Sacramento County announced Monday that its public health department will no longer recommend isolation or quarantine for people exposed to someone with COVID-19, making a pivot from a strategy of containment to one of mitigation. In an interview, Dr. Peter Beilenson, head of the county’s Department of Health Services, said public health officials had quarantined the sick and those who came into close contact with them as a way to slow spread of the disease. “Once you get a certain number of cases, it’s hard to continue to contact-trace back the way you tried originally,” Beilenson said, “so we move to mitigation, which is basically trying to mitigate the risk to those who are most at risk: the elderly and those with chronic underlying conditions.” Because the new coronavirus poses the greatest threat to these individuals, he said, they and their families must take precautions to avoid exposure. If AARP is having a gathering, for example, the health department might recommend that people in their 70s or 80s not attend. If children are showing symptoms of COVID-19 — fever, coughing, shortness of breath — their parents should avoid taking them to visit grandparents either in their homes or at an assisted living facility, he said. Although Sacramento is making this announcement today, Beilenson said, he expects other counties around the state will announce plans to do the same soon. SHIFT MAKES SENSE, EXPERT SAYS Epidemiologist Catherine Troisi of the University of Texas Health Science Center at Houston said this change in strategy may be risky from a public perception standpoint because of the level of fear about this new illness. However, she said, this shift makes a lot of sense to her as an infectious disease researcher. “I’ve been saying for a week that we cannot contain the virus. It’s time to move to mitigation,” Troisi said. “I don’t want to say we’ve lost the battle because that implies we could have won it, and this is an infectious virus, and due to a lot of circumstances, the odds of us being able to contain that were very small. China bought us some time. Unfortunately in the United States, we didn’t take advantage of that time. We had problems with the testing kits.” COVID-19 is spreading fairly significantly around the United States, Beilenson said. While public health officials had confirmed roughly 700 cases of COVID-19 across the country as of Monday evening, Cedars-Sinai researchers estimated that more than 9,000 people in the United States already had been infected with the new coronavirus by March 1. “This suggests that the opportunity window to contain the epidemic of COVID-19 in its early stage is closing,” the researchers stated in their paper, which is posted online on a forum where physicians and researchers share information. The Cedars-Sinai investigators said they used “very conservative” methods to make their estimates, so they likely underestimated the number of cases. Their study modeled only COVID-19 coronavirus cases that could have been “imported” directly to the U.S. from Wuhan, China, before Jan. 23, when the Chinese government locked down the city. They assumed the lockdown stopped all outbound traffic from the city, which was the epicenter of the new coronavirus outbreak. Beilenson said scientists have had the opportunity to study COVID-19 and have found that 80-plus percent of those infected are not symptomatic or have only mild symptoms. In addition, he said, it appears that people who have the disease gain an immunity to it. Medical researchers differ on how long that immunity will last. Some say a season, while others say it could be effective for next season. That immunity, however, could buy time for researchers to develop a vaccine, a process that experts say will take at least a year. WHEN TO SEEK EMERGENCY CARE Until then, Beilenson said, there is no need for the general public, health care workers or first responders to isolate themselves after an exposure. They should stay home only if they develop symptoms, he said, and call 911 for assistance only if they are extremely sick or believe their lives are in imminent danger. Dr. Theresa Cheng, a senior resident who works at several hospitals in California, said that, as an emergency room physician, she is seeing people on both ends of the spectrum coming in seeking advice on COVID-19 and other respiratory illnesses. There definitely has been an upswing in asymptomatic people in ERs asking to be tested for the coronavirus, she said, and there are also people who have underlying health conditions who should have sought care earlier. “If you’re feeling fine, if you’re otherwise well, then the best thing you can do is put on a mask to prevent the transmission of those little droplets to other people, those around you,” she said. “It’s those people who have those comorbidities who are at higher risk. They should come in, or if they’re experiencing severe symptoms, they should definitely come in.” If people have symptoms that get better and then grow worse, Beilenson said, they should call ahead for care with their health care provider or an urgent care center. People who have mild symptoms can treat themselves at home with over-the-counter medications. If you are in a high-risk group, Beilenson said, consider avoiding crowded social gatherings where you cannot put at least two arms’ length worse of space between you and others. And although the CDC recommends face masks only for those who have COVID-19 and their caregivers, Beilenson said that some physicians may recommend that immuno-compromised patients wear them when out shopping for groceries or running other errands. “If you can, go to the store and do two or three weeks’ worth of shopping at one time,” he said. “That makes a lot of sense. And try to go in off-peak hours.” Public health officials recommend that companies give employees the option to telecommute from home or teleconference with other workers because people may still be able to work with mild cases of the illness. If schools have a COVID-19 exposure, Beilenson urged them to collaborate closely with their local health department and County Office of Education to determine appropriate steps to take.
