Quaranty role in the control of corona virus and its impact on world economy

Quarantine Role in the Control of Corona Virus in the World and Its Impact on the World Economy Dr.Naushad Khan Institute of Development Studies, The University of Agriculture Peshawar

Quarantine Role in the Control of Corona Virus in the World and Its Impact on the

World Economy

Dr.Naushad Khan Institute of Development Studies, The University of Agriculture Peshawar

Email:- drkhan@aup.edu.pk

Shah Fahad Student of B.Sc(Hons) Agriculture, Department of Rural Sociology, The University of Agriculture Peshawar

Shah Faisal Student of B.Sc (Hons) Agriculture, The University of Agriculture Peshawar

Mahnoor Naushad Student of B.Sc (Hons) Agriculture, The University of Agriculture Peshawar

of trades of all the countries of the world negatively affected which further disturb the prosperity of the world So quarantine on one side control the corona virus in the world, while on the other side affect all business activities of the world and make the world environment unfavorable, which crash the whole world economy Similarly when first corona virus appeared in China Wuhan where in the first instance it was not declared due to unavoidable effect on the China economy while lately it was announced because of this the corona spread into the whole world now 100 countries have been affected and total 200000 persons were infected by this virus Out of the whole 70% belong to China and 30 percent belong to other remaining countries of the world It was the main reason of the poor quarantine of the world countries and delay information of the China which was given to We chat by Dr.Li which latter on died by this virus The study also explained that the quarantine of the world of all the countries are very weak and because of this the people which came from Wuhan were not properly checked and allow to their countries which latter on spread the Corona virus in their countries and make environment unfavorable and multiplied the number of

affected in the world and crash the economy and spread a huge panic in the world Now UNO try for solution while WHO on the start not focus on the quarantine and told that no need of the quarantine while latter on the epidemic reached to multiple countries of the world which killed large number of people in their countries So quarantine and social distance are the two factors which reduce the corona virus in the world while on other side which affect the world economy negatively If the epidemic continue for large time then there is a chance of world economy crashing because the number of corona virus in China day by day decreasing while in other countries of the world day by day increasing which have closed all department of the world countries out of China China has controlled the situation and the number digit came into single while in other countries the digit increase, such as Italy, South Korea, Iran, are the top countries in the world

On the basis of problems the study recommends that to impose strong quarantine in the whole world and focus on China and when anyone come from Wuhan the corona symptoms are observed or not but social distance should be kept from those people and give a separate place to them in the country till June July

2020 Special train health services group should be kept for corona virus sick people in the country on the basis of emergency, if the sick people are present or not; Boundaries of all countries should be sealed and all department of the countries should be closed till June July 2020; Social gathering should be baned in each country of the world; Province to province boundaries should be closed and sealed in a proper way while on quarantine places armies personal should be appointed for tight security; Face Mask should be supplied to all people of the world on free price; Honest staff should be appointed for duty of corona virus control; Mobile set should be provided to all world on free price for contact of one another; Fund should be provided

by UNO to all affected countries of the world; Stigma and fake propaganda of corona virus should be reduced; Number of the hospital should be multiplied in all countries of the world for control of corona Virus; Net classes should be started for school, college and university student; Airport and transport facilities should be closed in the area for control of corona virus; World Doctor should be tried for vaccine invention; Islamic principle should be applied by people for corona virus control; In week one day market should be opened for purchasing of daily need commodities in all countries of the world; Information cell center should be opened in each country of the world for communication of information to concerned head quarter Always keep the body warm and escape from coldness in the country Always want help from Allah

Key Words:- Quarantine, Role, Control, Corona Virus, Impacts , World Economy

It is reported by UNICIF that the size of corona virus is so small which cannot seen with the help of eye So

it does pass from any mask cloth and never spread in the atmosphere and only live on anything in the

universe The life of corona is 12 hours It will died by soap and water When it fell on the clothes whose life

is 9 hours while by washing clothes and put in the sun also died after 2 hours while it live for 10 minutes on the hands It also died by 27 and 26 degree centigrade and because of this it never lives in the warm area Therefore the world scientist told that till June July 2020 the panic will be finished so now every country of the world are waiting to the mentioned date Quarantine play great role in corona virus control It stops spreading of the corona virus from one country to another Through quarantine sick persons are diagnosed and then put them in separate places till recovery Through this process the number of corona sick person infection should be reduced Corona virus has disturbed the world economy and if time become large then the world economy crashing is possible UNO and WHO try for corona virus controlling All doctors of the world are trying for its control measure but still the situation of the world is worsen day by day and have captured large number of countries of the world There the main reason is the quarantine failure in the world and without good quarantine the controlling of corona virus is impossible Seeing to its importance the present study was arranged for the beneficiaries of the world community The major objectives of the study are the role of quarantine role in control of corona virus and its impact on the world economy

2 METHODS AND MATERIAL

The Universe of the study is the world Corona has disturbed the whole economy of the world and majority persons have been killed by corona Total 13 articles were downloaded from the net and analyzed the situation and draw the conclusion about quarantine how it control the corona virus in the world and how the corona virus affect the world economy

3 PAST LITERATURE ON QUARANTINE ROLE IN CORUNA VIRUS CONTROLE AND ITS IMPACTS ON THE WORLD ECONOMY

1 CDC is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus that was first detected in China and which has now been detected in more than 100 locations internationally, including in the United States The virus has been named “SARS-CoV-2” and the disease it causes has been named

“coronavirus disease 2019” (abbreviated “COVID-19”).On January 30, 2020, the International Health Regulations Emergency Committee of the World Health Organization (WHO) declared the outbreak a

“public health emergency of international concern external icon” (PHEIC) On January 31, Health and Human Services Secretary Alex M Azar II declared a public health emergency (PHE) for the United States

to aid the nation’s healthcare community in responding to COVID-19 On March 11, WHO publicly external icon characterized COVID-19 as a pandemic On March 13, the President of the United States declared the COVID-19 outbreak a national emergency external icon Coronaviruses are a large family of viruses that are common in people and many different species of animals, including camels, cattle, cats, and bats Rarely, animal coronaviruses can infect people and then spread between people such as with MERS-CoV, SARS-CoV, and now with this new virus (named SARS-CoV-2).The SARS-CoV-2 virus is a beta coronavirus, like MERS-CoV and SARS-CoV All three of these viruses have their origins in bats The sequences from U.S patients are similar to the one that China initially posted, suggesting a likely single, recent emergence of this virus from an animal reservoir Early on, many of the patients at the epicenter of the outbreak in Wuhan, Hubei Province, China had some link to a large seafood and live animal market, suggesting animal-to-person spread Later, a growing number of patients reportedly did not have exposure to animal markets, indicating person-to-person spread Person-to-person spread was subsequently reported outside Hubei and in countries outside China, including in the United States Some international destinations now have ongoing community spread with the virus that causes COVID-19, as do some parts of the United States Community spread means some people have been infected and it is not known how or where they became exposed Learn what

