The Morning Call

2 flights may have spread variant

Lax mask wearing, different travel rules made things worse

- By Jason Horowitz

For the hundreds of passengers traveling from South Africa to Amsterdam last Friday, Flight KL592 had all the trappings of internatio­nal travel in the COVID19 era.

They came armed with paperwork proving their eligibilit­y to fly, and check-in agents sifted through a bewilderin­g assortment of requiremen­ts determined by final destinatio­n. Some countries, like the United States, required vaccinated travelers to show negative test results. Others didn’t. On the long flight, only some wore masks, passengers said, as flight attendants often let the slipping masks slide.

But while the flight was en route, and the passengers slept or watched their screens, everything changed on the ground.

Panic about the new omicron variant that had been discovered in southern Africa prompted countries to close their borders. The arrivals descended into a new post-omicron reality, and it was a hellish one, with hours spent breathing stale air as their planes sat on the tarmac, then fighting exhaustion in crammed waiting rooms, awaiting swab results in close quarters with fellow travelers who would turn out to be infected with the new and possibly more dangerous variant.

“We were in the same place, the same room,” said one passenger, Jan Mezek, 39, a laboratory technician whose company services swab-test machines and returning from a two-week work trip to his home in Prague. “I felt like a pig in a pen,” he said, adding “they were completely spreading the virus around us.”

Of the more than 60 on that and another KLM flight from South Africa who tested positive for the virus, at least 14 had omicron, Dutch officials said. The authoritie­s have quarantine­d them — and arrested two who had tried to break out and fly to Spain — while requiring the hundreds who showed negative results from the PCR test at the airport to go home or board connecting flights to their final destinatio­ns.

“They went around the world, who knows where,” said Fabrizio Pregliasco, an Italian virologist at the University of Milan.

He said that all the passengers should have been quarantine­d or isolated and monitored closely for seven to 10 days, especially because they could have caught the virus on the flight and tested negative as it incubated.

“If this variant is very contagious, this flight is an explosive bomb,” Pregliasco said.

The flights, like the cruise ships of the early pandemic, have prompted fears of supersprea­der events and raised concerns about lessons unlearned. But they are also emblematic — with the varying testing and quarantini­ng criteria, the inconsiste­nt mask-wearing and confusion over contact tracing — of the scattersho­t global response, and often lax enforcemen­t, that may worsen a possibly more infectious stage of the pandemic.

The omicron variant, though designated “very high” risk by the World Health Organizati­on, is still an unknown variable. It will probably take weeks to know if it amounts to an overblown scare or a highly contagious new mutation with the ability to dodge the vaccines and potentiall­y plunge the world back into lockdowns, packed hospitals and unattended funerals.

The security conferred by the vaccines and by planes with air filtration systems led the United States to open up to European Union travelers and other nationalit­ies earlier this month, allowing for embraces, tears and giddy reunions long denied.

But European countries had different rules from those in the United States about the testing and self-isolation criteria required for vaccinated people to board a flight. The result was an often shifting patchwork of regulation­s by countries.

The rules for any given passenger on any given flight are generally determined by that person’s final destinatio­n country, said Karen Grépin, a professor at the School of Public Health at the University of Hong Kong, who has been studying travel rules during the pandemic. Countries and often airlines have their own testing requiremen­ts, and transferri­ng passengers sometimes have to meet still different criteria.

But all that confusion and agita may soon seem like the good old days, when travel was at least possible.

After the emergence of the omicron variant in Africa last week, the United States and the European Union and other nations banned flights from southern Africa. Israel and Morocco slammed their doors on the world. Australia, Japan and other countries postponed opening up and joined China, which has adopted a fortress mentality as it seeks to vanquish the virus at home altogether.

For all the focus on the flights to the Netherland­s, positive cases of omicron have emerged in at least 30 countries, including the United States, and experts consider its emergence everywhere inevitable.

A vaccinated Italian, who has not been publicly identified, returned from business in Mozambique earlier in November to the southern town of Caserta. He said on Italian radio that he had tested negative before boarding his flight Nov. 11, as was required by Italy. Since he was traveling for work, he did not, per Italian rules, have to self-isolate upon return.

It was only during a medical checkup in Milan, where he also underwent a COVID-19 test so that he could return to Mozambique, that he tested positive for the virus, and then, amid the heightened attention to the new variant, for omicron. Now he and his wife and children, who are also positive for the virus, are in isolation.

On Tuesday, KLM, the airline that operated the two flights last Friday from South Africa, apologized to passengers.

Mezek, who is vaccinated and tested negative, said he had received a call from the Dutch public health service Saturday, and then an email imploring him to stay home and supply it with his travel details after leaving the Netherland­s.

“It is important to know your whereabout­s, so that health department­s in various countries can contact the transfer passengers, to prevent further spreading” of the omicron variant, according to the email.

It added that he should be tested again for COVID-19 five days after the South Africa-to-Amsterdam flight’s arrival.

Mezek said he was in isolation, and had already received a call from the Czech authoritie­s making sure he was staying put, and not sick. But he noted that if he had made his original connection, and landed a day earlier, before the Czech Republic tightened its rules, he would be at work and at home with his children and wife, a teacher.

“I wouldn’t have been in isolation,” he said.

 ?? JOAO SILVA/THE NEW YORK TIMES ?? Several flights were canceled Saturday at O.R. Tambo Internatio­nal Airport in Johannesbu­rg. A confoundin­g array of rules and lax mask enforcemen­t may have helped infected passengers from South Africa spread the virus.
JOAO SILVA/THE NEW YORK TIMES Several flights were canceled Saturday at O.R. Tambo Internatio­nal Airport in Johannesbu­rg. A confoundin­g array of rules and lax mask enforcemen­t may have helped infected passengers from South Africa spread the virus.

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