In many ways, this week is a turning point in the fight against COVID-19.
After more than a year of closure, Disneyland will open on Friday.
The incidence of coronavirus in the Los Angeles area is so low that the area is on the verge of moving yellow, the lightest of California’s four categories of color-coded reopening systems, which will provide a dramatic reopening.
And people who are fully vaccinated against COVID-19 can safely stop wearing masks in many outdoor conditions, the US Centers for Disease Control and Prevention said on Tuesday.
But there are still reasons to be careful. As the situation in Oregon: shows in India, the coronavirus remains a threat.
What are some of the things that experts are still careful about?
Earlier this month, Dr. Robert Wachter, president of the United States Department of Medicine in San Francisco, said in an online seminar that he was comfortable cutting his hair and flying to see his parents when he was fully vaccinated. He also felt good about resuming his monthly poker game with his recently vaccinated friends made a note in the tweets“But the 63-year-old man did not want to go to a closed restaurant and take off his mask.
“I am sure I am not going to be hospitalized or die. It feels good. “But I do not particularly want to get mild COVID, because I do not know for sure that it can not turn into ‘long COVID’ or some long-term backlash that I do not yet understand,” Wakhter said during the seminar. ,
Prolonged COVID refers to a number of symptoms that persist for months in people who have survived a coronavirus infection. These include fatigue, shortness of breath, sleep disturbances, fever, stomach problems, anxiety, depression, and difficulty concentrating, which some people call “brain fog,” said Dr. Anthony Fauche, chief infectious disease specialist at the US government. briefing
Fauci says the severity of long-term COVID “can range from mild, irritating to actually inoperable.”
Prolonged COVID persists even after the virus has been substantially cleared from the body. Surprisingly, according to Fauci, about 30% of patients in one study reported that the symptoms of prolonged COVID persisted for nine months.
How do other doctors treat eating inside? Other fully vaccinated doctors have found it safe to return to closed restaurants, at least in places they are familiar with in California.
“Personally, I am 69 years old, I have been vaccinated. I probably have some additional risk factors. “I feel comfortable eating inside my home,” said Dr. George Orger Rutherford, an UC epidemiologist in San Francisco.
During an online seminar, Dr. Peter Chin-Hong, a professor of infectious disease medicine at UC San Francisco, said that if he went to a closed restaurant, he would reduce his risk, such as sitting by the window or making sure he wore a mask when he went to the bathroom.
Dr. Monica Gandhi, professor of medicine at UC Uck School of Medicine in San Francisco և Uck Uberberg San Francisco General Hospital, said in an online forum that she was comfortable bringing her two unvaccinated children and two fully-vaccinated parents, 87-80 years old. – to San Francisco Indoor Restaurant.
“I felt completely safe,” Gandhi said. Part of that was due to the extremely small number of viruses circulating in San Francisco, so he felt that “I probably would not have obeyed my parents’ COVID.”
But a doctor can make a different decision about a closed meal if, say, they lived in Michigan, which has the highest incidence of coronavirus in the country. California has the lowest per capita infection rate in the United States, and Michigan has the highest.
What about wedding receptions?
The mix of vaccinated and unvaccinated people at the event is “always a bit of a joke,” Rutherford said. Risks can be reduced by following California’s guidelines, he said.
Weddings, meetings, and conferences are now allowed in California, with changes depending on the level of the virus circulating in the state. For example, in the Los Angeles area, which is the second lowest or orange level, open-air receptions may be held with a maximum of 300 people if all test negative for the virus or may show evidence of vaccination, or up to 100 people who do not need to be vaccinated or latest test posts. Internal receptions can be held if all guests show negative coronavirus tests or vaccination evidence, and the number of guests is 150.
CDC և The California Department of Public Health is urging people to delay travel until they are fully vaccinated.
As for going to sports games or bigger conferences.
Rutherford said he believes the rules for watching live California professional sports games are well thought out. “Just follow the rules,” he said.
And while Governor G. Newsom was watching the “full reopening” of the state economy on June 15, if supply of vaccines was high and hospitalizations were low, there were a number of possible adjustments expected.
For example, large-scale domestic measures, such as conventions, require testing or testing of vaccines, according to Newsom’s office.
The San Francisco Convention Center, the Moscow Center, has held its first convention since the epidemic began. A conference of hand surgeons will be held from September 30 to October 2.
“They are all surgeons. “They will all be vaccinated,” Rutherford said.
There is a relatively low incidence rate in California. Will the state avoid the fourth wave?
“We just don’t know,” Rutherford said. Colorado, Washington, Oregon, Nevada and Arizona are among the states with the highest incidence.
There are several factors that can help determine if a new wave is coming, Rutherford said.
First, what part of the population has been vaccinated?
Second, do people still wear masks or stay away physically?
Third, are there options that are more transferable և difficult to control? One possible explanation for the Michigan wave is how the highly contagious UK version prevails there (B.1.1.7). it has not been done much in California or Arizona.
Fourth, are unvaccinated residents gathered together to make the outbreak worse? The Times analysis found that only 35% of people living in the most disadvantaged areas of California received at least one dose of the vaccine, while 57% of people living in the more affluent areas of the state received at least one dose.
Fifth, how soon will teens be eligible for vaccines? Rufferford says getting a Pfizer vaccine for children under 12 is a must.
And sixth, how much vaccine is there? A healthy supply will help mitigate the threat of the fourth wave.
How do vaccines rarely fail?
An unvaccinated medical worker in Kentucky is believed to have brought the coronavirus to a nursing home. The outbreak infected 26 people, including 18 fully vaccinated and և 20 health workers, four of whom were fully vaccinated.
Three residents died. Two who did not receive any doses of the vaccine և one who was ‘fully vaccinated’ երկու both doses of the Pfizer vaccine received more than 14 days before the outbreak, according to the CDC.
One of the dead unvaccinated people had previously been infected with the coronavirus and survived until he became infected again. This death demonstrates the rare risk of re-infection ում underscores the importance that all, including COVID-19 survivors, still receive the vaccine.
Experts say that vaccinated immunity is better than surviving COVID-19.
“Even if you’ve had an infection before, you do get a boost in antibody levels with the vaccine,” said Dr. Paul Simon, director general of science at La County.
This story originally appeared in the Los Angeles Times.