Note: This update supersedes and replaces the previous recommendations in Appendix B and Appendix C in the originally issued ECNL Return to Play Recommendations, effective as of the date above.

 

Given the accumulation of evidence over the last several months and updated information from the US Centers for Disease Control and Prevention, we are making the following updates to the Appendices in our Return to Training and Return to Competition Recommendations.

APPENDIX B

Return to Play Following Suspected or Diagnosed COVID-19 Infection

These recommendations are intended to guide decision-making regarding players or staff with a COVID-19 infection in order to reduce the risk of disease transmission. If local guidelines recommend or require a longer period of restriction, those should be followed.

Symptomatic player / staff with laboratory-confirmed COVID-19 infection:

  • Cannot attend club events until:

    • At least 24 hours have passed since resolution of fever (defined as 2100.4 degrees F) without the use of fever-reducing medications and symptoms have resolved (exception is loss of taste or smell which may persist for much longer); and

      • At least 10 days have passed since symptoms first appeared

Player / Staff with laboratory-confirmed COVID-19 who have not had any symptoms:

  • Cannot attend club events until:

    • 10 days after the date of their first positive COVID-19 diagnostic test and assuming no symptoms since that time. If symptoms develop, then management should be guided as above for symptomatic individuals.

Player / Staff with symptoms consistent with COVID-19 infection:

  • Cannot attend club events until:

    • At least 24 hours have passed since resolution of symptoms, AND

    • Has had a negative result from a RT-PCR or antigen COVID-19 test​

OR

    • At least 24 hours have passed since resolution of fever (defined as 2100.4 degrees F) without the use of fever-reducing medications and symptoms have resolved (exception is loss of taste or smell which may persist for much longer); and

    • At least 10 days have passed since symptoms first appeared

In accordance with the updated CDC guidance for individuals with a known exposure to an individual diagnosed with COVID-19, we have updated Appendix C as follows:

APPENDIX C

Return to Play Following Exposure to a Suspected or Diagnosed Case of COVID-19

These recommendations are intended to guide decision-making regarding players or staff following exposure to a suspected or diagnosed case of COVID-19 infection in order to reduce the risk of disease transmission. If local guidelines recommend or require longer period of quarantine, those should be followed.

Any asymptomatic player or staff member who has been exposed to an individual with a suspected or diagnosed case of COVID-19 should be quarantined under one of the following two circumstances:

  • For at least 10 days following the last exposure if no COVID-19 tests are available

OR

  • For 7 days if a negative COVID-19 RT-PCR or antigen test result is obtained on day 5 or later

Quarantined individuals should be closely monitoring for symptom development and follow the recommendations for symptomatic individuals if they develop any symptoms at any time. Otherwise, if still asymptomatic at the end of the quarantine period above, they can return to participation.

In general, you need to be in close contact with an individual to contract the disease. In this case, exposure means any one of the following:

  • Caring for a sick person with a suspected or confirmed COVID-19 infection.

  • Living in the same household as an individual with a suspected or confirmed COVID-19 infection.   Being within 6 feet of an individual with a suspected or confirmed COVID-19 for 15 minutes or more within a 24 hour period.

  • Coming in direct contact with secretions from an individual with a suspected or confirmed COVID-19 infection (being coughed or sneezed on, sharing a water bottle or utensils, for example).

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