Coronavirus COVID-19 - Global Health Pandemic #109

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Two articles about how long people with Covid may be infectious, based on recent research. The second article discusses rebound symptoms/infectiousness after taking Paxlovid (antiviral).

New data suggests the CDC’s COVID guidance to isolate for 5 days after testing positive is wrong. You should follow Joe Biden’s example instead

Five days. That’s how long you should isolate after testing positive for COVID before going back to normal life (while wearing a mask in public for five more days), according to the U.S. Centers for Disease Control. The CDC’s five-day quarantine policy for COVID cases is not law, but families, human resource departments, schools, and other institutions across the country depend on its advice for deciding how to return to normal life after a COVID infection.

Scientists have questioned the scientific rationale behind the five-day quarantine policy since the CDC introduced it last December. And now, critics of the policy have more data to back up their claims.

In two new preprints, scientists found that people infected with COVID-19 remained infectious after five days. One from the Massachusetts General Hospital in Boston showed that one-quarter of COVID patients may still be infectious eight days after first testing positive....
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How long is COVID infectious? What scientists know so far

When the US Centers for Disease Control and Prevention (CDC) halved its recommended isolation time for people with COVID-19 to five days back in December, it said that the change was motivated by science. Specifically, the CDC said that most SARS-CoV-2 transmission occurs early in the course of the illness, in the one to two days before the onset of symptoms and for two to three days after.

Many scientists disputed that decision then and they continue to do so. Such dissent is bolstered by a series of studies confirming that many people with COVID-19 remain infectious well into the second week after they first experience symptoms. Reductions in the length of the recommended isolation period — now common around the world — are driven by politics, they say, rather than any reassuring new data.

“The facts of how long people are infectious for have not really changed,” says Amy Barczak, an infectious-disease specialist at Massachusetts General Hospital in Boston. “There is not data to support five days or anything shorter than ten days [of isolation].” Barczak’s own research, published on the medRxiv preprint server, suggests that one-quarter of people who have caught the Omicron variant of SARS-CoV-2 could still be infectious after eight days1. ...

(more at link, including links to the two studies)
 
Two articles about how long people with Covid may be infectious, based on recent research. The second article discusses rebound symptoms/infectiousness after taking Paxlovid (antiviral).

New data suggests the CDC’s COVID guidance to isolate for 5 days after testing positive is wrong. You should follow Joe Biden’s example instead

Five days. That’s how long you should isolate after testing positive for COVID before going back to normal life (while wearing a mask in public for five more days), according to the U.S. Centers for Disease Control. The CDC’s five-day quarantine policy for COVID cases is not law, but families, human resource departments, schools, and other institutions across the country depend on its advice for deciding how to return to normal life after a COVID infection.

Scientists have questioned the scientific rationale behind the five-day quarantine policy since the CDC introduced it last December. And now, critics of the policy have more data to back up their claims.

In two new preprints, scientists found that people infected with COVID-19 remained infectious after five days. One from the Massachusetts General Hospital in Boston showed that one-quarter of COVID patients may still be infectious eight days after first testing positive....
-------------------------

How long is COVID infectious? What scientists know so far

When the US Centers for Disease Control and Prevention (CDC) halved its recommended isolation time for people with COVID-19 to five days back in December, it said that the change was motivated by science. Specifically, the CDC said that most SARS-CoV-2 transmission occurs early in the course of the illness, in the one to two days before the onset of symptoms and for two to three days after.

Many scientists disputed that decision then and they continue to do so. Such dissent is bolstered by a series of studies confirming that many people with COVID-19 remain infectious well into the second week after they first experience symptoms. Reductions in the length of the recommended isolation period — now common around the world — are driven by politics, they say, rather than any reassuring new data.

“The facts of how long people are infectious for have not really changed,” says Amy Barczak, an infectious-disease specialist at Massachusetts General Hospital in Boston. “There is not data to support five days or anything shorter than ten days [of isolation].” Barczak’s own research, published on the medRxiv preprint server, suggests that one-quarter of people who have caught the Omicron variant of SARS-CoV-2 could still be infectious after eight days1. ...

(more at link, including links to the two studies)

The 5 day CDC advice never made sense to me and seemed to be a way to get people back to work sooner. Friends of mine with covid are testing positive at home well into their second or third week, even after symptoms subside.
 
The 5 day CDC advice never made sense to me and seemed to be a way to get people back to work sooner. Friends of mine with covid are testing positive at home well into their second or third week, even after symptoms subside.
I agree that the 5-day rule made no sense unless the goal was to get people back to work quickly despite their Covid status. It must be discouraging for your friends to test positive for so long, but I guess that's not unusual.
 

Biden set a bad example with his Covid case​

Instead of taking time off during the course of his disease, he modeled the toxic work culture of pushing through illness.​

July 27, 2022, 7:11 PM EDT
By Kristin Urquiza, co-founder of Marked by COVID
On Wednesday, the White House reported that President Joe Biden had twice tested negative for Covid-19. The news was welcome but expected. When Biden first tested positive a few days ago, his having been vaccinated and boosted, combined with his access to the nation’s best doctors and latest treatments, nearly guaranteed him an uneventful acute illness course.

