Masks, lockdowns and NPIs

The West African countries are instituting quarantines and border closings, which may slow down the epidemic, but there is the beginning of a humanitarian crisis to get food, water and supplies to the quarantined areas.

Diary Prequel Package, p.357 · original PDF · in context

Amazingly, the girlfriend and children are being legally quarantined (armed guard at door) in the room with the soiled sheets and towels still in the room unable to be removed.

Diary Prequel Package, p.375 · original PDF · in context

Cuomo of New York State surprised and shocked the New York City public health authorities as well as the CDC and the US government (including President Obama) by declaring an absolute quarantine on all healthcare workers coming back to the United States through New York or Newark airports who had any contact with an Ebola patient.

Diary Prequel Package, p.395 · original PDF · in context

In this way, you have a repetitive clinical judgment concering restriction as opposed to a broad sweeping quarantine for evryone.

Diary Prequel Package, p.395 · original PDF · in context

We all decided that we need to point out that healthcare workers are heroes and that if we in fact quarantine them indiscriminately regardless of their stratification of risk that we would clearly disincentivize them for wanting to volunteer as well as stigmatize them, which is already occurring anyway.

Diary Prequel Package, p.395 · original PDF · in context

Christie is standing firm in saying that the US government, particularly the CDC, are playing catch-up with Ebola and that his initiation of a quarantine for 21 days for healthcare workers and other travelers returning from West Africa is the way to go.

Diary Prequel Package, p.406 · original PDF · in context

The POTUS made a brief speech in front of Marine 1 as he was about to take off reaffirming what I said on Sunday TV (without invoking my name) that we are driven by science and not by fear and so there is no reason to do a blanket quarantine on all returning HCWs since they are heroes and we do not want to discourage them from volunteering.

Diary Prequel Package, p.406 · original PDF · in context

This is an extension of the quarantine craziness that was started by Governors Christie and Cuomo.

Diary Prequel Package, p.408 · original PDF · in context

Also, he was concerned that with the latest proposal for 32 additional Ebola-ready hospitals in the USA that we should quarantine the USA HCWs after seeing Ebola patients.

Diary Prequel Package, p.415 · original PDF · in context

Gregg Gonsalves (old ACT-UP and TAG) who is now a Ph.D. student at Yale has brought to NIH (7A-24) a few (three) Yale students to interview me on a piece that they are writing on the issues with unnecessary quarantine of people working with Ebola.

Diary Prequel Package, p.441 · original PDF · in context

Travis AFB, Miramar, Lackland AFB are landing destinations for US Citizens coming from Wuhan so that we can implememnt institutional quarantines and medical care if needed.

Tony's Diary Package, p.15 · original PDF · in context

To complicate it all, while we were in the PCC, China announced that it is cutting off all public transportation (air, ferries, train, buses, out of Wuhan City) Essentially a quarantine of the entire city of 11 million people except for absolute emergencies.

Tony's Diary Package, p.6 · original PDF · in context

Any person, but specifically U.S. citizens and legal permanent residents (LPRs) who have been: (1) in Hubei province within the past 14 days may be subject to 14 day mandatory quarantine; and (2) in China (outside Hubei province) within the past 14 days may be subject to screening and self-isolation for 14 days.

Tony's Diary Package, p.6 · original PDF · in context

During the task Force meeting, the issues came up of cruise ships (one in Yokohama, Japan, and one in New Jersey/New York) that had infected Chinese from Wuhan on them and discussion of how to handle quarantine for the rest of the passengers.

Tony's Diary Package, p.17 · original PDF · in context

People on the Japanese cruise ship are being released from quarantine.

Tony's Diary Package, p.19 · original PDF · in context

Problem is that Japanese are releasing people into the community from the ship without the complete 14 day quarantine.

Tony's Diary Package, p.27 · original PDF · in context

They consider being on the ship as quarantine when it is not.

Tony's Diary Package, p.27 · original PDF · in context

And so for that reason, the American public should not be frightened, but should be prepared to mitigate an outbreak in this country by measures that include social distancing, teleworking, temporary closure of schools, etc.

Tony's Diary Package, p.756 · original PDF · in context

Nancy is frustrated that Bob is not sounding the alarm to start social distancing.

Tony's Diary Package, p.34 · original PDF · in context

Problem is that logistically we have no easy way to quarantine 4000 people.

Tony's Diary Package, p.36 · original PDF · in context

And you have a married blond woman in your house during lockdown.

Slack / Private Message Drop, p.16 · original PDF · in context

CDC people first said that all in the room should quarantine for 14 days.

Tony's Diary Package, p.169 · original PDF · in context

Steve Hahn who was closest to Katie is going into strict 14 date home quarantine.

Tony's Diary Package, p.171 · original PDF · in context

Bob Redfield who had a moderate exposure is also saying he is going itnom14 day quarantine (when in fact he will gointo his office).

Tony's Diary Package, p.171 · original PDF · in context

Jake Tapper called me and asked whether I was going inot quarantine.

Tony's Diary Package, p.171 · original PDF · in context

May 10, 2020 - Global - 4,150,000/283,000; USA - 1,290,000/79,000 Much flurry over the press wanting to understand the difference between a modified quarantine and a total quarantine.

Tony's Diary Package, p.172 · original PDF · in context

It would give mixed signals given my statement of Modified Quarantine.

Tony's Diary Package, p.172 · original PDF · in context

President Trump called my cell while I was at home to check and see if I was OK, having heard that I was in semi-quarantine.

