1/ Q: Are temperature checks an adequate screening tool for COVID-19?
A: Unfortunately, no. Being fever-free at the time of a temperature check is not a guarantee that a person doesn’t have #COVID19, nor that someone with #COVID19 won’t spread the infection to others.
2/ Why is that?
The period of infectiousness for someone with #Covid_19 (i.e., the window of time when someone can infect others) starts ~2 days BEFORE symptom onset, so individuals can have COVID-19 & spread the infection to others before developing a fever (or other symptoms).
3/ Also important to note-not all individuals with #COVID19 will have a fever. Last, even if someone with COVID-19 no longer has a fever, if <10 days has passed since their symptoms started, they are still considered infectious.
4/ So does temp screening have any value?
Temperature checks will likely catch some of the people who have a fever at the time they are screened (& probably a few people that just happen to have an elevated temperature), but will miss those who have #COVID19 & don't have a fever.
4/ A better scenario is one in which those who are experiencing ANY symptoms of #COVID19 opt to (& importantly are enabled to!) stay home from work, school or other activities, in the first place, instead of trying to rely on temp checks on-site to identify those who are sick.
5/What measures should I focus on instead?
A key question to consider in any scenario is, “What measures are being taken that serve to lower the likelihood that people will spread SARS-CoV-2 to others whether they currently have symptoms OR NOT?”
6/ Places that require 😷, maximize the ability to be physically distanced, make indoor air more like the outdoors, reduce the # of ppl gathered & limit the duration of time ppl spend in close contact are implementing measures that serve to help prevent the spread of SARS-CoV-2.
7/ Temperature checks alone are unfortunately not adequate to identify all individuals who have COVID-19 nor prevent all those who are infected with SARS-CoV-2, from spreading it to others.
1/ Q: Has almost everyone been infected with COVID by now?
A: Recent estimates suggest around 58% of the population in the US and over 70% in England have been previously infected, with BIG increases during the Omicron wave.
3/ ➡️ During the Omicron wave from December 2021-February 2022, this estimate increased from 33% to 58%.
➡️ Rates vary a lot by age, ranging from 33.2% for those over age 65 to 75% for those under age 18.
2/ Not likely. If your kids are suddenly getting sick a lot, this is likely due to “catching up” on exposures rather than a weakened immune system.
3/ Many families w/ young kids have been hunkered down for the better part of 2 years– a good % of a young child’s entire life. While isolation had *many* downsides, we can agree that not having to suction snot out of infant noses or clean up norovirus puke was a happy upside.
1/ Q: Are cases peaking? That means it’s all downhill from here, right?
A: Sort of…. Remember that even if cases come down as quickly as they rise, there will be as many cases *after* the peak as before (think area under the curve).
2/ ➡️ And if the downward slope is *slower* than the rise, we will see *more* cases during the decline from a surge.
3/ Burning fast could be a silver lining of super transmissible #Omicron. Cases rose & fell quickly in S. Africa (w/ hospitalizations & deaths still lagging). The UK appears to have turned the Omicron corner. Many US states appear past their peak in cases, w/ regional variation:
Unfortunately, this includes New Year’s Eve plans. The perfect storm of a new variant & holiday get-togethers is hitting communities & health care w/ FORCE! Testing is in short supply.
3/ Health care is under extreme pressure with surging cases. If you can avoid even one additional contact, you are helping. This is a temporary and urgent request (from a health care provider).