Updated 6:21 AM EST February 3,
2021 (CNN)
The day has finally come. You've received the second dose of
a Covid-19 vaccine currently on the Western market — Moderna, Pfizer-BioNTech
or Oxford-AstraZeneca. Does that mean you're free
to go about life as you did before the pandemic once immunity kicks in? Sorry, there is no
immunity passport yet, experts told CNN. There are still safety precautions you
need to follow in order to keep you, your loved ones and everyone else safe and
protected from the deadly coronavirus.
Read on for answers from the experts on top
questions such as when can you stop wearing a mask, eat inside a restaurant,
travel, go to sporting events and concerts, and freely visit friends and
family.
Can I please stop wearing a face
mask? Let's "face" it: The
answer is no. Try to think of a face mask as your new best friend, one
that you plan to cherish and appreciate for a good, long time. Here are five
reasons why.
1) It's not 100% protection. Even the best of the currently available vaccines only
offer up to 95% protection when you are fully immunized. That means there is a
5% chance you can catch the novel coronavirus at any time. Think that sounds
small? Let's compare that risk to birth control: Pills, patches, vaginal rings and shots are 91% to 96%
effective. Yet that translates to nine women becoming pregnant for every 100
women on each of those forms of birth control, according to the US Food and Drug Administration.
2) Everyone's different. Some people are going to mount more robust immune
responses to both rounds of the Covid-19 vaccination than others. That's one of
the key reasons experts are insisting everyone receive the second shot of the
vaccine within a key time frame. "In looking at the Phase 1, Phase 2 data,
what I saw with a single dose is some people had high levels of
virus-neutralizing antibody, others were non-responders," said vaccine
scientist Dr. Peter Hotez, professor and dean at the National School of
Tropical Medicine at Baylor College of Medicine in Houston, in a prior interview. "So, the major reason for the second dose is to
get everybody to respond. If you just get a single dose, you don't really know
where you stand," Hotez said. Remember, it can take two to three weeks
after you get the second shot before your immunity fully kicks in.
3) A moving target. As is typical with viruses, the SARS-CoV-2 virus is
mutating around the world -- creating variants that are proving to be more
contagious than those the US is currently battling. Experts are already
warning that antibodies from a prior case of Covid-19 won't protect against
being reinfected with a variant from South Africa. "If it becomes
dominant, the experience of our colleagues in South Africa indicate that even
if you've been infected with the original virus that there is a very high rate
of reinfection," Dr. Anthony Fauci, director of the National Institute of
Allergy and Infectious Diseases, told CNN's Wolf Blitzer on Monday. "Previous infection does not seem to protect you
against reinfection." There is also a possibility that the current
vaccines won't fully protect against the new variants of the SARS-CoV-2 virus.
That's being studied feverishly right now, so stay tuned.
4) You could be a silent spreader. Remember "Typhoid Mary" Mallon? She was an Irish immigrant who worked as a cook for New
York families and refused to believe she was an asymptomatic conduit for
typhoid fever because she remained healthy. Refusing to cooperate with authorities,
Mallon contaminated at least 122 people in the 1880s, leaving five dead, before
she was caught and quarantined twice for a total of 26 years. That scenario
could apply to Covid-19. "We don't yet know whether being vaccinated
means that you're no longer a carrier of coronavirus. That is, fully immunized
people may still be able to spread Covid-19 to others," said CNN Medical
Analyst Dr. Leana Wen, an emergency physician and visiting professor at George
Washington University Milken Institute School of Public Health. "It's
possible that someone could get the vaccine but could still be an asymptomatic
carrier," Wen said in a Q&A for CNN. "They may not show symptoms, but they have the
virus in their nasal passageway so that if they're speaking, breathing,
sneezing and so on, they can still transmit it to others."
5) Will
immunity last? Researchers don't yet know just how long the immunity
given by the current vaccines -- such as it is -- will last. There is a
possibility that booster doses may be needed in the months or years to come.
That's not uncommon -- adults need tetanus and diphtheria boosters every 10
years. So, until more is known about how long the protection lasts -- and
against which variants -- stay safe and protect others by wearing a mask.
