether or not certain activities can be performed safely depends on three factors: 

  1. If a person is vaccinated, 
  2. The transmission rate of COVID-19 in the community, and 
  3. The size and location of the gathering. Small gatherings are generally safer than large gatherings (typically comprised of greater than 10 people). Outdoor activities are generally safer than indoor activities. 

If a community is experiencing substantial or high transmission, YKHC recommends the immediate implementation of COVID-19 prevention strategies, including but not limited to: universal masking in public, rescheduling large gatherings, social distancing, and expanded testing.

YKHC publishes transmission risk level by sub-region on our COVID-19 dashboard.

Yes. In areas with substantial or high transmission, YKHC recommends wearing a mask in any indoor public setting. Additionally, close contacts of a known or suspected COVID-19 case should wear a mask for 14 days from exposure, regardless of vaccination status. 

Even in areas with low or moderate transmission, if vaccination status of others cannot be determined, the safest practice is for all individuals to follow recommended prevention measures, including wearing masks and maintaining physical distance.

Local governments and businesses should keep in mind their ability to determine vaccination status of customers or patrons when updating mask and physical distancing policies or ordinances. 

All individuals should check with their local government, employer, business, or event organizers to see what current mask guidelines are. 

Mask requirements for vaccinated individuals remain in place for hospitals, schools, and public transportation, regardless of transmission risk. 

Test: Recommended. YKHC recommends vaccinated individuals get a COVID-19 test 7 days after return from travel.  

Quarantine: Probably not. YKHC does not recommend quarantine for vaccinated persons due to recent travel provided they meet the following criteria: 

  1. They are fully vaccinated. Someone is considered “fully vaccinated” two weeks after getting the second shot of Pfizer or Moderna’s vaccine or one week after getting the Johnson & Johnson vaccine. 
  2. Have remained asymptomatic since travel.

Please note: Local communities may decide to continue a 14-day quarantine for residents. Local travel or quarantine restrictions must still be followed. All persons should check with their local government and employer for further guidance. 

Test: Yes. Vaccinated individuals who are close contact of a person who is COVID-positive should test on day 3-5 after exposure (target day 5). If negative, no other testing is required unless the vaccinated close contact has or develops symptoms.

Quarantine: Probably not. Not required unless the vaccinated close contact has or develops COVID-like symptoms.

Additional instructions: Monitor symptoms for 14 days after exposure. Take extra care to wear a mask in public. If symptoms develop, isolate and seek testing immediately.

Test: Yes. Vaccinated individuals who live with a person who is COVID-positive should test on…

  • Day 1
  • Day 3–5 after exposure (target day 5)
  • On the last day of the infected person’s isolation period

Quarantine: Yes. Until the infected person is cleared from isolation. Or longer, as needed, if the vaccinated close contact becomes infected.

If all tests are negative (or if testing is declined), vaccinated close contacts who live with a COVID-positive person can be off quarantine the day after the infected person is cleared from isolation.

Additional instructions: Monitor symptoms for an additional 14 days after the end of quarantine. Take extra care to wear a mask in public. If symptoms develop, isolate and seek testing.

2. Recommendations for Unvaccinated Individuals

Unvaccinated people should consider getting the COVID-19 vaccine to protect themselves and their loved ones against serious illness, hospitalization, or death. Schedule an appointment today with your YKHC provider to ask questions about COVID-19 vaccines or sign-up for vaccination online.

Whether or not certain activities can be performed safely depends on three factors: 

  1. If a person is vaccinated, 
  2. The transmission rate of COVID-19 in the community, and 
  3. The size and location of the gathering. Small gatherings are generally safer than large gatherings (typically comprised of greater than 10 people). Outdoor activities are generally safer than indoor activities. 

If a community is experiencing substantial or high transmission, YKHC recommends the immediate implementation of COVID-19 prevention strategies, including but not limited to: universal masking in public, rescheduling large gatherings, social distancing, and expanded testing.

YKHC publishes transmission risk level by sub-region on our COVID-19 dashboard.

Yes. Regardless of transmission status in a community, unvaccinated people should wear masks in any public setting, unless outdoors with members of their own household.

Test: Yes. Unvaccinated individuals should test after travel on…

  • Day 3-5
  • Immediately if symptomatic.

Quarantine: Yes. An unvaccinated person who has traveled should complete a 10-day quarantine upon return. When quarantining following travel, only the traveler needs to quarantine.

Alternately, unvaccinated individuals who have traveled may choose a seven-day quarantine, if they have a negative test result on Day 6 and Day 7 of quarantine. If looking to return to work with two negative tests, the earliest an unvaccinated person could return to work would be on Day 8. Individuals should check with their employer for further guidance. 

Persons can also continue to quarantine for 14 days per existing CDC recommendations. The full 14-day quarantine period is also recommended for unvaccinated workers in a communal living and crowded work setting.

Please note: Local communities may decide to continue a 14-day quarantine for residents. Local travel or quarantine restrictions must be followed.

If a person develops COVID-19 symptoms ( whether or not they are in quarantine), they should immediately self-isolate and seek additional testing. 

