Completing this thought. Our current focus is on reducing community transmission through distancing, which is critical for slowing spread. Of course SARS-CoV-2 only gets into households through the community (other colors shown). But once in households, it spreads easily. 1/5 https://twitter.com/nataliexdean/status/1250225520551346177

As we have seen in other countries, once you do a better job of containing community spread, household transmission becomes a bigger part of the picture. Look at the orange bars over time in Iceland. So while our focus is short-term, we can't totally ignore the long-term. 2/5

Due to extensive pre-symptomatic transmission, it is difficult to prevent household transmission. But while we may not prevent all of it, can we prevent some of it? Imagine knowing you have been exposed to a sick co-worker. Where is the best place for you to safely isolate? 3/5

Current recommendations are to stay home and try to keep to separate part of the house, which makes sense given limited resources, but clearly this puts your family members at risk. What if you live with an elderly relative or immunocompromised spouse? 4/5

So this is why I think that comfortable, *voluntary* options for isolation should be part of any comprehensive, long-term control strategy. Other countries have had success with vacant hotels and dormitories. I've seen someone suggest RVs. Let's start this discussion. 5/5