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Self-isolation, quarantine and California's stay-at-home order: What the terms mean and how they differ

Some Bay Area localities have issued shelter-in-place orders. Is it okay to go outside, if you avoid crowds? What precautions should you take?

Posted: Mar 20, 2020 10:39 AM
Updated: Mar 20, 2020 9:15 PM


Isolation, quarantine, shelter in place. These are terms we're hearing a lot of these days, as authorities try to stem the spread of the novel coronavirus that's sweeping the United States and the rest of the world.

They're not the same thing, though they all have the goal of keeping others from getting infected. But what do they mean, exactly?

Here are some brief explanations.

Quarantine

This is for people who may have been exposed to the virus. They are asked to stay at home, or as in the case with people who were repatriated from China to the United States, to stay in a provided facility.

They're required to be in quarantine for 14 days. After that, people who still don't test positive for the virus no longer have to be in a contained environment.

Some people may choose or be asked to self-quarantine, meaning they do it voluntarily just because they think they may have been exposed or they are being just cautious.

Governments -- federal, state and local -- can order quarantines, and in fact, those repatriated from China were under a federal quarantine order.

That's only done in extremely rare situations, though. The last time it was ordered on a large scale was during the Spanish Flu pandemic of 1918-1919, according to the Centers for Disease Control and Prevention.

Isolation

This is for people who actually have the virus or suspect they may be infected.

Those with the virus who need to be hospitalized will be kept in an isolation unit.

People who have been infected with the virus may be asked to self-isolate at home if they have no symptoms or are only mildly ill.

It's important to call your health provider, in any case, if you develop symptoms.

Those in isolation should keep away from other people as much as possible. The CDC recommends that you use a separate bathroom, if available, wear a face mask when around others, and don't share household items.

Shelter in place

Until this week, the term 'shelter in place' meant for most people an active shooter situation -- stay where you until the coast is clear.

Now, millions of people in California have been ordered to shelter in place, and other areas may follow.

These people are being asked to stay at home as much as possible, meaning they shouldn't be out unless getting food, gas or other essentials, or for medical reasons.

Health professionals, police, firefighters and other essential service providers are still expected to go to work. And of course, grocery store clerks and gas station attendants are working, too.

Going outside for a walk or exercise is allowed, and even encouraged, in the California counties where the order has been imposed. But people are asked to keep their distance from others.

Answers to some of your top coronavirus questions, every day

It's all about social distancing, and by now, we probably all know that means keeping six feet apart from other people when out and about.

Stay-at-home orders in California, New York, Illinois and Connecticut

After multiple counties across California ordered their residents to shelter in place, California Gov. Gavin Newsom announced Thursday night he was issuing a statewide order for people to stay at home.

The order will remain in place 'until further notice,' the governor's office said.

This was the first statewide order of its kind in response to the coronavirus.

The governor said he didn't believe California residents needed to 'be told through law enforcement that it's appropriate just to home isolate and protect themselves.'

'There's a social contract here. People I think recognize the need to do more and to meet this moment,' Newsom said. 'People will self-regulate their behavior, they'll begin to adjust and adapt as they have been quite significantly.'

Residents can still go out for essential needs as long as they are practicing social distancing and 'common sense,' the governor said.

Services including gas stations, pharmacies, grocery stores, farmer markets, and restaurants (providing only takeout and delivery options) as well as banks and laundromats will remain open, the governor's office said.

Dine-in restaurants, bars, nightclubs, entertainment venues, gyms and fitness studios and convention centers will be closed. Public events and gatherings are also not allowed, the office said.

New York, Connecticut and Illinois all joined California on Friday in ordering all nonessential employees to remain at home in order to slow the spread of the coronavirus.

The executive order goes into effect on Sunday night for New York, while Connecticut's order goes into effect Monday at 8 p.m. For Illinois, the order starts at 5 p.m. Saturday.

'Every state will head this way,' CNN national security analyst Juliette Kayyem said Friday morning. 'People need to prepare themselves that this gets harder before this gets easier.'

Indiana Coronavirus Cases

Data is updated nightly.

