Forced isolation the proven way to cut Covid-19 transmission

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Flare-ups from Australia to Japan show the world has not learnt an early lesson from the coronavirus crisis: to stop the spread, those with mild or symptom-free coronavirus infections must be forced to isolate, both from their communities and family.

In Australia, where Victoria state has been reporting record deaths, about 3,000 checks in July on people who should have been isolating at home found 800 were out and about. In Japan, where the virus has roared back, people are staying home but are not in isolation: 40% of elderly patients are getting sick from family members in the same apartments.

But other countries facing sustained spread such as Australia and the US are not broadly enacting the policy despite its proven track record. Their unwillingness — or inability — to do so underscores the challenges faced by liberal democracies whose populations are less likely to tolerate measures that require individual sacrifice for the greater good.

The strategy has since been used in Italy, Singapore and South Korea at the height of their own coronavirus outbreaks earlier this year. Faced with a resurgence last month, Hong Kong converted an exhibition center to accommodate mild Covid-19 patients and is building more such facilities. In Australia and Japan, infected people who have been told to stay home have gone out for a variety of reasons — some cannot work from home and need the income, while others want to pick up groceries and supplies. One woman in Tokyo travelled cross country by bus after having her infection confirmed.

 

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