忙不过来了吧？ 不过话说回来，现在的追踪根本不管用，比如santa clara最近不幸过世的case #3是2月28号确诊，当时说没有去过highly impacted地区，密切接触者没问题，隔天她家一个成年女性确诊，没发病没住院，是case#4，这四号的标记是三号的家居接触。。。我觉得，三号四号到底谁传给谁都不好说，四号没有任何更新，目前县公共卫生部门官网还是写的：Case #4 –adult woman who is a household contact of case #3. She is not hospitalized or ill. 那其实四号感染了无症状，家居接触传给三号，然后三号体弱发病的可能性是有的吧？三号先确诊，就把四号定义在三号后面了，没追四号是不是有别的源头。
忙不过来了吧？ 不过话说回来，现在的追踪根本不管用，比如santa clara最近不幸过世的case #3是2月28号确诊，当时说没有去过highly impacted地区，密切接触者没问题，隔天她家一个成年女性确诊，没发病没住院，是case#4，这四号的标记是三号的家居接触。。。我觉得，三号四号到底谁传给谁都不好说，四号没有任何更新，目前县公共卫生部门官网还是写的：Case #4 –adult woman who is a household contact of case #3. She is not hospitalized or ill. 那其实四号感染了无症状，家居接触传给三号，然后三号体弱发病的可能性是有的吧？三号先确诊，就把四号定义在三号后面了，没追四号是不是有别的源头。 Ruth 发表于 3/10/2020 12:29:36 PM [/url]
Sacramento County announced Monday that its public health department will no longer recommend isolation or quarantine for people exposed to someone with COVID-19, making a pivot from a strategy of containment to one of mitigation. In an interview, Dr. Peter Beilenson, head of the county’s Department of Health Services, said public health officials had quarantined the sick and those who came into close contact with them as a way to slow spread of the disease. “Once you get a certain number of cases, it’s hard to continue to contact-trace back the way you tried originally,” Beilenson said, “so we move to mitigation, which is basically trying to mitigate the risk to those who are most at risk: the elderly and those with chronic underlying conditions.” Because the new coronavirus poses the greatest threat to these individuals, he said, they and their families must take precautions to avoid exposure. If AARP is having a gathering, for example, the health department might recommend that people in their 70s or 80s not attend. If children are showing symptoms of COVID-19 — fever, coughing, shortness of breath — their parents should avoid taking them to visit grandparents either in their homes or at an assisted living facility, he said. Although Sacramento is making this announcement today, Beilenson said, he expects other counties around the state will announce plans to do the same soon. SHIFT MAKES SENSE, EXPERT SAYS Epidemiologist Catherine Troisi of the University of Texas Health Science Center at Houston said this change in strategy may be risky from a public perception standpoint because of the level of fear about this new illness. However, she said, this shift makes a lot of sense to her as an infectious disease researcher. “I’ve been saying for a week that we cannot contain the virus. It’s time to move to mitigation,” Troisi said. “I don’t want to say we’ve lost the battle because that implies we could have won it, and this is an infectious virus, and due to a lot of circumstances, the odds of us being able to contain that were very small. China bought us some time. Unfortunately in the United States, we didn’t take advantage of that time. We had problems with the testing kits.” COVID-19 is spreading fairly significantly around the United States, Beilenson said. While public health officials had confirmed roughly 700 cases of COVID-19 across the country as of Monday evening, Cedars-Sinai researchers estimated that more than 9,000 people in the United States already had been infected with the new coronavirus by March 1. “This suggests that the opportunity window to contain the epidemic of COVID-19 in its early stage is closing,” the researchers stated in their paper, which is posted online on a forum where physicians and researchers share information. The Cedars-Sinai investigators said they used “very conservative” methods to make their estimates, so they likely underestimated the number of cases. Their study modeled only COVID-19 coronavirus cases that could have been “imported” directly to the U.S. from Wuhan, China, before Jan. 23, when the Chinese government locked down the city. They assumed the lockdown stopped all outbound traffic from the city, which was the epicenter of the new coronavirus outbreak. Beilenson said scientists have had the opportunity to study COVID-19 and have found that 80-plus percent of those infected are not symptomatic or have only mild symptoms. In addition, he said, it appears that people who have the disease gain an immunity to it. Medical researchers differ on how long that immunity will last. Some say a season, while others say it could be effective for next season. That immunity, however, could buy time for researchers to develop a vaccine, a process that experts say will take at least a year. WHEN TO SEEK EMERGENCY CARE Until then, Beilenson said, there is