Tag: self isolation

Quarantine plans for UK arrivals unveiled

People arriving in the UK must self-isolate for 14 days from 8 June to help slow the spread of coronavirus, the government has said.

Travellers will need to tell the government where they will quarantine, with enforcement through random spot checks and £1,000 fines in England.

Home Secretary Priti Patel said the measure would “reduce the risk of cases crossing our border”.

Lorry drivers, seasonal farm workers, and coronavirus medics will be exempt.

The requirement will also not apply to those travelling from the Republic of Ireland, the Channel Islands and the Isle of Man.

If a person does not have suitable accommodation to go to, they will be required to stay in “facilities arranged by the government” at the person’s own expense, according to Border Force chief Paul Lincoln.

According to the Home Office, the new policy will be in place across the UK, although how it is enforced in Scotland, Wales and Northern Ireland will be determined by the devolved administrations.

Scotland’s First Minister Nicola Sturgeon said discussions would take place with Police Scotland to work out how the policy will be implemented.

‘Not shutting down’

Ms Patel told the daily Downing Street briefing the measures were not the same as completely shutting the UK border to visitors.

“We are not shutting down completely. We are not closing our borders,” she said.

And asked about the prospect of foreign holidays this summer, she added: “This is absolutely not about booking holidays. We want to avoid a second wave and that is absolutely vital.”

So-called “air bridges” – agreements with countries that have low infection rates allowing tourists to travel without quarantining – will not be in place initially, the government said.

The new measure, previously announced by Prime Minister Boris Johnson, will be reviewed every three weeks once it is introduced.

But airlines have said a quarantine requirement would “effectively kill air travel” – and one airport boss described the plans as a “blunt tool”.

The government currently recommends international travel only when absolutely necessary, and nobody should travel if they display any coronavirus symptoms.

What does the new system involve?

Passengers arriving in the UK will be required to fill out an online locator contact form – providing details of where they will spend their 14 days in self-isolation.

The Home Office said the proposed accommodation will need to meet necessary requirements, such as a hotel or a private address with friends or family.

There will be a fine of £100 for failure to complete the form, and the Border Force will have the power to refuse entry to non-UK citizens who do not comply with the new regulations.

New arrivals will be told they may be contacted at any time during their quarantine and, in England, may be visited by public health authorities conducting spot checks.

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They will be told to avoid public transport and travel to their accommodation by car “where possible”, and not to go out to buy food or other essentials “where they can rely on others”.

In England, a breach of self-isolation would be punishable by a £1,000 fixed penalty notice, or prosecution and an unlimited fine for persistent offenders.

Why now?

The big question being asked about quarantine is: why now?

The government argues that it simply wouldn’t have made enough of a difference while the virus was spreading widely within the UK.

But it hasn’t, so far, fully explained why such a blanket measure was not introduced much earlier in the outbreak, before the virus took hold.

People returning from Wuhan city and Hubei province in China were put into isolation for 14 days from late January.

Later, those returning from Italy were told to self-isolate.

But the measure was not extended to travellers from every country.

There are also questions about how this will work in practice and what it will mean for the travel industry, which is already suffering huge losses.

The Home Office has published a full list of exemptions to the new requirements.

The list includes road haulage and freight workers, medical professionals travelling to fight Covid-19, and seasonal farm workers who will self-isolate where they are working.

The home secretary said the new measures aim to “keep the transmission rate down and prevent a devastating second wave”.

She added: “I fully expect the majority of people will do the right thing and abide by these measures. But we will take enforcement action against the minority of people who endanger the safety of others.”

Labour’s shadow home secretary Nick Thomas-Symonds said the party supported the new measures “but is clear they are no substitute for a long-term, well thought through approach”.

The number of people who have died with coronavirus in the UK has reached 36,393 – a rise of 351 on Thursday’s figure.

Meanwhile, the government’s scientific advice group Sage published the key evidence on safety and the impact of reopening schools.

At the daily briefing, government chief scientific advisor Sir Patrick Vallance said children were at “low risk, not zero risk” from coronavirus and that reopening schools would push up infection rates.

It came as teachers’ union leaders said they remained unconvinced it will be safe to reopen primary schools in England on 1 June.

How to cope with life after lockdown

As some countries ease coronavirus restrictions, mental health experts are noticing an emerging phenomenon; anxiety about life after lockdown.

Meanwhile people who remain living under the most stringent measures are fearful about what will happen when these rules are lifted.

“It is going to be uncomfortable for most of us,” says Akanksha Bhatia.

The 25-year-old writer and advocate for mental health and women’s rights lived with anxiety before the lockdown.

Akanksha posts on social media about living with anxiety and has been talking with her followers about how the condition impacts her life in isolation. She lives and works in Delhi but has moved back to Chennai to live with her parents while India is in lockdown.

“It’s not been that easy,” she says. A month into lockdown, she had a particularly bad day and cried a lot.

“All you can do is tell yourself that this will end eventually.”

