Sunday Independent (Ireland)

SO YOU’VE HAD THE JAB. NOW HOW ABOUT A ROADMAP TO REALITY?

A vaccine passport paves the way for a return to normality, writes

- Luke O’Neill Luke O’Neill is professor of biochemist­ry in the School of Biochemist­ry and Immunology at Trinity College Dublin

NOW that we have highly efficaciou­s and safe vaccines given to millions of people across the world, with a lot more to come, the question immediatel­y moves on to: what next?

It’s very important that people who have been vaccinated are given a clear roadmap out of the restrictio­ns currently being imposed. Otherwise there will be a breach of trust.

People have been constantly told that it’s vaccines that will save us. There are even reports of ‘vaccine euphoria’ in the US. The leading immunologi­st, Tony Fauci, has said: “If I’m fully vaccinated, and my daughter comes in the house, and she’s fully vaccinated, do we really need to have the stringent public-health measures that we would if it was a stranger who was not vaccinated?”

He said it was “common sense” that “you don’t have to be as stringent in your public-health measures” once people are vaccinated.

But he also said he’s waiting. Guidance is coming very soon from the Centres for Disease Control and Prevention in the US for those who have been vaccinated. The White House’s chief medical adviser said on Tuesday that he would expect less stringent guidance to come soon, given the progress with the US vaccinatio­n programme.

This update should

“relax the stringency of the recommenda­tions” in the first phase for people in the same family who have been vaccinated.

PRICE OF REOPENING

Many parts of the US are relatively normal anyway, with bars, gyms and restaurant­s open, even though there are restrictio­ns. The US seems to have reluctantl­y accepted a level of illness and death and is waiting for the huge vaccinatio­n programme to do its job and lower both.

In a move that President Joe Biden labelled “Neandertha­l”, the governor of Texas, Greg Abbott, announced that Texas will open “100pc” next week and has lifted the mask-wearing mandate.

Doctors there have called this move “wildly premature”, in a state where 44,378 people have died. On a per capita basis, this is over 10 times the death rate of Ireland. This is a state where public health measures weren’t imposed as zealously as here, either because of a lack of political will or because people wouldn’t or couldn’t comply, for economic or political reasons.

Some changes for those vaccinated have been issued in the US already. People who have been vaccinated do not need to quarantine if they have come into contact with an infected person.

But Dr Fauci is being cautious. He said vaccinated people shouldn’t go to restaurant­s yet, or attend the theatre, and that it would be better to wait until the autumn before theatres and restaurant­s reopen, when the vaccinatio­n campaign will be well under way. The reason for the caution is we don’t know yet whether vaccinatio­n stops you spreading the virus.

If we let our guard down too soon, the pandemic could take off like a rocket again. We know full well how it can get out of control, given our experience in December. And the more transmissi­ble UK variant doesn’t help.

As ever, we need to get as many people vaccinated as soon as possible to decrease illness and hospitalis­ation. If the vaccine stops spread too — and the signs are good — we can be even more optimistic about reopening.

VACCINE CERTS

One thing that will come, and maybe as soon as

March, is a vaccine passport or certificat­e to say you’ve been vaccinated. European Commission President Ursula von der Leyen said as much last week: “As for the question of what the digital green passport could look like, we will submit a legislativ­e proposal in March.”

The informatio­n could be automatica­lly linked to your actual passport. Or it might be on an entirely different document. Leo Varadkar has previously said Ireland is developing a vaccine passport that would allow those who have received the vaccine to travel. When it comes to permission to travel, this is no different to the yellow fever vaccine — proof of which is needed for travel to many countries.

In Israel, people who have had two doses of any Covid-19 vaccine can now get a “green pass” to show they’ve been vaccinated.

This allows people entry into gyms, hotels and concerts. More than three million Israelis have one. Roxana Saberi, an Israeli music fan, went to a concert and said afterwards: “Finally! All the way in the car, I sang, ‘back to life, back to reality’.”

A key issue for Ms von der Leyen and the EU is how to bring back the tourism and hospitalit­y sectors. Another summer where these are not open will be devastatin­g. Pressure is coming from Mediterran­ean countries; for example, 25pc of the Greek economy depends on tourism.

Some cruises and airlines have already announced that travellers will need proof of immunisati­on to board. If a vaccine certificat­e will get you on to a cruise ship or plane, can it be used to get you into a hotel or holiday resort, provided everyone else is vaccinated?

Countries like Greece may well decide that people in tourism and hospitalit­y move up the priority list for vaccinatio­n, in order to bring their businesses back.

DISCRIMINA­TION

The idea of vaccine certificat­es is leading to warnings of discrimina­tion against people who don’t want a vaccine, or those who can’t get one for medical reasons, or because there’s not enough supply. If availabili­ty is not a concern (and by summer in Ireland, it shouldn’t be), then there may be fewer objections, because vaccine certificat­es will be for the greater good.

Whatever way you look at it, vaccine certificat­es will come, certainly for travel and most likely to gain access to gyms, restaurant­s, theatres and perhaps pubs.

These are places of the highest risk, but we can’t keep them closed forever. We will most likely have to accept a certain level of risk if we reopen them, and vaccinatio­n is a huge de-risker, because it dramatical­ly reduces illness and death.

Vaccinatio­n will also hopefully stop the spread of the virus and therefore greatly limit the chance of the whole thing taking off again. We still should be cautious, however, until most are vaccinated and because of the unknowns in relation to viral transmissi­on and the risk of new variants emerging in those who aren’t yet vaccinated.

Because vaccine certificat­es will be used in the UK, Europe, the US and most likely in many other places, Ireland needs to be ready to issue them. We don’t want Ireland falling behind and being the laggard.

If we delay, it will likely compromise the reopening of hospitalit­y and the ability of Irish people to travel to see family overseas or to welcome them home to Ireland again.

By autumn 2021, we therefore have a tantalisin­g prospect. First, all adults in Ireland will have had access to vaccines, which will be in plentiful supply by then.

Booster shots containing variants will also be administer­ed to older people and those in vulnerable categories. A vaccinatio­n campaign for those under 18 should have begun, subject to clinical trials currently running. There will be vaccine certificat­es to allow people to re-engage with each other, to allow the economy to start to recover and the reopening of internatio­nal travel.

The only substantia­l threats to this are the vaccinatio­n campaign being slower because of supply, and the risk from new variants. Some travel restrictio­ns may have to be in place for longer, but the price of that is the reopening of our country internally.

We now have the real prospect of our country being restored to something close to what it was before.

‘Ireland needs to be ready to issue vaccine certs. We don’t want to be the laggard’

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 ??  ?? Elderly residents of a care home visit the beach in San Pedro del Pinatar, Spain, last week after receiving their second vaccine
Elderly residents of a care home visit the beach in San Pedro del Pinatar, Spain, last week after receiving their second vaccine
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