Thursday, 28 Mar 2024

An Updated Covid Guide

The new C.D.C. guidance has excited many Americans and scared many others. Some people feel both emotions, understandably enough: They’re excited to start returning to more normal daily life and still scared by a pandemic that is killing about 600 Americans a day.

This morning, I want to think through the real-world implications of the new guidelines for individual families. Those guidelines mostly allow people to behave more freely. But they will also lead some to take new precautions.

I am going to break down households into four categories, depending on vaccination status:

1. The fully vaccinated

This is the easiest category. If everybody in your household is at least two weeks past their full vaccine dose (the second Pfizer or Moderna shot; or the sole Johnson & Johnson shot), you can comfortably resume prepandemic activities.

The vaccine virtually eliminates serious versions of Covid-19 and radically reduces the chances you could contract or spread the virus. For you, Covid is akin to a mild flu that you probably won’t get. You are not at any meaningful risk from a maskless person in the supermarket who may or may not be vaccinated. You face much more danger from the vehicles in the parking lot.

One nuance to keep in mind: If you come down with flulike symptoms, you should consider staying home, or put on a mask when you go out. Even before Covid, that behavior was common in many parts of Asia. It makes extra sense during a pandemic, because symptoms increase the (still small) chances you have a rare “breakthrough” Covid infection that could infect somebody else.

The C.D.C. has also said that vaccinated people should continue to wear masks when visiting hospitals, nursing homes, prisons and homeless shelters or while traveling. And some immunocompromised people will remain vulnerable to Covid, as well as to other health risks.

2. The almost-vaccinated

Many other families are close to being fully vaccinated but not quite there: At least one person — perhaps a 12- to 15-year-old child — is in the process of getting vaccinated but not yet two weeks beyond the full dose.

There is a strong argument for the unvaccinated members of these families to be cautious, especially as society starts to reopen. They should wear masks when indoors or in close conversation with somebody outdoors. They may want to avoid discretionary trips to indoor spaces.

Why? The cost of a few more weeks of precautions is pretty low. To put it another way, you have almost reached the point of safely resuming normal activities. Finish the job.

3. Families with young children

These are some of the hardest cases, because children under 12 seem to be months away from being vaccinated.

There are a few reassuring facts for these families. First, in many of the places where children spend time, Covid transmission is uncommon. It is extremely rare outdoors, and springtime is a good time to be outdoors. The number of outbreaks in schools has also been quite low worldwide, perhaps because children may be less likely to infect others even when they have Covid.

Most reassuring is the fact that Covid is no more serious for children on average than the flu. I have written an article, with charts, that goes into more detail. As I explain, some parents may still choose to be extremely cautious, while others will be more comfortable with normalcy. Both decisions are defensible. Here’s an interview from that article:

Jennifer Nuzzo, an epidemiologist at Johns Hopkins, told me that she viewed decisions about children’s activities as a matter of personal choice that different parents would make differently. In her family, she said she was worried about how a year of pandemic life had hurt her children, by making them less comfortable in social situations. Once all the adults are vaccinated, she plans to restart more activities.

“I can accept the risks of my kids getting Covid, in part because I compare it to the risk of them getting other infectious diseases and the risk seems very, very small,” Dr. Nuzzo said. “I feel that if my kids were to get Covid, they would be OK. I also see the direct harms of their not having a normal life.”

4. The unvaccinated

About 40 percent of U.S. adults have not yet received a vaccine shot. For the country to reduce that number as rapidly as possible, it’s important to acknowledge reality: The vast majority are unvaccinated by choice.

They do not have health problems that prevent them from getting a shot, and they have not been stymied by the logistics of getting a shot. Yes, there are people in both of those groups, and they will need special help as society begins to reopen. Among other things, the Biden administration, state officials and employers will need to keep pushing to make vaccination even more convenient.

But the much larger issue is vaccine skepticism.

In the most recent poll by the Kaiser Family Foundation, 15 percent of adults said they did not want to get a shot until they knew more about how it affected other people. Another 6 percent said they would get a shot only if required (say, by their employer), and an additional 13 percent said they would definitely not get a shot. Put those three numbers together, and you get 34 percent — which, again, accounts for most of the unvaccinated 40 percent.

Unvaccinated people do face some additional risk from the hypothetical example that many people have been talking about since the C.D.C. changed its guidelines: the unvaccinated person who was wearing a mask in stores and avoiding restaurants until last week but no longer will.

