Boston, Massachusetts 2021-07-22 04:25:14 –
BPrior to the Covid-19 vaccine, public health officials fought the pandemic with the only tools of wearing masks, social distance, school closures, and limiting the size of meetings.
Currently in much of the United States Highly contagious delta variant, These tools can make measurable differences at critical moments, but not if the general public does not want to use them.
A year and a half after Covid’s restrictions were first enforced, people experienced it in a pandemic. There are no new tools in the public health toolbox, except for highly effective vaccines that are not accepted by enough people to suppress the spread of the new SARS-CoV-2 mutant, and people reuse them. I have no interest in doing it. It contains.
These feelings are effectively joining the hands of exhausted health officials.
“I don’t think there really is a political desire to reimplement them beyond most non-pharmaceutical measures, so I don’t think there’s much left to do,” said Caitlin Rivers, Johns. An epidemiologist at the Hopkins Bloomberg School of Public Health told STAT.
In some jurisdictions, especially Southern California, indoor masks are again required. Some people, like New Orleans, advise it. But in other areas, the public’s hostility to wearing masks and social distance has made it unclear whether these tools are still effective if health authorities try to rely on them again. Wendy Palmett, director of the Center for Health Policy Law, said. Northeastern University School of Law.
” [these] Authorities in certain locations are so in-depth that people are ineffective or even counterproductive, “she said.
Delta, which is more contagious than its predecessor, is causing a surge in cases in many parts of the United States, not just among unvaccinated people. There is a sharp increase in states with low vaccination rates (Arkansas, Louisiana, Mississippi, etc.). On Tuesday, Rochelle Walensky, director of the Centers for Disease Control and Prevention, revealed: 83% of sequenced viruses Currently in the United States, it is a delta variant virus.
Nirav Shah, director of the Centers for Disease Control and Prevention in Maine, spent the weekend trying to develop a strategy for how to deal with Delta. Among the “what if” he discussed with himself was whether the people of his state would agree to wear the mask again if the Maine authorities made the recommendation.
On the other hand, he said his main effort was to convince the vaccinated people, those who had already “tend to take care of themselves and others”, to accept the mask again. I thought. Meanwhile, those people are already doing what they were asked to do. They were vaccinated. Telling them what was supposed to be their Covid offramp wasn’t the end of the journey — he thought it might not work.
“I was telling my wife … in public health, we like the belt and suspenders approach,” Shah said. “For those who have been vaccinated, they will be belts or suspenders. And in their hearts, they have their own. They have their belts. So it will be a challenge. “
According to Shah, people were mentally out of the pandemic and didn’t even get the virus when they were talking to their neighbors lately. Instead, they were worried that their children would be bitten by ticks while they were out on the hike.
“As humans, we only have the mental bandwidth to fear things, and since Covid is no longer mysterious and novel, I think they’re done in the minds of many. “I will.”
Shah, chairman of the Association of State and Community Health Officials, said some state authorities are currently facing structural problems when considering Covid’s controls. Some governors have terminated a state of emergency in their jurisdiction. As a result, some previously used special orders may not arrive.
And in many other states, where resistance to Covid controls has increased, elected officials have banned some of the public health tools. Hokkaido University has enacted a law prohibiting health authorities from requiring anyone to wear a mask for some reason. Montana has banned the practice of isolating people who have come into contact with people infected with infectious pathogens — robbing health authorities from one of the oldest known disease management techniques.
A report released by the National Association of County and Municipal Health Officials and the Public Health Law Network in late May revealed that at least 15 states had taken steps to join hands with health officials. Palmett, who worked on the report, said that some of these measures adopted at this time are likely to affect the management of diseases such as measles and tuberculosis after Covid had only bad memories. Stated.
The court also invalidated several public health measures, including those that limit the number of people who can participate in direct religious service.Wisconsin State Supreme Court Turned over Stay-at-home order — an era when even the Trump administration was urging people to limit their movements to slow the spread of SARS-2.
According to Palmetto, courts and legislatures have traditionally supported urgent public health activities. But not so many anymore.
“Now you have to think a couple of times:’Can I do this? Do I need to start a religious exemption? And if I have to get a religious tax exemption If so, how can we force it on everyone? “She said. “Federal benches and some state courts do have an attitude of asking public health authorities.”
Rivers believes that many of the controls used in the early days of the pandemic are currently unenforceable, but she believes that people may be persuaded to resume wearing masks. But she believes that the way to make it palatable is to link the need for action to vaccination of small children who have not yet been vaccinated. Once children under the age of 12 are immunized, they need to tell people that they can put away their masks.
“I think we need some sort of exit strategy,” she said. “I think it helps people understand that it’s not eternal.”
The use of vaccine obligations by some employers and institutions should also help, Rivers said, but in the absence of national vaccine obligations not listed on the card, the effect is fragmented and the effect is fragmented by businesses and, for example There is a university. “Large institutions can reach quite deep into the community,” she said.
Jeffrey Duchin, a public health officer in Seattle and King County, shares the frustrations and concerns of others in his field. But he believes the community will take steps to try to control Covid. That is, when the community has reached the stage of believing that the threat to them is real.
“I think people’s thinking can change as Delta becomes more prevalent and more illnesses, hospitalizations and deaths come from familiar personal experiences,” said Duchin, a professor of infectious diseases at the University of Washington. I will.
“When it comes to toolboxes, there are good vaccines. There are mitigations that have been found to be effective in masking, adjusting distance, improving indoor air quality, etc. So when people want to do something, We now have a working tool, “he said. “I I think you have to look in the long run as it doesn’t disappear. “
There are tools to beat back Covid again. Does anyone want to use them? Source link There are tools to beat back Covid again. Does anyone want to use them?