COVID Health Guidance

COVID SPORT GUIDANCE

FOR COMPLETE CIAC SPORT GUIDANCE, PLEASE CLICK HERE.

Here you will find the updated guidance (as of 1/11/2022) in regards to COVID-19 which is aligned with the CT Department of Health.   I highlighted some of the most pertinent information below but you may see the entire document HERE.  Masks requirements in this update have not changed and will be required by all regardless of vaccination status (same exceptions of cheerleading, swimming and wrestling).  It is important that we all continue to be safe and work together to provide a safe environment for everyone.  I will continue to assess all procedures and protocols and will update you if anything changes.

For individuals who develop ANY symptoms that could be associated with COVID-19

  • Immediately isolate at home
  • Test for COVID-19 (either a self-test or at a testing site)
    • If test result is positive or if no test is taken,
      • continue isolation for at least 5 days. Return to team activities on day 6 or later only when fever-free for 24 hours and other symptoms are significantly improved.
      • Wear a mask when around others outside of your household for a full 10 days. Do not engage in athletic activities within 6 feet of others during which wearing a mask is not advised due to safety reasons (e.g., competitive wrestling) for a full 10 days.
    • If test result is negative,
      • return to team activities when fever-free for 24 hours and other symptoms are significantly improved.
      • Continue to wear a mask around others until symptoms resolve.

For individuals identified as a close contact of a COVID-19 case and never develop any symptoms

  • If fully vaccinated (i.e., 14 days after their final vaccine dose, with or without a booster dose), or fully recovered from COVID-19 in the prior 90 days:
    • Quarantine is not required away from athletics or other activities as long as a mask is consistently and correctly used.
    • Test 5 days after being notified of the close contact (note: testing is not recommended for individuals who have recovered from COVID-19 within the prior 90 days, as a positive test result may be residual and not reflective of current infection).
      • Share the test result with the individual responsible for managing COVID-19 protocols for the organization so that contact tracing can occur if needed.
    • Wear a mask when around others outside of your household for a full 10 days. Do not engage in athletic activities within 6 feet of others during which wearing a mask is not advised due to safety reasons (e.g., competitive wrestling) for a full 10 days (see Table above for winter sport-specific masking safety guidance).
  • If not fully vaccinated, and have not had COVID-19 in the prior 90 days:
    • Quarantine away from athletic activities for a full 5 days.
    • Test for COVID-19 (either a self-test or at a testing site) on day 5 or later (note: testing is not recommended for individuals who have recovered from COVID-19 within the prior 90 days, as a positive test result may be residual and not reflective of current infection).
    • If test result is negative, return to team activities on day 6 or later.
    • If test result is positive or if no test is taken, continue isolation through day 10; return to team activities after 10 days assuming symptoms do not develop.
    • Wear a mask when around others outside of your household for a full 10 days. Do not engage in athletic activities within 6 feet of others during which wearing a mask is not advised due to safety reasons (e.g., competitive wrestling) for a full 10 days (see Table above for winter sport-specific masking safety guidance).

Returning to play after COVID-19 positive test:

“The AAP recommends not returning to sports/physical activity until children or adolescents have completed isolation, the minimum amount of symptom-free time has passed, they can perform normal activities of daily living, and they display no concerning signs/symptoms. For all children and adolescents 12 years and older, a graduated return-to-play protocol is recommended. The progression should be performed over the course of a 7-day minimum. Consideration for extending the progression should be given to children and adolescents who experienced moderate COVID-19 symptoms.

All children and adolescents and their parents/caregivers should monitor for chest pain, shortness of breath out of proportion for upper respiratory tract infection, new-onset palpitations, or syncope when returning to exercise. If any of these signs and/or symptoms occur, the AAP recommends immediately stopping exercise and the athlete should see their pediatrician for an in-person assessment. Consideration should be given for pediatric cardiology consultation.

When Should a Student-Athlete Pause Return-to-Play Protocols

If a student-athlete develops chest pain, shortness of breath out of proportion to upper respiratory infection, new-onset palpitations, or syncope when returning to exercise, immediately stop and go to a healthcare provider for an in-person exam.

AAP Gradual Return-to-Play Plan: The following progression was adapted from Elliott N, et al, infographic, British Journal of Sports Medicine, 2020:

Stage 1: Day 1 and Day 2 – (2 Days Minimum) – 15 minutes or less: Light activity (walking, jogging, stationary bike), intensity no greater than 70% of maximum heart rate. NO resistance training.

Stage 2: Day 3 – (1 Day Minimum) – 30 minutes or less: Add simple movement activities (eg. running drills) – intensity no greater than 80% of maximum heart rate.

Stage 3: Day 4 – (1 Day Minimum) – 45 minutes or less: Progress to more complex training – intensity no greater than 80% maximum heart rate. May add light resistance training.

Stage 4: Day 5 and Day 6 – (2 Days Minimum) – 60 minutes: Normal training activity – intensity no greater than 80% maximum heart rate.

Stage 5: Day 7 – Return to full activity/participation (i.e., – Contests/competitions).

 CIAC School Documentation/Protocol for Return-to-Play After Testing Positive for COVID-19

 Please refer to page 9 of the UPDATED GUIDANCE document for the return to play protocols.  

CLICK HERE FOR COVID-19 RETURN TO PHYSICAL ACTIVITY RELEASE FORM

Please note that those student-athletes who were Asymptomatic or had Mild Symptoms (<4 days of fever >100.4; < 1 week of myalgia, chills or lethargy) will need to complete a Phone/telemedicine or in-person assessment by a healthcare provider that incorporates the AAP guidance for Return to Sports and Physical Activity. 

Upon completion of this assessment, the student-athlete and parent/legal guardian must provide the school with the completed COVID-19 Return to Physical Activity Release form by their healthcare provider.  This form will confirm the assessment and specify which level of return the student-athlete is eligible for.  Please note that all student-athletes returning must complete at least 1 (one) practice session before he/she will be eligible for game play.   

IMPORTANT:  If a healthcare provider’s note does not specify for which activities the student-athlete is cleared, then it will be considered that the student-athlete is cleared to begin the AAP return-to-play protocol.

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