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World Forced Isolation May Be the Only Way to Stop Resurgence of Virus

00:26  14 august  2020
00:26  14 august  2020 Source:   bloomberg.com

Australia’s Virus Hotspot State Sees New Record Case Total

  Australia’s Virus Hotspot State Sees New Record Case Total Victoria has reported a record daily coronavirus case total as Australia’s second-most populous state enters its strictest lockdown since the pandemic began. © Photographer: Daniel Pockett/Getty Images AsiaPac MELBOURNE, AUSTRALIA - AUGUST 04: Police and Australian Defence Force patrols are seen in the Fitzroy Gardens on August 04, 2020 in Melbourne, Australia. Retail stores across Melbourne will close to customers as further stage 4 lockdown restrictions are implemented in response to Victoria's ongoing COVID-19 outbreak.

Containment becomes realistic only when Americans realize that working together is the only way to protect themselves and their loved But tactics like forced isolation , school closings and pervasive GPS tracking of patients brought more The virus would die out on every contaminated surface and

People could be forced to stay in quarantine to stop coronavirus spreading if cases are confirmed in Wales, under plans being considered. "We are considering the possible extra burden which may be placed on our emergency departments and we will be providing NHS Wales with guidance on how

(Bloomberg) -- Flare-ups from Australia to Japan show the world hasn’t learned an early lesson from the coronavirus crisis: to stop the spread, those with mild or symptom-free coronavirus infections must be forced to isolate, both from their communities and family.

In Australia, where Victoria state has been reporting record deaths, some 3,000 checks last month on people who should have been isolating at home found 800 were out and about. In Japan, where the virus has roared back, people are staying home but aren’t in isolation: 40% of elderly patients are getting sick from family members in the same apartments.

Malaysia’s New Coronavirus Cases Rise By Most In A Week

  Malaysia’s New Coronavirus Cases Rise By Most In A Week Malaysia added the highest number of new coronavirus cases in a week, most of which were found among international arrivals in the country. © Bloomberg Pedestrians wearing protective masks walks along the Saloma Link bridge in Kuala Lumpur, Malaysia, on Thursday, July 30, 2020. Malaysia has seen early success in containing the pandemic, with June and July showing weeks of mostly fewer than 10 new cases detected each day. The government has since grown increasingly wary of a resurgence as the number of new infections rose to double-digits.

Many more people may be forced to self-isolate as part of efforts to stop the coronavirus spreading in Britain, the head of NHS England has warned. The new case - announced on Wednesday evening - is the first to be identified in London after she contracted the virus in China.

The only people you do not have to distance yourself from are those you live with, and those you have linked to in a support bubble. What are the new restrictions in parts of England? On 31 July, restrictions were reintroduced for Greater Manchester, east Lancashire and parts of West Yorkshire.

The failure to effectively manage contagious people with mild or no symptoms is a driving factor behind some of the world’s worst resurgences. But lessons from Italy, South Korea and others that have successfully contained large-scale outbreaks show that there’s a tried-and-tested approach to cutting off transmission: move them out of their homes into centralized facilities while they get over their infections, which usually doesn’t require longer than a few weeks.

“A laissez-faire approach naively trusting everyone to be responsible has been shown to be ineffective, as there will always be a proportion who will breach the terms of the isolation,” said Jeremy Lim, adjunct professor at the National University of Singapore’s Saw Swee Hock School of Public Health.

Australia's Victoria sees 'stabilisation' in new coronavirus cases

  Australia's Victoria sees 'stabilisation' in new coronavirus cases Australia's Victoria sees 'stabilisation' in new coronavirus casesVictoria is at the centre of a second wave of infections in Australia, accounting for more than two-thirds of the national tally of nearly 21,000.

This 3D view of a COVID-19 virus specimen shows an illustration of the structure of this particular [+] coronavirus. With its high infection rate and a significant death rate among those who are infected, particularly the elderly, this runs the risk of becoming one of the most lethal disease outbreaks of the

By now, you may have noticed a divide among your friends. As social distancing and self-imposed quarantine wear on and more workplaces urge “Open, transparent, consistent communication is the most important thing governments and organizations can do: Make sure people understand why they

Faced with a new cluster this week after 102 days without a locally transmitted case, New Zealand has quickly enacted this strategy, placing 17 people -- including two children below the age of 10 -- into centralized quarantine.

But other countries facing sustained spread like Australia and the U.S. are not broadly enacting the policy despite its proven track record. Their unwillingness -- or inability -- to do so underscores the challenges faced by liberal democracies whose populations are less likely to tolerate measures that require individual sacrifice for the greater good.

