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Published on: Apr 04, 2020
1 minute read
By: Raj Dwivedi

Everything You Wanted To Know About Quarantine!

I have received many questions lately asking clarity around

· Can You Be Forced into Quarantine?

· how quarantines are imposed enforced during Corona Virus?

· Can the government impose a quarantine on anybody?

· Are quarantines, including self-isolating at home, voluntary or mandatory?

· Is there a right to appeal?

· What does the government provide during a quarantine?

· Are quarantines effective?

Here are some of the facts and details around Quarantine in US

· When it comes to the federal government, it can impose quarantines under the Public Health Service Act for two main reasons:

o to prevent the spread of communicable disease into the United States or between states.

· Quarantines are considered a measure of last resort when no preferable means is available to halt the spread of a deadly communicable disease.

· Those subject to quarantine should be either infectious or have been exposed to the disease, experts said.

· There is no blanket law, the laws vary by state and even locality.

· Voluntary or Mandatory? It is a bit of a gray area. It often seems voluntary until the person involved tries to leave, at which point health officials are likely to make it compulsory, experts said.

· The bottom line is that if a quarantine is not enforced and other people catch the fatal disease as a result, the local government could be held liable.

· Laws vary by state, but those who ignore the rule could face fines or jail time

· Local authorities often have some form of enforcement power, but usually try gentle persuasion to persuade people that it is for their good and the good of the community.

· An infected person blatantly ignoring an order might be forced to go into medical isolation — that is, some form of locked hospital ward.

· Scope of Change in Appeal process — States should have some manner of appeal process, and some require a court order from the outset. If there is no medical tribunal or other means for a second opinion, ultimately anyone could challenge a quarantine order in court through a writ of habeas corpus.

· Under C.D.C. rules, the federal government must test those confined within 72 hours and define the length of stay from the outset — two weeks for the coronavirus because that is the incubation period for the disease.

· The most glaring hole in American quarantine laws, experts said, is that there is no guaranteed salary. An employer could even fire a quarantined employee. President Trump has said that his administration would address financial relief for people quarantined.

· Quarantine Effectiveness — They generally help slow the spread of the disease but sometimes do not depending on the disease and the conditions of the quarantine, holding passengers on the Diamond Princess cruise ship in Japan appeared to create a kind of petri dish with more people infected.

· Historically In the United States, quarantines have been extremely rare. The last federal quarantine was in the early 1960s against a suspected smallpox outbreak. Instead the C.D.C. tends to issue health warnings, like advising pregnant women to avoid Southern Florida in 2016 during an outbreak of the Zika virus.

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Chest Pain While Breathing: Causes, Warning Signs, and When to Seek Urgent Care

Chest pain is one of the most alarming symptoms a person can experience, especially when it worsens during breathing. Chest pain while breathing, also known as pleuritic chest pain, often indicates involvement of the lungs, chest wall or surrounding structures. While some causes are mild, others can be life-threatening and require immediate medical attention.

In India, respiratory infections, air pollution, sedentary lifestyles and delayed medical care contribute significantly to chest-related symptoms.

What Does Chest Pain While Breathing Mean?

Chest pain while breathing refers to pain that:

worsens with deep inhalation or exhalation
may feel sharp, stabbing or burning
can be localized or spread across the chest

Pain intensity often increases with coughing or movement.

Common Causes of Chest Pain While Breathing

Lung Infections (Pneumonia)

Pneumonia inflames lung tissue and surrounding membranes.

Symptoms include:

chest pain while breathing
fever
cough
breathlessness

ICMR data identifies pneumonia as a major cause of respiratory illness in India.

Pleuritis (Inflammation of Lung Lining)

The pleura are thin membranes surrounding the lungs.

When inflamed:

breathing causes friction
sharp chest pain occurs

Pleuritis often follows viral infections or pneumonia.

Pulmonary Embolism

A blood clot in the lungs causes:

sudden chest pain
rapid breathing
severe breathlessness

This is a medical emergency requiring immediate care.

Chest Wall Muscle Strain

Muscle strain due to:

heavy lifting
intense coughing
poor posture

can cause pain during breathing or movement.

Costochondritis

Inflammation of rib cartilage causes:

localized chest pain
pain worsened by breathing or pressing on the chest

This condition is painful but not life-threatening.

Pneumothorax (Collapsed Lung)

Air leakage into the chest cavity causes:

sudden sharp chest pain
breathlessness

Often seen after trauma or in individuals with lung disease.

Heart-Related Causes

Though heart pain usually does not worsen with breathing, conditions such as:

pericarditis (heart lining inflammation)

can cause chest pain that changes with respiration.

Acid Reflux and Esophageal Spasm

Gastrointestinal causes may mimic chest pain.

However:

pain usually relates to meals
breathing-related pain should be evaluated carefully

Anxiety and Panic Disorders

Anxiety can cause:

chest tightness
rapid breathing
discomfort while breathing

Medical causes must be ruled out before attributing pain to anxiety.

Warning Signs That Require Emergency Attention

Seek immediate medical care if chest pain while breathing is associated with:

sudden onset
severe breathlessness
bluish lips or fingers
dizziness or fainting
sweating
coughing up blood

These may indicate life-threatening conditions.

Risk Factors for Serious Chest Pain

Higher risk occurs in people with:

smoking history
recent surgery or long travel
lung disease
heart disease
clotting disorders

Early evaluation is critical.

Diagnostic Evaluation

Doctors may recommend:

physical examination
chest X-ray
ECG
blood tests
CT scan

Timely diagnosis saves lives.

Why Chest Pain Should Not Be Ignored

Ignoring chest pain can lead to:

delayed treatment
worsening respiratory failure
preventable complications

WHO emphasises early symptom recognition for better outcomes.

Impact of Air Pollution and Lifestyle

Air pollution increases:

lung inflammation
infection risk

Sedentary habits reduce lung capacity, worsening symptoms.

Preventive Measures

Helpful preventive steps include:

avoiding smoking
staying physically active
managing respiratory infections early
maintaining good posture
staying hydrated

Preventive care reduces risk.

Role of Preventive Health Checkups

Regular health screening helps detect:

early lung disease
heart risk factors
chronic inflammation

Early intervention prevents emergencies.

When Chest Pain Is Less Likely Serious

Pain may be less concerning if:

localized
reproducible on touch
improves with rest

However, medical confirmation is still necessary.

Importance of Timely Medical Consultation

Chest pain should always be evaluated by a healthcare professional.

Delaying care can:

increase complications
raise mortality risk

Early action saves lives.

Conclusion

Chest pain while breathing is a critical symptom that should never be ignored. While causes range from muscle strain and infections to serious lung and heart conditions, only proper medical evaluation can determine the exact cause. Early diagnosis, timely treatment and preventive care are essential to protect respiratory and cardiovascular health. When it comes to chest pain, it is always safer to act early than to wait.

References

Indian Council of Medical Research (ICMR) – Respiratory and Cardiovascular Health Reports
World Health Organization (WHO) – Chest Pain and Respiratory Symptoms Guidelines
National Family Health Survey (NFHS-5) – Adult Respiratory Health Data
Lancet – Pulmonary Embolism and Chest Pain Research
NITI Aayog – Preventive Healthcare and Early Symptom Recognition

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