Home Health News Should Isolation Periods Be Shorter for People With Covid-19? – The New York Times

Should Isolation Periods Be Shorter for People With Covid-19? – The New York Times

24 min read


People with Covid-19, the illness caused by the coronavirus, are most infectious about two days before symptoms begin and for five days afterward, according to a new analysis of previous research.

A few patients who are extremely ill or have impaired immune systems may expel — or “shed” — the virus for as long as 20 days, other studies have suggested. Even in mild cases, some patients may shed live virus for about a week, the new analysis found.

The accumulating data presents a quandary: Should public health officials shorten the recommended isolation time if it means more infected people will cooperate? Or should officials opt for longer periods in order to prevent transmission in virtually all cases, even if doing so takes a harsher toll on the economy?

The Centers for Disease Control and Prevention recommends that infected people isolate for a minimum of 10 days from the beginning of their illness. The agency is considering shortening the recommended isolation period and may issue new guidelines as early as next week, according to two federal officials with knowledge of the discussions.

In September, France dropped its required period of isolation to seven days from 14 days, and Germany is considering shortening it to five days. (Isolation refers to people who are ill; quarantine refers to people who have been exposed to the virus and may become ill.)

Setting the isolation period at five days is likely to be much more palatable and may encourage more infected people to comply, said Dr. Muge Cevik, an infectious disease expert at the University of St Andrews in Scotland who led the new analysis, published in the journal The Lancet Microbe.

A recent survey in the United Kingdom showed that only one in five people were able to isolate for 10 days after developing symptoms. “Even if we do more testing, if we can’t ensure people self-isolate, I don’t think we’ll be able to control the spread,” Dr. Cevik said.

In the United States, many people don’t get tested for the infection until a day or two after they begin to feel ill. With the current delays, many receive results two or three days later, toward the end of the period during which they are infectious.

“Even if you were to get the P.C.R. test right on the very first day that you could, by the time you get the results back, 90 percent of your shedding has been completed,” said Dr. Michael Mina, a virologist at the Harvard T.H. Chan School of Public Health. “This meta-analysis shows just how short your transmission window is.”

Dr. Cevik and her colleagues set out to analyze the so-called kinetics of the coronavirus over the course of an infection, and to compare the pathogen to the closely related SARS and MERS viruses.

The researchers considered nearly 1,500 studies published from 2003 to June 2020 on the timing of infection in thousands of people, most of whom were sick enough to be hospitalized. The team drew data from 79 studies of the new coronavirus, 11 studies of MERS and eight studies of SARS.

People who never develop symptoms seem to carry about the same amount of the new coronavirus as symptomatic patients, Dr. Cevik and her colleagues found. But asymptomatic people seem to clear the virus more quickly from their bodies.

People with Covid-19 usually are most infectious a day or two before the onset of symptoms until about five days after, the analysis concluded. Yet patients may carry genetic fragments from the virus in their noses and throats for an average of 17 days, and, in some cases, for up to three months.

A few patients may carry infectious virus in their lungs — as opposed to the nose and throat — for as long as eight days after symptoms begin, noted Dr. Megan Ranney, an emergency physician at Brown University. For these patients, at least, isolation periods should probably be longer than five days, if only they could be identified.

“The trouble is, who has Covid pneumonia versus who doesn’t is not always fully apparent just based on physical exam,” she said. “They wouldn’t know it on their own.”

Older people tend to be infectious for longer than younger people, but no study in the analysis detected live virus beyond nine days of symptom onset. The results suggest that positive tests after that point find only genetic fragments, rather than whole live virus, Dr. Cevik said.

Because the infectious period seems to peak relatively quickly in the course of the illness, health care workers at community clinics may be at higher risk of becoming infected than those working in I.C.U. units, where patients tend to be in the later stages, Dr. Cevik added.

The analysis underscores data that has accumulated since March. In July, based on similar evidence, the C.D.C. truncated its recommendation for isolation to 10 days from 14 days.

But even at 10 days, the isolation period may be too long for many people, experts said. Patients may be financially unable to isolate for so long, or they may not feel sick enough to want to do so.

