The nation is inching closer to herd immunity almost two months into the COVID-19 vaccine rollout as more than 1 million Americans get vaccinated per day, according to the Centers for Disease Control and Prevention. As a large portion of the population waits to get vaccinated and questions arise around asymptomatic spread, immunized Americans wonder: Is it safe to leave the house and live a pre-pandemic lifestyle?
Not quite yet, experts say.
Getting a vaccine is not a “free pass” to “put aside all the public health measures” officials have reiterated since the beginning of the pandemic, Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said in a CNN town hall in January. “We don’t want people to think that just because they’re vaccinated that other public health recommendations just don’t apply,” said the nation’s leading infectious disease expert. However, there IS light at the end of the tunnel. The health experts say that each vaccination gets the USA closer to herd immunity and closer to easing restrictions and returning to normal. Until then, social gatherings and travel without protective measures could jeopardize how quickly that may happen.
Even when a person is vaccinated, it takes up to two weeks to reach maximum immunity, and no shot offers total protection. The COVID-19 vaccines may be less effective against new coronavirus variants, specifically one that originated in South Africa. As of Wednesday, the United States reported 932 cases of a variant discovered in the U.K. variant and nine cases of the South African variant, according to CDC data. The agency said the U.K. variant, called B.1.1.7, could become the dominant strain by March.
Traveling is one of the fastest ways to spread the coronavirus, experts say, and it’s unknown whether the COVID-19 vaccines protect against transmission. Though studies show the vaccines are effective against symptomatic disease, researchers are still learning their impact on asymptomatic infection. For this reason, health officials warn against nonessential travel even after getting vaccinated. “You can conceivably get infected, get no symptoms and still have virus in your nasal pharynx,” Fauci said during the town hall. It’s possible that while carrying that virus, someone can transmit it to other travelers, family or friends.
Spring travel may be possible if travelers are mindful of where they’re going and who they’re seeing. People should avoid traveling to an area where infections are on the rise and visiting loved ones who are vulnerable to severe disease and not vaccinated. President Joe Biden signed an executive order in his first days in office mandating masks in flights, trains and buses. The Transportation Security Administration announced last week that it will recommend fines ranging from $250 to $1,500 for people who do not abide by the mask order.
The CDC issued guidelines Wednesday recommending wearing a surgical mask underneath a cloth mask or knotting the surgical masks to prevent air seeping through the sides. Shah said she doesn’t expect coronavirus cases to increase dramatically like they did after the holidays as more Americans will be vaccinated and warmer weather will hopefully push people to host gatherings outside. “On Memorial Day, we’re going to have a different scenario,” she said. “The first and best thing is that it’s warmer and people will be outside. That reduces the risk a lot.”
Regarding getting together with friends and family, data shows small gatherings drive transmission as people tend to relax safety precautions – such as masking and social distancing – around close friends and family, said Dr. Wafaa El-Sadr, professor of epidemiology and medicine at Columbia University Mailman School of Public Health.“We’re in a race between the vaccines and a race with the virus, and it’s a moment in time where there’s a lot of unknowns,” El-Sadr said.
Though some states have begun to lift COVID-19 restrictions on restaurants, weddings and indoor entertainment, health experts say it’s too early to attend social gatherings without protection. After a year of pandemic restrictions, Americans are eager to get out of the house, El-Sadr said, but she urged them to continue masking and social distancing. “Whatever you were doing the day before you got vaccinated, you continue to do the day after you get vaccinated,” El-Sadr said.
If people have to get together, they should minimize risk by being outside, wearing a mask and social distancing, said Dr. Sarita Shah, associate professor at the Department of Global Health, Epidemiology and Infectious Diseases at Emory University. “We can get together in these small groups using these safety steps that we all know work,” she said. Though getting a COVID-19 vaccine doesn’t mean a sudden return to pre-pandemic ways, it could mean less anxiety and more individual freedoms.
Experts disagree on exactly how much freedom. Dr. Vinay Prasad, an associate professor of epidemiology and biostatistics at the University of California-San Francisco, argued there’s little risk in dining with a fellow vaccinated friend indoors or hugging fully immunized grandparents. Nothing in this world comes with 0% risk, he said, but one can drastically diminish risk by getting vaccinated. After that, it’s up to individuals to assess their own comfort. “No one is chasing a zero-risk life. In fact, that is a mirage,” Prasad said in an op-ed on Medpage Today. “Instead, we all want reasonable safety.”
So, when will things return to “normal?” The Biden administration is on track to administer 100 million vaccine doses in 100 days, but even after accomplishing this goal, the USA will still be far from achieving herd immunity, CDC Director Rochelle Walensky said. “It’s going to take a while for us to feel like we’re back to a sense of normalcy,” she said during the CNN town hall. “After we vaccinate 100 million Americans, we’re going to have 200 million more to vaccinate.”
The U.S. vaccination timeline is in constant fluctuation as distribution strategies change and the federal government works to secure more doses, experts say. Americans can expect a degree of normalcy in the late summer or early fall, but health experts stress that this timeline could change for better or worse, and they implore Americans to be flexible and patient. “At this stage, we have so many questions still, and we have such low coverage with these vaccines,” El-Sadr said. “I urge everyone to continue to be as cautious as they have been for their own protection, as well as the protection of their loved ones.”
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