no need for the general public, health care workers or first responders to isolate themselves after an exposure. They should stay home only if they develop symptoms, he said, and call 911 for assistance only if they are extremely sick or believe their lives are in imminent danger. Dr. Theresa Cheng, a senior resident who works at several hospitals in California, said that, as an emergency room physician, she is seeing people on both ends of the spectrum coming in seeking advice on COVID-19 and other respiratory illnesses. There definitely has been an upswing in asymptomatic people in ERs asking to be tested for the coronavirus, she said, and there are also people who have underlying health conditions who should have sought care earlier. “If you’re feeling fine, if you’re otherwise well, then the best thing you can do is put on a mask to prevent the transmission of those little droplets to other people, those around you,” she said. “It’s those people who have those comorbidities who are at higher risk. They should come in, or if they’re experiencing severe symptoms, they should definitely come in.” If people have symptoms that get better and then grow worse, Beilenson said, they should call ahead for care with their health care provider or an urgent care center. People who have mild symptoms can treat themselves at home with over-the-counter medications. If you are in a high-risk group, Beilenson said, consider avoiding crowded social gatherings where you cannot put at least two arms’ length worse of space between you and others. And although the CDC recommends face masks only for those who have COVID-19 and their caregivers, Beilenson said that some physicians may recommend that immuno-compromised patients wear them when out shopping for groceries or running other errands. “If you can, go to the store and do two or three weeks’ worth of shopping at one time,” he said. “That makes a lot of sense. And try to go in off-peak hours.” Public health officials recommend that companies give employees the option to telecommute from home or teleconference with other workers because people may still be able to work with mild cases of the illness. If schools have a COVID-19 exposure, Beilenson urged them to collaborate closely with their local health department and County Office of Education to determine appropriate steps to take.
忙不过来了吧？ 不过话说回来，现在的追踪根本不管用，比如santa clara最近不幸过世的case #3是2月28号确诊，当时说没有去过highly impacted地区，密切接触者没问题，隔天她家一个成年女性确诊，没发病没住院，是case#4，这四号的标记是三号的家居接触。。。我觉得，三号四号到底谁传给谁都不好说，四号没有任何更新，目前县公共卫生部门官网还是写的：Case #4 –adult woman who is a household contact of case #3. She is not hospitalized or ill. 那其实四号感染了无症状，家居接触传给三号，然后三号体弱发病的可能性是有的吧？三号先确诊，就把四号定义在三号后面了，没追四号是不是有别的源头。 Ruth 发表于 3/10/2020 12:29:36 PM
问题是， 不隔离， 家人就不会被传染么？ 恐怕到时候 家人 和别人 都会被传染吧， 真不知道怎么想的， 这不就是让大家抽签 看命了么..... https://www.sacbee.com/news/local/health-and-medicine/article241047391.html Coronavirus exposure no longer means automatic 14-day isolation, Sacramento County says Sacramento County announced Monday that its public health departmentwill no longer recommend isolation or quarantine for people exposed to someone with COVID-19, making a pivot from a strategy of containment to one of mitigation. In an interview, Dr. Peter Beilenson, head of the county’s Department of Health Services, said public health officials had quarantined the sick and those who came into close contact with them as a way to slow spread of the disease. “Once you get a certain number of cases, it’s hard to continue to contact-trace back the way you tried originally,” Beilenson said, “so we move to mitigation, which is basically trying to mitigate the risk to those who are most at risk: the elderly and those with chronic underlying conditions.” Because the new coronavirus poses the greatest threat to these individuals, he said, they and their families must take precautions to avoid exposure. If AARP is having a gathering, for example, the health department might recommend that people in their 70s or 80s not attend. If children are showing symptoms of COVID-19 — fever, coughing, shortness of breath — their parents should avoid taking them to visit grandparents either in their homes or at an assisted living facility, he said. Although Sacramento is making this announcement today, Beilenson said, he expects other counties around the state will announce plans to do the same soon. SHIFT MAKES SENSE, EXPERT SAYS Epidemiologist Catherine Troisi of the University of Texas Health Science Center at Houston said this change in strategy may be risky from a public perception standpoint because of the