Cases: 657037

Reported Deaths: 12450
CountyCasesDeaths
Marion901321624
Lake48105871
Allen35552632
Hamilton31839393
St. Joseph29538510
Elkhart25261412
Vanderburgh21115377
Tippecanoe19765197
Johnson16242352
Porter15838267
Hendricks15723296
Clark11843179
Madison11672314
Vigo11503228
Monroe10248158
Delaware9788178
LaPorte9720194
Howard9017194
Kosciusko8514107
Bartholomew7373147
Warrick7369146
Hancock7362128
Floyd7139164
Wayne6586188
Grant6395157
Morgan6040124
Boone603388
Dubois5868111
Dearborn540266
Henry539492
Marshall5390104
Cass537199
Noble506775
Jackson462063
Shelby458490
Lawrence4154111
Gibson399681
Harrison395160
Clinton392353
DeKalb382078
Montgomery381583
Knox354484
Miami354063
Whitley346235
Huntington338176
Steuben335955
Wabash328775
Putnam325959
Ripley325161
Adams320249
Jasper312943
White295351
Jefferson292770
Daviess284296
Fayette270255
Decatur269388
Greene259978
Posey259731
Wells255374
Scott248446
LaGrange240170
Clay238944
Randolph225076
Spencer215830
Jennings213544
Washington207727
Sullivan202038
Fountain200341
Starke185950
Owen181652
Jay177328
Fulton176437
Carroll175618
Perry172435
Orange170450
Rush163922
Franklin158335
Vermillion158040
Tipton145441
Parke137915
Pike127232
Blackford120027
Pulaski105643
Newton96431
Brown94639
Benton91113
Crawford90113
Martin80114
Switzerland7507
Warren74612
Union66810
Ohio52711
Unassigned0425

Ohio Coronavirus Cases

Data is updated nightly.

Cases: 958153

Reported Deaths: 16968
CountyCasesDeaths
Franklin1109381191
Cuyahoga944201702
Hamilton72486944
Montgomery46927869
Summit39637941
Butler35004461
Lucas34724755
Stark29011826
Warren22137269
Lorain21738385
Mahoning19251533
Lake18178300
Clermont18172206
Delaware16261128
Licking14820194
Fairfield14378157
Trumbull14136454
Greene13470209
Medina13188218
Clark12121332
Wood11384193
Portage10829152
Allen10710231
Richland10165198
Miami9937179
Columbiana8049179
Muskingum8036123
Tuscarawas7974233
Pickaway795898
Marion7936134
Wayne7791216
Erie6783181
Ross6065135
Geauga5978129
Hancock5941110
Scioto5867105
Ashtabula5811140
Lawrence519073
Union505052
Darke5006122
Belmont484787
Sandusky472393
Jefferson4709107
Huron4701116
Seneca4620103
Athens456231
Mercer4559101
Auglaize453896
Washington451286
Shelby438867
Knox397884
Putnam3964101
Madison388747
Ashland374594
Fulton374364
Defiance3670101
Brown366742
Crawford354296
Preble350570
Logan349757
Clinton336162
Highland323652
Ottawa318467
Williams299578
Jackson287056
Guernsey283234
Champaign282545
Fayette265642
Perry265239
Morrow256624
Henry242665
Hardin241856
Holmes2416104
Coshocton230246
Van Wert227749
Gallia219446
Adams213732
Pike212025
Wyandot207652
Hocking192148
Carroll178828
Paulding158423
Meigs133536
Noble127842
Monroe114936
Harrison99132
Morgan98834
Vinton76215
Unassigned00
Fort Wayne
Partly Cloudy
42° wxIcon
Hi: 48° Lo: 33°
Feels Like: 35°
Angola
Mostly Cloudy
39° wxIcon
Hi: 47° Lo: 31°
Feels Like: 31°
Huntington
Partly Cloudy
44° wxIcon
Hi: 47° Lo: 32°
Feels Like: 38°
Fort Wayne
Clear
42° wxIcon
Hi: 47° Lo: 33°
Feels Like: 34°
Lima
Partly Cloudy
47° wxIcon
Hi: 48° Lo: 33°
Feels Like: 40°
Cooler Thursday, More Warmth Friday
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