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Oorspronkelijk geplaatst door Hoofdstraat
De volledige persconferentie, het is misschien iets genuanceerder maar niet veel. Er moet eerst wat 'population education' aan voorafgaan zodat ze niet in opstand komen.
https://youtu.be/2v3vlw14NbM
Hij neemt duidelijk China als voorbeeld, hij durft het evenwel niet voor te stellen bij de VS en Europa, enkel arme landen en waar er toch al een dictatuur is. "Maar de WHO wil ze daar zeker in steunen." (zijn woorden).
Ik heb nog niet alles bekeken
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de vraag waarop het antwoord komt is de volgende:
Citaat:
We've seen some different approaches to quarantine in China and in European countries with group quarantine used to good effect in China. Do you think that home quarantine will be as effective anywhere for people who are positive, or would central quarantine be needed in order to have the same success that China has had?
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hij haalt niet China aan, maar Singapore:
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I listened to the President of Singapore this morning as he had a conference call with the Director-General and the clarity of that in Singapore, that ability not only to isolate cases but to rapidly detect illness in the contacts and remove those contacts should they become sick was a central part of that.
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iets daarvoor zegt hij dat het beter zou zijn om alle contacten met coronapatienten in quarantaine te steken, liefst apart van hun familie. En dat zou gaan als het aantal contacten en het aantal patienten laag is, maar wanneer dat substantieel wordt zoiets onmogelijk is. En dus is thuisquarantaine een optie:
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But that's not always possible so at least quarantining contacts at home with good health advice about not transmitting disease if they become sick and with regular monitoring of that individual is an option for countries.
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Citaat:
It is difficult to deal with that, so home quarantine of contacts is acceptable with appropriate information, education and more importantly a very rapid system of getting those people out of their homes if they become sick.
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As he said, they're using apps now to do that, a testing app but they didn't do it with apps in Singapore. They did that with community workers, with public health workers visiting the houses, checking on people, checking their health status every day and saying, how are you, have you got a fever, have you got a cough? And if a contact had developed a cough or a fever they were taken immediately for testing.
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Citaat:
So yes, we need the information technology tools, they help. They're not the solution. Right now we don't have an alternative to what we would have considered in the old days boot-leather epidemiology; public health practitioners, doctors, nurses, community workers working with communities to detect cases at community level. The most likely person to become a case is someone who's been a significant contact of another case and at the moment in most parts of the world due to lock-down most of the transmission that's actually happening in many countries now is happening in the household at family level.
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