is known about the spread of this newly emerged coronaviruses The complete clinical picture with regard to COVID-19 is not fully known Reported illnesses have ranged from very mild (including some with no reported symptoms) to severe, including illness resulting in death While information so far suggests that most COVID-19 illness is mild, a report external icon out of China suggests serious illness occurs in 16% of cases Older people and people of all ages with severe chronic medical conditions like heart disease, lung disease and diabetes, for example, seem to be at higher risk of developing serious COVID-19 illness A pandemic is a global outbreak of disease Pandemics happen when a new virus emerges to infect people and can spread between people sustainably Because there is little to no pre-existing immunity against the new virus, it spreads worldwide The virus that causes COVID-19 is infecting people and spreading easily from person-to-person Cases have been detected in most countries worldwide and community spread is being detected in a growing number of countries On March 11, the COVID-19 outbreak was characterized as a pandemic by the WHO external icon This is the first pandemic known to be caused by the emergence of a new coronavirus In the past century, there have been four pandemics caused by the emergence of novel influenza viruses As a result, most research and guidance around pandemics is specific to influenza, but the same premises can be applied to the current COVID-19 pandemic Pandemics of respiratory disease follow a certain progression outlined in a “Pandemic Intervals Framework.” Pandemics begin with an investigation phase, followed by recognition, initiation, and acceleration phases The peak of illnesses occurs at the end of the acceleration phase, which is followed by a deceleration phase, during which there is a decrease in

illnesses Different countries can be in different phases of the pandemic at any point in time and different parts of the same country can also be in different phases of a pandemic There are ongoing investigations to learn more This is a rapidly evolving situation and information will be updated as it becomes available Different parts of the country are seeing different levels of COVID-19 activity The United States nationally

is currently in the initiation phases, but states where community spread is occurring are in the acceleration phase The duration and severity of each phase can vary depending on the characteristics of the virus and the public health response CDC and state and local public health laboratories are testing for the virus that causes COVID-19 Imported cases in travelers, Cases among close contacts of a known case, Community-acquired cases where the source of the infection is unknown Three U.S states are experiencing sustained community spread View latest case counts, deaths, and a map of states with reported cases Risk depends on characteristics of the virus, including how well it spreads between people; the severity of resulting illness; and the medical or other measures available to control the impact of the virus (for example, vaccines or medications that can treat the illness) and the relative success of these In the absence of vaccine or treatment medications, non pharmaceutical interventions become the most important response strategy These are community interventions that can reduce the impact of disease The risk from COVID-19 to Americans can

be broken down into risk of exposure versus risk of serious illness and death The immediate risk of being exposed to this virus is still low for most Americans, but as the outbreak expands, that risk will increase Cases of COVID-19 and instances of community spread are being reported in a growing number of states People in places where ongoing community spread of the virus that causes COVID-19 has been reported are

at elevated risk of exposure, with the level of risk dependent on the location Healthcare workers caring for patients with COVID-19 are at elevated risk of exposure Close contacts of persons with COVID-19 also are

at elevated risk of exposure Travelers returning from affected international locations where community spread is occurring also are at elevated risk of exposure, with level of risk dependent on where they traveled Early information out of China, where COVID-19 first started, shows that some people are at higher risk of getting very sick from this illness This includes: Older adults, with risk increasing by age People who have serious chronic medical conditions like: Heart disease, Diabetes, Lung disease CDC has developed guidance

to help in the risk assessment and management of people with potential exposures to COVID-19 More cases

of COVID-19 are likely to be identified in the United States in the coming days, including more instances of community spread CDC expects that widespread transmission of COVID-19 in the United States will occur

In the coming months, most of the U.S population will be exposed to this virus Widespread transmission of COVID-19 could translate into large numbers of people needing medical care at the same time Schools, childcare centers, and workplaces, may experience more absenteeism Mass gatherings may be sparsely attended or postponed Public health and healthcare systems may become overloaded, with elevated rates of

hospitalizations and deaths Other critical infrastructure, such as law enforcement, emergency medical services, and sectors of the transportation industry may also be affected Healthcare providers and hospitals may be overwhelmed At this time, there is no vaccine to protect against COVID-19 and no medications approved to treat it Non pharmaceutical interventions will be the most important response strategy to try to delay the spread of the virus and reduce the impact of disease Global efforts at this time are focused concurrently on lessening the spread and impact of this virus The federal government is working closely with state, local, tribal, and territorial partners, as well as public health partners, to respond to this public health threat CDC is implementing its pandemic preparedness and response plans, working on multiple fronts, including providing specific guidance on measures to prepare communities to respond to local spread

of the virus that causes COVID-19 There is an abundance of pandemic guidance developed in anticipation

of an influenza pandemic that is being adapted for a potential COVID-19 pandemic CDC established a COVID-19 Incident Management System on January 7, 2020 On January 21, CDC activated its Emergency Operations Center to better provide ongoing support to the COVID-19 response The U.S government has taken unprecedented steps with respect to travel in response to the growing public health threat posed by this new coronavirus: Foreign nationals who have been in China or Iran within the past 14 days cannot enter the United States U.S citizens, residents, and their immediate family members who have been in China or Iran within in the past 14 days can enter the United States, but they are subject to health monitoring and possible quarantine for up to 14 days On March 11external icon, a similar policy was expanded to include 26 European countries for a period of 30 days On March 14 external icon, a similar policy was issued to include the United Kingdom and the Republic of Ireland On March 8, CDC recommended that people at higher risk of serious COVID-19 illness avoid cruise travel and non-essential air travel Additionally, CDC has issued the following additional specific travel guidance related to COVID-19 CDC has issued clinical guidance, including: On January 30, CDC published guidance for healthcare professionals on the clinical care of COVID-19 patients On February 3, CDC posted guidance for assessing the potential risk for various exposures to COVID-19 and managing those people appropriately On February 27, CDC updated its criteria

to guide evaluation of persons under investigation for COVID-19 On March 8, CDC issued a Health Alert Network (HAN) On March 10, CDC issued updated infection control guidance for healthcare settings, including guidance on the use of personal protective equipment (PPE) during a shortage CDC has deployed multidisciplinary teams to support state health departments case identification, contact tracing, clinical management, and public communications CDC has worked with federal partners to support the safe return

of Americans overseas who have been affected by COVID-19 An important part of CDC’s role during a public health emergency is to develop a test for the pathogen and equip state and local public health labs with testing capacity.CDC developed an rRT-PCR test to diagnose COVID-19.As of the evening of March 10, 79

state and local public health labs in 50 states and the District of Columbia have successfully verified and are currently using CDC COVID-19 diagnostic tests Combined with other reagents that CDC has procured, there are enough testing kits to test more than 75,000 people In addition, CDC has two laboratories conducting testing for the virus that causes COVID-19 CDC can test approximately 350 specimens per day Commercial labs are working to develop their own tests that hopefully will be available soon This will allow

a greater number of tests to happen close to where potential cases are CDC has grown the COVID-19 virus

