Novel Coronavirus (COVID-19) Information for the Public

The following resources are prepared for patients and the general public on the COVID-19 Vaccine. For more information about local COVID-19 vaccine efforts, visit https://sf.gov/information/about-covid-19-vaccines

• COVID-19 Vaccine: Myth vs. Fact (SFDPH/JIC, 1/13/21)
• COVID-19 Vaccine FAQs (SFDPH/JIC, 1/13/21) 
• COVID-19 Vaccine FAQs – African American Arts and Cultural District (SFDPH/JIC, 1/13/21)

• Center for Disease Control FAQ. Available in Chinese, Spanish, Vietnamese and Korean. Other languages available through google translate.
• California Department of Public Health FAQ.  Google translate available.
• Los Angeles County Department of Public Health FAQ, with Printable Version. Available in Chinese, Spanish and Tagalog. See link for other languages.
• Center for Disease Control, Handout: What to Expect After Getting The Vaccine. Available in Chinese, Spanish, Vietnamese and Korean. Other languages available through google translate.
• FDA, Handout: Pfizer Fact Sheet for Recipients and Caregivers. Available in Chinese, Spanish and Tagalog. See link for other languages.
• FDA, Handout: Moderna Fact Sheet for Recipients and Caregivers. Available in Chinese, Spanish and Tagalog. See link for other languages.  

• Safer Holiday Celebrations During the COVID-19 Pandemic (SFDPH Updated 1/6/20) [Spanish]  [Chinese]  [Tagalog]
• Tip Sheet for Safer Social Interactions During COVID-19 Pandemic (SFDPH, Updated 12/17/2020)  [Spanish]  [Chinese]  [Tagalog]  [Vietnamese]  [Russian]
• Tips and Frequently Asked Questions for Gatherings (SFDPH, UPDATED 12/17/2020) [Chinese]  [Spanish]  [Tagalog]  [Vietnamese]  [Russian]
• Indoor Risk During the COVID-19 Pandemic (SFDPH, Updated 10/23/2020) [Spanish]  [Chinese]  [Tagalog]

What can I do to protect myself if I am at higher risk for severe illness from COVID-19 or at higher risk of getting exposed to COVID-19? (SFDPH, 10/15/2020)

• Interim Guidance: Traveling by Public Transit (SFDPH, 1/15/21)
• Travel Advisory and Guidance on Safer Essential Travel (SFDPH, Updated 12/18/20) [Spanish]  [Chinese]  [Tagalog]
• Health Officer Order: Surge Related Travel Quarantine (SFDPH, 12/17/2020) [Spanish, Chinese, Tagalog, Russian, Vietnamese]
• Travel Order Explained (SFDPH 12/17/2020)
• Tips for Staying in Lodging Facilities During COVID-19 (SFDPH, Updated 12/4/2020)  [Chinese]  [Spanish]  [Tagalog]  [Russian]  [Vietnamese]

• Indoor Worship Memorandum (SFDPH, 10/2/2020) [Chinese]  [Spanish]  [Tagalog]  [Vietnamese]  [Russian] 
• Best Practices for Houses of Worship Organizing or Facilitating Indoor Religious Gatherings (SFDPH, 9/30/20)

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

After your COVID test

• Informational Booklet: After your COVID-19 test: What to do while you wait for your test results to prevent the spread of COVID-19 and save lives (11/16/20) [Spanish]  [Chinese]  [Tagalog]

 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) [Chinese]  [Spanish]  [Tagalog]  [Vietnamese]  [Russian]

• Home Quarantine Instructions for Under 18 – What to do if your child had close contact with someone
  with COVID-19 (SFDPH, 1/19/21)
• Home Isolation and Quarantine Instructions (SFDPH, 1/15/20) Updated Translations Pending [Chinese]  [Spanish]  [Tagalog]  [Russian]  [Arabic]  [Korean]
• Guidance on Quarantine Duration for Close Contacts of COVID-19 Cases  (SFDPH, 12/18/20) [Chinese]  [Spanish]  [Tagalog]
• Informational Booklet: After your COVID-19 test: What to do while you wait for your test results to prevent the spread of COVID-19 and save lives (11/16/20) [Spanish]  [Chinese]  [Tagalog]
• Frequently Asked Questions for Workers Who Must Isolate or Quarantine Due to COVID-19 (SFDPH, Updated 11/20/20) [Chinese]  [Spanish]  [Tagalog]  [Vietnamese] [Russian]

Ending Isolation and Quarantine

• Interim Guidance: Ending Isolation or Returning to Work for Those Who Have Confirmed or Suspected COVID-19 (SFDPH, Updated 12/1/2020)  [Chinese]  [Spanish]  [Tagalog]

See the new page for schools, childcare, and youth programs.