Tony's Diary Package, p.172 · original PDF · in context

I was worried about conclusion being made on whether people use/don't use face masks.

Slack / Private Message Drop, p.75 · original PDF · in context

Oh, I don't disagree with the conclusion at all (I completely agree that face masks are hugely important), but the analysis is dire.

Slack / Private Message Drop, p.75 · original PDF · in context

Yes they have individual trajectories up and down but are not conditioned on a particular lockdown date.

Slack / Private Message Drop, p.92 · original PDF · in context

They all share the same transition time which is after lockdown (but allows for some lag).

Slack / Private Message Drop, p.92 · original PDF · in context

Like this (paywalled, but the by-line says it all): https://www.telegraph.co.uk/news/2020/06/27/lockdown-social-distancing-could-make-immune-system-weaker-says/

Slack / Private Message Drop, p.108 · original PDF · in context

The story here is that the outbreak in Victoria was due to an escape from hotel quarantine from return travellers.There's even an inquiry going on that the moment.

Slack / Private Message Drop, p.134 · original PDF · in context

A treasure-trove of data on transmission amongst young nearly all asymptomatic individuals and their aggressively sought out contacts who are placed in quarantine.

Slack / Private Message Drop, p.153 · original PDF · in context

Trump in quarantine is a pretty big deal - this will be interesting...

Slack / Private Message Drop, p.201 · original PDF · in context

We have found from careful analysis, modelling and triangulation of all the data that community spread can be controlled without a lockdown as we have done but the time to act is critical and must be with the original detection of the silent spread, ensuring infected individuals know how ta limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of public and private gatherings indoors especially small gatherings with friends and family.

Tony's Diary Package, p.419 · original PDF · in context

The universities that did nat isolated the asymptomatic infections had many more studentsin isolation and quarantine (30%) showing the failure ofthis approach 7.

Tony's Diary Package, p.422 · original PDF · in context

There has not been an improvement in CAF since July (when improved by 62%) -- ensuring access to new promising therapeutics is erithcal 8. tis critical toact now finding the continued source of silent spread, ensuring infected individuals know how to limit theirinfection af others and with messaging on universal masking, physical distancing, and essentiallimitation of publicand private gatherings indoors especially small gatherings with friends and farnily. 9.

Tony's Diary Package, p.422 · original PDF · in context

Continued critical guidance on the Holiday season to limit indoor unmasking across households if they choose to gather ' Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger community spread in waves =a hand full of states are moving in this direction .

Tony's Diary Package, p.496 · original PDF · in context

Amateur aerobiologists: saRESPIRATORYsv-CoV-2 is NOT airborne [just wash you hands, masks don't work]. 2. amateur epidemiologists: Don't worry about social distancing [just wash your hands]. 3.

Slack / Private Message Drop, p.279 · original PDF · in context

https://www.propublica.org/article/here-are-six-accidents-unc-researchers-had-with-lab-created-coronaviruses"*April2020*: A UNC scientist underwent 14 days of self-quarantine at home after a mouse bite caused potential exposureto a strain of SARS-CoV-2, the virus that causes COVID-19, that had been adapted for growth in mice.

Slack / Private Message Drop, p.335 · original PDF · in context

VOC cases are currently subjected to different quarantine procedures in Australia.

Slack / Private Message Drop, p.480 · original PDF · in context

Another example is that people who are vaccinated do not need to go into quarantine after exposure to a documented COVID-19 case.

Tony's Diary Package, p.619 · original PDF · in context

The experts said Americans could influence the spread of the disease by taking basic measures such as mask-wearing and social distancing.

Tony's Diary Package, p.683 · original PDF · in context

There were, of course, disagreements along the way about the length of lockdowns and the form of mandates.

Tony's Diary Package, p.683 · original PDF · in context

One of the questions that came up today was why we still have a mask mandate for outdoors.

Tony's Diary Package, p.695 · original PDF · in context

May 14, 2021 - Global - 160,800,000/3,300,000; USA - 32,700,000/581,600 In The Onion sarcastically spoofing the recent relaxation of mask mandates from CDC: Dr.

Tony's Diary Package, p.736 · original PDF · in context

July 19, 2021 Jeff Z. called me early this AM (6:45 AM) concerned about the breakthrough infections of vaccinated people and waned my opinion about moving towards masking of vaccinated people who are in hot zones.

Tony's Diary Package, p.812 · original PDF · in context

Important stuff going on!!We had at least two zoom meetings today with Jeff, Rochelle, Vivek, and Bechara to discuss the upcoming change in masking guidelines that the CDC will be proposing.

Tony's Diary Package, p.821 · original PDF · in context

August 3, 2021 - Global - 198,000,000/4,200,000; USA - 35,200,000/612,000 We continue to average about 70,000 cases per day An ironic situation is going on in Florida where Governor DeSantis has a state that has the most infections per day in the country and is still insisting that mask mandates are not allowed at the local level by the schools or by anyone else.

Tony's Diary Package, p.833 · original PDF · in context

Got a call from Kathy Hochul - Governor of New York - She was asking for some help and support in her upcoming decision of reinstituting the indoor mask mandate for the state of New York.

Tony's Diary Package, p.928 · original PDF · in context

Had meeting with Bruce Tromberg, Rochelle, Robbie Goldstein and CDC folks together with FDA folks (Rob Califf and team) and Steve Sha to try to get an agreement about guidelines for testing for isolation/quarantine when to stop isolation/masking, etc.

Tony's Diary Package, p.1016 · original PDF · in context