Disease Prevention and Control, San Francisco Department of Public Health

Novel Coronavirus (COVID-19)

Go To SFCDCP.ORG COVID-19 Page For Health Care Providers

COVID-19 Quick Links for the Public

Information and Guidance for the Public

Safer Social Interactions During COVID-19

Travel

If I Travel outside the Bay Area and return to San Francisco, do I need to quarantine?

To the extent possible, limit your nonessential travel during this pandemic. The more people travel, the more interactions people have. The more interactions people have with people outside their household, the greater the risk of getting and spreading COVID-19. If you must travel outside the Bay Area, make sure you wear a face covering and maintain at least 6 feet of distance from people outside your household at all times. If you can, travel by private vehicle with only members of your household. Avoid indoor interactions to the extent possible and keep the number of people you interact with small.

DPH recommends you quarantine for 14 days upon return to San Francisco if during your travels you interacted within 6 feet of individuals outside your household when you or those around you are not wearing face coverings at all times. The more interactions that were indoors, the larger the number of people involved, and the longer the duration of such interactions, the greater the risk. In addition, DPH recommends that you quarantine for 14 days upon return if you traveled on planes, buses, trains, or other forms of group/public transportation where face coverings were not worn at all times by you and those around you while in these enclosed spaces.

For more information on traveling during the pandemic: https://www.cdc.gov/coronavirus/2019-ncov/travelers/travel-during-covid19.html

Businesses and Employers

Please find all SFDPH Health Directives and Required Health and Safety Plans for reopening at www.sfdph.org/directives.

Additional information and guidance for businesses is below:

If Someone at the Workplace Tests Positive for COVID-19

Reopening Guidance for Businesses and Employers 

Other Business-Related Guidance 

Health Screening

Cleaning Recommendations

Ventilation Recommendations

Schools, Childcare, and Youth Programs

Please find all SFDPH Health Directives and Required Health and Safety Plans for reopening at www.sfdph.org/directives.

Additional SFDPH Guidance and Resources for Schools, Childcare, and Youth Programs:

Testing in San Francisco

Contact your healthcare provider to get tested:

If you have insurance, you can get tested through your healthcare provider.

Contact your insurance or health system to get testing. Call your healthcare provider directly if you don’t see them on this list:

If you DO NOT have health insurance, to schedule a test at one of the following SF Health Network sites, call 415-682-1740 – calls are answered 24 hours a day in most languages.

  • Castro Mission Testing Site 3850 17th St. M-F: 8-5pm | S-S: 12-4
  • Maxine Hall Testing Site 1181 Golden Gate Ave. M-F: 8-5pm
  • Southeast Health Center Testing Site 2401 Keith St. M-F: 8-5pm
  • ZSFG Testing Site 1001 Potrero Ave. M-F: 9-6pm
  • Mission Neighborhood Health Center Shotwell Parking Lot 240 Shotwell St. | 415-552-3870 M-F: 8-5pm (Call for appointment)
  • Or visit gov/citytestsf to get screened and schedule a drive-through or walk-through test at CityTestSF

 

Who should get tested?

You will want to contact your healthcare provider for testing if:

Your medical provider recommends that you get tested without having symptoms – before a procedure, for example

OR

You have one or more COVID-19 symptoms:

  • Fever over 100.4° Fahrenheit or 38.0° Celsius
  • Chills (shivering a lot)
  • Cough
  • Difficulty breathing
  • Fatigue or soreness
  • Loss of smell or taste
  • Sore throat
  • Headache
  • Runny or stuffy nose
  • Diarrhea, feeling sick to your stomach, or throwing up

Additionally, if you leave your home to work in San Francisco, you can get tested without symptoms, if you either:

  • Interact with the public
  • Cannot stay 6 feet apart from people at your job
  • Work directly with people who are most at risk (including working in healthcare, or in long-term care facilities, or with people experiencing homelessness)

OR

  • If you were exposed to someone with COVID-19 in the past 14 days. A close contact is exposure to:
    • people in your home
    • your sex partners
    • people who stayed within 6 feet of you for more than 15 minutes
    • people who take care of you, or who you take care of
    • people for whom you had direct contact with their body fluids or secretions while you were not wearing a facemask, gown, and gloves

If you leave your home to work in SF and these apply to you, visit sf.gov/citytestsf to get screened and schedule a drive-through or walk-through test at CityTestSF

After your COVID test

 Decedent Testing 

As of June 25, 2020, testing for COVID-19 is a requirement for all recently deceased individuals per Health Officer Order No. C19-14. If you are a family member, loved one or care giver of a recently passed individual, see the information below.

