At the start of another school year, I’ve been thinking about the differences between 2021 and 2022. Last year, many schools had mask mandates, testing programs and quarantine rules (SN: 3/15/22). This year, masking is optional and testing and quarantines are out (SN: 8/19/22).
We’ve shed measures that stop the spread of the coronavirus and help prevent excessive disruptions to in-person learning. Without them, and with the absence of nearly any controls in place elsewhere in society, we’re inviting the virus to keep spreading, to find new ways to thwart immunity and to continue to derail plans and routines. And it’s not just a risk to our day-to-day lives, but to our future health. As much as we want to put the pandemic in the rearview mirror, evidence continues to emerge that the coronavirus’s impact will be a recurring, unwelcome feature of many tomorrows.
Scientists predict COVID-19 cases will rise this fall and winter in the United States, as more of life heads indoors during colder weather. The Biden Administration has said there could be 100 million new cases. We have a new aid in the face of a possible surge: a revamped COVID-19 shot targeting the omicron variant, from both Pfizer (for 12 years and up) and Moderna (for 18 years and up), is now available (SN: 9/2/22). Meant as a booster shot, the tweaked vaccine is the original version with added protection against the BA.4 and BA.5 variants. The BA.5 variant is dominant in the United States, accounting for 89 percent of cases at the beginning of September.
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Public health officials would like to get as many boosters in arms as possible this fall to temper a rise in cases. We know the original vaccine has done an outstanding job protecting people from severe illness and death. The vaccine has also helped reduced transmission, although this benefit can wane quickly. Overall, the COVID-19 vaccine is a crucial tool to protect public health. But it alone can’t shoulder the entire burden of keeping the virus at bay. Controlling the coronavirus takes a team approach, the vaccine together with masks, ventilation improvements and crowd control (SN: 4/4/22).
Without these additional measures, people will keep getting sick. Claire Taylor, a physician in the United Kingdom, tweeted about her experience having COVID-19 three times this year, in March, June and August, as the omicron family of variants moved through her country. “How can it be sustainable, sensible, bearable even, to get a virus that floors you in the same way multiple times a year?” she wrote.
It doesn’t seem sustainable, sensible or bearable. Not with what the virus can do in the midst of infection, and not with the harms that can linger after an infection subsides. Adults, for example, can face health issues throughout the body after a bout of COVID-19. A study of health records from the U.S. Department of Veterans Affairs reported that, compared with those who haven’t had COVID-19, those who have — whether hospitalized or not — face higher risks of a variety of cardiovascular diseases beyond the initial 30 days post-infection. Other research has found an increased risk of neurological and psychiatric illnesses for two years after a SARS-CoV-2 infection, compared with other respiratory infections.