It’s unclear how many such people exist. In large parts of the country, Americans have been going maskless for months, as I saw when I went on a 1,600-mile road trip in January. Binyamin Appelbaum of the Times editorial board recently tweeted: “In this country we have two kinds of people: Those who don’t need masks but wear them, and those who need masks but don’t wear them.” He was exaggerating for effect, but he had a point.

There is no better way to crush the pandemic in coming weeks than to persuade the vaccine-skeptical to get a shot. It is the best way for them to protect themselves from the risk of Covid hospitalization and death. “If you are not vaccinated, you are not safe,” Dr. Rochelle Walensky, the C.D.C. director, said yesterday. More vaccinations are also the best way to protect children and the immunocompromised.

Related: A look at the Biden administration’s “door-to-door and person-by-person” vaccination effort.

THE LATEST NEWS

Israeli-Palestinian Conflict

Fighting between Israel and Hamas has entered its second week, with no clear end in sight.

An airstrike on Gaza this weekend killed at least 42 people, the deadliest attack in the current conflict, and the number of rockets fired at Israel from Gaza topped 3,000.

Civilians are paying an especially high price, raising questions about whether both sides are committing war crimes, The Times’s Declan Walsh writes.

Why is the conflict exploding now?

Other Big Stories

Bill Gates pursued women who worked for him, people with direct knowledge of the matter told The Times. Last year, he left Microsoft’s board during an inquiry into a prior affair, The Wall Street Journal reported.

With India’s health care system failing, clandestine markets for hospital beds, oxygen and more have emerged.

AT&T is in talks to merge its media business, including CNN and HBO, with Discovery, which owns HGTV and the Food Network.

A train hauling hazardous materials derailed and caught fire in Iowa.

Republican voters are souring on big business, polls show.

Opinions

Gail Collins and Bret Stephens in conversation.

Morning Reads

The Media Equation: “Jeopardy!” fans wrongly thought they saw a white-supremacist hand gesture, and they won’t let it go.

Your health: For a reset, take the 10-Day Fresh Start Challenge.

A Times classic: Remember Yanny vs. Laurel? This tool lets you hear both.

Lives Lived: Eula Hall called herself a “hillbilly activist” and became a one-woman relief agency for a chronically underserved part of Appalachia. She died at 93.

ARTS AND IDEAS

A bellwether for Broadway

Beginning today, London’s theaters can reopen with social distancing. They can fill about half of their seats, and if cases stay low, will move to full capacity in late June. What happens at these shows offers a preview for what to expect in September with Broadway’s planned reopening.

Safety precautions at London’s theaters include hand sanitizer stations and electronic ticketing systems. Costumers don’t touch actors during fittings. And some shows have two entire casts — so that if an actor falls ill and one crew has to isolate, the other steps in.

An actor, a wardrobe designer and others talked about returning to theater work after 15 months. “We’re not going to make a profit,” Nica Burns, the chief executive of Nimax Theaters, said, “but we’re better off than closed.” — Sanam Yar, a Morning writer

PLAY, WATCH, EAT

What to Cook

Kick off the week with a leek risotto spruced up with snap peas and pancetta.

Life Hacks

If you’re feeling the toll of long hours at work on your body, these three stretches can help.

What to Read

Dive into a beach read by Elin Hilderbrand, whose 27 books are mostly set on Nantucket.

Late Night

“S.N.L.” parsed the C.D.C.’s new mask guidance. Keegan-Michael Key hosted.

Now Time to Play

The pangram from Friday’s Spelling Bee was dynamic. Here is today’s puzzle — or you can play online.

Here’s today’s Mini Crossword, and a clue: Passionately brainy (five letters).

If you’re in the mood to play more, find all our games here.

Thanks for spending part of your morning with The Times. See you tomorrow. — David

P.S. A hidden haiku from The Times’s coverage of last week’s New York City mayoral debate on Zoom: “It was an array / of talking heads locked into / a Brady Bunch grid.”

You can see today’s print front page here.

“The Daily” is about prosecuting the Capitol rioters. On the Book Review podcast, Louis Menand discusses his new book and Phillip Lopate talks about American essays. On “Sway,” Daniel Kahneman discusses decision making.

Claire Moses, Ian Prasad Philbrick and Sanam Yar contributed to The Morning. You can reach the team at [email protected].

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