Are you HIGH RISK now with “Shelter In Place”?

To understand what shelter in place means, we must first define HIGH RISK groups:

HIGH RISK of contracting and spreading disease (“super spreaders“):

  • Displaying symptoms of respiratory illness (even without COVID-19 test result!) ǂ
  • Tested positive for COVID-19  ǂ
  • Close contact of known COVID-19 infection ǂ
  • Close contact of person pending COVID-19 test result  ǂ
  • Travel to a level 3 country (China, Iran, South Korea, most of Europe; even if not displaying ANY symptoms!)  ǂ
  • Has an occupation at heightened risk of contacting virus (anyone working in healthcare, public transportation, airports, tourism, etc.)

ǂ = highest risk group for spreading, follow STRICT self-isolation for 14 days followed by “shelter in place” thereafter. Absolutely NO public transportation, taxis, ride-shares, crowded places (shopping centers, movie theaters, etc.)

No ǂ = “Shelter in place” and ABSOLUTELY NO volunteering to help run errands, buy groceries, etc.

HIGH RISK of developing severe disease:

  • Elderly
  • Cardiac disease (heart failure, coronary artery disease, etc.)
  • Pulmonary disease (asthma, COPD, chronic bronchitis, long smoking history, lung cancer, etc.)
  • Chronic kidney disease
  • Diabetes
  • Immunocompromised (HIV, active cancer, immunodeficiency, etc.)
  • On immunosuppressing medications (eg for transplant, autoimmune disease, inflammatory bowel disease, etc.) including medications like humira and embrel
  • Pregnancy (good news is that vertical transmission appears rare)
  • Newborns/infants
  • Autoimmune conditions (if on immunosuppressive medications)

STRICTEST “shelter in place” – find healthy individuals NOT in “super spreader” category to help with groceries. See post on “shelter in place” to see what is still safe to do:


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3 thoughts on “Are you HIGH RISK now with “Shelter In Place”?”

  1. I question why limit outdoor time assuming presence of others is not a factor. Sunlight is heathy and UV kills virus.

    1. Outdoor time can provide a critical boost to your immune system and overall health. However, the danger of exposure to virus (particularly in densely populated areas) must be carefully weighed against benefit. Best option is to go outside in nature away from the crowds.

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