See the new page for information on schools, childcare, and youth programs. 

• Guidance for Outdoor Playgrounds (SFDPH, 12/4/2020) [Chinese]  [Spanish]  [Tagalog]

• Protecting Yourself from Wildfire Smoke During the COVID-19 Pandemic (SFDPH, 8/27/2020) [Chinese]  [Spanish]  [Tagalog]
• Interim Guidance: Operating a Cleaner Air Site During the COVID-19 Pandemic (SFDPH, 8/21/2020) [Chinese]  [Spanish]  [Tagalog]  

• FAQs: General Ventilation (SFDPH, Updated 1/8/21) Updated Translations Pending [Chinese]  [Spanish]  [Tagalog]  [Vietnamese]  [Russian]
• FAQs: Room Air Exchange Rates (“Air Changes per Hour (ACH)”) (SFDPH, 12/16/20)
• Interim Guidance: Ventilation During the COVID-19 Pandemic (SDDPH 10/20/20)  [Chinese]  [Spanish]  [Tagalog]
• FAQs: Portable Air Cleaners (SFDPH, 11/13/20)  [Spanish]  [Vietnamese]  [Chinese]  [Russian]  [Tagalog]

• COVID-19: Cleaning and Disinfectant Safety & Approved Disinfectants (SFDPH, Updated 12/1/2020) [Spanish]  [Tagalog]  [Chinese]
• Cleaning and Disinfection for Non-emergency Transport Vehicles (CDC, 4/14/2020)

Facility and/or Business Cleaning Guidance

• Cleaning and Disinfecting Your Facility (CDC, 4/14/2020)
• Cleaning & Disinfection for Community Facilities (CDC, 4/1/2020)

Household Cleaning Guidance

• Cleaning and Disinfecting Your Home (CDC, 4/2/2020)
• Cleaning and Disinfection for Households with Suspected or Confirmed COVID-19 (CDC, 3/26/2020)
• Using Shared Laundry Facilities During the COVID-19 Pandemic (SFDPH, 5/6/2020) [Chinese]   [Spanish]

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

• Tip Sheet: Safety Information Regarding Voluntary Use of N95 Respirators (SFDPH, 11/10/2020) [Spanish]  [Chinese]  [Tagalog]  [Vietnamese]
• Respirator Medical Evaluations and N95 Fit Testing Resources (7/14/2020)

Should the general public wear an N95 respirator?

Properly fitted N95 respirators (sometimes called N95 masks or N95s) offer additional protection from the COVID-19 virus which can get past other types of face coverings. Some occupations have regulations that require the use of N95 respirators given the risks involved in the work (e.g., healthcare workers). Even if your occupation doesn’t require or have a standard to use N95 respirators, you may want to consider using an N95 respirator for extra protection especially if:

• You are at higher risk of severe illness if you get COVID-19 (see Who is at higher risk?)
• You must be in higher risk situations like being indoors around people who are unmasked (such as in restaurants or public/shared transit) – see What can I do to protect myself if I am at higher risk for severe illness from COVID-19 or at higher risk of getting exposed to COVID-19?

Please be aware that to work effectively to prevent COVID-19, NIOSH-certified N95 masks should be tightly fitted around your face. An N95 mask is not for everyone, is not designed for children, and will increase the work of breathing, which may make it difficult to wear for long periods of time. If you feel worse wearing an N95 mask, do not wear one. For more information on how to properly and safely wear N95 respirators, see Tip Sheet: Safety Information Regarding Voluntary Use of N95 Respirators

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 wears 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.

Please note that the documents below are intended for City-operated facilities.