“If you could make that shorter for people, I think that would really help people comply with the public health guidelines,” said Angela Rasmussen, a virologist affiliated with the Center for Global Health Science and Security at Georgetown University, referring to the recommended isolation period.

But the new analysis is limited by the fact that only a few of the included studies looked at live virus, she added.

Some people who are older or very sick may be infectious for longer than a week. But if a shorter recommended period encourages more people to isolate, the benefit will more than offset any risk to the community from the small amount of virus that a few patients may still carry after five days, said Dr. Stefan Baral, an epidemiologist at Johns Hopkins University.

.css-1xzcza9list-style-type:disc;padding-inline-start:1em;.css-vadvcbfont-family:nyt-franklin,helvetica,arial,sans-serif;font-weight:700;font-size:0.875rem;line-height:1.25rem;color:#333 !important;.css-rqynmcfont-family:nyt-franklin,helvetica,arial,sans-serif;font-size:0.9375rem;line-height:1.25rem;color:#333;margin-bottom:0.78125rem;@media (min-width:740px).css-rqynmcfont-size:1.0625rem;line-height:1.5rem;margin-bottom:0.9375rem;.css-rqynmc strongfont-weight:600;.css-rqynmc emfont-style:italic;.css-1dvfdxomargin:10px auto 0px;font-family:nyt-franklin,helvetica,arial,sans-serif;font-weight:700;font-size:1.125rem;line-height:1.5625rem;color:#121212;@media (min-width:740px).css-1dvfdxofont-size:1.25rem;line-height:1.875rem;.css-121grtrmargin:0 auto 10px;.css-16ed7iqwidth:100%;display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;-webkit-box-pack:center;-webkit-justify-content:center;-ms-flex-pack:center;justify-content:center;padding:10px 0;background-color:white;.css-pmm6eddisplay:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;.css-pmm6ed > :not(:first-child)margin-left:5px;.css-5gimktfont-family:nyt-franklin,helvetica,arial,sans-serif;font-size:0.8125rem;font-weight:700;-webkit-letter-spacing:0.03em;-moz-letter-spacing:0.03em;-ms-letter-spacing:0.03em;letter-spacing:0.03em;text-transform:uppercase;color:#333;.css-5gimkt:aftercontent:’Collapse’;.css-rdoyk0-webkit-transition:all 0.5s ease;transition:all 0.5s ease;-webkit-transform:rotate(180deg);-ms-transform:rotate(180deg);transform:rotate(180deg);.css-eb027hmax-height:5000px;-webkit-transition:max-height 0.5s ease;transition:max-height 0.5s ease;.css-6mllg9-webkit-transition:all 0.5s ease;transition:all 0.5s ease;position:relative;opacity:0;.css-6mllg9:beforecontent:”;background-image:linear-gradient(180deg,transparent,#ffffff);background-image:-webkit-linear-gradient(270deg,rgba(255,255,255,0),#ffffff);height:80px;width:100%;position:absolute;bottom:0px;pointer-events:none;#masthead-bar-onedisplay:none;#masthead-bar-onedisplay:none;.css-yscdpabackground-color:white;margin:30px 0;padding:0 20px;max-width:510px;.css-yscdpa strongfont-weight:700;.css-yscdpa emfont-style:italic;@media (min-width:740px).css-yscdpamargin:40px auto;.css-yscdpa:focusoutline:1px solid #e2e2e2;.css-yscdpa acolor:#326891;-webkit-text-decoration:none;text-decoration:none;border-bottom:2px solid #ccd9e3;.css-yscdpa a:visitedcolor:#333;-webkit-text-decoration:none;text-decoration:none;border-bottom:2px solid #ddd;.css-yscdpa a:hoverborder-bottom:none;.css-yscdpa[data-truncated] .css-rdoyk0-webkit-transform:rotate(0deg);-ms-transform:rotate(0deg);transform:rotate(0deg);.css-yscdpa[data-truncated] .css-eb027hmax-height:300px;overflow:hidden;-webkit-transition:none;transition:none;.css-yscdpa[data-truncated] .css-5gimkt:aftercontent:’See more’;.css-yscdpa[data-truncated] .css-6mllg9opacity:1;.css-a8d9ozborder-top:5px solid #121212;border-bottom:2px solid #121212;margin:0 auto;padding:5px 0 0;overflow:hidden;

But some doctors said that they were not convinced by the analysis that five days of isolation would prevent transmission from a majority of people.

