If the UK authorities decide to follow the US in reducing covid positive isolation period to 5 days, here are some things that might lessen any negative impacts (in my opinion):

🧵
1/7
Be upfront about why you’re doing it: pragmatism and capacity. Acknowledge that at this stage there is no scientific basis that completely rules out being infectious after 5 days with Omicron or other variants. Honesty is a great public health approach.
2/7
Require a rapid antigen test to be negative on day 5 before ending isolation.
3/7
Avoiding high risk settings on days 6 and 7, i.e. coming in contact with people who could be at high risk of severe disease if infected.
4/7
Informed consent: letting contacts know about being covid positive on days 6 and 7 with employers/settings providing them with non-detrimental alternative options if they want to avoid contact.
5/7
Obviously if people are still symptomatic on day 5 (eg coughing or sneezing), it’s a no.
6/7
Goes without saying: wearing a high grade mask when in contact with others outside their isolation space on days 6 and 7 (and really up to day 10). Employers should provide that.
7/7
Additional tweet with two points:
1. apply to children too
2. Reiterating what I said in tweet 1: these are my personal thoughts and opinion based on my knowledge and observations of the pandemic so far.

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More from @Dr2NisreenAlwan

3 Jan
Primary schools in England are opening tomorrow with no mask recommendation, no adequate ventilation measures and no vaccine offer for all 5-11 year olds in the context of 1.1 million confirmed covid cases during the last 7 days in the UK.
#CountLongCovid
Read 5 tweets
27 Dec 21
“We have concluded that the Pfizer/BioNTech COVID-19 vaccine is safe and effective for 5 to 11-year olds, with no new safety concerns identified."

Dr June Raine, Chief Executive @MHRAgovuk - 22 December 2021.

1/4
Dr Raine also said: "We have carefully considered all the available data and reached the decision that there is robust evidence to support a positive benefit risk for children in this age group."
gov.uk/government/new…

2/4
The vaccine has already been received by millions of children in this age group across the world.

As of December 22, 2021, the CDC recorded 6.1 million US children ages 5-11 have received at least one dose of COVID-19 vaccine.
aap.org/en/pages/2019-…

3/4
Read 5 tweets

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