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Doh! Just realized lockdown, quarantine, + isolation are ALL social distancing measures to confine spread w/in different scopes.
To do each safely takes skill. To change scale, need more/better info.
Following @rocza to understand the nuances.
To do each safely takes skill. To change scale, need more/better info.
Following @rocza to understand the nuances.
THREAD: Documenting my initial understanding BEFORE reading the in-depth material @rocza is sharing on a parallel thread.
Will revise + correct once I do. 1/16
Will revise + correct once I do. 1/16
Social distancing at any of these levels divides the world into bubbles.
You share risks of contagion with anyone who& #39;s inside your bubble. Smaller bubbles are less risky. Bigger bubbles are more likely to pop. 2/16
You share risks of contagion with anyone who& #39;s inside your bubble. Smaller bubbles are less risky. Bigger bubbles are more likely to pop. 2/16
Isolation = you& #39;re currently contagious. You get your very own bubble until you& #39;re not.
Caring for you humanely while preventing others from getting infected requires extra precautions. Never pop this bubble. 3/16
Caring for you humanely while preventing others from getting infected requires extra precautions. Never pop this bubble. 3/16
Self-isolation = variant where you& #39;re not currently sick enough to need hospitalization.
Can potentially recuperate at home without infecting your family, if everyone& #39;s super-careful. Bubble within a bubble. 4/16
Can potentially recuperate at home without infecting your family, if everyone& #39;s super-careful. Bubble within a bubble. 4/16
Quarantine = you might be contagious (usually because you& #39;ve been exposed).
Keeps you away from (most) others to keep from infecting them. But increases risk that infection spreads among people you& #39;re quarantined with.
Similar to isolation, but less intense. 5/16
Keeps you away from (most) others to keep from infecting them. But increases risk that infection spreads among people you& #39;re quarantined with.
Similar to isolation, but less intense. 5/16
Home quarantine = you might be contagious, but can stay with your family if you& #39;re careful.
Smaller bubble, so if you& #39;re not already contagious, reduces odds that YOU get infected by others in your bubble. But if you are, increases THEIR risk. 6/16
Smaller bubble, so if you& #39;re not already contagious, reduces odds that YOU get infected by others in your bubble. But if you are, increases THEIR risk. 6/16
Lockdown = home quarantine across a wide region, when we don& #39;t have good enough info to know who needs it + who doesn& #39;t.
Protects everyone who can #StayHome
https://abs.twimg.com/hashflags... draggable="false" alt=""> diligently from everyone else. Lots and lots of small, soapy bubbles. 7/16
Protects everyone who can #StayHome
All these levels of social distancing can be done well, badly, or somewhere in between. How effective each is depends on how carefully they& #39;re done. Skill + training matter.
Sloppy or broken bubbles don& #39;t protect anyone. 8/16
Sloppy or broken bubbles don& #39;t protect anyone. 8/16
We& #39;re all human beings who crave contact + connection. We don& #39;t want to be any more distant from each other than we absolutely have to.
So how do we safely minimize the number + kinds of bubbles needed? 9/16
So how do we safely minimize the number + kinds of bubbles needed? 9/16
A well-maintained bubble is a boundary. It protects people on either side from infecting each other.
The more accurately we know who is or might be contagious, the more precisely we can draw those boundaries. 10/16
The more accurately we know who is or might be contagious, the more precisely we can draw those boundaries. 10/16
When can you leave isolation for a bigger bubble? When you& #39;re no longer contagious.
How do we know? Some mix of time, symptoms, + test results -- information you get from your doctor or some other public health official? 11/16
How do we know? Some mix of time, symptoms, + test results -- information you get from your doctor or some other public health official? 11/16
When can you be released from individual quarantine? When is it safer for you to join your family in their bubble with fewer restrictions?
Same answer. When there& #39;s enough info (symptoms, time, +/or tests) to confirm that you& #39;re not contagious. 12/16
Same answer. When there& #39;s enough info (symptoms, time, +/or tests) to confirm that you& #39;re not contagious. 12/16
Now for the trillion-dollar question. When and to what extent can at least some of us be released from lockdown?
Unfortunately, we currently don& #39;t have anywhere near enough of that information. 13/16
Unfortunately, we currently don& #39;t have anywhere near enough of that information. 13/16
We don& #39;t have enough tests to quickly and thoroughly identify everyone who& #39;s infected. So just isolation isn& #39;t enough.
We don& #39;t have enough contact tracers to identify everyone who& #39;s been exposed + just quarantine them. So people could be infected and not know it. 14/16
We don& #39;t have enough contact tracers to identify everyone who& #39;s been exposed + just quarantine them. So people could be infected and not know it. 14/16
Worse, there& #39;s evidence that people who get infected can be contagious for several days before experiencing symptoms.
So we can& #39;t just ask people to self-quarantine once they start feeling sick. 15/16
So we can& #39;t just ask people to self-quarantine once they start feeling sick. 15/16
Thus instead of just putting SOME people in bubbles -- both to care for them + to protect everyone else -- we& #39;ve wound up trying to put EVERYONE in bubbles.
The only way out will be to get a lot more information. #TestMore, #TraceMore, so we can #IsolateLess. 16/16
The only way out will be to get a lot more information. #TestMore, #TraceMore, so we can #IsolateLess. 16/16
