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Aquariums have rooms dedicated for qt. Usually in a different building than the dt. They have fancy sterilization systems and what not.
I don't have room in my house for a qt. I don't have an extra room to dedicate to a qt either.
While true they also have to take care of a significantly more diverse array of livestock.
If you look at their protocols it's back to the simple procedure, 30 days in isolation. Most believe in proactive prophylactic treatment, others believe in simple isolation.
It's really not that hard.