in cell culture, which is necessary for further studies, including for additional genetic characterization The cell-grown virus was sent to NIH’s BEI Resources Repository external icon for use by the broad scientific community CDC also is developing a serology test for COVID-19 Everyone can do their part to help us respond to this emerging public health threat: Individuals and communities should familiarize themselves with recommendations to protect themselves and their communities from getting and spreading respiratory illnesses like COVID-19 Older people and people with severe chronic conditions should take special precautions because they are at higher risk of developing serious COVID-19 illness If you are a healthcare provider, use your judgment to determine if a patient has signs and symptoms compatible with COVID-19 and whether the patient should be tested Factors to consider in addition to clinical symptoms may include: Does the patient have recent travel from an affected area? Has the patient been in close contact with someone with COVID-19 or with patients with pneumonia of unknown cause? Does the patient reside in an area where there has been community spread of COVID-19? If you are a healthcare provider or a public health responder caring for a COVID-19 patient, please take care of yourself and follow recommended infection control procedures If you are a close contact of someone with COVID-19 and develop symptoms of COVID-19, call your healthcare provider and tell them about your symptoms and your exposure They will decide whether you need to be tested, but keep in mind that there is no treatment for COVID-19 and people who are mildly ill are able to isolate at home If you are a resident in a community where there is ongoing spread of COVID-19 and you develop COVID-19 symptoms, call your healthcare provider and tell them about your symptoms They will decide whether you need to be tested, but keep in mind that there is no treatment for COVID-19 and people who are mildly ill are able to isolate at home For people who are ill with COVID-19, but are not sick enough to be hospitalized, please follow CDC guidance on how to reduce the risk of spreading your illness to others People who are mildly ill with COVID-19 are able to isolate at home during their illness If you have been in China or another affected area or have been exposed to someone sick with COVID-19 in the last 14 days, you will face some limitations on your movement and activity Please follow instructions during this time Your cooperation is integral to the ongoing public health response to try to slow spread of this virus

2 Turner (6, March, 2020) reported that as the coronavirus continues to spread to more countries, and outbreaks accelerate in places like Germany and France, people around the world are staying inside Thousands who live in areas with major outbreaks, or who have tested positive for the Covid-19 disease, have been put in quarantine or isolation Millions of others who live in countries where coronavirus has spread are avoiding crowds or not leaving their homes in order to reduce the risk of contracting the disease They are stocking up on food and hand sanitizer They are hunkering down, turning to the television and internet to pass the time as they wait out the crisis Public health experts, including officials at the Centers for Disease Control and Prevention, emphasize the importance of choosing to stay home, especially if you feel sick It’s not just for personal safety Staying home reduces the risk to others, especially the most vulnerable:

“your elderly neighbors, your neighbors who work at hospitals, your neighbors with chronic illnesses, and your neighbors who may not have the means or the time to prepare because of lack of resources or time,” as Zeynep Tufekci put it in Scientific American They spoke to people in five different countries: from China, where people in Wuhan have been living largely inside their homes for more than a month, to Singapore, where people are required to take their temperature before and after they leave school or work People around the globe are taking the threat of this disease seriously Here are their stories of enduring the outbreak Cheng Li, 65, retired librarian in Wuhan, China They first heard the term “pneumonia of unknown cause” around December 30 There was chatter on WeChat of the number of people that had been infected, and she immediately thought “SARS.” But my heart sank even further when she learned that it wasn’t SARS, but a new coronavirus (2019-nCoV) that can be transmitted from person to person, with high infection and lethality rates She knew that this was going to be something big After the Wuhan municipal government decided to shut down all transportation on January 23, a mere two days before the Lunar New Year, my husband and I canceled all of our celebratory plans This was the first year in all my 65 years that I didn’t spend the New Year with family Not long after the holiday, daily necessities like masks and disinfectants started becoming scarce in stores Soon, stores were closed altogether As more people became infected, government measures became stricter I was no longer able to go out and walk our mini schnauzer We abided and stayed inside We have been at home for more than 40 days now At first, I vacillated between worried and bored But then I gradually adapted to our new life of isolation and learned to entertain myself I wrote in my journal, I sketched pictures, and I learned to make a whole array of pastries, like rose-shaped steamed buns and scallion pancakes with beef Although life is a bit more inconvenient than normal, we no longer worry about the day-to-day Our community leader coordinates with local supermarkets to ensure every household has enough food and supplies When the coronavirus outbreak first started, our community faced each other with panic and fear; now we are calm, encouraging each other to stay positive through WeChat.Wuhan is a gem, known for its economy, culture, science, and technology, and it is also where I

have lived my entire life Sadly, it may take a while for the city to bounce back But I know that as soon as the lockdown is lifted, I’ll return to enjoying all it has to offer, strolling the streets and shops, and eating re gan mian, doupi, and lotus dishes sourced straight from East Lake Every day, I watch the news and feel increasingly hopeful as the number of cases decreases In a time of such uncertainty, it’s comforting to know that we have done everything we can to help control the epidemic It even makes being quarantined at home

feel worth it As told to and translated by Alicia Lu Li’s name was changed to protect her privacy Luciana

Grosso, 39, journalist in Lodi, Italy I wake up on the fifth day of my isolation, and my first thought is the thing I would like most in the world is to have breakfast in my favorite bar Immediately, I remember that I cannot It is closed — almost all the bars are I get up, make coffee by myself, and wonder when I’ll finally get to go back The city where I live, Lodi, is in the “yellow zone” for coronavirus risk, an area of alert but not of complete isolation The streets are open, but nobody is outside: Schools and offices are closed, streets are deserted, and there is a curfew at 6 pm The silence out here feels unreal Meanwhile, the “red zone,” 10 kilometers from here, is completely quarantined: 10 small country villages, 50,000 inhabitants overall, in the deep Lombardian countryside,have been closed by the army that inhibit entrance and exit Nobody can move from there, and every activity has been suspended: no schools, no meetings, no carnival, no public events Also, Sunday Mass has been banned, the bishop arranging to live stream it on the internet At first, I have to admit that the coronavirus story felt sort of amusing to many of us A tiny part of my brain thought it was

like playing The Walking Dead (“Can I be Negan?” I would say to my friends) But then the hours have passed, the alert has grown, the cases multiplied, and The Walking Dead fantasy stopped being fun The real

fear and the paranoia started to spread around: All of us know someone who has been put in medical quarantine, who has been hospitalized, or who has been tested and is waiting for the results Now we are just looking for a way to pass the time Those who can work from home; those who cannot are simply doing nothing I call Gianfranco, a friend of mine who lives in Bertonico, which is inside the red zone He sounds calm, but he tells me that things inside the red zone are sur real: “They have closed us here and just told us to wait We feel bored, but we try not to get caught up in hysteria The ones who can go out to take a walk or to the grocery store, even if it is not easy, because no more than 40 people at a time are allowed to enter, to avoid gatherings Some pharmacies have started to ban the access and to serve the customers by a small window The sooner it ends, the better it is.”I decide to take the car and go to the “border” of a red zone country town called Castiglione d’Adda, which has 4,600 inhabitants and is surrounded by cultivated fields I see an elderly couple taking a walk We talk to each other yelling across the border, under the surveillance of police, who are posted up at checkpoints “To us, quarantine or non-quarantine, nothing changes,” they tell

me The youngest, on the contrary, are the ones in real trouble, says Sara, a 15-year-old girl I met near the border Kept home from school, with nothing to do and nowhere to go, they are left alone with Netflix, social