Information for families on requiring COVID-19 testing of all decedents in the City and County of San Francisco (SFDPH 6/26/2020) 中文 | Pilipino | Español | Русский | Tiếng Việt.

Personal Protective Equipment (PPE)

For PPE recommendations for healthcare workers, see www.sfcdcp.org/hcpPPE

Should the general public wear eye protection (e.g., face shield, goggles) to protect themselves from COVID-19?

      There is currently no recommendation that the general public wear eye protection for most day to day activities.  However, your eyes can theoretically be a route of infection for COVID-19, possibly through close contact to an infected person who is not wearing a mask, when they cough, sneeze or laugh.  You can also be exposed by touching your eyes with your hands if they have been contaminated with COVID-19.  A face shield or goggles (but not regular glasses) could provide protection against these types of exposures. Therefore, individuals, particularly those at high risk of exposure or serious disease from COVID, may decide to wear eye protection in addition to masking, as an extra layer of protection against acquiring COVID-19 infection.

Eye-Protection-Bulletin (SFDPH, 7/31/2020)

Interim Framework for PPE Use by City and County of San Francisco (CCSF) Environmental Services (EVS) Employees, and EVS Contractors (Custodians), Working in Facility Cleaning Areas Where Suspected or Confirmed COVID-19 Patients and Clients Are Currently Treated, Housed, or Temporarily Relocated Given Current PPE Shortages (SFDPH, 6/16/2020)   [Chinese]   [Spanish]   [Tagalog]

Respirator Medical Evaluations and N95 Fit Testing Resources (7/14/2020)

Interim Framework for PPE Use by City and County of San Francisco (CCSF) Inspectors and Contractors Conducting Field Site Visits Given Current PPE Shortages (SFDPH, 6/10/2020)

Interim Framework During the COVID-19 Pandemic for PPE Use by City and County of San Francisco (CCSF) Disaster Service Workers and Contractors Working in Settings with Significant Commingling of Individuals with Varying COVID-19 Status (SFDPH, 5/23/2020)

Frequently Asked Questions About COVID-19

Who is at higher risk of severe illness from COVID-19? Which groups need to take extra precautions?

Question for FAQ on eye protection 8-25-20 (1)Updated to align with the most recent (6/25/2020) CDC guidance.

Who has increased risk for severe illness from COVID-19?

Older adults*

Persons with certain underlying medical conditions **

  • Chronic kidney disease
  • COPD (chronic obstructive pulmonary disease)
  • Immunocompromised state (weakened immune system) from solid organ transplant
  • Obesity (body mass index [BMI] of 30 or higher)
  • Serious heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
  • Sickle cell disease
  • Type 2 diabetes mellitus
  • Children who are medically complex **

Who might have increased risk for severe illness from COVID-19 ***

Persons with certain underlying medical conditions

  • Asthma (moderate-to-severe)
  • Cerebrovascular disease (affects blood vessels and blood supply to the brain)
  • Cystic fibrosis
  • Hypertension or high blood pressure
  • Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
  • Neurologic conditions, such as dementia
  • Liver disease
  • Pregnancy
  • Pulmonary fibrosis (having damaged or scarred lung tissues)
  • Smoking
  • Thalassemia (a type of blood disorder)
  • Type 1 diabetes mellitus

Who needs extra precautions ****

  • Racial and ethnic minority groups
  • People with disabilities
  • People who are pregnant
  • People experiencing homelessness
  • People with behavioral or mental disorders
  • People who live in a nursing home or long-term care facility

Notes

* CDC has published data showing that among adults, the risk for severe illness from COVID-19 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. Similarly, people in their 60s or 70s are, in general, at higher risk for severe illness than people in their 50s. The greatest risk for severe illness from COVID-19 is among those aged 85 or older.  While the risk is not zero for younger adults – people in their 20’s, 30’s, and 40’s can and do develop severe COVID-19 illness and should take steps to protect themselves from getting COVID-19.

** Children who are medically complex, who have neurologic, genetic, metabolic conditions, or who have congenital heart disease are at higher risk for severe illness than other children. See CDC pages on pediatric COVID-19.

*** CDC has determined based on limited data and information that based on what we know at this time, people with these conditions might have increased risk for severe illness from COVID-19.

**** Other groups of persons are recommended by CDC to take extra precautions, as emerging data indicate some populations bear disproportionate burden of COVID-19 disease and death, have higher prevalence of underlying conditions, or are experiencing conditions that may facilitate the spread of infection.

How can people reduce their risk of getting sick and prevent the spread of the coronavirus?