“There’s a sweet spot there, I would imagine, but I haven’t figured out where that is,” said Dr. Taison Bell, a critical care and infectious disease physician at the University of Virginia.

Dr. Cevik and other experts suggest that people can isolate as soon as they experience even mild symptoms, such as a sore throat or head and body aches — without venturing out for a P.C.R. test right when they are most infectious.

But Dr. Bell said he was unsure how this would work in practice, because these early symptoms were similar to those from other viral infections, including the common cold.

Dr. Cevik said a P.C.R. test could be performed after isolation ended to confirm the diagnosis. Alternately, it may make sense to take a rapid antigen test — which can detect high amounts of virus — while isolating, so as to confirm an active coronavirus infection.

Other experts also endorsed the use of at-home rapid tests. “I think that’s a lovely solution,” Dr. Ranney said. “If you have symptoms, and you have a reliable test that you can do at home, stay home, test at home and isolate for five days.”

Over all, the new analysis underscores how quickly the coronavirus blooms in the body and the speed with which both patients and doctors must respond to keep it contained, Dr. Baral said. Levels of the MERS virus peak at seven to 10 days from symptom onset, and those of the SARS virus peak at Days 10 to 14.

By contrast, the new coronavirus “moves quick,” Dr. Baral said. “It’s a very difficult virus to control, as compared to SARS.”

Home isolation is safe for most of those newly infected with the coronavirus, he added — essentially the model of care that doctors use for patients suspected of having influenza.

Some countries already have adopted policies to make it easier for people to isolate. Vietnam provides income support to people who need to take time off work. Until May, the Japanese government asked patients who were young and had mild symptoms to stay home for four days before seeking testing.

Japan’s guidelines now ask patients to consult by phone with their doctors and to seek testing only if they seem likely to be infected. Anyone who tests positive is admitted to a hospital or a hotel to isolate. In the United States, New York City and Vermont have made similar accommodations available to infected patients.

Even if the rest of the country doesn’t implement such policies, having patients isolate at home — while wearing a mask, keeping windows open, cleaning high-touch surfaces and staying far from other household members — is more feasible for five days than for 10, Dr. Baral said.

“I do think there’s an element of diminishing returns with those last four or five days,” he said. “An intense amount of isolation during that first five to seven days would avert a ton of infections — a ton.”

Makiko Inoue contributed reporting from Tokyo.

Let’s block ads! (Why?)

Source link


  1. Rolland Stinar

    January 12, 2021 at 4:57 am

    You really should be a part of a contest for one of the highest quality blogs over the internet. I’ll suggest this site!


  2. cheap flights

    January 31, 2021 at 1:46 pm

    Hey there! Would you mind if I share your blog with
    my myspace group? There’s a lot of folks that I think would really appreciate your content.
    Please let me know. Thanks


  3. cheap flights

    January 31, 2021 at 10:31 pm

    We are a group of volunteers and opening a new scheme in our community.
    Your website provided us with valuable info to work on. You’ve done a formidable activity and our whole group
    can be thankful to you.


  4. cheap flights

    February 1, 2021 at 5:33 pm

    My partner and I stumbled over here by a different web page and thought I might check things out.
    I like what I see so now i’m following you. Look forward to
    looking over your web page again.


  5. cheap flights

    February 2, 2021 at 4:18 pm

    Aw, this was an exceptionally nice post.
    Taking a few minutes and actual effort to create a good
    article… but what can I say… I put things off a whole lot and never manage to get anything done.


  6. http://tinyurl.com/yy3djtfk

    February 3, 2021 at 2:28 pm

    I savour, result in I found just what I used to be taking a look for.
    You have ended my four day long hunt! God Bless you man. Have a great day.


  7. dabs

    February 11, 2021 at 9:20 pm

    A young man idle an old man needy.


