The U.S. death toll from COVID-19 topped 900,000 people, fueled by the highly contagious omicron variant, less than two months after the nation passed 800,000. But the actual death toll may be higher.
Despite three widely available vaccines that effectively prevent severe illness and death, only 64 percent of the population is fully vaccinated, according to the Centers for Disease Control and Prevention (CDC).
The vaccination campaign has been beset by inequities, misinformation and political sabotage, and the unvaccinated are the ones suffering the most. More people have died in the 13 months since the vaccines have been available than before.
Data from the CDC show the total number of deaths involving COVID-19 in 2020 was 385,343.
The U.S. has one of the highest per capita rates of recorded COVID-19 cases in the world, with about 15,000 cases per 100,000 people, according to a New York Times tracker.
While increasing evidence shows omicron may be less likely to cause death or serious illness than the delta variant, the sheer infectiousness and the speed at which it spreads has overwhelmed hospitals, primarily with people who have not been vaccinated.
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Experts open the door to lifting last mask mandates
As the spike in coronavirus cases caused by the omicron variant wanes, some experts say it is time to start lifting more restrictions, setting up a heated debate, particularly over mask mandates in schools.
People are exhausted with the pandemic after roughly two years, and health advocates warn that pandemic rules cannot last forever.
“We cannot remain in a perpetual state of emergency,” said Leana Wen, a public health professor at George Washington University. “People burn out.”
Many aspects of life have already returned to something like normal. Bars and restaurants are open and packed across the country, and countless travel restrictions have been lifted.
But some locations, including New York and Washington, D.C., still have mask mandates for the general public, and in schools, mask requirements are more common.
Vaccinations remain as the key source of protection. People who are vaccinated and boosted have strong protection against severe disease, even if there is still a chance they get mild illness.
Wen noted that school-age children 5 and up can now all be vaccinated.
And Pfizer last week began the application for its COVID-19 vaccine for children as young as six months.
Ashish Jha, dean of the Brown University School of Public Health, said that restrictions in general should be lifted as cases come down, but not just yet, given that cases are still high.
“I’ve been saying for weeks that as cases recede we can soon relax public health restrictions,” Jha tweeted. “I think of this like the weather. When it is bucketing rain umbrella, rain coat, boots, are all essential. When the storm turns into a drizzle, those become less critical.”
The possibility of a future variant that has greater ability to evade the vaccines’ protection, or that causes more severe disease, leads some experts to call for loosening restrictions during the coming lull to give people a respite in case they need to return later.
“If we don’t take the off-ramps, nobody will listen when we need to have an on-ramp,” tweeted Jeremy Faust, a professor at Harvard Medical School.
Cases in the U.S. have fallen significantly from the peak during the omicron wave in mid-January, from approximately 800,000 new cases per day to about 350,000 per day, which is still quite high. More experts are putting a focus on hospitalizations, which have now peaked nationally, though again are still at the high level of around 123,000 a day, according to a New York Times tracker.
Asked about people returning to more normal activities, Centers for Disease Control and Prevention (CDC) Director Rochelle Walensky on Wednesday cautioned that hospitalizations “are still quite high and [we are] certainly having hospital capacity challenges in many parts of the country still.”
“We really do have to look to our hospitalization rates and our death rates to look to when it is time to lift some of these mitigation efforts,” she said. “We will continue to reevaluate, and we know people are anxious.”
The matter of lifting restrictions has received a new burst of political attention as Republicans push to scale back measures such as mask mandates.
Virginia’s new Republican governor, Glenn Youngkin, has drawn controversy and an American Civil Liberties Union-backed lawsuit from parents over an order making masks optional in schools in the state.
Senate Minority Leader Mitch McConnell (R-Ky.) more broadly said Wednesday that “it is time for the state of emergency to wind down.”
On the Democratic side, Denver Mayor Michael Hancock this week lifted the city’s mask mandate and proof of vaccination requirement for businesses.
“This virus is something we’re going to have to manage and learn to live with,” Hancock said.
A Monmouth University poll this week found that a large majority of Americans, 70 percent, agreed that “it’s time we accept that Covid is here to stay and we just need to get on with our lives.”
Republicans continue to fight hard against President Biden’s vaccine mandates, which many public health experts have praised as a crucial way to get more people vaccinated and help return to normal.
Advocates have also been pushing the Biden administration and Congress for more funding for global vaccination efforts, which can help prevent new variants from emerging.
Some experts are pushing back against the calls for returning to normal, pointing to more vulnerable people.
“The great, white middle — stretching right and left across the political spectrum and the op-ed pages of the Times — is ready to move on,” Gregg Gonsalves, a professor at the Yale School of Public Health, wrote in The Nation. “The thing is: Those left behind don’t have the choices or the resources that those with privilege do, whether they are poor, living with disabilities or chronic medical conditions — or just too old to matter.”
Wen, a former health commissioner for the city of Baltimore, said the CDC should at least set new benchmarks for under what circumstances masks would no longer be needed.
“It’s precisely because of the threat of future variants that we need to let up on restrictions now,” she said. “I’m not trying to sound the all-clear at all … I’m saying we need to take advantage of the lull that we have coming up.”
A higher proportion of adults hospitalized with COVID-19 during the period of omicron dominance were fully vaccinated compared to the period of delta dominance, according to a new analysis. Still those people were also less likely to be severely ill or die.
The Centers for Disease Control and Prevention (CDC) analysis of a single hospital in Los Angeles found there were more hospitalizations during omicron compared to delta, but that among omicron-period patients, vaccination — particularly vaccination plus a booster dose — was associated with lower likelihood of admission to an intensive care unit.
Among adults at least 65 years old hospitalized during omicron, vaccination was also associated with a lower likelihood of death while hospitalized.
“COVID-19 vaccination, particularly a booster dose, continues to be critical in mitigating the health care burden of the omicron variant,” the CDC concluded in its Morbidity and Mortality Weekly Report.
Omicron-period hospitalizations overall were associated with a lower likelihood of ICU admission, mechanical ventilation and death while hospitalized, compared with delta-period hospitalizations.
With COVID or because of it? According to the CDC, that distinction doesn’t really matter. “Even patients with positive SARS-CoV-2 test results admitted for non-COVID-19 conditions require isolation rooms and use of personal protective equipment and might transmit infection to health care workers, exacerbating staff shortages.”
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Australia’s borders reopen
Double vaccinated tourists will be able to travel to Australia for the first time in almost two years. The announcement about reopening borders also allows other visa holders entry into the country, which had some of the strictest border controls throughout the pandemic. Borders reopen on 21 February and Prime Minister Scott Morrison said “we look forward to welcoming you back”.
Image source, Getty Images
State of emergency in Ottawa
Vehicles and tents blocking roads have paralysed the centre of Ottawa as truckers protest against Covid restrictions. Demonstrators outnumber police in Canada’s capital and the city’s “completely out of control”, says mayor Jim Watson, who has declared a state of emergency. It gives the city additional powers, including access to equipment required by front-line workers and emergency services. Here’s the full story.
Image source, Getty Images
Image source, Reuters