Test: Yes. Test on…

  • Day 1
  • Weekly while on quarantine
  • If an unvaccinated close contact would like to get off quarantine on Day 8, they should test on Days 6 and 7. In order to get off quarantine, test results should return as negative.

Quarantine: Yes. For 10 days after last exposure to infected person.

Follow-up instructions: Monitor symptoms for 14 days after exposure. Take extra care to wear a mask around others in the same home. If symptoms develop, isolate and seek testing.

Test: Yes. Test on…

  • Day 1
  • Weekly while on quarantine

Quarantine: Yes. Quarantine for an unvaccinated household member of a COVID-positive person will be for the time the infected person is in isolation, plus 10 additional days after the infected person is cleared from isolation.

Follow-up instructions: Monitor symptoms for 14 days after exposure. Take extra care to wear a mask when around others in your home. If symptoms develop, isolate and seek testing.

Yes. Community transmission of COVID-19 is still occurring throughout the region, particularly among unvaccinated individuals. In-person contact and social circles should be kept as small as possible, like just those who live in the same household. 

As an unvaccinated person considers expanding their circle, adding only fully vaccinated individuals is the safest group to start with.

Please remember that even in a low transmission area, people should be able to name everyone they have been around the last two weeks. 

Depends on community transmission risk level.
View your community transmission risk level on the YKHC COVID-19 dashboard.

When in areas with substantial to high-risk transmission: 

  • Do not attend large, crowded outdoor gatherings with friends from multiple households. Do not play sports with others. 
  • Unvaccinated individuals should wear masks when gatherings with anyone outside their household, including vaccinated individuals. 

When in low to moderate-risk transmission areas: 

  • Wear a mask when attending large, crowded outdoor gatherings (more than 10 people) or if engaging in high-contact activities, such as playing sports outdoors. 
  • Unvaccinated persons may, without a mask, exercise with family members and attending small (less than 10 people) private gatherings with other households if everyone from the other households are vaccinated. 

Depends on community transmission risk level.
View your community transmission risk level on the YKHC COVID-19 dashboard.

Indoor activities are generally higher risk for unvaccinated persons.

When in areas with substantial to high-risk transmission:

  • Unvaccinated individuals should not attend any indoor public gatherings. 
  • Always wear a mask in all public indoor settings, including at work, when running essential errands, in a tribal office, in stores, and at the post office. 
  • Masks are not necessary in small (less than 10 people), private gatherings with other households if everyone from the other households are vaccinated. 

When in low to moderate-risk transmission areas:

  • Unvaccinated individuals should always wear a mask in all public indoor settings, including at work, when running essential errands, in a tribal office, in stores, and at the post office.
  • Masks are not necessary in small (less than 10 people), private gatherings with other households if everyone from the other households are vaccinated.
Testing RECOMMENDATIONS

Who should get tested for COVID-19?

  • Any person with COVID-like symptoms being seen in a YKHC facility or clinic
  • Any person who has symptoms, regardless of vaccination status
  • Anyone who has traveled recently (use tool to the left for specific recommendations)
  • Anyone who is a “close contact” of someone with COVID-19
Definitions

Who is a “close contact” of someone who tested positive for COVID-19?
A close contact is anyone who was within 6 feet of an infected person for a total of 15 minutes or more over a 24-hour period, even if one or both people wore masks when together.

What is ongoing exposure?
Ongoing exposure occurs when a close contact lives in the same household as a person who is COVID-positive and cannot reasonably stay separated. This may occur when the infected person is a child who needs care from the parent, or if the household layout does not allow the infected person to stay isolated in a separate room.

Contact YKHC

YUKON-KUSKOKWIM HEALTH CORPORATION 

Box 528, Bethel, Alaska 99559

Phone: 907-543-6000
YKHC Medicaid Travel: 907-543-6625
Email: info@ykhc.org
Media Inquiries: publicrelations@ykhc.org

ACCESS YOUR MEDICAL INFORMATION 

myYKHealth is an online portal that allows our customers to view medical information and connect with their care team.

To enroll in MyYKHealth or if you have questions about MyYKHealth, call MyYKHealth Enrollment Specialist at 907-543-6947 or Registration at 907-543-6315 or email MyYKHealthEnroll@ykhc.org.

RESOURCE LIBRARY

Visit the Resource Library to view issues of the Messenger, YKHC publications, provider resources, referral forms, financial statements, retail store and release forms.

Schedule an Appointment

BETHEL OUTPATIENT CLINICS

Bethel or a cell phone:
907-543-6442

Landline or phone outside Bethel:
1-800-478-3321 ext 6442

DENTAL CLINIC
907-543-6229

OPTOMETRY CLINIC
907-543-6336

SUB-REGIONAL CLINICS
Aniak     675-4556
Emmonak     949-3500 
Hooper Bay     758-3500
St. Mary’s      438-3500 
Toksook Bay    427-3500 

In order to ensure we offer timely appointments to all of our patients, we ask customers to register 30 minutes before your scheduled appointment time. If you are unable to keep or make your appointment, please call YKHC Scheduling to cancel or reschedule.

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