  8. web hosting

    March 10, 2021 at 5:24 am

    Thank you for every other wonderful article. The place else could anyone get
    that type of information in such an ideal means of writing?
    I’ve a presentation subsequent week, and I’m on the search for such information.


  9. gamefly

    March 15, 2021 at 2:34 am

    Hey there, I think your site might be having browser compatibility
    issues. When I look at your blog in Chrome,
    it looks fine but when opening in Internet Explorer, it has some overlapping.
    I just wanted to give you a quick heads up!
    Other then that, amazing blog!


  10. coconut oil

    March 16, 2021 at 2:24 am

    I like the helpful information you provide in your articles.
    I will bookmark your weblog and check again here frequently.
    I’m quite sure I will learn many new stuff right here!
    Good luck for the next! games ps4 185413490784 games ps4


  11. tinyurl.com

    March 18, 2021 at 9:43 pm

    You’ve made some decent points there. I looked on the internet for additional
    information about the issue and found most individuals will go along with your views on this website.


  12. web hosting

    March 19, 2021 at 3:31 pm

    Hey! Do you know if they make any plugins to protect against
    hackers? I’m kinda paranoid about losing everything I’ve worked hard on.
    Any recommendations?


  13. tinyurl.com

    March 22, 2021 at 2:08 am

    We stumbled over here from a different web page and
    thought I might check things out. I like what I see so now i’m following you.
    Look forward to looking over your web page for a second time.


  14. web hosting

    March 22, 2021 at 6:51 am

    I’ve been browsing online more than 4 hours today, yet I
    never found any interesting article like yours. It is pretty worth enough for me.
    In my opinion, if all web owners and bloggers made good content as you did, the web will be
    a lot more useful than ever before.


  15. minecraft games

    March 23, 2021 at 3:08 am

    Thank you a lot for sharing this with all folks you actually understand what you’re
    speaking approximately! Bookmarked. Kindly additionally visit my site =).
    We could have a link trade arrangement between us


  16. 0mniartist

    April 9, 2021 at 8:22 pm

    This design is spectacular! You obviously know how to keep a reader entertained.
    Between your wit and your videos, I was almost moved to start
    my own blog (well, almost…HaHa!) Fantastic job. I really loved what you had to say, and more than that, how you presented it.
    Too cool! asmr 0mniartist


  17. pool removal

    April 23, 2021 at 10:16 pm

    It takes two to make a bargain.


  18. gamefly a

    April 28, 2021 at 3:34 am

    Great information. Lucky me I ran across
    your site by accident (stumbleupon). I have saved as a favorite
    for later!


  19. asmr but

    April 28, 2021 at 10:42 pm

    My brother recommended I might like this blog. He was entirely right.
    This post truly made my day. You cann’t imagine simply how much time I had spent
    for this info! Thanks!


  20. asmr with

    April 29, 2021 at 3:13 am

    Right here is the right blog for anybody who would like to understand this topic.
    You realize a whole lot its almost tough to argue
    with you (not that I personally would want to…HaHa).

    You certainly put a fresh spin on a subject which has
    been discussed for a long time. Wonderful stuff, just wonderful!


  21. asmr the

    April 29, 2021 at 2:40 pm

    I have been exploring for a bit for any high quality articles
    or weblog posts on this sort of house . Exploring in Yahoo I ultimately stumbled
    upon this web site. Reading this info So i am glad to express that
    I’ve a very excellent uncanny feeling I found out exactly what I needed.
    I such a lot indubitably will make sure to don?t fail to remember
    this site and give it a look on a constant basis.


  22. your gamefly

    May 3, 2021 at 10:41 pm

    For most recent information you have to pay a quick visit the web and on web I found this web site as a
    finest web page for most up-to-date updates.


  23. asmr or

    May 4, 2021 at 7:14 am

    I’m impressed, I must say. Rarely do I encounter a blog that’s
    both equally educative and entertaining, and
    let me tell you, you’ve hit the nail on the head.

    The issue is something which too few people are speaking intelligently about.
    Now i’m very happy I came across this in my hunt for something concerning this.


  24. http://j.mp/

    May 7, 2021 at 11:28 am

    I’m not sure where you’re getting your information, but good topic.

