B4YOU
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So the previously reported US case is in Northern California with no known travel or connections to other cases. Per WashPost.
Speculation from me:
California is one of 3 states with testing capabilities. The CDC is limiting their case definition and testing protocols to China, symptoms, and/or known contact with Covid. I would put money that California testing has expanded beyond that case definition and found either a person entering from SK or Japan or a community transmission. If it is the latter and with California having an estimated 8.4k on self quarantine protocols, then I worry about community response. Note: CA has only tested 200 people to date of Feb 25 per their public health website.
My fear has been about case definition and testing capabilities. If you self quarantine 8400 people but only test 200, then you risk missing infections. If this lag from self quarantine to testing to mandatory quarantine isn’t closed, then the window for spread for missed cases widens.