level of fear about this new illness. However, she said, this shift makes a lot of sense to her as an infectious disease researcher. “I’ve been saying for a week that we cannot contain the virus. It’s time to move to mitigation,” Troisi said. “I don’t want to say we’ve lost the battle because that implies we could have won it, and this is an infectious virus, and due to a lot of circumstances, the odds of us being able to contain that were very small. China bought us some time. Unfortunately in the United States, we didn’t take advantage of that time. We had problems with the testing kits.” COVID-19 is spreading fairly significantly around the United States, Beilenson said. While public health officials had confirmed roughly 700 cases of COVID-19 across the country as of Monday evening,Cedars-Sinai researchers estimated that more than 9,000 people in the United States already had been infected with the new coronavirusby March 1. “This suggests that theopportunity window to contain the epidemic of COVID-19in its early stage is closing,” the researchers stated in their paper, which is posted online on a forum where physicians and researchers share information. The Cedars-Sinai investigators said they used “very conservative” methods to make their estimates, so they likely underestimated the number of cases. Their study modeled only COVID-19 coronavirus cases that could have been “imported” directly to the U.S. from Wuhan, China, before Jan. 23, when the Chinese government locked down the city. They assumed the lockdown stopped all outbound traffic from the city, which was the epicenter of the new coronavirus outbreak. Beilenson said scientists have had the opportunity to study COVID-19 and have found that 80-plus percent of those infected are not symptomatic or have only mild symptoms. In addition, he said, it appears that people who have the disease gain an immunity to it. Medical researchers differ on how long that immunity will last. Some say a season, while others say it could be effective for next season. That immunity, however, could buy time for researchers to develop a vaccine, a process that experts say will take at least a year.WHEN TO SEEK EMERGENCY CARE Until then, Beilenson said, there is no need for the general public, health care workers or first responders to isolate themselves after an exposure. They should stay home only if they develop symptoms, he said, and call 911 for assistance only if they are extremely sick or believe their lives are in imminent danger. Dr. Theresa Cheng, a senior resident who works at several hospitals in California, said that, as an emergency room physician, she is seeing people on both ends of the spectrum coming in seeking advice on COVID-19 and other respiratory illnesses. There definitely has been an upswing in asymptomatic people in ERs asking to be tested for the coronavirus, she said, and there are also people who have underlying health conditions who should have sought care earlier. “If you’re feeling fine, if you’re otherwise well, then the best thing you can do is put on a mask to prevent the transmission of those little droplets to other people, those around you,” she said. “It’s those people who have those comorbidities who are at higher risk. They should come in, or if they’re experiencing severe symptoms, they should definitely come in.” If people have symptoms that get better and then grow worse, Beilenson said, they should call ahead for care with their health care provider or an urgent care center. People who have mild symptoms can treat themselves at home with over-the-counter medications. If you are in a high-risk group, Beilenson said, consider avoiding crowded social gatherings where you cannot put at least two arms’ length worse of space between you and others. And although the CDC recommends face masks only for those who have COVID-19 and their caregivers, Beilenson said that some physicians may recommend that immuno-compromised patients wear them when out shopping for groceries or running other errands. “If you can, go to the store and do two or three weeks’ worth of shopping at one time,” he said. “That makes a lot of sense. And try to go in off-peak hours.” Public health officials recommend that companies give employees the option to telecommute from home or teleconference with other workers because people may still be able to work with mild cases of the illness. If schools have a COVID-19 exposure, Beilenson urged them tocollaborate closely with their local health department and County Office of Educationto determine appropriate steps to take.
