April 13, 2002 – Individuals should make personal decisions about their risk for COVID -19 based on their comfort level, what they do in public, and the severity of the disease. advocating for their community, Anthony Fauci, MD, added.
But this advice may leave those who think rationally and don’t need to act now to balance safety with a strong desire to return to a pre-pandemic life as normal.
At the onset of the disease, when little was known about COVID-19, “everyone needed to be very vigilant,” said Aaron Glatt, MD, head of diseases in Mount Sinai South Nassau in Hewlett, NY. “Now the problem can be compared.”
There’s a difference for residents of Philadelphia, which is the largest U.S. city that will reintroduce internal mask demands starting Monday.
Deciding whether to wear masks elsewhere, no wonder, depends on a few personal factors: are you over 50? Do you have an illness that bothers you a lot? Do you live with a troubled person? Also, the problem may be different depending on how you interact with other people: Do you avoid the concerts inside? Looking for an outdoor seat in restaurants? store at 11 pm?
The mix could include simpler bans, bans, and increased case numbers in some states.
Although people have heard about the causes of chronic pain in more than 2 years, “it is difficult because people are not good at assessing their own problems. Baylor College of Medicine in Houston.
On a positive note, “we are in a time of illness where people can decide what’s right for them,” he said. “Most of the country is doing well.”
Some challenges to consider
The experts who discussed this story gave a few examples. If you are elderly and have many health problems, you should not do anything outside of your home unless you are groomed, encouraged, and wearing a face mask, says Luis Ostrosky, MD, head of infectious diseases with Health Houston and Memorial Hermann-TMC. and Texas.
“But if you’re in your 20s, you don’t have comorbidities, and you’ve been added and exaggerated, you may be able to do more outdoors or in higher -order settings,” he said.
A history of COVID-19 combined with a commitment to provide a high level of protection, Glatt said. “A 25 -year -old man, three arrested who had COVID was a different animal than a 75 -year -old man who had not been arrested. [person who] COVID has never had the fattest. “
Also, if one works in a place that interacts with tens, dozens, or even hundreds of people a day in the vicinity, “there is a great deal of cognitive impairment.” Giordano’s place. On the other hand, “If you take a break and leave home for a walk outside several times a day, your risk may be lower.”
Join the Booster Team
Fauci, the chief medical officer to the president, also said the importance of a fourth dose of COVID-19, or a second booster, is for potential Americans when he speaks to the United States. Sunday on ABC’s. This week.
Every 4 months from the first shot is a good time to get new medicine, said Ali Mokdad, PhD, chief planning officer for public health at the Institute for Health Metrics and Evaluation at the University of Washington School of Medicine in Seattle. .
“The data show the onset of death is at 3 months and very low at 5 to 6 months,” he said.
“The number one question I have now: Do I need to get my second booster?” Ostrosky’s place. “Again, I say to my patients, if you are over 50, if you have any illnesses, if you are more out now, do more in out of the community, that’s probably the right time. get your second motivator. “
“If you’re young, if you don’t have a disease, and you don’t go out, then maybe you can wait a little longer,” he said.
Peter Pitts, a former joint commissioner with the FDA, said, “antibodies are better than small ones, and most Americans can get both the first and second boosters.”
“‘ Personal responsibility ’is a good way to say‘ personal responsibility, ’said Pitts, who is also the founder of the Center for Medicine in the Public Interest.
It can play into chronic fatigue
Asking people to take care of their guard after 2 years of illness adds to the difficulty. “People are tired. Of course, everyone is tired. I’m tired of it,” Giordano said.
Ostrosky agrees. “What I’ve seen patients, friends, and family have been all over [COVID] and they were more willing to take the trouble than ever before. “
“Nobody wants to do this. Infectious doctors don’t want to do this again,” Glatt said.
Giordano posed the following two questions: What is your risk of spreading COVID, and what is your risk of malaria if you know it?
People can use the CDC County Check to measure their personal risk. The office offers COVID’s color levels in a neighborhood that can be searched by the U.S. county: green for low, yellow for medium, and red for high.
Most of the U.S. is green now, Giordano said, but if the level of concern goes from green to yellow or yellow to red, then there is more global advice – say as in the case of Philadelphia.
But COVID-19 numbers are missing in about 93 out of 100 good cases, Mokdad said in an interview with the Poynter Institute. The lack of reporting on good home tests is part of the history, “but the vast majority of patients, about 80% are asymptomatic,” he said.
“So people don’t go to try,” Mokdad said, “because they don’t have symptoms and that’s why they do it if it’s not suitable for the trip or they know they’ve been spotted.”
Giordano admitted that the actual number of cases was higher, in part due to the home test. “I think there was more COVID there than a month ago or 2 months ago, but the amount was not reported to the health officials because it was known. at home. “
Living in the Matrix?
Leaving the human problem on paper can help people see how happy they are doing now and in the future if the COVID landscape changes again.
Ostrosky said he tells people to create a “risk matrix” about age, health status, and what the CDC County Check will tell you about where you live or not. plan to travel. Think about how important the task is to you, he said.
“With this three-axis matrix, you can decide if a job is right for you or not and whether it’s a problem for you or not,” he said. “With this matrix and masking and protection, you can control the disease.”
Enjoy now, but also prepare
Not surprisingly, the number of new COVID-19 cases “while pulling off mitigation measures,” Fauci said during a report Sunday.
“We’re at that point in a lot of ways … we’re going to live with a level of disease in the community,” he said.
Fauci doesn’t think the rise in hospitalizations and deaths will go with the rise of cases. “Hopefully, we won’t see a big increase.”
Pitts was more optimistic. “Dr. Fauci has planted the leadership: We are winning. COVID-19 is moving from a terminal illness to a non-lethal disease.”
As with the disease, different types of immunity are said to apply to different groups, Pitts said.
“I think we’re going to have a cyclical approach here, where we’re going to see the highs and lows of COVID numbers in different communities,” Ostrosky said. “At the very least, do a lot of planning and prepare for a situation where you can get to a high delivery schedule.”
“We all need to take a deep breath and say,‘ It’s not over but we’re going back to normal, ’” Glatt said.