networks, and some extra homework “Me and my friends have created a new WhatsApp group,” Sarah told

me “We have called it ‘Fuck Covid.’ It is a good name, don’t you think?” Yes, I tell her It’s a great name Mac Schwerin, 31, writer in Singapore My workday begins with a temperature check to the forehead using one of those infrared sensor guns that beep when you pull the trigger I’m told anything above 37.5 degrees Celsius means trouble I live in Singapore, where coronavirus surfaced soon after escaping China We had our first confirmed case in late January and our first case by local transmission a couple weeks later; after that, the government declared Code Orange and began implementing more serious containment measures It sounds like martial law, but it wasn’t a big deal Some ministers went on Channel 5 to calm people down,

and the Straits Times, another unofficial organ of the state, ran considered, anti-sensationalist coverage The

guidelines put into effect were modest My office, like all offices, was encouraged (or perhaps required; it can be hard to tell in Singapore) to screen employees at the start and close of business So now every day, I beep myself and record the temperature on a hard copy list, which may or may not find its way to some bottomless spreadsheet in the cloud In public, thermal readers have been placed at checkpoints to high-traffic areas They feature fixed cameras that pick up your heat signature and display it on monitors manned

by bored-looking bureaucrats It is impossible to walk past one of these stations, as I do several times a day, without worrying an alarm will go off and a cage will suddenly drop from above, like in that game Mouse Trap.Bigger institutions lean more cautious An acquaintance who’s doing a semester abroad at a local university has had most of her classes made remote When she does go in, the school instructs everyone to sit

at least one desk apart Singapore has mounted an effective response to the virus in much the same way it tackles every issue of governance: behind closed doors, with a blend of brilliant technocratic precision and blunt authoritarian resolve One of the government’s strongest tools has been a sophisticated method

of contact tracing, whereby Ministry of Health members work with police to identify likely cases before they emerge Investigators comb through records, cue up CCTV footage, and generally focus the lens of state surveillance on individuals who may (or may not) be unwitting vectors of the illness Their approach has made Singapore among the safest ports in this storm It sounds great but then again, I’ve never gotten a phone call Daniel Oh, 17, high school student in Seoul, South Korea I am a high school senior living in Seoul, South Korea As a response to coronavirus, the Korean government has shut down my school Events

I was looking forward to have also been canceled, including music festivals, debate competitions, and sporting events I take classes online on voice chat platforms with my teachers and peers Teachers have been assigning more homework online due to the limitations of not having a physical classroom in place of proper lessons My church has also closed in-person services and moved to online streaming Every Sunday morning, our family casts the YouTube stream onto our TV It’s been a strange feeling to worship at home, but I’ve been trying vigilantly to keep my spirits up I spend most of my days at home completing

schoolwork, watching YouTube, and sleeping My life has always been driven by habit, and without the rhythm of school and church to bring me out of the house, I often feel lethargic or restless Thankfully, our district hasn’t had enough cases to warrant total closure or self-quarantine, so I try to head outside a few times a week to play basketball or buy a drink I’ve begun to pick up some old hobbies, such as coding and writing, to break up my gray, monotonous existence When I do head outside, the effect of the virus is immediately felt even in this small district All of the shops and restaurants are eerily quiet People stare and try to pass you quickly if you don’t wear a mask The subway and buses are empty even during rush hour Combined with the upcoming elections, the atmosphere of the nation is so heavy, I feel I will suffocate I have faith that coronavirus will come to pass, as all epidemics do I’m proud of my nation for being so active

in trying to contain and cure the virus I’ve also started to adjust well to my life at home But I won’t lie and pretend that life is easier being at home all of the time I would much rather be going to school, enjoying my last year of high school and creating wonderful memories, than be holed up in my room watching unhealthy amounts of YouTube Ali Mollasalehi, 26, entertainment journalist in Tehran, Iran There is no official quarantine in Tehran or any major city in Iran, but the government is doing almost anything to limit people from leaving their homes All movie theaters, schools, and universities are closed The rising number of infected and dead people is making everybody worried, and therefore a lot of families (including mine) have imposed self-quarantine It’s just 15 days to Persian New Year (Nowruz) At this time of the year, everybody

is usually shopping and getting ready to celebrate All of that is now under a huge shadow of fear of coronavirus Shops are nearly empty, making the bad economy even worse A lot of people don’t trust the government’s statements Conversation, videos, and the reported numbers coming out of social media just make us more worried On Twitter, people claim that Iranian officials don’t have enough resources to quarantine any city, even the religious city of Qom, where the outbreak started in Iran The boredom makes you over think, and the distrust between people and government isn’t helping Nobody can say that the outbreak is under control Meanwhile, it’s spreading to New York, Belarus, and New Zealand! There are shortages of test kits, especially in smaller cities, which makes the situation worse Like all around the world, there is a shortage of masks and hand sanitizers in pharmacies My hand sanitizer was one of the few left in that pharmacy But in quarantine, everybody is trying to keep the morale up My father is reading history

books, particularly about past plagues I, on other hand, am trying to take it easy, watching films like The Big

Lebowski Stay away from watching Contagion, dude! Although social networks are the source of many fake

claims, others are using it to try to cheer each other up One of my friends last night posted a photo of her singing beautifully on Instagram Doctors and nurses are making viral videos of themselves dancing in their hazmat suits We are trying to make light of the horror that is upon us As we try to avoid contact as much as

we can, we pray and hope that the warmer weather will destroy the virus We want to know what your

experience has been when it comes to testing for coronavirus, figuring out travel plans, and staying healthy.https://www.vox.com/2020/3/6/21163362/coronavirus-covid-19-quarantine-china-italy-iran-

singapore-south-korea

3 Grady et al ( 17, March 2020) told that rapidly spreading coronavirus outbreak continued to upend life across the world as more countries tightened quarantine measures Schools, offices, bars, restaurants and many stores remain closed across major U.S and European cities, and dozens of countries are shutting their borders or implementing mandatory self-isolation stints for travelers arriving from abroad Here are some other significant developments: Calls have intensified for social distancing as one of the only measures that could prevent the United States from facing a situation as dire as Italy’s, where thousands of people have died President Trump urged Americans against gathering in groups larger than 10 people and said states experiencing community transmission should close schools, restaurants and gyms Health departments in the United States on Monday reported the largest number of coronavirus-related deaths on any one day since the onset of the outbreak: bringing the nationwide total to 89 France on Tuesday began a total lockdown of at least 15 days The lockdown will severely limit the freedom of movement throughout the country China’s Foreign Ministry hit back at Trump’s description of the pandemic as a “Chinese virus,” accusing him of insulting China and saying the United States “should first take care of its own business similarly the Philippines suspended all public transport to prevent the spread of covid-19 — a decision that proved problematic The order for “enhanced community quarantine” over the island of Luzon effectively covering half the population was made less than six hours before it became effective on midnight The decision suddenly barred throngs of commuters from moving within and out of metropolitan Manila Later on Tuesday, the situation was intensified when the country was put under a state of calamity, as cases rose to