Indeed, before his quick recovery, the White House had reported that the president was feeling well and that his case was “mild.” But even with his latest test results, Biden is still at risk of Post-Acute Sequelae of SARS CoV-2 infection, commonly known as long Covid, which the Centers for Disease Control and Prevention has found about one-fifth of Covid patients now have. One study found that up to a third of these Covid outpatients who didn’t require hospitalization were continuing to report long Covid symptoms nine months after the acute phase...
 

Biden set a bad example with his Covid case​

Instead of taking time off during the course of his disease, he modeled the toxic work culture of pushing through illness.​

July 27, 2022, 7:11 PM EDT
By Kristin Urquiza, co-founder of Marked by COVID
On Wednesday, the White House reported that President Joe Biden had twice tested negative for Covid-19. The news was welcome but expected. When Biden first tested positive a few days ago, his having been vaccinated and boosted, combined with his access to the nation’s best doctors and latest treatments, nearly guaranteed him an uneventful acute illness course.

Indeed, before his quick recovery, the White House had reported that the president was feeling well and that his case was “mild.” But even with his latest test results, Biden is still at risk of Post-Acute Sequelae of SARS CoV-2 infection, commonly known as long Covid, which the Centers for Disease Control and Prevention has found about one-fifth of Covid patients now have. One study found that up to a third of these Covid outpatients who didn’t require hospitalization were continuing to report long Covid symptoms nine months after the acute phase...
The risk for developing long Covid dropped with omicron compared with Delta and is likely less for people who are fully vaccinated with two boosters, IMO. If you add the effects of Covid treatments, such as antivirals and monoclonal antibodies, I would expect the risk of long covid to be even lower. I'm not sure we have the data yet.

ETA: I certainly hope the President got enough rest to make long Covid less likely!
 
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The only side effect I have from 2nd booster shot yesterday - woke up with a sore arm & a little on the red side where the shot went in. But as the afternoon as passed - the sore arm is almost gone! :) That's the only thing that effected me. I did fall right to sleep last night - which is unusual - as my brain keeps going when my head hits the pillow! LOL!

It was the Moderna one - that is the only kind I have gotten.
My first shot I had no reaction. None. Second shot I was achy and a little feverish. First booster nothing again, second booster after having Covid knocked me on my butt for a few days. I don’t know if it’s because I now have long Covid or what! Can’t wait to get my third booster this fall and see what happens!
 

Biden Administration Plans to Offer Updated Booster Shots in September​

With reformulated shots from Pfizer and Moderna on the horizon, the F.D.A. has decided that Americans under 50 should wait to receive second boosters.

WASHINGTON — The Biden administration now expects to begin a Covid-19 booster campaign with retooled vaccines in September because Pfizer and Moderna have promised that they can deliver doses by then, according to people familiar with the deliberations.

With updated formulations apparently close at hand, federal officials have decided against expanding eligibility for second boosters of the existing vaccines this summer. The new versions are expected to perform better against the now-dominant Omicron subvariant BA.5, although the data available so far is still preliminary.
 
The risk for developing long Covid dropped with omicron compared with Delta and is likely less for people who are fully vaccinated with two boosters, IMO. If you add the effects of Covid treatments, such as antivirals and monoclonal antibodies, I would expect the risk of long covid to be even lower. I'm not sure we have the data yet.

ETA: I certainly hope the President got enough rest to make long Covid less likely!

This is true. My sister is double vaxxed but no boosters (yet). She got omicron in May and AFAIK, she has no lasting effects. She did have some vertigo for about a week after having COVID, but that’s gone now and she feels completely fine.

Then there’s me.
 

Biden Administration Plans to Offer Updated Booster Shots in September​

With reformulated shots from Pfizer and Moderna on the horizon, the F.D.A. has decided that Americans under 50 should wait to receive second boosters.

WASHINGTON — The Biden administration now expects to begin a Covid-19 booster campaign with retooled vaccines in September because Pfizer and Moderna have promised that they can deliver doses by then, according to people familiar with the deliberations.

With updated formulations apparently close at hand, federal officials have decided against expanding eligibility for second boosters of the existing vaccines this summer. The new versions are expected to perform better against the now-dominant Omicron subvariant BA.5, although the data available so far is still preliminary.
Just a couple of weeks ago, the feds recommended that we not wait to get the 2nd booster.
 
I didn’t know the federal government had recently recommended that everyone get a second booster

I will admit that I am not always up to speed on recommendations for every category of people, just my own which is aged 50 or older
(by quite a bit);)

2nd booster:
COVID-19 Vaccine Boosters | CDC
COVID-19 Booster Shot
Just a couple of weeks ago, the feds recommended that we not wait to get the 2nd booster.
 
