Typical NIMBY. Not in my back yard. I agree that quarantines need to happen in places that can be better secured. A random building in the OC doesn’t really sound like it will fit the bill from my experience, but I also haven’t seen the building. The problem with sight selection is the proximity to appropriate higher levels of care, should the individual become severe, while balancing community needs (not their wants). At least at this stage. We are walking a tightrope.
Going back to the Dept of State transporting sick people against CDC medical advice. All of the people on the plane had been exposed right up until they got on the plane anyway. CDC’s beef was that State made a public declaration that they wouldn’t transport positive cases which had the potential effect of undermining trust. Trust is pretty much all CDC has right now in terms of community cooperation, they are loathe to exercise the alternatives. State’s issue is getting Americans home. Once they start, they won't stop with a particular group until they cannot. Remember, two seemingly well passengers who tested negative and were not isolated became “symptomatic” in transit and were moved to isolation. The alternative really was jacking someones 90year old grandma out of her seat and leaving her on the tarmac while the rest of her family flew away. These are human beings. I’ve read some pretty surly shiznit about old people dying and the response being "oh well." Honestly, I thought I was a cold and detached woman when it came to death, so for someone to say something so frigid that even I pearl clutched, I figured they must be super pleasant IRL. Then I realized that the tough guy approach comes from not having ever had to make those hard choices and from the fear they are trying to talk themselves out of, rather than rationale of a hard-ice who has been there done that and got the t shirt.
The United States has zero obligation to rescue you from your own folly, but typically will if it can do so without causing a greater harm. For now, we can bring our people home without taxing the system beyond its ability (on the list of potential greater harms). For now, we can treat those patients and still have room in hospitals for elective surgeries and other non urgent issues. We do not have community transmission here. The places where you do see community acquired cases (those with no index patient) are those where they refused to limit travel from China early. I can tell you that the new hot protocol when someone is symptomatic and tests negative for influenza in the hospital setting (right now in larger cities) is to swab them for CV as well. Coming soon to a hospital near you, though.
For now, washy, washy.
