Fever with respiratory symptoms and/or tightness of the chest

Information letter in addition to the LCI guideline COVID-19 | Version 1 April 2020 | Information for a person who may have been infected with the new coronavirus and who can remain at home 

To Overview rules of living (Dutch) and information letters (Dutch and English)

I have a fever with respiratory symptoms and/or tightness of the chest. What happens next?


Dear Sir, Madam,

Because you have a fever and therefore may have COVID-19, this information is important to you. You are placed under home isolation. Your household members must also stay at home. We realise that this can be a big task and that it can affect your daily life. You do not have to be tested.

Is your situation worsening or do you need medical assistance? Do not go to the general practitioner or hospital, but call your GP.

This letter contains a number of rules you should abide by. There is a separate instruction for your household or family members (they stay at home too). It is important for the entire household to follow these rules. This helps to prevent the people around you from getting infected. This is particularly important for people over 70 or for people who are vulnerable due to illness. Healthcare providers are subject to separate rules.

You can go out again when you have not had any symptoms for 24 hours. That means: No fever, no nasal colds and no cough.

Follow the general advice currently in force in the Netherlands about school and work - see Rijksoverheid.nl.

Do you have any questions? If so, contact the GGD (Municipal Health Service) in your region or go to Coronavirus COVID-19 | Rijksoverheid.nl.

Rules of living


1. Stay home, do not allow any visitors. All family members/household members stay at home too

  • You must stay at home, you cannot not go outside.
  • You can sit in your garden or on your balcony, if there are no other people present.
  • You cannot receive visitors, except for the GP and the GGD.
  • Only the people who live with you are allowed to be in your home.
  • Your household members are also not allowed to receive visitors.
  • Your household members/family members have received a separate information letter with instructions.

2. How do I handle the people who live with me?

  • Stay in your own room as much as possible. That is where you sleep, and you sleep alone.
  • The other people in your home enter your room as little as possible.
  • You have as little contact as possible with the people in the house and you stay 1.5 metres away from each other. So no hugging, kissing or having sex.
  • Use your own separate cutlery, plates, cups and glasses.
  • Use your own toothbrush.
  • Use your own separate towels.
  • If possible, use a separate toilet and bathroom for yourself. If there is only one toilet and one bathroom in the house, you can share these with the other members of your household. It is important that you clean the toilet and the bathroom every day and ventilate every day, if possible, by opening the window for 30 minutes.

3. Ensure good personal hygiene

  • Use a paper handkerchief. If you do not have a paper handkerchief at hand, you must cough in the fold of your elbow.
  • Use a handkerchief only once and dispose of the handkerchief in a plastic bag after use. Wash your hands.
  • Regularly wash your hands with water and soap. Always do this after coughing and sneezing, after you have been to the toilet, after cleaning and clearing up and before eating.

4. Ensure good hygiene in your room

  • Stay in a separate room as much as possible.
  • In the rooms where you are staying, open a window a few times a day. This will bring fresh air in.
  • Clean the bathroom and toilet frequently.
  • Remember to also clean the tap, light switches and door handle.
  • Then, wash your hands with water and soap.

5. Ensure good hygiene in the house

  • If possible, clean frequently used surfaces such as bedside tables, door handles and light switches every day.
  • First, clean using a regular cleaning agent.
  • Next, clean the hand contact areas such as the toilet flush panel, door handles and light switches with household bleach.
  • For this, take a new bucket with 5 litres of water. Add 125 millilitres of bleach, which is one coffee cup. You can buy bleach in the supermarket.
  • Afterwards, put the cleaning cloth directly in the laundry basket.
  • Then, wash your hands with water and soap.

 6. Ensure good hygiene when disposing of waste

  • Avoid spreading body fluids, such as faeces, saliva, mucus, sweat and urine.
  • If possible, throw your laundry in a separate laundry basket and wash it at least at 60 degrees Celsius with a full wash cycle and normal detergent.
  • If possible, wash your dishes separately, using standard washing-up liquid and hot water, or in the dishwasher on an extensive cleaning cycle.
  • If possible, dispose of your waste in a separate waste bag in your own room. The bag can be placed in the grey waste bin.


Overview of all information letters in English

  1. Confirmed patient home situation
  2. Confirmed patient household members
  3. Fever with respiratory symptoms and/or tightness of the chest
  4. Fever with respiratory symptoms and/or tightness of the chest household members
  5. Person with a common cold and household members

More information from the RIVM about COVID-19 in English