187 Cebu Pacific Air announced the suspension of all flights across the country from March 19 to April 14 Philippine Airlines announced a similar suspension from Tuesday to April 12 International flights will operate until March 13 Kath Valdez, a nurse at Philippine General Hospital, was stranded on Tuesday morning after a 9-hour shift Staring down the possibility of a two-hour walk home, she eventually accepted

a ride on a motorized tricycle, a popular form of local transport, in what she called a “dangerous” move because those vehicles have been barred from the roads Other colleagues could not go to work after being stopped at checkpoints, despite carrying health worker IDs, she said Pasig City Mayor Vico Sotto tweeted that vehicles supplied by the local government to ferry people were “not enough.Our risk assessment shows that we can’t ban tricycles at this point,” Sotto tweeted “Health workers need to get to work.”By Tuesday afternoon, presidential spokesman Salvador Panelo said his office was aware of the issue and that the government would organize bus lines and deploy military trucks to help But until a plan is clear, health workers and private individuals are taking matters into their own hands Some asked for help through the

Twitter, but others walked several kilometers to work Valdez made a car pool group for employees in her hospital, and more than 350 members joined Public transport suspension burdens health care workers, who already bear “the risk of acquiring the virus and anxiety of bringing it home,” Valdez lamented “Now we can’t even go home safely.” As the coronavirus continues to spread across the United States, the struggles that overwhelmed the nation’s testing are becoming clearer First, the Centers for Disease Control and Prevention moved too slowly to tap into the expertise of academia and private companies, experts said For example, it wasn’t until last week that large companies such as Roche and Thermo Fisher won approval from the Food and Drug Administration to produce their own tests Moreover, while FDA and CDC officials have attributed some of the testing delays to their determination to meet exacting scientific standards they said were needed to protect public health, the government effort was nevertheless marred by a widespread manufacturing problem that stalled U.S testing for most of February The CDC has yet to fully explain the nature of the manufacturing problem but told The Washington Post on Monday that the design could also have resulted in flawed tests The U.S Department of Health and Human Services, which oversees the CDC, said earlier this month that it is investigating the defect in many of the initial coronavirus test kits The country’s inability to produce them left public health officials with limited means to determine where and how fast the virus was spreading From mid-January until Feb 28, fewer than 4,000 tests from the CDC were used out of more than 160,000 produced Meanwhile, a small Berlin-based company, for instance, produced and shipped more than 1.4 million tests by the end of February for the World Health Organization

4 CDC is closely monitoring an epidemic of respiratory illness (COVID-19) caused by a novel (new) coronavirus (SARS-CoV-2) that was first detected in Wuhan, Hubei Province, China Chinese health officials have reported tens of thousands of illnesses with COVID-19 in China and the virus is spreading from person-to-person in many parts of that country Cases of COVID-19 are also being reported in a growing number of international locations, several of which are experiencing sustained community-level or widespread person-to-person transmission Cases of COVID-19 without direct links to travel have been reported in the United States and sustained transmission is occurring in some US communities The purpose

of this interim guidance to provide public health authorities and other partners in US jurisdictions that are not experiencing sustained community transmission of COVID-19 with a framework for assessing and managing risk of potential exposures to SARS-CoV-2 and implementing public health actions based on a person’s risk level and clinical presentation Public health actions may include monitoring or the application of movement restrictions, including isolation and quarantine, when needed to delay the introduction and spread of SARS-CoV-2 in these communities The recommendations in this guidance apply to US-bound travelers who may have been exposed to SARS-CoV-2 and people identified through contact investigations of laboratory-confirmed cases CDC acknowledges that state and local jurisdictions may make risk management decisions

that differ from those recommended here Public health management decisions should be based on the situation in the jurisdiction and the priorities of public health authorities The guidance will be updated based

on the evolving circumstances of the epidemic The guidance was designed for a “containment” approach in the absence of sustained SARS-CoV-2 transmission in US communities in order to delay introduction and spread of SARS-CoV-2 It focuses on decreasing the risk of unrecognized case importation from international locations with sustained transmission and managing contacts of laboratory-confirmed cases In

US jurisdictions that are not experiencing sustained community transmission, these activities are still important; however, a resource-intense containment approach that focuses on international travelers poses a risk of diverting public health resources from other priority activities, including surveillance and case finding, contact tracing, and preparing for community mitigation measures Allowing health departments the flexibility to prioritize public health actions in their jurisdictions enables prudent deployment of public health resources where they can have the most benefit based on the local situation State and local health departments are best positioned to make such decisions within their jurisdictions In US jurisdictions with sustained community transmission, shifting from containment to mitigation conserves public health resources and directs them to where they can have the most benefit In such jurisdictions, residents may have the same exposure risk as international travelers from countries with sustained transmission; therefore, applying stringent containment measures to international travelers (e.g., staying home for 14 days) no longer has a public health benefit and would be arbitrary in the context of similar risk among others in the community Applying such containment measures (e.g., asking people to stay home) community-wide would have severe detrimental effects on community infrastructure When SARS-CoV-2 is spreading in a community, it is also not feasible to identify all people with symptoms compatible with COVID-19 or identify all potentially exposed contacts Applying stringent containment measures to people who are tested and have laboratory confirmation and their contacts, but not to others who are not tested and their contacts, would have no public health benefit Such an approach could hamper surveillance efforts and ability of public health authorities to make data-driven decisions for the implementation of community mitigation measures Separate CDC guidance is in development that harmonizes recommendations for people who are tested and confirmed positive for COVID-19 and others in the community who are symptomatic but not tested, as well as their contacts Symptoms compatible with COVID-19, for the purpose of these recommendations, include subjective or measured fever, cough, or difficulty breathing Self-observation means people should remain alert for subjective fever, cough, or difficulty breathing If they feel feverish or develop cough or difficulty breathing during the self-observation period, they should take their temperature, self-isolate, limit contact with others, and seek advice by telephone from a healthcare provider

or their local health department to determine whether medical evaluation is needed Self-monitoring means

people should monitor themselves for fever by taking their temperatures twice a day and remain alert for cough or difficulty breathing If they feel feverish or develop measured fever, cough, or difficulty breathing during the self-monitoring period, they should self-isolate, limit contact with others, and seek advice by telephone from a healthcare provider or their local health department to determine whether medical evaluation is needed Self-monitoring with delegated supervision means, for certain occupational groups (e.g., some healthcare or laboratory personnel, airline crew members), self-monitoring with oversight by the appropriate occupational health or infection control program in coordination with the health department of jurisdiction The occupational health or infection control personnel for the employing organization should establish points of contact between the organization, the self-monitoring personnel, and the local or state health departments with jurisdiction for the location where personnel will be during the self-monitoring period This communication should result in agreement on a plan for medical evaluation of personnel who develop fever, cough, or difficulty breathing during the self-monitoring period The plan should include instructions for notifying occupational health and the local public health authority, and transportation arrangements to a pre-designated hospital, if medically necessary, with advance notice if fever, cough, or difficulty breathing occur The supervising organization should remain in contact with personnel through the self-monitoring period to oversee self-monitoring activities Self-monitoring with public health supervision means public health authorities assume the responsibility for oversight of self-monitoring for certain groups of people The ability of jurisdictions to initiate or provide continued oversight will depend on other competing priorities (e.g., contact tracing, implementation of community mitigation strategies) Depending on local priorities, CDC recommends that health departments consider establishing initial communication with these people, provide a plan for self-monitoring and clear instructions for notifying the health department before the person seeks health care if they develop fever, cough, or difficulty breathing

