State health department updates coronavirus recommendations

Based on current conditions and the low number of new COVID-19 cases, the Michigan Department of Health and Human Services (MDHHS) is updating its COVID-19 isolation and quarantine guidelines for residents of the Michigan, including for schools.

“We are updating our guidelines to reflect that the state has entered a post-surge recovery phase,” said Dr. Natasha Bagdasarian, medical director of MDHHS. “As we move through the phases of our response to COVID-19, our recommendations will be updated to reflect the current state of transmission, while continuing to prioritize public health and promote the health and well-being of all communities. We continue to strongly urge all residents ages 5 and older to receive the safe and effective COVID-19 vaccine and be reinforced when eligible, as the vaccine continues to be our best defense against the virus.

This update does do not change guidelines for health care, long-term care, corrections and other high-risk settings, and these entities should continue to follow existing guidelines.


  • Any person whose screening test for COVID-19 is positive and/or displays covid19 symptoms (without alternative diagnosis or negative COVID-19 test) must self-isolate regardless of their vaccination status:
    • Isolate at home for the first five days (starting with the day after symptoms start or the day after testing for people without symptoms); and
    • If symptoms have improved or no symptoms have developed, resume normal activities, while wearing a properly fitted mask, for the next five days to protect others.


  • If the person has a fever, stay home until you are fever-free for a 24-hour period without using fever-reducing medication before resuming your normal activities while wearing a well-fitting mask adjusted, until the 10-day period is over.


  • Self-isolate at home for 10 days if you are unwilling/unable to wear a mask.


  • People who test positive for COVID-19 should also tell other people they have been in contact with during the time they were contagious (starting two days before symptoms start or if they test positive if no symptoms are present). ‘is present).
  • Prioritize notification of individuals who are personal/household contacts* and immunocompromised or high-risk individuals.
  • Individuals would then follow the guidance below on quarantine.


Quarantine guidelines can be adjusted to respond to and control outbreaks in unique settings as needed. Local leaders and individuals should work with their local health departments for outbreak response and follow additional quarantine recommendations when situations require to maintain a safer environment for community members.

  • The individual is exposed to someone who is positive for COVID-19 and:
  1. The exhibition is at a personal/family contact:
  • Monitor symptoms for 10 days; and
  • Test at least once if possible three to seven days after exposure and if symptoms develop; and
  • Wear a properly fitted mask for 10 days from the date of last exposure to protect others (home quarantine is an alternative for those unable or unwilling to mask); and
  • Avoid unmasked activities or activities at higher risk of exposing vulnerable people for 10 days from the date of last exposure

2. Exposure is to another type of contact (from a community, social or occupational setting)

  • Monitor symptoms for 10 days; and
  • Test if symptoms develop; and
  • Consider wearing a properly fitted mask around others for 10 days from the date of last exposure to protect others. At a minimum, wear a mask in settings with a higher risk of exposing vulnerable people

Along with updated MDHHS guidelines, there may also be local isolation and quarantine guidelines, policies, and/or orders from local health departments, organizations, and/or school districts that must be followed. Policies established by event organizers and businesses may be instituted to meet the specific needs of their customers and should be followed.

Additionally, the Child Care Licensing and Regulatory Affairs Guidelines have been updated to provide recommendations consistent with K-12 schools. This includes revised masking recommendations to reflect personal choice.

The isolation and quarantine periods have been updated to align with MDHHS recommendations for the general population and K-12 schools. These changes make it easier for child care staff and families to navigate COVID-19 for the majority of children.

MDHHS supports adjusting recommendations as the state goes through periods of response, recovery, and preparedness and follows local health department decisions based on local conditions. As part of the state’s entry into the recovery phase, MDHHS also rescinded its requirement that schools report confirmed and probable cases of COVID-19.

The COVID-19 cycle has been broken down into three key phases:

  • Response – Local and state public health is implementing a rapid response to an outbreak. The public may be advised to increase masking, testing and social distancing.
  • Recovery – Post-overvoltage. No immediate resurgence expected. Local and national public health will monitor conditions that could lead to future outbreaks.
  • Preperation – An increase in the number of cases is expected, with implications for disease severity and hospital capacity. Increased communication to the public about possible new risks.

During the recovery phase, masks remain an important tool to mitigate the spread of COVID-19. People who feel sick, may be at higher risk of infection, or feel more protected when masked should choose when they feel comfortable masking. People in Michigan should consider the risk factors and vaccination status of themselves and their family members when making the personal decision whether or not to mask. People with chronic or immunocompromised conditions are at higher risk of poor outcomes with COVID-19 and would benefit the most from indoor masking. These risk factors can include age, medical conditions, and vaccination status.