Not at Home

The existence of a large group of carriers who hardly feel sick is a unique feature of the coronavirus crisis, and a major factor that has driven its rapid spread across the globe. Unlike in previous outbreaks like the 2003 SARS epidemic, many infected people don’t feel ill enough to stay home, and so spread the pathogen widely as they go about their daily lives.

Coronavirus: in Ireland, the rate of contamination exceeds that of the United Kingdom

 Coronavirus: in Ireland, the rate of contamination exceeds that of the United Kingdom © PAUL FAITH / AFP In Ireland, the rate of contamination per 100,000 inhabitants has just exceeded that of the United Kingdom (photo illustration) . Ireland has just turned a corner in the pandemic. Its rate of infection per 100,000 inhabitants has just surpassed that of the United Kingdom, which it has considered since March a poor student in the fight against the disease.

Using non-traditional ways to stay in touch with other people is the most important thing you can do to combat loneliness. You might also feel stigmatized if you are isolated because you've contracted the virus or you suspect you may have contracted the virus .

This might be the most important article you read today. Please take it seriously. It should be mentioned that the above example is only one possible way you could get infected. The virus is airborne, which means you could get it just by being in close proximity to an infected person.

The U.S. Centers for Disease Control and Prevention has estimated that 40% of Covid-19 infections are asymptomatic.

In Wuhan, the Chinese city where the coronavirus first emerged last year, mildly sick patients were originally turned away from hospitals and told to rest at home, given that the overwhelmed health-care system needed to tend to the most severe cases. But health experts soon found that these people would infect their family members and others as they moved around in the community, precipitating a deluge of cases.

Read more on successful virus containment strategies in Asia:
These Elite Contact Tracers Show the World How to Beat Covid-19Virus Hunters Sift Through Sewage to Detect Covid-19 HotspotsAs China Fights Second Wave, Taiwan Starts Stockpiling Again Beijing Just Reported No Cases. Here’s How They Turned It Around

Bringing mild or asymptomatic patients to designated facilities -- re-purposed convention centers, hotels and stadiums -- for basic medical care marked a turning point in the city’s fight against the coronavirus. Simply separating them from healthy people halted the pathogen’s silent spread through the community.

Iceland Open Borders Policy Faces Backlash Amid Virus Resurgence

  Iceland Open Borders Policy Faces Backlash Amid Virus Resurgence Iceland’s government may soon announce a tightening of the rules for travelers to the island following criticism to its open borders policy amid a resurgence in Covid-19 cases. Among the measures being proposed by the country’s chief epidemiologist are double testing and a mandatory quarantine of 4 to 6 days for foreign tourists and Icelanders returning from their holidays abroad.Iceland introduced coronavirus tests for anyone arriving at Keflavik Airport on June 15 in an effort to salvage its tourism industry, the country’s main export.

Testing for the virus across the general population, in other words, can tell us whether our assumptions about coronavirus are correct. On 12 March, the UK government announced it would stop all community virus detection tests, and focus just on health worker protection.

The only way containment can work, he said, is if everyone with a suspected infection is tested. You are the only news on this horrible virus I can stand to read. Everything else I see and hear makes my blood pressure skyrocket Thank You for the true facts and helpful information.

The strategy has since been used in Italy, Singapore and South Korea at the height of their own coronavirus outbreaks earlier this year. Faced with a resurgence last month, Hong Kong converted an exhibition center to accommodate mild Covid-19 patients and is building more such facilities.

In New Zealand, the government put “a lot of thought” into enacting the policy, and is asking family members of confirmed cases to go into centralized quarantine with them if they require care, said director general of health Ashley Bloomfield.

a group of people in a room: Fitting Out and Finishing Touches to a Dedicated Covid Health Centre as India Extends Lockdown © Bloomberg Fitting Out and Finishing Touches to a Dedicated Covid Health Centre as India Extends Lockdown

Finishing touches are applied to a ward at a dedicated Covid Health Centre at the Bandra Kurla Complex exhibition ground in Mumbai, India on May 17.

Photographer: Dhiraj Singh/Bloomberg

The approach is effective firstly because it prevents people from infecting family members in the same household -- over 80% of cluster infections in China cities were in households after mild patients were allowed to stay home, said a Lancet study. In Europe, the surge of household infections drove Italy’s Milan to start putting such cases in hotels, enabling the country to gain control over its outbreak in early May.