Coronavirus: Sacramento County Gives Up On Automatic 14-Day Quarantines
California's Sacramento County is calling off automatic 14-day quarantines that have been implemented for the coronavirus, saying it will focus instead on mitigating the impact of COVID-19.
The change is an acknowledgement that the county cannot effectively manage the quarantines while its health system copes with coronavirus cases. It also reflects problems with the U.S. government's coronavirus testing program — issues that slowed efforts to identify people with the deadly virus and to contain COVID-19.
Sacramento County announced today that it will shift its effort to community mitigation measures that will slow the spread of COVID-19 in the community, protect those who are most vulnerable to severe illness, and allow our health care system to prepare resources to take care of severely ill patients. These new measures will include cessation of 14-day quarantines.
The following recommendations are effective immediately, and will extend through March 31, 2020:
Quarantine: With the shift from containment to mitigation, it is no longer necessary for someone who has been in contact with someone with COVID-19 to quarantine for 14 days. This applies to the general public, as well as health care workers and first responders. However, if they develop respiratory symptoms, they should stay home in order to protect those who are well. ... ...
They cannot even do a good control of quarantine people. How do you expect them to support the medical need when the infected cases increase exponentially?
Sacramento County announced today that it will shift its effort to community mitigation measures that will slow the spread of COVID-19 in the community, protect those who are most vulnerable to severe illness, and allow our health care system to prepare resources to take care of severely ill patients. These new measures will include cessation of 14-day quarantines.
The following recommendations are effective immediately, and will extend through March 31, 2020:
Quarantine: With the shift from containment to mitigation, it is no longer necessary for someone who has been in contact with someone with COVID-19 to quarantine for 14 days. This applies to the general public, as well as health care workers and first responders. However, if they develop respiratory symptoms, they should stay home in order to protect those who are well. ... ...
The following recommendations are effective immediately, and will extend through March 31, 2020:
Quarantine: With the shift from containment to mitigation, it is no longer necessary for someone who has been in contact with someone with COVID-19 to quarantine for 14 days. This applies to the general public, as well as health care workers and first responders. However, if they develop respiratory symptoms, they should stay home in order to protect those who are well.
Sick Persons:
People should stay home if they are sick. Those with cold-like symptoms who can manage their symptoms at home with over-the-counter drugs should do so, regardless of whether they have a cold, the flu, or COVID-19.
If, however, difficulty breathing and lethargy develops, or symptoms were better and then got worse, they should call their healthcare provider, or urgent care center ahead so they can prepare to take care of them. People should only call 911 or go to an emergency department if they believe that they are extremely sick or their life is in imminent danger. Other emergencies are still occurring, and emergency resources must be available to address all of them, not just COVID-19
The following recommendations are effective immediately, and will extend through March 31, 2020:
Quarantine: With the shift from containment to mitigation, it is no longer necessary for someone who has been in contact with someone with COVID-19 to quarantine for 14 days. This applies to the general public, as well as health care workers and first responders. However, if they develop respiratory symptoms, they should stay home in order to protect those who are well.
Sick Persons:
People should stay home if they are sick. Those with cold-like symptoms who can manage their symptoms at home with over-the-counter drugs should do so, regardless of whether they have a cold, the flu, or COVID-19.
If, however, difficulty breathing and lethargy develops, or symptoms were better and then got worse, they should call their healthcare provider, or urgent care center ahead so they can prepare to take care of them. People should only call 911 or go to an emergency department if they believe that they are extremely sick or their life is in imminent danger. Other emergencies are still occurring, and emergency resources must be available to address all of them, not just COVID-19
chicot 发表于 3/10/2020 2:48:44 PM [/url]
However, if they develop respiratory symptoms, they should stay home in order to protect those who are well.
Coronavirus: Sacramento County Gives Up On Automatic 14-Day Quarantines
California's Sacramento County is calling off automatic 14-day quarantines that have been implemented for the coronavirus, saying it will focus instead on mitigating the impact of COVID-19.
The change is an acknowledgement that the county cannot effectively manage the quarantines while its health system copes with coronavirus cases. It also reflects problems with the U.S. government's coronavirus testing program — issues that slowed efforts to identify people with the deadly virus and to contain COVID-19.
