Caitlin Rivers, PhD+ Your Authors @cmyeaton Outbreak science + epidemiology + health security. Assistant professor at Johns Hopkins Center for Health Security (@JHSPH_CHS). ELBI alum. Apr. 08, 2020 1 min read + Your Authors

A month ago @ScottGottliebMD and I cautioned against forbidding people from leaving their homes. Now there are calls by prominent leaders for the opposite. 1/
 https://www.washingtonpost.com/opinions/2020/03/12/quarantining-cities-isnt-needed-fast-coordinated-response-covid-19-is-essential/ 

This proposal would mandate that people who are infected and their close contacts stay in a central facility until their two weeks have passed 2/
 https://www.nytimes.com/2020/04/07/opinion/coronavirus-smart-quarantine.html 

As with lockdowns, this policy would erode trust in public health at a time when it is needed most. People won’t want to visit the doctor or get tested or answer the door for public health officials if they know it means being removed from their homes 3/

It would also have unacceptable secondary consequences. What happens to children if caregivers are quarantined? How would the needs of people with special care requirements be provided for? 4/

We have recommended that comfortable, voluntary facilities like hotel rooms be made available to people who would prefer to recover away from home, for example if there is a vulnerable older adult at home. But these should be strictly voluntary. 5/5
 https://healthpolicy.duke.edu/sites/default/files/atoms/files/covid-19_surveillance_roadmap_final.pdf 


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