As resources allow, health authorities may also check in intermittently with these people over the course of the self-monitoring period If travelers for whom public health supervision is recommended are identified at

a US port of entry, CDC will notify state and territorial health departments with jurisdiction for the travelers’ final destinations Active monitoring means that the state or local public health authority assumes responsibility for establishing regular communication with potentially exposed people to assess for the presence of fever, cough, or difficulty breathing For people with high-risk exposures, CDC recommends this communication occurs at least once each day The mode of communication can be determined by the state or local public health authority and may include telephone calls or any electronic or internet-based means of communication Close contact is defined as: being within approximately 6 feet (2 meters) of a COVID-19 case for a prolonged period of time; close contact can occur while caring for, living with, visiting, or sharing

a healthcare waiting area or room with a COVID-19 case Having direct contact with infectious secretions of

a COVID-19 case (e.g., being coughed on)Public health orders are legally enforceable directives issued under the authority of a relevant federal, state, or local entity that, when applied to a person or group, may place restrictions on the activities undertaken by that person or group, potentially including movement restrictions or a requirement for monitoring by a public health authority, for the purposes of protecting the public’s health Federal, state, or local public health orders may be issued to enforce isolation, quarantine or conditional release The list of quarantinable communicable diseases for which federal public health orders are authorized is defined by Executive Order and includes “severe acute respiratory syndromes.” COVID-19 meets the definition for “severe acute respiratory syndromes” as set forth in Executive Order 13295, as amended by Executive Order 13375 and 13674, and, therefore, is a federally quarantine able communicable disease Isolation means the separation of a person or group of people known or reasonably believed to

be infected with a communicable disease and potentially infectious from those who are not infected to

prevent spread of the communicable disease Isolation for public health purposes may be voluntary or compelled by federal, state, or local public health order Quarantine in general means the separation of a

person or group of people reasonably believed to have been exposed to a communicable disease but not yet

symptomatic, from others who have not been so exposed, to prevent the possible spread of the communicable

disease Conditional release defines a set of legally enforceable conditions under which a person may be released from more stringent public health movement restrictions, such as quarantine in a secure facility These conditions may include public health supervision through in-person visits by a health official or designee, telephone, or any electronic or internet-based means of communication as determined by the CDC Director or state or local health authority A conditional release order may also place limits on travel or require restriction of a person’s movement outside their home Controlled travel involves exclusion from long-distance commercial conveyances (e.g., aircraft, ship, train, bus) For people subject to active monitoring, any long-distance travel should be coordinated with public health authorities to ensure uninterrupted monitoring Air travel is not allowed by commercial flight but may occur via approved noncommercial air transport CDC may use public health orders or federal public health travel restrictions to enforce controlled travel CDC also has the authority to issue travel permits to define the conditions of interstate travel within the United States for people under certain public health orders or if other conditions are met Congregate settings are crowded public places where close contact with others may occur, such as shopping centers, movie theaters, stadiums Social distancing means remaining out of congregate settings, avoiding mass gatherings, and maintaining distance (approximately 6 feet or 2 meters) from others when possible DC has established the following exposure risk categories to help guide public health management

of people following potential SARS-CoV-2 exposure in jurisdictions that are not experiencing sustained community transmission These categories may not cover all potential exposure scenarios They should not

replace an individual assessment of risk for the purpose of clinical decision making or individualized public health management State and local authorities have primary jurisdiction for isolation and other public health orders within their respective jurisdictions Federal public health authority primarily extends to international arrivals at ports of entry and to preventing interstate communicable disease threats CDC recognizes that decisions and criteria to use such public health measures may differ by jurisdiction Consistent with principles of federalism, state and local jurisdictions may choose to make decisions about isolation, other public health orders, and monitoring that exceed those recommended in federal guidance As the domestic COVID-19 situation evolves, public health authorities should base their decisions about application of individual-level monitoring or movement restrictions on the situation in their jurisdictions, including whether sustained community transmission is occurring and competing priorities The issuance of public health orders should be considered in the context of other less restrictive means that could accomplish the same public health goals People under public health orders must be treated with respect, fairness, and compassion, and public health authorities should take steps to reduce the potential for stigma (e.g., through outreach to affected communities, public education campaigns) Considerable, thoughtful planning by public health authorities is needed to implement public health orders properly Specifically, measures must be in place to provide shelter, food, water, and other necessities for people whose movement is restricted under public health orders, and to protect their dignity and privacy CDC and the Federal Aviation Administration have jointly provided interim health guidance for air carriers and crews pdf icon external icon This FAA-CDC guidance includes recommendations for air crews to self-monitor under the supervision of their employer’s occupational health program and to remain in their hotel rooms and practice social distancing while on overnight layovers in the United States (applies to US-based crews and crews based in other countries) or internationally (applies to US-based crews) These recommendations were made because SARS-CoV-2 is spreading in all regions internationally as well as in the United States Also, the rapidly changing situation means country-level geographic risk assessments cannot be relied on to accurately judge the risk to crewmembers in any given location As long as they remain asymptomatic, crew members may continue to work on flights into, within, or departing from the United States Crew members who follow their carrier’s occupational health plan as well as the FAA-CDC guidance are not subject to restrictions applied to other travelers If they develop fever, cough, or difficulty breathing, crew members should self-isolate and be excluded from work on commercial flights immediately, and remain excluded until cleared to work by their occupational health program and public health authorities Regardless of residence or travel history, crew members who have known exposure to persons with COVID-19 should be assessed and managed on a case-by-case basis Some personnel (e.g., emergency first responders) fill essential (critical) infrastructure roles within communities Based on the needs of individual jurisdictions, and at the discretion of state or local

health authorities, these personnel may be permitted to continue work following potential exposure to CoV-2 (either travel-associated or close contact to a confirmed case), provided they remain asymptomatic Personnel who are permitted to work following an exposure should self-monitor under the supervision of their employer’s occupational health program including taking their temperature before each work shift to ensure they remain a febrile On days these individuals are scheduled to work, the employer’s occupational health program could consider measuring temperature and assessing symptoms prior to their starting work Exposed healthcare personnel who are considered part of critical infrastructure should follow existing CDC guidance CDC and the Federal Aviation Administration have jointly provided interim health guidance for air carriers and crews pdf icon external icon This FAA-CDC guidance includes recommendations for air crews to self-monitor under the supervision of their employer’s occupational health program and to remain in their hotel rooms and practice social distancing while on overnight layovers in the United States (applies to US-based crews and crews based in other countries) or internationally (applies to US-based crews) These recommendations were made because SARS-CoV-2 is spreading in all regions internationally as well as in the United States Also, the rapidly changing situation means country-level geographic risk assessments cannot be relied on to accurately judge the risk to crew members in any given location As long as they remain asymptomatic, crew members may continue to work on flights into, within, or departing from the United States Crew members who follow their carrier’s occupational health plan as well as the FAA-CDC guidance are not subject to restrictions applied to other travelers If they develop fever, cough, or difficulty breathing, crew members should self-isolate and be excluded from work on commercial flights immediately, and remain excluded until cleared to work by their occupational health program and public health authorities Regardless of residence or travel history, crew members who have known exposure to persons with COVID-