Stay home! San Francisco has issued an order for people to stay at home to reduce the spread of COVID-19. Everyone is required to stay home except to get food, care for a relative or friend, get necessary health care, or go to an essential job.  More info about the stay-at-home order is available here.

Stay healthy! Avoiding social isolation and supporting physical and mental health are also important and you can do these in a safer way when you engage in permitted outdoor activities. Find more information on how to have safer social interactions here.

Other ways people can protect themselves and their loved ones from COVID-19:

  • Wash hands with soap and water for at least 20 seconds.
  • Cover your cough or sneeze.
  • Avoid touching your face with unwashed hands.
  • Clean and disinfect frequently touched surfaces daily. If surfaces are dirty, clean them using detergent or soap and water prior to disinfection.
  • Wear a cloth face covering, like a bandanna, or scarf, that covers the nose and mouth, if you must go outside
  • Try alternatives to shaking hands, like an elbow bump or wave.
  • Follow the guidance of public health officials.

When do I need to wear a mask?

(Updated 6/3/2020) Current masking recommendations for San Francisco can be found here: https://sf.gov/information/masks-and-face-coverings-coronavirus-pandemic.

How does someone get COVID-19?

The virus that causes COVID-19 is thought to spread mainly from person-to-person, between people who are in close contact with one another (within about 6 feet), and via respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. Close contact includes being coughed or sneezed on, kissing, sharing food or eating. It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes. This is not thought to be the main way the virus spreads, but we are still learning more about this virus.  People are thought to be most contagious when they are the most symptomatic (the sickest). Spread can occur starting 48 hours before someone shows symptoms.COVID-19 can also be spread by persons who have very mild symptoms of the disease.

What are the symptoms of COVID-19?

(Updated 5/22/2020) COVID-19 symptoms include: fever, chills, repeated shaking or shivering, sore throat, shortness of breath or difficulty breathing, feeling weak or unusually tired, muscle pain, headache, congested or runny nose, diarrhea, and losing the sense of taste or smell.  Someone with COVID-19 can have just one of these symptoms, or more than one. Some persons with COVID-19 have no symptoms at all.  When symptoms do occur they usually begin about 5 days after exposure to the virus, but may appear as soon as 2 days or up to 14 days after exposure.

How do I get tested for COVID-19?

Contact your healthcare provider to get tested:

If you have insurance, you can get tested through your healthcare provider.

Contact your insurance or health system to get testing. Call your healthcare provider directly if you don’t see them on this list:

Carbon Health

415-792-6040

Dignity Health GoHealth Urgent Care

650-448-1455

Kaiser Permanente

800-454-8855

North East Medical Services (NEMS)

415-391-9686

One Medical

415-593-1134

UCSF

415-514-7328

If you DO NOT have health insurance, to schedule a test at one of the following SF Health Network sites, call 415-682-1740 – calls are answered 24 hours a day in most languages.

  • Castro Mission Testing Site 3850 17th St. M-F: 8-5pm | S-S: 12-4
  • Maxine Hall Testing Site 1181 Golden Gate Ave. M-F: 8-5pm
  • Southeast Health Center Testing Site 2401 Keith St. M-F: 8-5pm
  • ZSFG Testing Site 1001 Potrero Ave. M-F: 9-6pm
  • Mission Neighborhood Health Center Shotwell Parking Lot 240 Shotwell St. | 415-552-3870 M-F: 8-5pm (Call for appointment)
  • Or visit gov/citytestsf to get screened and schedule a drive-through or walk-through test at CityTestSF

 

Who should get tested?

You will want to contact your healthcare provider for testing if:

Your medical provider recommends that you get tested without having symptoms – before a procedure, for example

OR

You have one or more COVID-19 symptoms:

  • Fever over 100.4° Fahrenheit or 38.0° Celsius
  • Chills (shivering a lot)
  • Cough
  • Difficulty breathing
  • Fatigue or soreness
  • Loss of smell or taste
  • Sore throat
  • Headache
  • Runny or stuffy nose
  • Diarrhea, feeling sick to your stomach, or throwing up

Additionally, if you leave your home to work in San Francisco, you can get tested without symptoms, if you either:

  • Interact with the public
  • Cannot stay 6 feet apart from people at your job
  • Work directly with people who are most at risk (including working in healthcare, or in long-term care facilities, or with people experiencing homelessness)

OR

  • If you were exposed to someone with COVID-19 in the past 14 days. A close contact is exposure to:
    • people in your home
    • your sex partners
    • people who stayed within 6 feet of you for more than 15 minutes
    • people who take care of you, or who you take care of
    • people for whom you had direct contact with their body fluids or secretions while you were not wearing a facemask, gown, and gloves

If you leave your home to work in SF and these apply to you, visit sf.gov/citytestsf to get screened and schedule a drive-through or walk-through test at CityTestSF

What does “suspected COVID-19” mean?