• 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]
• 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)
  • Instructions for Personal Protective Equipment (PPE) Use and Re-Use for 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, 4/21/2020)

Going to the Dentist during COVID-19: Information for Patients (SFDPH 7/10/20)  [Chinese]  [Spanish]  [Tagalog]

• Protect Yourself When Using Transportation (CDC)
• Cleaning and Disinfection for Non-emergency Transport Vehicles (CDC)

• Interim Guidance for People Who Are Pregnant or Caring for Others Who Are Pregnant During the COVID-19 Pandemic  (SFDPH, 4/24/2020)   [Spanish]

• COVID-19 Sexual Health Tips (SFDPH, Updated 9/5/2020)  [Chinese]  [Spanish]  [Tagalog]
• San Francisco City Clinic’s COVID-19 Page

• Safer Voting and Ballot Delivery (SFDPH, 10/26/2020)   [Spanish]  [Chinese]  [Tagalog]
• FAQ for Electioneering (SFDPH, 9/21/2020) [Spanish]  [Chinese]  [Tagalog]

• Interim Guidance and FAQ: Congregate Housing Where Residents have Private Rooms (SFDPH, 5/19/2020)
• See cleaning recommendations

• Tips for Visitors to Residential Facilities (SFDPH, 9/6/2020)  [Chinese]  [Spanish]  [Tagalog]  [Russian]
• See elder and residential care facilities administration guidance.

• COVID-19 Guidance for Multifamily Residential Buildings (SFDPH, 5/16/2020)  [Chinese]   [Spanish]   [Tagalog]
• See Cleaning Recommendation

See the SF.GOV Outreach Toolkit for Coronavirus (COVID-19) 

• Coping with Relationship Stress During COVID-19 (SFDPH, 5/19/2020) [Chinese]  [Spanish]  [Vietnamese]
• Infographic: If Someone in Your Building or Neighborhood is Infected With COVID-19 (SFDPH, 5/4/2020) [Chinese]  [Spanish]  [Tagalog]
• Infographic: If Someone in Your Household is Infected With COVID-19 (SFDPH, 5/4/2020) [Chinese]  [Spanish]  [Tagalog]  [Vietnamese]
• Print Resources from CDC (some are highlighted below):
  • Infographic Poster –  COVID-19 Stop the Spread of Germs   [Simplified Chinese]   [Spanish]
  • Frequently Asked Questions and Answers from CDC   [Simplified Chinese]   [Spanish]
  • CDC COVID-19 Fact Sheet   [Simplified Chinese]   [Spanish]
  • CDC What to do if you are Sick with COVID-19   [Simplified Chinese]   [Spanish]
  • CDC Infographic: COVID-19 Symptoms   [Simplified Chinese]   [Spanish]

[Chinese]  [Spanish]  [Tagalog]  [Vietnamese]  [Russian] 

See “What can I do to protect myself if I am at higher risk for severe illness from COVID-19 or at higher risk of getting exposed to COVID-19?”.

(Updated 12/2/2020)

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

Older adults*

Persons with certain underlying medical conditions **

• Cancer
• Chronic kidney disease
• COPD (chronic obstructive pulmonary disease)
• Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
• Immunocompromised state (weakened immune system) from solid organ transplant
• Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2)
• Severe obesity (BMI ≥ 40 kg/m2)
• Pregnancy
• Sickle cell disease
• Smoking
• 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
• Overweight (BMI > 25 kg/m2, but < 30 kg/m2)
• Pulmonary fibrosis (having damaged or scarred lung tissues)
• Thalassemia (a type of blood disorder)
• Type 1 diabetes mellitus

 Who needs extra precautions ****

• Racial and ethnic minority groups
• People who are pregnant or breastfeeding
• People with disabilities
• People with developmental and behavioral disorders
• People with drug use and substance use disorder
• People living in rural communities
• People experiencing homelessness
• Newly resettled refugee populations
• People who live in a nursing home or long-term care facility
• People who live in group homes for people with disabilities

 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.

** The CDC has determined that these conditions place people at higher risk for severe COVID-19 disease based on consistent evidence from multiple small studies or a strong association from a large study. 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 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 a disproportionate burden of COVID-19 disease and death, have a higher prevalence of underlying conditions, or are experiencing conditions that may facilitate the spread of infection.