    I needs to spend some time learning more or understanding more.
    Thanks for great information I was looking for this information for
    my mission.


  25. the asmr

    May 8, 2021 at 12:49 am

    I really love your blog.. Pleasant colors & theme.
    Did you make this website yourself? Please reply back as I’m attempting to
    create my very own blog and would like to learn where
    you got this from or exactly what the theme is called.
    Many thanks!


  26. off asmr

    May 9, 2021 at 6:19 am

    I know this if off topic but I’m looking into starting my own blog
    and was wondering what all is needed to get setup? I’m assuming having a blog like yours
    would cost a pretty penny? I’m not very web
    smart so I’m not 100% positive. Any recommendations or advice would be greatly
    appreciated. Kudos


  27. Vern Fabiani

    May 11, 2021 at 7:01 am

    Have you ever heard of second life (sl for short). It is basically a video game where you can do anything you want. Second life is literally my second life (pun intended lol). If you want to see more you can see these Second Life websites and blogs


  28. http://j.mp/3bsEIqd

    May 15, 2021 at 8:48 am

    I all the time emailed this website post page to all my contacts,
    because if like to read it afterward my links will
    too. scoliosis


  29. austin rent rolloff dumpster

    May 15, 2021 at 6:44 pm

    Do not protect yourself by a fence but rather by your friends.


  30. bitly.com

    May 16, 2021 at 11:06 am

    I’m curious to find out what blog system you’re working with?

    I’m having some small security issues with my latest blog and I’d like to find something more secure.
    Do you have any recommendations? scoliosis


  31. https://785days.tumblr.com/

    May 20, 2021 at 3:33 am

    dating sites
    Hi there, I want to subscribe for this blog to get latest updates,
    so where can i do it please help. https://785days.tumblr.com/ dating sites


  32. https://6869milesoflove.tumblr.com/

    May 20, 2021 at 10:18 am

    dating sites
    Howdy this is somewhat of off topic but I was wanting to know if blogs
    use WYSIWYG editors or if you have to manually code
    with HTML. I’m starting a blog soon but have no coding knowledge so
    I wanted to get guidance from someone with experience.
    Any help would be greatly appreciated! free
    dating sites


  33. off asmr

    May 21, 2021 at 10:06 am

    Keep on writing, great job!


  34. dating sites and

    May 25, 2021 at 9:24 pm

    continuously i used to read smaller content which as
    well clear their motive, and that is also happening with this piece of
    writing which I am reading now.


  35. but free dating sites

    May 25, 2021 at 11:42 pm

    Hey there are using WordPress for your site platform?
    I’m new to the blog world but I’m trying to get started and create my own. Do you require any html coding
    expertise to make your own blog? Any help would be
    really appreciated!


  36. dating sites why

    May 29, 2021 at 2:29 pm

    Undeniably imagine that that you stated. Your favorite justification appeared to be at the internet the easiest thing to have in mind of.

    I say to you, I certainly get irked at the same time as folks think about concerns
    that they plainly do not know about. You controlled to hit the nail
    upon the top and outlined out the entire thing without having side effect , other folks
    could take a signal. Will likely be again to get
    more. Thanks


  37. what scoliosis surgery

    May 30, 2021 at 7:59 pm

    This is really interesting, You’re a very skilled blogger.
    I’ve joined your feed and look forward to seeking more of your excellent post.
    Also, I have shared your website in my social networks!


  38. on surgery scoliosis

    May 31, 2021 at 6:59 am

    I have been surfing online more than three hours today, yet I
    never found any interesting article like yours.

    It is pretty worth enough for me. In my view, if all web owners and bloggers made good content as you did, the
    net will be much more useful than ever before.


  39. dating sites their

    May 31, 2021 at 10:09 am

    Remarkable issues here. I am very satisfied to look your post.
    Thank you so much and I am looking forward to touch you.
    Will you please drop me a e-mail?


  40. in free dating sites

    May 31, 2021 at 11:37 pm

    Simply wish to say your article is as surprising.
    The clarity in your post is just cool and i could assume you’re an expert on this subject.
    Fine with your permission let me to grab your RSS feed to
    keep updated with forthcoming post. Thanks a million and please continue the
    rewarding work.