Sacramento County announced Monday that its public health department will no longer recommend isolation or quarantine for people exposed to someone with COVID-19, making a pivot from a strategy of containment to one of mitigation. In an interview, Dr. Peter Beilenson, head of the county’s Department of Health Services, said public health officials had quarantined the sick and those who came into close contact with them as a way to slow spread of the disease. “Once you get a certain number of cases, it’s hard to continue to contact-trace back the way you tried originally,” Beilenson said, “so we move to mitigation, which is basically trying to mitigate the risk to those who are most at risk: the elderly and those with chronic underlying conditions.”
Because the new coronavirus poses the greatest threat to these individuals, he said, they and their families must take precautions to avoid exposure. If AARP is having a gathering, for example, the health department might recommend that people in their 70s or 80s not attend. If children are showing symptoms of COVID-19 — fever, coughing, shortness of breath — their parents should avoid taking them to visit grandparents either in their homes or at an assisted living facility, he said.
Although Sacramento is making this announcement today, Beilenson said, he expects other counties around the state will announce plans to do the same soon.
SHIFT MAKES SENSE, EXPERT SAYS Epidemiologist Catherine Troisi of the University of Texas Health Science Center at Houston said this change in strategy may be risky from a public perception standpoint because of the level of fear about this new illness. However, she said, this shift makes a lot of sense to her as an infectious disease researcher. “I’ve been saying for a week that we cannot contain the virus. It’s time to move to mitigation,” Troisi said. “I don’t want to say we’ve lost the battle because that implies we could have won it, and this is an infectious virus, and due to a lot of circumstances, the odds of us being able to contain that were very small. China bought us some time. Unfortunately in the United States, we didn’t take advantage of that time. We had problems with the testing kits.” COVID-19 is spreading fairly significantly around the United States, Beilenson said. While public health officials had confirmed roughly 700 cases of COVID-19 across the country as of Monday evening, Cedars-Sinai researchers estimated that more than 9,000 people in the United States already had been infected with the new coronavirus by March 1. “This suggests that the opportunity window to contain the epidemic of COVID-19 in its early stage is closing,” the researchers stated in their paper, which is posted online on a forum where physicians and researchers share information.
The Cedars-Sinai investigators said they used “very conservative” methods to make their estimates, so they likely underestimated the number of cases. Their study modeled only COVID-19 coronavirus cases that could have been “imported” directly to the U.S. from Wuhan, China, before Jan. 23, when the Chinese government locked down the city. They assumed the lockdown stopped all outbound traffic from the city, which was the epicenter of the new coronavirus outbreak. Beilenson said scientists have had the opportunity to study COVID-19 and have found that 80-plus percent of those infected are not symptomatic or have only mild symptoms. In addition, he said, it appears that people who have the disease gain an immunity to it. Medical researchers differ on how long that immunity will last. Some say a season, while others say it could be effective for next season. That immunity, however, could buy time for researchers to develop a vaccine, a process that experts say will take at least a year. WHEN TO SEEK EMERGENCY CARE Until then, Beilenson said, there is no need for the general public, health care workers or first responders to isolate themselves after an exposure. They should stay home only if they develop symptoms, he said, and call 911 for assistance only if they are extremely sick or believe their lives are in imminent danger.
Dr. Theresa Cheng, a senior resident who works at several hospitals in California, said that, as an emergency room physician, she is seeing people on both ends of the spectrum coming in seeking advice on COVID-19 and other respiratory illnesses. There definitely has been an upswing in asymptomatic people in ERs asking to be tested for the coronavirus, she said, and there are also people who have underlying health conditions who should have sought care earlier. “If you’re feeling fine, if you’re otherwise well, then the best thing you can do is put on a mask to prevent the transmission of those little droplets to other people, those around you,” she said. “It’s those people who have those comorbidities who are at higher risk. They should come in, or if they’re experiencing severe symptoms, they should definitely come in.” If people have symptoms that get better and then grow worse, Beilenson said, they should call ahead for care with their health care provider or an urgent care center. People who have mild symptoms can treat themselves at home with over-the-counter medications. If you are in a high-risk group, Beilenson said, consider avoiding crowded social gatherings where you cannot put at least two arms’ length worse of space between you and others. And although the CDC recommends face masks only for those who have COVID-19 and their caregivers, Beilenson said that some physicians may recommend that immuno-compromised patients wear them when out shopping for groceries or running other errands. “If you can, go to the store and do two or three weeks’ worth of shopping at one time,” he said. “That makes a lot of sense. And try to go in off-peak hours.” Public health officials recommend that companies give employees the option to telecommute from home or teleconference with other workers because people may still be able to work with mild cases of the illness. If schools have a COVID-19 exposure, Beilenson urged them to collaborate closely with their local health department and County Office of Education to determine appropriate steps to take.
