1/ We will eventually move from the emergency pandemic phase of COVID
to
the endemic phase of COVID.
This means that we'll have ongoing SARS-CoV-2 transmission in the community.
At what level? That depends on us & how well we control it.
2/ I think we should move beyond a focus on COVID
to
a focus on all viral respiratory illnesses combined.
Ultimately, what people care about is whether they're sick, in the hospital, &/or dead. The cause matters less.
3/ Many of our interventions vs COVID
are also effective vs other viral respiratory illnesses.
We also have flu vaccines & antivirals for influenza.
4/ Even if we don't perfectly control COVID, we can arrive at an acceptable (yet to be defined) level of disease/hospitalization/death from all viral respiratory illnesses by optimizing our use of some of these other tools.
5/ Ultimately, what our new normal in the COVID era will be up to us.
Control can mean high or low levels of ongoing SARS-CoV-2 transmission.
1/ How should you use rapid antigen tests to keep yourself safe over the holidays?
If you making short day trips to visit family/friends outside the home, take a rapid antigen test before you get in the car.
- If you're positive, stay home.
- If you're negative, have fun.
2/ If you're making longer trips & staying outside the home, plan to take a rapid antigen test every other day.
Why every other day?
It's the minimum to prevent transmission with Delta's short incubation period.
- If you're positive, stay home.
- If you're negative, have fun.
3/ The cost of rapid COVID tests in the U.S. is "TOO DAMN HIGH."
Other countries, like the UK, deliver free rapid tests to anyone upon request.
Let's start with who would CLEARLY benefit from an additional dose of vaccine NOW:
- Elderly
- Nursing home & long-term care facility residents
- Immunocompromised persons
- People who got a single J&J vaccination
2/ @MSNBC's @SRuhle is right: what do we mean by "indicated"?
This is what's driving much of the disagreement among scientists on whether additional doses of vaccine are needed.
3/ Are we trying to prevent severe disease, hospitalization, & death?
Are we ALSO trying to prevent ALL infections & transmission?
We have yet to agree on this, but we need to have a frank conversation about what we're trying to achieve.