  41. Darcey Hawking

    June 1, 2021 at 7:56 am

    This was great! I would like you to clean up all this spam though


  42. http://tinyurl.com/

    June 1, 2021 at 5:52 pm

    It is in reality a great and helpful piece of info. I’m satisfied that you just shared this helpful info with us.
    Please keep us up to date like this. Thank you for sharing.


  43. tinyurl.com

    June 2, 2021 at 3:22 am

    Hi to all, it’s actually a pleasant for me to go to see this web
    page, it contains valuable Information.


  44. Callie Cilibrasi

    June 4, 2021 at 2:05 pm

    This was awesome! I would like you to clean up all this spam though


  45. Johnsie Ramoutar

    June 7, 2021 at 8:36 am

    This was awesome! I would like you to clean up all this spam though


  46. Nathanael Barnett

    June 10, 2021 at 10:31 am

    This was awesome! I would like you to clean up all this spam though


  47. san fernando valley og strain

    June 21, 2021 at 7:44 pm

    Discretion is the better part of valour.


  48. tinyurl.com

    August 9, 2021 at 10:36 am

    I have been browsing online more than 2 hours today, yet I never found any interesting
    article like yours. It’s pretty worth enough for me. Personally, if all
    website owners and bloggers made good content as you did, the net will be a
    lot more useful than ever before.


  49. http://tinyurl.com/ydowelh9

    August 10, 2021 at 2:37 am

    I couldn’t resist commenting. Exceptionally well written!


  50. http://bit.ly/

    August 10, 2021 at 10:50 pm

    Sweet blog! I found it while surfing around on Yahoo News.
    Do you have any tips on how to get listed in Yahoo News?

    I’ve been trying for a while but I never seem to get there!
    Thank you


  51. http://bit.ly/

    August 10, 2021 at 11:07 pm

    What a stuff of un-ambiguity and preserveness of precious know-how regarding unexpected feelings.


  52. bitly.com

    August 11, 2021 at 8:03 am

    When I initially commented I clicked the “Notify me when new comments are added” checkbox and now each
    time a comment is added I get three e-mails with the
    same comment. Is there any way you can remove me from that service?
    Many thanks!


  53. http://tinyurl.com/yhbyd9b4

    August 12, 2021 at 3:48 am

    I am really inspired along with your writing talents and also with the structure in your blog.
    Is this a paid theme or did you customize it your self? Either way keep up the excellent
    high quality writing, it is rare to look a nice
    weblog like this one these days..


  54. tinyurl.com

    August 12, 2021 at 9:04 pm

    What’s Going down i am new to this, I stumbled upon this I’ve discovered
    It positively helpful and it has aided me out loads.
    I am hoping to contribute & aid different customers like
    its aided me. Good job.


  55. http://bitly.com/

    August 16, 2021 at 5:32 am

    Wonderful, what a website it is! This blog provides useful facts to us, keep it up.


  56. gamefly with

    August 17, 2021 at 6:19 am

    Nice blog! Is your theme custom made or did you download
    it from somewhere? A theme like yours with a few simple adjustements would really make my blog stand out.
    Please let me know where you got your theme.

    Appreciate it


  57. that ps4 games

    August 22, 2021 at 12:16 pm

    Hi every one, here every one is sharing these experience, therefore it’s fastidious to
    read this website, and I used to go to see this blog everyday.


  58. ps4 games what

    August 25, 2021 at 12:28 pm

    Hello there, You’ve done an excellent job.
    I will definitely digg it and personally suggest to my
    friends. I’m confident they’ll be benefited from this website.


  59. your ps4 games

    August 25, 2021 at 9:32 pm

    Hi there, I enjoy reading all of your post. I wanted to write a little comment to support you.


  60. asmr on

    September 1, 2021 at 6:57 pm

    Very rapidly this web site will be famous amid all blogging
    people, due to it’s fastidious posts


  61. scoliosis surgery when

    September 2, 2021 at 6:56 pm

    Hello, after reading this amazing piece of writing i am too happy
    to share my experience here with colleagues.