实际上就是他们没有能力做全面的跟踪隔离，现在是直接放弃认输了，早承认好让大家意识到
你NAIVE了。
中国不是防住了？然而。。。。
没能力做了找个借口
类似CDC不推荐戴口罩？
Case#4 有传染给自己的医生。他/她的医生二月二十几号开始得了很严重的肺炎，
州里测了两次，第一次不确定(肺炎第9天测的), 第二次是negative的时候就把这个医生的case clear了，医生连确诊都不算，当成普通肺炎处理。
中国是全社会停摆来防，希望彻底消灭病毒，赌社会秩序恢复后，没有反复，万一有反复，不可能再停摆一次，那样就崩了。美日都是采取尽量限制传播，让社会生活正常进行的策略，赌疫苗出来前，还在小范围内传播。哪种策略更成功，拭目以待吧。
加州就是牛，領先全人類主動作死。不止比爹媽，還是比人種。
问题是美日的策略还是有所不同。美国现在是自己骗自己这就是一场流感，从上到下真正做到了不拿病毒当回事的策略，结局会很惨的。
日本人至少戴口罩， 全民也重视。 美国基本上就是裸奔。
如果现在号召全民戴口罩，美华就真的完蛋了
中国如果现在不关闭国门，未来几个月继续复发吧，
参透了这个属性，就知道没有什么防住
what's the difference?
有比武汉多的case吗
还是说政府瞒报了？
sac county已经建议没有症状的接触者不需要隔离，有症状的要隔离
https://www.npr.org/sections/health-shots/2020/03/10/813990993/coronavirus-sacramento-county-gives-up-on-automatic-14-day-quarantines
Coronavirus: Sacramento County Gives Up On Automatic 14-Day Quarantines
California's Sacramento County is calling off automatic 14-day quarantines that have been implemented for the coronavirus, saying it will focus instead on mitigating the impact of COVID-19.
The change is an acknowledgement that the county cannot effectively manage the quarantines while its health system copes with coronavirus cases. It also reflects problems with the U.S. government's coronavirus testing program — issues that slowed efforts to identify people with the deadly virus and to contain COVID-19.
整天说这种p话，脑子被猪啃了吗？ 街上戴口罩的什么人都有，印度人，白人。 整天什么事情，都跟美华要完蛋了扯一起。 eBay上卖高价口罩的全是美华？
那么现在CASE没超载的时候，为什么不集中精力去TRACK呢？提前打预防针的意义就是说现在就开始放弃TRACK了
官宣了，已经放弃了
http://forums.huaren.us/showtopic.aspx?topicid=2516842&forumpage=1
https://www.saccounty.net/news/latest-news/Pages/County-Announces-New-Mitigation-Efforts-COVID-19.aspx
Sacramento County announced today that it will shift its effort to community mitigation measures that will slow the spread of COVID-19 in the community, protect those who are most vulnerable to severe illness, and allow our health care system to prepare resources to take care of severely ill patients. These new measures will include cessation of 14-day quarantines.
The following recommendations are effective immediately, and will extend through March 31, 2020:
Quarantine: With the shift from containment to mitigation, it is no longer necessary for someone who has been in contact with someone with COVID-19 to quarantine for 14 days. This applies to the general public, as well as health care workers and first responders. However, if they develop respiratory symptoms, they should stay home in order to protect those who are well.
... ...
