How long should someone quarantine to be sure they aren't contagious with Covid?
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160I looked into the success of different countries' quarantines. New Zealand had both the best implementation and the best data, so I draw most of my conclusions from them. With a 14 day quarantine (testing on day 3 and 12), New Zealand had a "barely visible on the graph" number of import-adjacent infections. But according to a statistical model, these are caused by infections caught during quarantine (i.e. a couple with one infected member quarantines together, the second member catches it on day 7, leaves after an effective quarantine of only 7 days, then spreads it in the wild), so if people are completely isolated and occasionally tested, 14 days in indeed sufficient
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Worth pointing out that if we quarantine for X days and do not actually test, relying on symptoms, then we are selecting for slow incubation and/or mild/no symptoms before X days.
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These papers on viral load probably help inform the answer. It was flagged to me that Ct might not have straightforward interpretation, but I haven't looked into it. So posting these as resources.
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30113-4/fulltext?fbclid=IwAR3crOZxhVP1eVPMcO_wujJBxHFAjp2fj4_jNj30ld_nVcKTqtcT1IjXozI
https://www.nejm.org/doi/full/10.1056/NEJMc2001737
TL;DR We don't know, it's variable case to case, and could be longer than 25 days from symptom onset if you get sick
In patients admitted to hospital with COVID-19, there are cases (Korea, Singapore) of viral RNA detectable up to 25 days after symptom onset. This is not the same as still being infective, so we don't really know.
In people exposed to SARS-CoV-2, 14 days is an estimation that the vast majority will have developed symptoms by this time (here). However, this doesn't take into account cases that remain asymptomatic throughout their infection (maybe 15-20% from Diamond Princess data)