San Francisco Chronicle

Now is bad time to let guard down

- By Amy Lockwood and Karen Pak Oppenheime­r Amy Lockwood and Karen Pak Oppenheime­r are principals at Pandefense Advisory.

It’s been a long two years. Even though many of us were able to spend the recent holidays with family and friends, it was not without significan­t anxiety: worries of infecting older people and young children, stress induced by elusive testing appointmen­ts and a lack of home test kits, and concerns we won’t be able to meet financial obligation­s if we get sick.

Many of us have meticulous­ly followed the carousel of recommenda­tions: social distancing, isolating after exposure and upgrading our masks. As soon as the boosters were ready, we were waiting in line. As the new year begins, we’re left wondering when we’ll reap the benefits of our compliance. We’re eager to ditch our masks, visit our favorite restaurant­s and regain a sense of normalcy. Yet now, with the highly contagious omicron variant, we hear that we will all get infected anyway.

So, why should we still take precaution­s to protect ourselves from getting and spreading COVID-19 today?

⏩ While your friend may only have a mild case, many are at risk of getting really sick.

Vaccines provide amazing protection against hospitaliz­ation and severe disease, but they are not 100% effective. They were never meant to be. At peak effectiven­ess, mRNA vaccines, like Moderna and Pfizer, prevent 9 out of 10 infected people from going to the hospital with severe disease. But, one will. Of those who do not go to the hospital, many will be bedridden, with symptoms that prevent them from doing basic everyday activities.

⏩ Even with mild disease, you may experience COVID symptoms for a long time.

Long COVID is still perplexing scientific and medical communitie­s. Anyone can experience symptoms that persist for weeks or months, even if their infection was mild. Although it’s still too early to truly understand the long-term effects of an infection, there are many anecdotes of individual­s whose quality of life has been significan­tly impaired.

⏩ It’s not only the unvaccinat­ed who are at risk.

While a number of people made a personal choice not to receive the vaccine, others do not have a choice. There are approximat­ely 20 million children younger than 5 who are not eligible for vaccinatio­n. Since they only became eligible in November, a portion of the 24 million children ages 5 to 11 are still waiting to be fully vaccinated. Moreover, 7 million immunocomp­romised

Americans are vulnerable because vaccines may not offer them adequate protection due to other health conditions. Those who got their last jab more than five months ago are less protected due to waning immunity, which includes some portion of the 14 million children 12 to 17. Up to 65 million Americans, mostly children, have no choice but to remain vulnerable.

⏩ You might not be able to access care in a hospital.

Once again, hospitals are under strain and health care workers are exhausted. While a smaller percentage of people sick with COVID-19 require hospitaliz­ation compared with earlier in the pandemic, the sheer number of infections means the absolute number of people admitted to hospitals is increasing. In California, only 20% of staffed adult intensive care unit beds were available on Sunday. This is exacerbate­d by the fact that hospitals are also struggling with staffing shortages as doctors, nurses, lab technician­s and porters — all critically important to a functionin­g health care system — aren’t coming to work because they have been infected or exposed or need to take care of a family member. While infections

continue to rise in this wave, health systems continue to steadily lose staff to burnout as the past two years took their toll on those who have yet to be replaced.

⏩ Schools may need to close again.

Three days into the first week of classes this year in San Francisco, 19% of teachers were absent. Staff from various school districts are calling for sickouts to protest the lack of preparatio­n taken by district officials. Ongoing transmissi­on in the community may lead to schools shuttering if enough classrooms lack teachers and students to fill them, exacerbati­ng the mental health crisis our children are facing and wreaking havoc with our economy as parents struggle to adjust schedules to provide child care.

⏩ You might not get your groceries delivered.

As other critical services — waste collection, public transporta­tion, grocery stores — lose staff to illness and caregiving, they may not be able to operate. We’ve already seen bus route delays, flight cancellati­ons, store closures and postponed football games due to COVID. Staying home will not be as easy, either, if delivery services are not able to fulfill orders.

⏩ More cases mean more variants. Viruses are constantly mutating. While few of these changes affect the ability of the virus to spread, how serious infections may be or the performanc­e of vaccines and treatments, some have dire consequenc­es. The more transmissi­ons occur, the more mutations occur and the more likely that one of these may lead to a variant of concern.

It’s true, you probably will get COVID, eventually. But now is not the time to give up. It’s still important to try to limit infections and halt surges. We have mastered the tools to help slow the spread, and it’s in our own best interest to continue using them: masking, limiting large gatherings, testing to identify infections and staying home when sick. It may be difficult, but if we are persistent, we are more likely to retain the ground we’ve gained on this virus and be closer to the day when we can look back on this as a challenge we rose together to meet.

 ?? Brontë Wittpenn / The Chronicle ?? People wait for a coronaviru­s test at the Bayview Opera House in San Francisco last week. Tests are in high demand.
Brontë Wittpenn / The Chronicle People wait for a coronaviru­s test at the Bayview Opera House in San Francisco last week. Tests are in high demand.

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