SARS-19 should be assessed and managed on a case-by-case basis Some personnel (e.g., emergency first responders) fill essential (critical) infrastructure roles within communities Based on the needs of individual jurisdictions, and at the discretion of state or local health authorities, these personnel may be permitted to continue work following potential exposure to SARS-CoV-2 (either travel-associated or close contact to a confirmed case), provided they remain asymptomatic Personnel who are permitted to work following an exposure should self-monitor under the supervision of their employer’s occupational health program including taking their temperature before each work shift to ensure they remain a febrile On days these individuals are scheduled to work, the employer’s occupational health program could consider measuring temperature and assessing symptoms prior to their starting work Exposed healthcare personnel who are considered part of critical infrastructure should follow existing CDC guidance CDC has established criteria for determining when an individual can be considered non-infectious to guide discontinuation

of transmission-based precautions for hospitalized patients or home isolation While individuals are

considered infectious, local or long-distance travel should occur only by medical transport (e.g., ambulance

or air medical transport) or private vehicle Isolation and travel restrictions are removed upon determination

by public health authorities that the person is no longer considered to be infectious Symptomatic people who meet CDC’s definition of Persons Under Investigation (PUI) should be evaluated by healthcare providers in conjunction with local health authorities PUIs awaiting results of rRT-PCR testing for COVID-19 should remain in isolation at home or in a healthcare facility until their test results are known Depending on the clinical suspicion of COVID-19, PUIs for whom an initial rRT-PCR test is negative may be candidates for removal of any isolation and travel restrictions specific to symptomatic people, but any restrictions for asymptomatic people according to the assigned risk level should still apply Management decisions of PUIs who are not tested should be made on a case-by-case basis, using available epidemiologic and clinical information, in conjunction with CDC guidance CDC does not recommend testing, symptom monitoring or special management for people exposed to asymptomatic people with potential exposures to SARS-CoV-2 (such as in a household), i.e., “contacts of contacts;” these people are not considered exposed to SARS-CoV-2.The public health actions recommended to people who have been determined to have at least some risk for COVID-19 People who are being managed as asymptomatic in a particular risk level who develop signs or symptoms compatible with COVID-19 should be moved immediately into the symptomatic category in the same risk level and be managed accordingly The risk level does not change if symptoms develop The public health management recommendations made above are primarily intended for jurisdictions not experiencing sustained community transmission In jurisdictions not experiencing sustained community transmission, CDC recommends that post-exposure public health management for asymptomatic exposed individuals continue until 14 days after the last potential exposure; however, these decisions should be made based on the local situation, available resources, and competing priorities These factors should also guide decisions about managing symptomatic exposed individuals International travelers and other potentially exposed individuals in jurisdictions experiencing sustained community transmission should follow local guidance

5 Brian Resnick(Mar 3, 2020) told that Coronavirus is spreading in the United States How fast and far it will spread, how many people will get sick, and how many of those will die are still unknown This early phase of

the outbreak is critical: We still have time to apply some of the lessons learned from China, where the virus

originated and has taken the greatest toll so far New cases in China are now declining thanks to the government’s dramatic measures to contain the virus , mainly case finding, contact tracing, and suspension

of public gatherings as World Health Organization epidemiologist Bruce Aylward, who led a recent mission there, told my colleague Julia Belluz.Here in the US, public health officials have many of the same tools to slow the spread of the virus, and as the experience of China shows, using those tools can help As of March

2, there were 43 cases in 10 US states and growing, and six deaths, meaning you’re probably going to be hearing about some of them soon In Washington state, virologists suspect the virus has been circulating for a few weeks There, state officials are considering closing schools and are expanding testing for the illness The New York Times reports, in Washington’s King County “officials were in the process of purchasing a Hotel in the region that could house people needing isolation.”As we explained last week, local city and state governments are largely in charge of combating outbreaks in their regions The federal government can do things like mandate travel restrictions across borders, or quarantine travelers coming into the country It advises the country on outbreaks via the Centers for Disease Control and Prevention, and aids local governments with resources, data, and money It’s also critical in creating and approving diagnostic tests for the coronavirus, which let officials know where the virus is and how far it’s spreading (though the government has been slow in rolling out tests) But its authority beyond that is limited.Beyond the overarching personal message of good personal hygiene (wash your hands, don’t touch your face), there are several other broad public health strategies used to put the brakes on a viral outbreak Three of the most important and sometimes confusing ones are isolation of sick patients and tracing their contacts, quarantine, and social distancing These phrases are often used interchangeably, but they refer to slightly different things: Isolation is separating those with confirmed infections from other people, so that they can get better without infecting anyone else Quarantine is restricting the movement of, or isolating, people who might have been exposed to an infection but who aren’t yet sick Social distancing refers to a slew of tactics meant

to keep people from congregating in large crowds, to slow the spread of a virus All of these might be called for during an outbreak, to varying degrees of effectiveness, and result in varying degrees of hardship for individuals Your state or local government may have the power to enforce adherence to any of these perhaps even with law enforcement But we shouldn’t think of these (if implemented properly) as punitive, but as a civic duty to protect the most vulnerable from Covid-19 f you can identify everyone who has been infected with the virus and safely isolate them from other humans while they are in treatment, you can stop outbreaks for which there are no vaccines or treatments Stopping an outbreak “really comes down to how good individual public health agencies are at detecting cases, getting them care, putting them into isolation, and how good the people who are infected are at their own hygiene,” Nathan Grubaugh, an epidemiologist at the Yale School of Public Health, said in January (Isolation was the main way the 2003 SARS outbreak was contained Isolation of the sick may help slow the spread of the current Covid-19 outbreak But experts doubt

it can be totally contained and stopped in this manner “There’s already too many undiagnosed cases out there,” Tara Smith, a professor of epidemiology at Kent State University, says People with Covid-19 may be spreading the virus before they have symptoms, or they may have mild symptoms and are going about their daily lives spreading the virus A key to making isolation work is to pair it with contact tracing While sick

patients are in isolation, public health workers can do detective work, figuring out all the people those patients had contact with That way, they can find a patient’s source of the disease and potentially isolate them, as well as identify people who are at risk of contracting the disease and place them under isolation or quarantine In a quarantine, people who may have been exposed to an infection are asked to remain at home,

or in another place, isolated from other people Quarantines can target just individuals who have traveled to affected countries, or could end up involving large groups of people (say, if a school’s entire student body may have been exposed to the infection).State governments, as well as some large cities, have the power to order mass quarantines, or the practice of isolating people who may have been exposed to a virus in order to prevent them from spreading the illness before they start experiencing symptoms These laws also generally apply to the isolation procedures mentioned above The power is not only to order quarantines or isolations, but also to enforce them “Public health is actually a police power that is delegated to the states,” says Rebecca Katz, director of the Center for Global Health Science and Security at Georgetown “You could end

