San Antonio Express-News

Omicron seems milder, but here’s why you don’t want it

- By Kate Galbraith kgalbraith@sfchronicl­e.com Twitter: @kategalbra­ith

As omicron sweeps through Texas, we’re getting a better sense of it. It’s insanely contagious but also appears, for most people, to be milder than past variants.

This combinatio­n of traits has raised an inevitable question: What’s the point in trying to avoid it? People are going to get it, and it probably won’t be too bad or land you in the hospital, especially for those who are vaccinated and boosted. So why not just give up and let it get you?

It’s a reasonable question. But there are good answers as to why boosted people should not just ease up on the mask/distancing/ testing/ventilatio­n routine, tired as everyone is of it. Here are some key ones: If you don’t get infected, you can’t infect anyone else. Stopping the chain of infection is important, because even if omicron is mild for you, other people may not be so lucky. The elderly. The people who have organ transplant­s or asthma or diabetes — not to mention lupus, cancer or any number of immunity-weakening illnesses. The kids 4 and under who won’t be eligible for a vaccine for months. The kids 5 and older whose parents have not gotten them vaccinated. Omicron’s supposed “mildness” may be largely because most people’s immune systems are bolstered by vaccines or earlier COVID infections.

Your own case might not be mild. The odds are good, but they’re not perfect.

A lower number of infections reduces the strain on the hospital system. Spare a moment to think about the heroes on the front lines who we applauded in spring 2020 as the terrifying, mysterious new virus was circulatin­g. They’ve been working ceaselessl­y — through staffing shortages exacerbate­d by burnouts and omicron quarantine­s — to care for what could become an unpreceden­ted number of patients due to the sheer number of omicron infections. It’s important not to take the chance of adding to their burden.

You don’t want to risk long COVID. People don’t talk about this enough. Contractin­g COVID can leave you with brain fog or other miserable symptoms long after the initial infection is gone. The risk is likely lower for people with breakthrou­gh cases, but it’s not zero — and research has yet to inform us on the long COVID risk from omicron. Other long-term risks, as yet hidden, could exist. Chickenpox leads to shingles, and HPV causes cancer. Hopefully, omicron will not return in some damaging way, but it’s impossible to be sure. We don’t know about the prospect of omicron

reinfectio­n. If you get omicron to “get it over with,” it’s unclear whether or how much that protects you from getting it again. Of course, many people are not able to avoid the disease. That’s true for those who cannot work from home.

But do what you can. Meet people outdoors where weather and conditions allow, wear an N95 mask or at least have a good double-mask system with no gaps; open windows, run air purifiers, use rapid tests to make sure you are not seeing others with an asymptomat­ic infection.

All of that will get us where we need to be — with kids in school, hospitals functionin­g smoothly and hope for more normalcy until this, too, passes.

 ?? Jon Shapley / Staff photograph­er ?? Emma Vaughn collects COVID-19 test packets Wednesday at Delmar Stadium in Houston.
Jon Shapley / Staff photograph­er Emma Vaughn collects COVID-19 test packets Wednesday at Delmar Stadium in Houston.

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