Beyond household spread, the strategy is necessitated by a facet of human nature that’s been seen time and again across countries and cultures: left to their own devices, some people just won’t follow the rules.

Angela Merkel Warns Pandemic Threat Leaves No Room to Ease Restrictions

  Angela Merkel Warns Pandemic Threat Leaves No Room to Ease Restrictions Chancellor Angela Merkel ruled out any further loosening of virus measures, saying that a doubling in the number of daily cases in Germany in the last three weeks must be addressed. Europe’s largest economy recorded the biggest increase in coronavirus cases in nearly four months on Tuesday, fueling fears about a resurgence of infections across the continent.The recent trend “should not continue and we need to contain it,” Merkel said in Dusseldorf, adding that fines will need to be levied for people flaunting hygiene and social-distancing rules.

In Australia and Japan, infected people who’ve been told to stay home have gone out for a variety of reasons -- some can’t work from home and need the income, while others want to pick up groceries and supplies. One woman in Tokyo traveled cross country by bus after having her infection confirmed.

“It is far better to be more aggressive in the short term with even mild cases than it is to allow such cases to slip under the radar,” said Nicholas Thomas, associate professor in health security at the City University of Hong Kong.

Locked Up

But forcibly moving mild or asymptomatic patients into centralized facilities has been met with backlash in some countries where citizens are not as accepting of government directives. Some people might lose their jobs if they disappear for two weeks, or have caretaking responsibilities for young children or older parents where it’s unfeasible to be separated.

“People would be wondering what on earth they’re doing locked up in a hospital,” said Stephen Leeder, emeritus professor of public health and community medicine at the University of Sydney. “From what I know about the Australian psyche, I don’t think it would go down all that well.”

In places like Venezuela and India where conditions in quarantine facilities are poor, the prospect of being taken away has caused some to avoid being tested or to lie to contact-tracers for fear of being found positive, making the work of health officials more challenging.

a screenshot of a cell phone: Victoria state accounts for almost all the flareup's new cases © Bloomberg Victoria state accounts for almost all the flareup's new cases

In an emailed response to Bloomberg News queries, the Department of Health and Human Services in Victoria said the government provides alternative accommodation for quarantine, but that these are for health workers “who may not be able to safely live at their normal address” and other vulnerable groups.

'Nothing to worry about': Thailand seeks to ease fears of coronavirus return

  'Nothing to worry about': Thailand seeks to ease fears of coronavirus return 'Nothing to worry about': Thailand seeks to ease fears of coronavirus returnBANGKOK (Reuters) - Thailand sought to allay fears of a second wave of coronavirus infections on Thursday, after a woman tested positive having cleared quarantine nearly two months ago on returning from overseas.

Rather than forcing isolation on mild cases, authorities have locked down 5 million residents in Melbourne and are tightening restrictions until new cases come under control.

a store in a subway station: Wearing Face Coverings Becomes Mandatory in Melbourne © Bloomberg Wearing Face Coverings Becomes Mandatory in Melbourne

An information sign informs all customers that they must wear a protective mask at all times at a shopping precinct in Melbourne on July 23.

Photographer: Carla Gottgens/Bloomberg

Officials are using a combination of stepped-up checks and fines of A$4,957 ($3,550) to convince infected people to stay home, while repeat offenders risk a A$20,000 penalty in court. More than 500 military personnel are helping the police conduct checks on 4,000 households every day to ensure those who are supposed to be staying home are there.

To be sure, aggressive and thorough contact-tracing and case follow-up have successfully contained outbreaks in countries like Germany without a centralized quarantine strategy. But these places relied on an army of efficient workers hunting down every chain of transmission, a resource not many governments have had time to build up.

“The classic practice in public health is to identify, trace and quarantine,” said Yang Gonghuan, former deputy director of the Chinese Center for Disease Control and Prevention. “But how that is carried out depends on popular sentiment and the country’s resources.”

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Germany Posts the Biggest Increase in Virus Cases Since April .
(Bloomberg) -- Germany recorded the highest number of new coronavirus cases in more than four months, as infections exceeded 2,000 in the 24 hours to Saturday morning. Cases rose by 2,034 to 232,082, the most since April, according to data from the Robert Koch Institute, the German government’s monitoring agency. The number of daily cases reached current peaks at the end of March and in early April. There were seven fatalities linked to virus complications through Saturday morning, taking the total number of deaths to 9,267, Robert Koch said.German cases jumped this month as authorities boost testing and summer travelers return home, according to the institute.

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