up with someone coming to your door and saying, ‘You’ve been exposed, and you’re either coming with me

or you have to stay in your house.’”They could force you to stay at home or detain you in a facility Katz says these detainment powers are rarely, if ever, used To start, a quarantine order would probably be voluntary, and possibly limited to people who know for sure that they have had direct contact with an infected person (Katz suggests that if it comes to it, think of quarantine as jury duty — an annoying civic duty you just have to endure.)But the problem with many states’ quarantine laws is that they have not been updated in decades, or don’t provide clear protections for civil liberties or in the case of missed work Katz has researched the variety of quarantine laws that exist across states “Most of these laws are really old and haven’t been updated,” she says “A lot of the state-level regulations have not been updated since the civil rights and individual rights laws of the ’60s and ’70s went into effect.” Some laws don’t provide protections such as a right to legal counsel when being quarantined Only 20 percent of states have provisions to keep people from being fired due to missing work during a quarantine Because many states haven’t bothered to revise these laws, they haven’t thought through what a modern-day quarantine should look like or what rights need to be respected We believe the variation between states and the inclusion of curious rules creates

an environment across the country that will result in unease, confusion, and possibly civil unrest if scale quarantines are ever required,” the paper concluded As Maggie Koerth explains at Five Thirty Eight, the evidence on whether quarantines have worked to slow the spread of past outbreaks is mixed It can be hard in an outbreak to identify those who qualify for quarantine (i.e., people who may have been exposed but who are not yet sick) Quarantines can sometimes result in more cases, like what happened on the Diamond Princess cruise ship There, quarantine led to more people becoming infected Isolation and quarantine depend on public health officials’ ability to speedily detect cases, or possible exposures, to an infection But

large-what if a dangerous virus is circulating broadly in a population? That’s where social distancing measures come in Overall, these aim to keep human beings around six feet apart from one another.“Unlike quarantine and isolation, social distancing orders typically apply to whole communities, not specific individuals,” Lindsay Wiley, a health law professor at the Washington College of Law, explains in an email These measures include postponing or canceling mass gatherings like sporting events, concerts, or religious gatherings It could mean closing schools or encouraging tele work (Other good practices during any outbreak: Stay home if you’re sick, cover your coughs and sneezes, and wash your hands.) “A local health department may ask — or order — private businesses and organizations to cancel events where large crowds are expected to gather,” Wiley says “Or, if it is determined that children play an important role in transmitting infection, state and local officials may order public and private schools and day cares to close These decisions would be made primarily at the local level — city by city, county by county.”Because these decisions are local, they can result in inconsistencies One school district might be closed due to coronavirus fears, while another stays open And these decisions are often influenced by political concerns Political responses to the outbreak may be wide-ranging Some may fear that acting will hurt their local economy, while others may overreact In 2014, during the Ebola outbreak, a teacher in Maine was placed on leave because he had traveled to Dallas, where an Ebola patient died in a hospital (the teacher had not visited the hospital) That same year, then-New Jersey Gov Chris Christie forced a nurse who had treated Ebola patients in Africa into quarantine She never exhibited symptoms of the disease, and experts concluded she posed no risk But the governor held her in isolation anyway The nurse ended up suing the state, arguing her rights had been infringed on We may not know what social distancing measures will come into place, but

we can start preparing for them now.“Think about what you’d do for child care if schools or day cares are closed,” the CDC’s Nancy Messonnier suggested during a recent press briefing “Is teleworking an option for you? Does your health care provider offer a telemedicine option? All of these questions can help you be better prepared for what might happen.” https://www.vox.com/2020/3/3/21161232/coronavirus-usa-quarantine-isolation-social-distancing

6 Global cases at least 113,584, according to data compiled by Johns Hopkins University Global deaths at least 3,996, according to data compiled by Johns Hopkins University US cases: At least 607, according to data compiled by Johns Hopkins University US deaths: At least 22, according to Johns Hopkins University President Donald Trump said he will be meeting with Senate and House Republicans on Tuesday to discuss a possible tax relief measure to provide “a timely and effective response to the coronavirus.”“We are to be meeting with House Republicans, Mitch McConnell, and discussing a possible payroll tax cut or relief, substantial relief, very substantial relief,” Trump said at a press briefing with coronavirus task force members.“It’s a big number,” he added “We’re also going to be talking about hourly wage earners getting

help so they can be in a position where they’re not going to miss a paycheck A Walmart employee who works at a Kentucky store has been diagnosed with coronavirus, the company confirmed to CNBC The employee worked at a store in Cynthiana, which is about 30 miles northeast of Lexington Walmart said in a statement that it “reinforced our cleaning and sanitizing protocols” and consulted with health experts before deciding to keep the store open The company said it has encouraged employees to stay at home or go to the doctor if they do not feel well “Rest assured, we will continue to take any and all measures necessary to ensure the well-being of our associates and customers,” the statement said The Walmart employee was Kentucky’s first resident to test positive for the coronavirus, according to state officials At a news conference Monday, they said six coworkers have isolated themselves and have not shown symptoms Kentucky Governor Andy Beshear acknowledged the anxiety around the coronavirus “For everybody who has been through that Walmart, I know it’s going to make you nervous,” he said during a news conference

“Just because you’ve been there doesn’t mean that you have the coronavirus New Jersey Governor Phil Murphy declared a state of emergency and a public health emergency to free up state funds for districts across the state The announcement comes as the number of COVID-19 cases in the tri-state area tripled to at least 155, up from 49 confirmed cases on Friday Tesla shares plummeted by 13.6% to $608 per share on Monday, dropping 6 percentage points more than the S&P for the day, as plunging oil prices and the continuing coronavirus outbreak weighed on investors The oil price battles between Saudi Arabia and Russia could challenge Tesla’s electric vehicle and solar roof sales in markets where it remains more affordable for people to stick with fossil fuels, and where they are not incentivized to switch to renewable Historically, when crude oil and gas prices decline, electric vehicle sales and solar installations slow down Tesla is also grappling with the impact of the novel coronavirus outbreak in and beyond China The epidemic has forced temporary closures of Tesla’s new Shanghai car plant and stores throughout the country President Donald Trump had contact with two Republican congressmen before their announcements Monday that they were entering self-quarantine after learning they had been previously exposed to someone since diagnosed with coronavirus Rep Doug Collins of Georgia shook hands with Trump last Friday when the president traveled to Atlanta to visit the Centers for Disease Control and Prevention, where officials there briefed him on their response to coronavirus.Rep Matt Gaetz of Florida flew on Air Force One with Trump

on Monday on a flight from Orlando, Fla., to Joint Base Andrews in Maryland The New York Times, citing two people with knowledge of the situation, reported that Gaetz learned shortly after the plane was airborne that he, like Collins, had been in contact with a person at the Conservative Political Action Conference in Maryland in late February who since has been diagnosed with coronavirus Gaetz then sat in a section of the plane by himself, the newspaper reported Gaetz publicly revealed he was entering self-quarantining about an hour after he got off the plane with Trump.Video footage shows Gaetz on the tarmac