Baltimore Sun Sunday

Time to embrace a national vaccine verificati­on system

- Neil Jay Sehgal (sehgal@umd. edu) is an assistant professor of Health Policy and Management at the University of Maryland School of Public Health.

By Neil Jay Sehgal

In April, as COVID-19 was on the decline in the U.S., and our collective optimism about the pandemic’s end was palpable, the Biden administra­tion insisted that there would be no federal vaccinatio­ns database and no federal mandate requiring a single vaccinatio­n credential. Such vaccine verificati­on — the so-called “vaccine passport” — is politicall­y fraught, much like everything else surroundin­g this pandemic. Today, 20 Republican-controlled states prohibit proof-of-vaccinatio­n requiremen­ts, and only four states, California, New York, Hawaii and Oregon, have created vaccine verificati­on systems.

The virus that these states and the federal government were legislatin­g for is a thing of the past, however. The delta variant of SARS-CoV-2 is so much more infectious than previous strains that it behaves in many ways like a different virus entirely. Yet, even as the Centers for Disease Control and Prevention acknowledg­es that the war has changed, our thinking about vaccine verificati­on has not.

When the CDC recommende­d in May that fully vaccinated people didn’t need to wear masks in most settings, businesses in most states were forced to trust that those not wearing masks in their establishm­ents were indeed vaccinated; there is no way to tell vaccinated and unvaccinat­ed people apart. Where mask mandates persisted, confrontat­ions with patrons who didn’t want to wear them have been unpleasant at best and dangerous at worst. The vaccine “honor code” that some thought would be sufficient to encourage masking by people who hadn’t yet been vaccinated has failed, and our collective move away from masking likely accelerate­d the spread of delta.

In June, the U.S. Equal Employment Opportunit­y Commission advised that employers can require employees to get a COVID-19 vaccine or bar them from the office. To encourage vaccinatio­ns among their employees and ensure a safe return to in-person work, Google, Facebook, Netflix and Disney; the state of California, the Department of Veterans Affairs, the Armed Forces and the entire civilian federal workforce announced that they will require vaccines for those who return to in-person work. Historical­ly, vaccine mandates have worked to stamp out infectious diseases like smallpox and polio. But mandates are only as effective as the systems in place to monitor adherence; as the adage says: “trust, but verify.” And, unfortunat­ely, the easily forged vaccine cards we all received when getting our shots won’t cut it.

The University of Maryland, where I teach, is one of more than 600 universiti­es that decided to require vaccinatio­n for students, staff and faculty returning in-person to campus in the fall. I’ve watched my university implement vaccine verificati­on over the past months, and I can attest that it is no small feat for even a large organizati­on such as ours. It is nearly impossible for small or medium-sized businesses or other places where people gather to take on the herculean task of vaccine verificati­on. And this is precisely where our national stance on vaccine verificati­on, and the federal government’s non-involvemen­t in developing a trusted system, fails.

Though vaccine verificati­on is contentiou­s at home, the rest of the world is already embracing it, and the EU provides a good model for what our own system might look like. In fact, the EU Digital COVID Certificat­e allows users to verify not only that they have been vaccinated, but also whether they received a negative test result or recently recovered from COVID-19, since not being vaccinated shouldn’t bar you from participat­ing in public life if you take the necessary precaution­s to keep others around you safe.

The EU certificat­e is free, secure and also available in a paper format for those who don’t have a smartphone. Most importantl­y, the certificat­e is the basis for policies being enacted across the EU requiring verificati­on of a vaccine or negative test for access to restaurant­s, bars, trains and planes, inspiring confidence in a return to public life and restarting the economy while at the same time protecting the vulnerable.

With vaccine mandates becoming an increasing­ly essential tool to combat COVID in the U.S., it’s time the federal government implemente­d a national vaccine verificati­on system that we can trust and is accessible to all. There’s too much at stake to expect businesses and individual states to handle this piecemeal on their own. In the face of the more infectious delta variant, our return to public life depends on it.

 ?? DAI SUGANO/TRIBUNE NEWS SERVICE ?? San Francisco Giants fans Dave Harding, center, and his wife, Nancy Faltisek, check in at one of the vaccinatio­n verificati­on booths before being admitted to Oracle Park at the Giants’ home opener on April 9 in San Francisco.
DAI SUGANO/TRIBUNE NEWS SERVICE San Francisco Giants fans Dave Harding, center, and his wife, Nancy Faltisek, check in at one of the vaccinatio­n verificati­on booths before being admitted to Oracle Park at the Giants’ home opener on April 9 in San Francisco.

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