Suspected COVID-19 means that you have any ONE of the following signs or symptoms, which are new or not otherwise explained:
  • Fever
  • Chills or Repeated Shaking/Shivering
  • Cough
  • Sore Throat
  • Shortness of Breath, Difficulty Breathing
  • Feeling Unusually Weak or Fatigued
  • New Loss of Taste or Smell
  • Muscle pain
  • Headache
  • Runny or congested nose
  • Diarrhea

 

If you have any ONE of the following new symptoms that are not explained by another condition, you MUST stay home from work or school until you either test negative for COVID-19 or you have waited at least 10 days from when your symptoms began. If you have symptoms and get tested negative, you can return to work or school three days after your symptoms have improved. You do not need a doctor’s note or clearance from DPH to return to work. See more information at sfcdcp.org/rtw

I was diagnosed with COVID-19 or have suspected COVID-19, when can I stop isolating myself at home?

(Updated 5/22/2020)

You can stop home isolation when ALL of the following are true:

  • At least 10 days have passed since your symptoms first appeared
  • At least 3 days (72 hours) have passed since you have had a fever (without taking fever-reducing medication such as Tylenol, Advil, or Aleve)
  • Your other symptoms (for example: cough, shortness of breath, sore throat) started to improve at least 3 days ago

*If you are still coughing at the end of your home isolation, please continue to wear a face covering when you are around others

Please see these resources for more information:

What is the treatment if someone gets sick with novel coronavirus?

(Updated 5/22/2020)  Right now there is no specific treatment that cures COVID-19.  The treatment right now is to take care of the symptoms. Most people with COVID-19 will have mild illness and can get better with the proper home care and without the need to see a provider. Just like with the flu, you should drink plenty of fluids and rest.  Non-prescription drugs such as acetaminophen (Tylenol) won’t cure the disease but they can be used to help improve the symptoms. Your health care provider can advise you about medication to help you feel better while you are sick.  The decision to have someone treated at home or at a hospital is made on a case-by-case basis, depending on how sick you are.

A number of drugs are being studied to see if they can be proven to work.  The antiviral drug remdesivir is being tested in hospitalized patients and has so far shown some benefits.  The antimalarial drug hydroxychloroquine has not been shown to be safe or effective in patients with COVID-19.

Is there a vaccine for novel coronavirus?

(Updated 5/22/2020)  Not yet.  Right now there is no vaccine available to protect against novel coronavirus, but several versions of a vaccine are being tested to see if they work to prevent COVID-19 and are safe for humans.

I was a close contact to a case of COVID-19 and was asked to self-quarantine. What should I do?

Please follow the Quarantine Steps that are described in the Home Isolation & Quarantine Guidelines document:  https://www.sfcdcp.org/Home-Isolation-Quarantine-Guidelines

What should I do if I am uninsured and am worried I have COVID-19?

COVID-19 Test Site Information 

You can be tested for COVID-19 if you have at least one of the following:  

  • Body aches  
  • Fatigue  
  • Nasal congestion or runny nose  
  • Chills  
  • Fever (100.4° F/38° C)  
  • Sore throat 
  • Cough  
  • Headache  
  • Shortness of breath  
  • Diarrhea or vomiting  
  • Loss of smell or taste  
  • Recent close contact with a COVID+ person (only available at SF Health Network sites) 

If you have insurance, Contact your insurance provider or one of the following sites to schedule a test.   

  • Carbon Health | 415-792-6040  
  • Dignity Health GoHealth Urgent Care | 650-448-1455 | gohealthuc.com/bayarea/virtual-visits 
  • Kaiser Permanente | 800-464-4000  
  • Northeast Medical Services (NEMS) | 415-391-9686  
  • One Medical | 415-593-1134  
  • UCSF | 415-514-7328  

If you DO NOT have health insurance, Call 415-682-1740 to schedule a test at one of the following SF Health Network sites. Available 24 hours a day in most languages 

  • Castro Mission Testing Site 3850 17th St. M-F: 8-5pm | S-S: 12-4  
  • Maxine Hall Testing Site 1181 Golden Gate Ave. M-F: 8-5pm  
  • Southeast Health Center Testing Site 2401 Keith St. M-F: 8-5pm  
  • ZSFG Testing Site 1001 Potrero Ave. M-F: 9-6pm  
  • Mission Neighborhood Health Center Shotwell Parking Lot 240 Shotwell St. | 415-552-3870 ext. 2217 M-F: 8-5pm (opens May 1, call for appointment)  

Or visit sf.gov/citytestsf to get screened and schedule a test at CityTestSF  

  • Pier 30/32  
  • SOMA at 7th and Brannan  

 

If I am experiencing homelessness and I don’t have a healthcare provider and I’m concerned I might have COVID-19, where can I get healthcare?

