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 9:39 AM
Updated: Mar 20, 2020 8:15 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.'

Mississippi Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 59881

Reported Deaths: 1693
CountyConfirmedDeaths
Hinds5176106
DeSoto321527
Madison227253
Rankin211128
Harrison206732
Jackson187434
Jones174057
Forrest161551
Washington145732
Lauderdale132188
Lee119430
Neshoba119087
Lamar110512
Oktibbeha104434
Warren96425
Lowndes95830
Scott95117
Bolivar93332
Copiah90323
Sunflower90322
Panola89611
Lafayette8619
Holmes83546
Leflore82759
Pike81932
Grenada80520
Yazoo76411
Leake76225
Lincoln73539
Wayne73121
Pontotoc7167
Simpson70726
Monroe68750
Coahoma64810
Tate63822
Marion59418
Adams57825
Covington57611
Winston56615
Marshall5568
George5395
Newton51411
Union51313
Attala49524
Pearl River48036
Tallahatchie44610
Walthall43918
Chickasaw42719
Noxubee41410
Claiborne39913
Smith37413
Calhoun3738
Jasper3738
Clay36414
Alcorn3494
Prentiss3316
Hancock32414
Yalobusha31210
Lawrence3075
Itawamba30610
Tishomingo3063
Clarke29725
Tippah29412
Montgomery2913
Humphreys26511
Tunica2526
Carroll24511
Greene22611
Kemper22315
Quitman2201
Perry2137
Amite2045
Jefferson Davis1966
Webster19512
Jefferson1916
Wilkinson18312
Sharkey1801
Stone1463
Choctaw1254
Benton1240
Franklin1112
Issaquena211
Unassigned00

Alabama Coronavirus Cases

Confirmed Cases: 85278

Reported Deaths: 1531
CountyConfirmedDeaths
Jefferson11465225
Mobile8466188
Montgomery6093141
Madison481725
Tuscaloosa385161
Baldwin309521
Shelby295431
Marshall287830
Unassigned256950
Lee245540
Morgan215614
Etowah188424
DeKalb165011
Elmore156237
Walker145063
Calhoun14389
Houston127512
Dallas126523
Russell11851
St. Clair116911
Franklin116520
Limestone115512
Cullman109011
Colbert105011
Lauderdale102812
Autauga98820
Escambia95215
Talladega86213
Chambers80738
Tallapoosa80178
Jackson7833
Dale76318
Butler74335
Blount7043
Coffee6955
Covington68420
Chilton6735
Pike6447
Barbour5545
Lowndes54524
Marion52824
Marengo50614
Clarke4799
Hale44825
Bullock43611
Winston42610
Perry4193
Wilcox4009
Randolph38610
Monroe3853
Conecuh36310
Sumter36118
Bibb3602
Pickens3599
Macon30412
Washington30411
Lawrence2980
Crenshaw2793
Choctaw27112
Greene23911
Henry2383
Cherokee2227
Geneva2160
Clay2005
Lamar1912
Fayette1675
Cleburne1121
Coosa892
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