  62. is asmr

    September 4, 2021 at 9:54 am

    Wow, wonderful weblog structure! How lengthy have you ever
    been running a blog for? you make blogging look easy.
    The overall look of your web site is wonderful, as smartly as the content!


  63. where scoliosis surgery

    September 6, 2021 at 12:46 am

    Hmm it appears like your site ate my first comment (it was super long)
    so I guess I’ll just sum it up what I submitted and say, I’m thoroughly enjoying your blog.
    I as well am an aspiring blog writer but I’m still new to the whole thing.
    Do you have any suggestions for newbie blog writers? I’d definitely appreciate


  64. app.gumroad.com

    September 11, 2021 at 2:12 pm

    Hiya! I know this is kinda off topic however , I’d figured I’d ask.
    Would you be interested in exchanging links or maybe guest writing a blog post or vice-versa?
    My website addresses a lot of the same topics as yours and I feel we could greatly benefit from each other.

    If you might be interested feel free to send me an e-mail.
    I look forward to hearing from you! Awesome blog by the way!
    asmr https://app.gumroad.com/asmr2021/p/best-asmr-online asmr


  65. off quest bars

    September 11, 2021 at 6:11 pm

    What’s up it’s me, I am also visiting this site daily, this
    website is in fact pleasant and the people are really sharing pleasant thoughts.
    quest bars http://bitly.com/3jZgEA2 quest bars


  66. bitly.com

    September 12, 2021 at 7:43 am

    Hey there! Quick question that’s entirely off topic.

    Do you know how to make your site mobile friendly?
    My weblog looks weird when viewing from my iphone 4.
    I’m trying to find a theme or plugin that might be able to correct this problem.

    If you have any recommendations, please share.
    Cheers! scoliosis surgery https://0401mm.tumblr.com/ scoliosis surgery


  67. iherb.com

    September 12, 2021 at 10:57 am

    Hello, i think that i saw you visited my weblog so i came to return the favor?.I’m trying to in finding things to improve my site!I guess its good enough to make use of a few of your concepts!!
    quest bars https://www.iherb.com/search?kw=quest%20bars quest bars


  68. http://tinyurl.com/brah7cp3

    September 13, 2021 at 7:05 am

    Its like you read my mind! You seem to know a lot about this, like you wrote the book in it
    or something. I think that you can do with a few pics to
    drive the message home a little bit, but other
    than that, this is great blog. A fantastic read. I
    will certainly be back. cheap flights http://1704milesapart.tumblr.com/ cheap flights


  69. j.mp

    September 13, 2021 at 3:41 pm

    Oh my goodness! Amazing article dude! Thanks, However I am encountering troubles
    with your RSS. I don’t know the reason why I cannot join it.
    Is there anybody else having the same RSS problems?
    Anybody who knows the answer can you kindly respond? Thanx!!
    ps4 https://bitly.com/3z5HwTp ps4 games


  70. in ps4 games

    October 25, 2021 at 4:15 pm

    I all the time used to read piece of writing in news papers but now as I am a user of web so from now I am using net for articles,
    thanks to web.


  71. ps4 games why

    October 26, 2021 at 9:26 am

    These are truly fantastic ideas in about blogging.
    You have touched some pleasant factors here. Any way keep up wrinting.


  72. how many marijuana strains are there

    November 18, 2021 at 11:06 pm

    Rats desert a sinking ship.


  73. https://www.shinsen-mart.com

    November 26, 2021 at 5:20 pm

    Best view i have ever seen !


  74. asmr and

    December 25, 2021 at 5:04 pm

    Now I am going to do my breakfast, once having my breakfast coming yet
    again to read more news.


  75. saltwater mushrooms for sale

    May 22, 2023 at 9:17 am

    … [Trackback]

    […] Read More to that Topic: blog.sleepingrex.com/2020/11/30/should-isolation-periods-be-shorter-for-people-with-covid-19-the-new-york-times/ […]


Leave a Reply

Your email address will not be published. Required fields are marked *

Check Also

Did Nets’ Kevin Durant Undergo Crazy Body Transformation? (Photos) – Game 7 – Game7

[ad_1] Brooklyn Nets star Kevin Durant is already arguably the best player in the NBA. Alt…