You can go to Urgent Care at 50 Ivy Street (also called Whole Person Integrated Care – Urgent Care) during these hours:

  • Monday-Friday 8:30AM – 5:00PM
  • Saturday 9:00AM – 5:00PM

If you are experiencing a medical emergency, seek care at any emergency department.

What are the criteria to be discharged from a City-sponsored Isolation and Quarantine site?

Every person must meet strict criteria for discharge from an Isolation and Quarantine (I&Q) site.

Those who have COVID-19 are not discharged until their symptoms have been gone for at least 72 hours, and at least 10 days have gone by since the start of their illness.  For those who had a positive test but never had symptoms, they are not discharged until at least 10 days have gone by since their first positive COVID-19 test.

This meets CDC standards.  Based on scientific findings, CDC believes people with COVID-19 are no longer contagious after 10 days.  CDC has stated that “replication-competent virus” (virus that can still cause infection) has not been successfully cultured more than 9 days after the onset of illness, and that models estimate the likelihood of finding infectious virus approaches zero by 10 days after infection.

Those who were in quarantine because they are the close contact of a person with COVID-19, but who never developed COVID-19 symptoms, are not discharged until they have completed the full incubation period without developing symptoms.  That is at least 14 days since their last contact with the person with COVID-19.  This also meets CDC standards.

As an additional precaution, people being discharged are given instructions for how to prevent spread of COVID-19.  This includes wearing a face covering in public (and at home, too, if they are still coughing).  They are also reminded to practice frequent hand washing, maintain social distance of at least 6 feet from others, and not to visit with others even if they reside in the same building.

If I travel outside the Bay Area and return to San Francisco, do I need to quarantine?

To the extent possible, limit your nonessential travel during this pandemic. The more people travel, the more interactions people have. The more interactions people have with people outside their household, the greater the risk of getting and spreading COVID-19. If you must travel outside the Bay Area, make sure you wear a face covering and maintain at least 6 feet of distance from people outside your household at all times. If you can, travel by private vehicle with only members of your household. Avoid indoor interactions to the extent possible and keep the number of people you interact with small.

DPH recommends you quarantine for 14 days upon return to San Francisco if during your travels you interacted within 6 feet of individuals outside your household when you or those around you are not wearing face coverings at all times. The more interactions that were indoors, the larger the number of people involved, and the longer the duration of such interactions, the greater the risk. In addition, DPH recommends that you quarantine for 14 days upon return if you traveled on planes, buses, trains, or other forms of group/public transportation where face coverings were not worn at all times by you and those around you while in these enclosed spaces.

For more information on traveling during the pandemic: https://www.cdc.gov/coronavirus/2019-ncov/travelers/travel-during-covid19.html

What is the San Francisco Department of Public Health (SFDPH) doing to protect our health?

The City and County of San Francisco, led by the Department of Public Health, is working on preventing the virus, containing its spread, and reducing harm in the community. We are focused on the most vulnerable groups, including those over the age of 55, people in congregate living settings, and those with chronic medical conditions. However, every sector has a role to play to ensure community health and safety. The health care system, schools, businesses and individuals can all do their part.

Where can I get more information?

More information about COVID-19 in San Francisco can be found on the following pages:

Sign up for the City’s new alert service for official updates: text COVID19SF to 888-777  

Scroll down to see additional websites at the end of this page.

Should the general public wear eye protection (e.g., face shield, goggles) to protect themselves from COVID-19?

There is currently no recommendation that the general public wear eye protection for most day to day activities.  However, your eyes can theoretically be a route of infection for COVID-19, possibly through close contact to an infected person who is not wearing a mask, when they cough, sneeze or laugh.  You can also be exposed by touching your eyes with your hands if they have been contaminated with COVID-19.  A face shield or goggles (but not regular glasses) could provide protection against these types of exposures. Therefore, individuals, particularly those at high risk of exposure or serious disease from COVID, may decide to wear eye protection in addition to masking, as an extra layer of protection against acquiring COVID-19 infection.

See also COVID-19 FAQs from the CDC