The Provincial Infection Control Network of BC has released an updated Provincial Guidance on Return to Work and Exposure Management for Health-Care Workers with Viral Respiratory Illness(VRI). 

While the June 2026 update does not introduce major practice changes, it confirms that the current recommendations remain appropriate and includes updated references, a formal review date, and clarification that health authorities may adapt the guidance based on local circumstances while maintaining the provincial framework.

Key reminders for employers and workers

Health-care workers with suspected or confirmed viral respiratory illness (including COVID-19, influenza, and RSV) should:

• Stay home when sick.
• Return to work when they have been fever-free for at least 24 hours without fever-reducing medication, their symptoms are improving, and they feel well enough to work.
• Wear a medical mask until day 10 from symptom onset (or positive test date if asymptomatic) after returning to work.
• Continue to practice good hand hygiene, respiratory etiquette, and other infection prevention and control measures.

The guidance also reinforces that employers should foster workplace cultures where workers are supported to stay home when they are ill through clear attendance management policies and expectations.

Earlier return to work

In situations where staffing pressures exist, the guidance notes that an earlier return to work should be the exception, not the rule. Any decision should be based on a documented risk assessment that considers worker wellness, patient risk, operational needs, and appropriate infection prevention measures.

SafeCare BC resources

• Respiratory Protection
• Point of Care Risk Assessment - for respiratory illness
• Infection Prevention—Long-Term Care
• Respiratory Protection Templates
• Infection Prevention - Home and Community Care