[Chinese]  [Spanish]  [Tagalog]  [Vietnamese]  [Russian] 

(Updated 12/3/20)

First, follow all the advice on “How can people reduce their risk of getting sick and prevent the spread of COVID-19?”.In addition to those important steps, if you are at higher risk of severe COVID-19 illness (see Who is at higher risk?), or must be in higher risk situations like being indoors around people who are unmasked (such as in restaurants or public transit), you may want to consider these 4 extra precautions: 1) wearing eye protection in addition to a mask, 2) wearing an N95 respirator (also called an N95 mask) instead of a cloth face mask, 3) wearing a mask at home and asking others in your household to wear a mask at home, and 4) getting a flu shot and staying up to date on vaccinations.

Why add eye protection to masks? COVID-19 is spread when people breathe, cough or sneeze the virus and it enters your body by breathing it in, through your eyes, mouth or nose. Your eyes can be a route of infection for COVID-19, possibly by an infected person 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.

What kind of eye protection should I use? A face shield or goggles (but not regular eyeglasses) could provide extra protection against these types of potential eye exposures. Therefore, individuals, particularly those at high risk of exposure or serious disease from COVID-19, may decide to wear eye protection in addition to masking, as an extra layer of protection.

We acknowledge that there is current debate on the most effective types of eye protection – face shields, goggles or purposely-designed safety glasses. For many people the most available and comfortable eye protection option is to wear a face shield over their cloth face covering.

Should I use an N95 mask instead of a cloth face mask? I have heard I should leave them for healthcare workers. N95 masks offer additional protection from the COVID-19 virus which can get past other types of face coverings. Please be aware that to work effectively to prevent COVID-19, NIOSH-certified N95 masks should be tightly fitted around your face. For information on how to get properly fitted for N95, see more at: Resources for Medical Evaluations and N95 Fit Testing Resources. An N95 mask is not for everyone, is not designed for children, and will increase the work of breathing, which may make it difficult to wear for long periods of time. If you feel worse wearing an N95 mask, do not wear one. For more information on how to properly and safely wear N95 respirators, see Tip Sheet: Safety Information Regarding Voluntary Use of N95 Respirators

N95 masks that are available for the public to purchase are not “surgical” N95s which only healthcare settings can purchase so this will not decrease the supply of surgical N95s for healthcare workers. Some employers and some trade associations can help purchase N95s to ensure they are properly certified.

Who should wear a face covering at home? Face coverings offer the greatest protection to others, but there also may be benefits to the person wearing one. Wearing a face covering protects other people because it blocks COVID-19 virus from reaching people around you. However, the latest research now suggests that face coverings may also offer protection to the person wearing the mask, likely by reducing the amount of virus that can be breathed in by the wearer. If people are wearing a mask when they get infected, there is some evidence to suggest the mask may protect them from getting severely ill. If you are at higher risk and live with other people, you may want to consider wearing a mask at home for extra protection. You may also consider asking those in your household to wear a mask, especially if household members are going out to work and are exposed to the public.

Should I get a flu shot? Am I exposed to more COVID-19 risk by leaving my home to get a flu shot? A flu shot is an important way to protect your health, especially during the COVID-19 pandemic. Many healthcare providers and other sites, such as pharmacies, are providing flu shots while maintaining social distancing and requiring masks, or even providing outdoors or drive-up options. Getting a flu shot is an important way to avoid an infection that may look like COVID-19. Staying up to date with your vaccinations is a good way to protect your health.

[Chinese]  [Spanish]  [Tagalog]  [Vietnamese]  [Russian]

(updated 12/3/20)

Stay home! San Francisco has issued an order for people to stay at home to reduce the spread of COVID-19. As more businesses and activities have been allowed, the best way to prevent getting COVID-19 is still to stay home and away from others who don’t live with you. More info about the stay-at-home order is available here. Keep in mind that although many indoor activities and businesses are allowed to be open, that does not mean they are “safe.” The Department of Public Health has worked hard with businesses and community groups to help make their activities SAFER but COVID-19 risk cannot be completely eliminated when people from different household are getting together, especially indoors. The COVID-19 virus can travel in the air greater than 6 feet and builds up indoors. Avoid indoor activities to the extent possible. To find out more about the indoor risk of COVID-19, see www.sfcdcp.org/indoorrisk.

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:

• Stay at least 6 feet away from people who are not in your household
• Wash hands with soap and water for at least 20 seconds.
• Cover your cough or sneeze.
• Avoid touching your face with unwashed hands.
• Get a flu shot and stay up to date on your vaccinations.
• 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 mask, 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.

