Call & Times

‘Immunity nights’ could keep businesses alive

- By Dorry Segev and Marty Makary

Restaurant­s are finally starting to reopen after months of being shuttered due to the pandemic. But many who want to support these restaurant­s – including vaccinated essential workers and seniors – cannot do so because of capacity restrictio­ns.

That makes no sense. Seventeen percent of U.S. adults have received at least one vaccine dose, a number that is growing every day. There is strong evidence that immunity not only makes people far less likely to get sick from covid-19, but also makes it highly improbable that they will spread the disease. Let’s put science into action. Local lawmakers should allow “immunity nights” or designated days or times for businesses to accommodat­e immune customers at a higher capacity. Doing so might save businesses on the brink of failure.

When the pandemic began, the formula was simple: Stay home. Wear masks. Close businesses. But it’s time we mature our guidance.

Those who are now immune should be able to slowly and carefully start living their lives again. Go to public venues and gyms. Eat out. Shop and rebuild communitie­s. It is important to maintain good ventilatio­n and wear masks for extra safety until community prevalence drops and we reach herd immunity, but this is a good time for immune people to be active. For some businesses, this influx of customers could be a lifeline.

This may sound reckless to some, but vaccines are nearly 100% effective at preventing death or disability from covid-19, the illness that can be caused by the coronaviru­s. That’s because immune systems work. We can harness that power to transition toward a post-pandemic era.

A responsibl­e public health strategy treats the whole person, not just the virus. Expanding capacity in public areas for those who are immune could be therapeuti­c and would have an economic benefit. It could help restore the livelihood­s of many Americans.

Here’s how it could work: Businesses such as restaurant­s would allow those with documentat­ion of immunity to enter with 100% capacity during certain times. Documentat­ion could be in the form of an app-based boarding pass or a QR code showing proof of vaccinatio­n, antibodies against the disease or a prior positive coronaviru­s test – similar to arenas scanning tickets or bars checking IDs.

Critics might say this wouldn’t work because businesses aren’t equipped to check documentat­ion or because people could fake their documentat­ion. But given the billions of dollars at stake in our economy, the market would drive this innovation quickly. It’s not that complicate­d. Plus, it’s unlikely that people would fabricate documentat­ion, and in the rare cases that they did, they would be putting only themselves at risk, since everyone else would have immunity.

There will be some who object that this wouldn’t be 100% safe. True! Nothing is guaranteed as we transition out of the pandemic. But the science shows that higher-capacity gatherings of immune patrons would be low-risk. In fact, they would be safer than allowing people to gather at lower capacity without proving their immunity. And, depending on the community’s background infection rate, masks could add an additional layer of safety.

Our nation’s pandemic strategy should not be to simply to extinguish the virus. It should be to maximize overall health. Privileges for those with immunity would incentiviz­e people to take the vaccine, potentiall­y increasing vaccinatio­n rates.

As that happens, policymake­rs should liberate businesses to adopt practical approaches to reopening. It’s time we start transition­ing to normalcy.

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