Social distancing, one of the recommended mitigation strategies, may be difficult to implement with some cultures accustomed to intimate contact a handshake, kissing, hugging, and not all public health resources are created equal. The measures of containment, screening, quarantine, isolation may vary from one jurisdiction to another. Italy is the European nation with the greatest number of air connections with China, so it is no surprise that this country has been hit the hardest.

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