If you are at higher risk of severe illness from COVID-19 or at higher risk of getting exposed to COVID-19 because you must be in higher risk situations like being indoors around people who are unmasked (such as in restaurants or public transit), see further tips above on “What can I do to protect myself if I am at higher risk for severe illness from COVID-19 or at higher risk of getting exposed to COVID-19?”

[Chinese]  [Spanish]  [Tagalog]

Last updated: 1/7/2021

As of December 28, 2020, there are two authorized and recommended vaccines to prevent COVID-19:

• ​​​​Pfizer-BioNTech COVID-19 vaccine – is ​authorized for people aged 16 years and older.
• Moderna’s COVID-19 vaccine – is authorized for people aged 18 years and older.

People who are pregnant or are lactating/breastfeeding may want to discuss getting vaccinated with their health care providers. The CDC has posted Vaccination Considerations for People who are Pregnant or Breastfeeding.

See the California Department of Public Health Allocation Guidelines for COVID-19 Vaccine during Phase IA.

FAQs about COVID-19 Vaccination from the CDC. The CDC has their FAQs readily available in Spanish, Chinese, Vietnamese, and Korean.

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

Our current understanding is that COVID-19 is mostly spread from person-to-person in the air through virus-containing droplets in the breath of someone with COVID-19. These droplets enter the air when a person breathes. Even more droplets can get in the air when infected people talk, sing, cough, or sneeze. People with COVID-19 may have no symptoms and can still be breathing out virus-containing droplets that can infect others. Transmission can occur through:

• Larger droplets. These larger droplets are sometimes called “ballistic droplets” because they travel in straight lines and are pulled down by gravity. People nearby, usually within 6 feet, are infected when they breathe in these droplets or if the droplets land in their eyes, nose, or mouth.
• Smaller droplets or infectious particles. These can float in the air for a period of time and/or travel beyond 6 feet on indoor air currents, especially in enclosed spaces with poor ventilation. People sharing the same space are infected when they breathe in these smaller droplets and particles or the droplets or particles land on their eyes, nose, or mouth – even if they are further than 6 feet away. These droplets are sometimes referred to as “aerosols” or “bioaerosols”.
• COVID-19 can also spread if a person touches a surface that is contaminated and then touches their eyes, nose, or mouth. Contaminated surfaces are sometimes called “fomites”. However, this is less common

Generally, whenever possible, choose outdoor activities over indoor activities, and if you need to go indoors or be in an enclosed space, limit your time there if you are with people who are not in your household. Avoid indoor and enclosed spaces that are crowded and have poor ventilation.

(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.

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

(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:

• Home Isolation and Quarantine Guidelines
• SFDPH Guidance for Ending Home Isolation and Returning to Work

(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.

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

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  

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.

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.

Last updated January 15, 2021

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.

Under the current travel order, you MUST quarantine for 10 days upon return to San Francisco from anywhere outside the Bay Area with limited exceptions (see https://www.sfdph.org/dph/files/ig/COVID-Travel-Advisory.pdf for further information) and are strongly discouraged from any non-essential travel within the 10-county Bay Area region.

For more information on traveling during the pandemic visit:

• San Francisco Department of Public Health Travel
• CDC’s Domestic Travel During the COVID-19 Pandemic
• CDC’s Testing and International Air Travel

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.

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

• Visit SF.gov for information about social distancing, city services and support available to people and organizations in San Francisco.
• SF case numbers, Health Orders, Press Releases and Statements are available on the San Francisco Department of Public Health COVID-19 Page
• San Francisco’s COVID-19 Data Tracker

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.

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.

No special handling, cleaning, or disinfection is required when separating and disposing of solid waste during COVID-19, according to the CDC. Continue to follow the recommended guidelines for cleaning and disinfecting.

If you work in a healthcare setting, follow the specific health and safety protocols for your facility.

No special handling is required of solid waste (as noted above); however, if you’re caring for someone in a private residence consider the following:

• Dedicate a lined-lidded waste container for the ill person.
• Sort/separate solid waste before leaving that person’s room or location (rather than in a communal space such as a kitchen, hallway, other shared living space).
• Wear gloves when handling waste for the person you are caring for
• Bag it and tie it. Tightly secure all trash in plastic bags.
• Wash hands after removing trash.

If you work for a Home Health Agency, follow your employer’s health and safety protocols.