Life under lockdown

Like many people, Akanksha has had some struggles during lockdown. But there has also been respite from some of the things that triggered her anxiety in her life pre-coronavirus, because she’s able to be at home with her parents, who help her to feel safe.

Akanksha describes herself as an introvert and says that socialising is one of the things that made her more anxious.

She feels relaxed and comfortable spending time with her family and so this has been much less of a problem in recent weeks. Now her concerns centre on how she will return to her previous life.

“Stepping out of the house, for someone with anxiety, is already something you overthink,” she says.

“You’ll have to get used to that all over again, because you’ve been desensitised.”

Many people are concerned about whether their leaders might be lifting lockdown too early, increasing the rate of infection. But some are also worried about returning to a more normal life.

Effects of lockdown

It won’t necessarily just be people with an existing mental health condition who will be affected either.

“After you’ve been inside for a long time, it can feel very strange to go outside,” says Nicky Lidbetter, CEO of Anxiety UK, a charity that supports people with mental health conditions.

“You perhaps lose your confidence to do things you haven’t had to in a while.”

She gives examples of face-to-face work meetings or using cramped public transport – situations that might have stressed or worried people even before they were concerned about the risk of infection.

“These things might have been difficult in the first place and having to return to them after having quite a sustained break might actually be very challenging,” she says.

While some people have been safe in the relative comfort of their own home, others have faced difficult and upsetting situations.

From the medical workers on the front lines, to the people trying to stop their businesses from failing, for them last few weeks may have been incredibly busy and stressful.

But one common factor we all share is the amount of change we have all gone through, in a very short space of time.

“It’s very stressful for people,” says Dr Steven Taylor, a professor in the psychiatry department at the University of British Columbia, in Canada.

“People are trying to cope by loving being in lockdown, by creating a cocoon of safety, a haven, to make the whole experience more tolerable.

“Ironically that can create problems later on because people can love their lockdown too much and become anxious about going outside.”

Dr Taylor is the author of The Psychology of Pandemic, a book published just a few weeks before coronavirus emerged in China in late 2019.

“The spreading and containment of contagion in the case of a pandemic is very much a psychological phenomenon,” he says.

“It’s not just some bug that’s going at random around the world. It’s people’s behaviour that determines whether or not a virus will spread.”
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Early reopening

When governments come to relax lockdown rules, Dr Taylor says good leadership will be crucial to helping people feel safe and confident in the change of policy.

“To help reintegrate people into a post-pandemic world, there needs to be clear communication from leaders, [saying] ‘It’s OK now to hug people. It’s OK to go to restaurants.’

“The guidelines need to be clear in people’s minds and that can help to reduce uncertainty, which will reduce anxiety.”

Some people are describing the emotions they are feeling as symptomatic of agoraphobia, but this isn’t accurate.

“What people are describing as agoraphobia is similar superficially in some ways to agoraphobia, in that they’re frightened of going outside,” says Dr Taylor, “but the motivation is different.”

Typically, people with agoraphobia will avoid certain situations, because they are frightened of having a panic attack.

“These people [anxious about life after lockdown] aren’t frightened of having panic attacks, they’re frightened of infection,” says Dr Taylor.

How to deal with coronavirus anxiety

Whether you already live with an anxiety disorder, or have experienced anxiety for the first time due to the pandemic, there are things you can do to help you cope with lockdown and the inevitable readjustment that has to take place once restrictions are lifted.

“People find change quite difficult,” says Ms Lidbetter. “It’s not about expecting yourself to go from 0 to 100 in one day. Don’t be hard on yourself if you’re finding it difficult to get back into a routine.

“We found it difficult to get into the routine of lockdown, so it stands to reason that we’ll find it difficult to get out of the routine of lockdown as well.”

As we start to leave the home more, she says we should be aware that it will be a “physiological process” as well as a mental one.

“When we go outside, we have all this stimuli hitting us and it can lead to a bit of a sensory overload.”

She encourages people to be “gentle and kind with themselves” throughout this time.

“If people are really struggling with anxiety and they’ve found this whole experience of the lockdown and the pandemic has really heightened their anxiety, then there is help.

“People should go to their doctor and not struggle alone.”

She also advises people to talk to a trusted friend or family member about their worries, if they can.

Dr Taylor says the anxiety many people feel now will pass.

“The good news is people are resilient,” he says. “I expect that most of the people who are anxious right now will recover in the weeks, perhaps months, after lockdown restrictions have been lifted.

“That said, some people will have lingering psychological problems.”

Akanksha has already started thinking about how she will cope when lockdown in India lifts.

“Though there are a lot of people looking forward to it, I don’t understand those people,” she says.

Akanksha’s going to do some of the things that experts say are good for our mental health, like eating well and doing regular exercise.

“Keep it as simple as you can,” she adds, “and don’t overwhelm yourself with anything new suddenly. I won’t be going crazy with parties every day.”

But she will continue with a hobby that she started during lockdown, to maintain her routine as the world around her changes yet again, and give her an ongoing sense of achievement.

“I’m learning Korean right now,” she says. “I want to watch my K-dramas without subtitles.”

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