When can I hang out with friends and family? That depends on
everyone's vaccine status, experts say. If friends or other members of your
family have also received both doses of a Covid-19 vaccine, the risk is greatly
reduced, especially if the visit is outdoors. "It's probably pretty
safe to see others who were also vaccinated, after everyone gets both doses and
waits a few weeks," Wen said. It would also be safe if the
unvaccinated friends or family members or friends quarantined for 10 days
before the outdoor get-together.
However, if the visit is indoors, "there
is going to be some level of risk," Wen said, especially with the current
spread of more contagious variants and the less than 100% efficacy of today's vaccines. "That risk will be much lower
than if you were not vaccinated, but the risk is still going to be there to
you, and you could still be a risk to the unvaccinated members of your family,
as you could be an asymptomatic carrier who transmits to them," Wen said.
"If you really want to spend time with the grandkids indoors, the
safest way to do this is still for everyone to quarantine for at least 10 days
and lower their risk during these 10 days," Wen said. "Quarantining
for seven days and a negative test is an option too, but everyone also has to
do the quarantine — a negative test alone is not enough."
And again, just because you've been
vaccinated, that doesn't reduce your responsibility. You should continue to
wear a mask and practice social distancing whenever you are around others. "You
wouldn't want to engage in activities where you could potentially acquire the
novel coronavirus and then transmit it to others," Wen said. "That
includes seeing other people who are vaccinated, but not wearing a mask — based
on what we know now, they could have the virus and pass it onto you, and you
could pass it onto the people you live with. An abundance of caution is still a
good idea."
When can I eat at an indoor restaurant or go
to a concert or sporting event? Indoor
restaurants are likely hotspots for Covid-19 transmission. That's partly
because no one is wearing a mask while they eat, thus spreading their
respiratory droplets around as they socialize. The other reason? Most
restaurants do not have HEPA filters or other filtration equipment on their circulation
systems, leaving the air poorly ventilated and a prime breeding ground for
virus spread.
The US Centers for Disease Control and Prevention recommends avoiding "poorly ventilated
spaces." So, even with a second vaccine, you're still taking a
chance that you might be exposed to Covid-19 and become a silent spreader. But won't the
typical 6-foot spread between tables or booth partitions do the trick? "I think the 6 feet
indoors is not enough by itself," said Linsey Marr, a professor of civil
and environmental engineering at Virginia Tech, who has been studying Covid-19
transmission. "You have to have good ventilation in that bar or
restaurant," said Marr, the co-author of a paper on airborne transmission
of Covid-19 via very small droplets called aerosols.
However, even a HEPA filter wouldn't make
environmental engineer Marr feel comfortable eating inside a restaurant. In
order for the filter to protect you, the virus-laden air would have to pass
through the air handling system and be filtered first before it gets to you,
she said. "HEPA filters reduce the amount of virus in the
background air, but most transmission takes place in these close contact type
of scenarios where you're near someone that's infected and they're spreading
lots of virus. The HEPA filter doesn't help with that," she said. "And since I
can't wear a mask while I'm eating, I'm just avoiding indoor restaurants until
this is over," Marr said.
What about fun things to do, such as
concerts and sporting events? "Once
vaccinated, an outdoor sporting event or concert is probably safe, if there is
good social distancing between households and everyone is wearing masks,"
Wen said. "Indoor, crowded gatherings are probably still best to avoid
even if you're vaccinated."
Can I travel if I've been vaccinated? "I want to emphasize that now is not the time to be
traveling period, internationally or domestically, it's just not a good time to
be traveling," said Dr. Rochelle Walensky, the CDC's new director, in a CNN global town hall last week. And that applies to people who have already been
vaccinated, added Fauci, the White House chief medical adviser. "Getting
vaccinated does not say now I have a free pass to travel," Fauci said at
the CNN global town hall. "Nor does it say that I have a free pass to put
aside all of the public health measures that we talk about all the time." "I mean, if
you absolutely have to travel and it's essential, then obviously, one would
have to do that. But we don't want people to think because they got vaccinated,
then other public health recommendations just don't apply," Fauci said.
But, of course, schools are safe to open.
ReplyDeleteBoth political parties and all corporate owned major media outlets agree.
Big Brother agrees.