I am going to a wedding here at the Retirement Home tomorrow. I will be the only one masked. Stick out like a sore thumb, but I don't care.
Yesterday, in Target I saw only one other couple masked. No one else (and it was busy).
What boggles my mind is that the ones here who have had Covid, wander around without masks -even staff- you would think they would be even more cautious not to get it again...but what do I know?
We still have one resident in the hospital doing poorly due to Covid. Otherwise we are in the clear again for now. I still don't let my guard down.
 
Covid finally caught up with me (double-vaxxed and boosted). I've been having a fever for several days now and continue to feel weak/dizzy. I've been isolating since the beginning of symptoms, despite testing negative in the first few days. Some of the symptoms (sore throat, mild cough) appeared later. I must have dropped my guard when I attended a celebration of life for a former neighbor last week. Although it was held outside, it was crowded with predominantly younger people. Not a single person wore a mask. I wish I didn't go if I wasn't ready to mask up. Masks are currently recommended indoors (only compulsory in medical facilities), though almost nobody wears them in stores. Especially people who are asymptomatic can infect a bunch of others without knowing. I was due to attend another gathering this week and luckily did not rely on the negative test, but I was unwell anyway.
 
Covid finally caught up with me (double-vaxxed and boosted). I've been having a fever for several days now and continue to feel weak/dizzy. I've been isolating since the beginning of symptoms, despite testing negative in the first few days. Some of the symptoms (sore throat, mild cough) appeared later. I must have dropped my guard when I attended a celebration of life for a former neighbor last week. Although it was held outside, it was crowded with predominantly younger people. Not a single person wore a mask. I wish I didn't go if I wasn't ready to mask up. Masks are currently recommended indoors (only compulsory in medical facilities), though almost nobody wears them in stores. Especially people who are asymptomatic can infect a bunch of others without knowing. I was due to attend another gathering this week and luckily did not rely on the negative test, but I was unwell anyway.

So sorry you’re sick @indicolite22! This variant is soooooo contagious! I hope you feel better soon.
 
Covid finally caught up with me (double-vaxxed and boosted). I've been having a fever for several days now and continue to feel weak/dizzy. I've been isolating since the beginning of symptoms, despite testing negative in the first few days. Some of the symptoms (sore throat, mild cough) appeared later. I must have dropped my guard when I attended a celebration of life for a former neighbor last week. Although it was held outside, it was crowded with predominantly younger people. Not a single person wore a mask. I wish I didn't go if I wasn't ready to mask up. Masks are currently recommended indoors (only compulsory in medical facilities), though almost nobody wears them in stores. Especially people who are asymptomatic can infect a bunch of others without knowing. I was due to attend another gathering this week and luckily did not rely on the negative test, but I was unwell anyway.
Sorry to hear you've been ill with Covid. I hope you will recover fully, and soon!
 
Covid finally caught up with me (double-vaxxed and boosted). I've been having a fever for several days now and continue to feel weak/dizzy. I've been isolating since the beginning of symptoms, despite testing negative in the first few days. Some of the symptoms (sore throat, mild cough) appeared later. I must have dropped my guard when I attended a celebration of life for a former neighbor last week. Although it was held outside, it was crowded with predominantly younger people. Not a single person wore a mask. I wish I didn't go if I wasn't ready to mask up. Masks are currently recommended indoors (only compulsory in medical facilities), though almost nobody wears them in stores. Especially people who are asymptomatic can infect a bunch of others without knowing. I was due to attend another gathering this week and luckily did not rely on the negative test, but I was unwell anyway.
Feel better soon!!
 
Covid finally caught up with me (double-vaxxed and boosted). I've been having a fever for several days now and continue to feel weak/dizzy. I've been isolating since the beginning of symptoms, despite testing negative in the first few days. Some of the symptoms (sore throat, mild cough) appeared later. I must have dropped my guard when I attended a celebration of life for a former neighbor last week. Although it was held outside, it was crowded with predominantly younger people. Not a single person wore a mask. I wish I didn't go if I wasn't ready to mask up. Masks are currently recommended indoors (only compulsory in medical facilities), though almost nobody wears them in stores. Especially people who are asymptomatic can infect a bunch of others without knowing. I was due to attend another gathering this week and luckily did not rely on the negative test, but I was unwell anyway.
I'm sorry Covid found you. I hope you won't beat yourself up over going to where you suspect you were exposed. Do you have treatment available (iv antibodies, anti virals)? I tested positive a few weeks ago and went for the iv antibodies immediately. Best wishes for a light case.
 
I'm sorry Covid found you. I hope you won't beat yourself up over going to where you suspect you were exposed. Do you have treatment available (iv antibodies, anti virals)? I tested positive a few weeks ago and went for the iv antibodies immediately. Best wishes for a light case.
Thank you. Good to hear that you had access to treatment. Here it's reserved for more serious cases and risk groups. I do remember reading in the past that the antibody cocktail was ineffective against omicron. Although fever is annoying I consider mine a mild case for now. I do hope that there aren't long lasting effects from it and that I can avoid catching the next variant.
 
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