现在一共2例
不懂踩的人那么多干嘛 五毛大外宣天下大乱能救的回中国现在的情况吗
踩的人多是因为层主的话不是事实，已经官宣了
为什么不干正事，系统里没人力监管可以理解，但是可以搞一些紧急法案，违反自我隔离规定的可以事后刑法追究啊。总能威慑一部分确诊患者吧
你读了文章没 这层说的没毛病啊 估计就大外宣激动吧
确诊患者仍然需要隔离，但跟确诊患者有接触的人已经不要求隔离了
更正说法不准确：没有症状的接触者不需要14天隔离，有症状的要求在家
从来就没有隔离过
看之前有人发的帖子，他舅舅确诊，他舅妈得到的建议是“带口罩，保持3米距离，除此以外没有任何限制”
要求确诊患者有接触的人隔离，这一条留着会死吗？政府没人手，你留在纸面上也好啊，有了政府建议，至少老实人会自动遵守吧。把这条从纸面去掉，到底有什么好处？
简直了。
那隔离的意义就弱了很多啊。不想隔离就PUSH快速检验啊，接触者检验了，没事皆大欢喜，有事的隔离啊。反正到处都是死结，都认为不是自己部门的责任
你是不是坐船过来的，英文不好？
sac county现在一共才2例确诊，就放弃隔离接触者了，这帮官僚是什么思路
The following recommendations are effective immediately, and will extend through March 31, 2020:
Quarantine: With the shift from containment to mitigation, it is no longer necessary for someone who has been in contact with someone with COVID-19 to quarantine for 14 days. This applies to the general public, as well as health care workers and first responders. However, if they develop respiratory symptoms, they should stay home in order to protect those who are well.
Sick Persons:
People should stay home if they are sick.
Those with cold-like symptoms who can manage their symptoms at home with over-the-counter drugs should do so, regardless of whether they have a cold, the flu, or COVID-19.
If, however, difficulty breathing and lethargy develops, or symptoms were better and then got worse, they should call their healthcare provider, or urgent care center ahead so they can prepare to take care of them.
People should only call 911 or go to an emergency department if they believe that they are extremely sick or their life is in imminent danger. Other emergencies are still occurring, and emergency resources must be available to address all of them, not just COVID-19
However, if they develop respiratory symptoms, they should stay home in order to protect those who are well.
有接触的人里面有症状的才需要在家，没症状的就该干啥干啥
可以去哪里抗议吗 电话什么的
这是大家一起药丸的节奏啊
Twitter,议员一起上。我刚群发我local群了，让大家一起行动。这帮傻叉，学校不关，现在隔离都放弃了。
旁边两个county也沦陷了
https://www.placer.ca.gov/6454/Recommend-COVID-19-mitigation
Placer, Yolo county health officers recommend COVID-19 mitigation
Published March 10, 2020
老实说外省的很多track也是。。。怎么说呢，当事人不记得或者想故意瞒，去做流调的很多不是专业的，又必须完成任务。中国反正是停工了，有人力去做，不在乎准确度，尽力去追，。。。那个擦肩而过感染的，还有一个说潜伏期40多天的（后来被修正）。。。。
我们这边2月28那个case报称社区感染的，我从当时的新闻和之后case#4的状态看，根本不信他们的track，美国还比中国更重视患者的“隐私”，没办法穷追，病人和家属愿意说一点就是一点。
re，就算让隔离，遵守的人也不多，但毕竟是个态度。整天宣传大号流感，不用担心不用隔离，爆的更快。
事实上，mitigation通常等于要钱，问题已经形成了，不可避免了，只好在此基础上尝试去“解决“问题
所谓mitigation保护high risk人群也非常短视。如果所有年轻人都感染了，再怎么隔离老年人你觉得他们逃得过？
瞎搞。
RE 就是裸奔，靠自己免疫力，拼基因的時刻到了。
中国用了是你不知道。我亲戚群里就有贴出来区政府发送的从武汉返回的人名单，用的就是手机基站，track 到过去两周有去过湖北的人。一共几百人，姓名和手机号都有。让居民看到举报隔离。这个当然有点侵犯人权，但是特殊时期
haha, 是的
不是患者带口罩吗？为啥要他舅妈戴？
完全不懂这些蠢人的逻辑，你至少不用号召民众不用隔离吧？脑子里都是屎
同意，这专家绝对是砖家，脑子一坨shi。
主观意愿想弱化， 所以恶心。 人命没股票值钱
想当然了。放任感染，整个社会时刻在戒备中，最可怕的是所有医护一直面临威胁。中国也就熬一个多月，后面整个就轻松很多了。
你解释下mitigation有啥具体措施？