By Jim Geraghty
Thursday, July 29, 2021
We have nearly 80 million unvaccinated Americans out
there. Some chunk of that group have had COVID-19 since March 2020, and thus
have some immunity to reinfection. (Some good news this week from the United
Kingdom is a new study suggesting that “the number of reinfections
is low overall, and reinfections with a high viral load (which are more likely
to cause illness) are even lower.”)
Last
year at this time, we were averaging around 67,000 new diagnosed COVID-19
cases per day. At the time, we thought that was bad, in large part because on
average, about 1,000 Americans were dying from COVID-19 each day. But as winter
arrived, and people spent more time indoors because of cold weather, cases
skyrocketed much higher, with the seven-day average peaking at 255,000 new
diagnosed cases per day in early January. The seven-day average of daily new
deaths peaked on January 13, hitting 3,496 new deaths per day.
In other words, whatever shape the country is in during
summer, when good weather has people spending more time outdoors, the country
is probably going to be in worse shape when winter arrives, and people begin
spending more time in close contact indoors.
Right now, we are averaging . . . around 67,000 new
diagnosed COVID-19 cases per day, right around where we were this time last
year. Thankfully, our seven-day average of daily new deaths is much lower than
it was a year ago: It currently sits at 303. A COVID-19 case in a
vaccinated person is unlikely to lead to serious health problems and extremely
unlikely to kill that person.
If we maintain the current relatively slow pace of
vaccinations — averaging 608,000 shots per day for the past week — we will
administer another 76 million shots by December 1. That sounds like good
progress, until you realize that most of those shots will be Pfizer and
Moderna, meaning two shots are required. So perhaps by the start of December,
another 40 million or so American adults and teenagers will be vaccinated.
That would still leave about 40 million unvaccinated
Americans as the winter begins — and while that would feature fewer deaths than
last winter, that’s still a lot of potential hospitalizations and deaths.
In fact, we’re currently seeing full or near-full
hospitals in certain corners of the country. The Salt Lake City suburbs; Brevard County, Fla.; Memphis, Tenn.; Augusta, Ga.
It is unnervingly conceivable that Delta or perhaps some
other variant will cut another deadly swath through America’s unvaccinated this
winter, filling up ICUs and spiking the daily death numbers again.
After one year on the job, President Joe Biden, who
famously promised he would “shut down the virus, not shut down the country,”
would have disappointingly modest results. Back in December, President-elect
Biden insisted he was making a reasonable request for Americans to wear masks
in public places for his first 100 days: “Just 100 days to mask, not forever.
One hundred days.” It’s not forever, but now mask mandates have rapidly
returned, including in every school, for the foreseeable future.
In fact, the CDC has turned on a dime. It doesn’t just
want everyone in schools masked, and everyone in public spaces in areas with
high caseloads. The CDC also wants vaccinated people to get tested if they’ve been around
someone who has the virus, even if they don’t have any symptoms. “If
results are positive, the infected should isolate at home for 10 days.”
Let’s walk through this. You get a vaccination that never
promised to stop infections, only to greatly reduce the likelihood of
hospitalization or death. After getting fully vaccinated, you go out and live
your life and get infected, because there’s a really contagious variant going
around. Even if you have no symptoms, you have to self-quarantine for ten days?
For young and healthy people who were already at low risk for a serious
reaction to COVID-19, just what is the upside of getting vaccinated here?
One of the really fascinating developments of this week
has been health experts noting with frustration that the CDC hasn’t released the data to
justify these recent reversals and are urging the federal agency to release
this information. Now, the scientists are the ones expressing skepticism
about SCIENCE™. There are
concerning reports that this CDC decision was driven by the results of a study
about breakthrough infections in India — where they’re using the AstraZeneca
vaccine, not the Pfizer, Moderna, or Johnson & Johnson vaccines that
Americans have received. Right on the CDC’s website, it declares that, “Studies
from India with vaccines not authorized for use in the United States have noted
relatively high viral loads and larger cluster sizes associated with infections
with Delta, regardless of vaccination status.” The CDC also says that,
“unpublished data are consistent with this,” which . . . is not really a
triumph for openness and clarity in public-health policy.
And then there was this curious statement to STAT News Tuesday:
An administration official,
speaking on the condition of anonymity, told STAT that health experts do not
have studies proving that fully vaccinated people are transmitting the virus. Rather,
the official said, the updated guidance is based on studies showing that
vaccinated people who contract the Delta variant have similarly high levels of
virus in their airways, which suggested that they may be infectious to others.
With other variants, vaccinated people had substantially lower levels of virus
in their noses and throats compared to unvaccinated people.
Whatever Biden thinks is the right approach to the Delta
variant — and remember, he turns 79 in November, and hasn’t released a health
report to the public since December 2019 — the country is full of federal,
state and local officials, media voices, and medical talking heads who see the
Delta variant as a reason to revert to March 12, 2020. No government official
in a deep-blue state, county, or locality wants to be accused of underreacting
to a rise in cases.
Then again, some of these deep-blue localities have surprisingly
“meh” vaccination rates.
Montgomery County, Md., is contemplating reinstating
social-distancing requirements and capacity limits for businesses. More than 69
percent of residents have received one dose, 63 percent are fully vaccinated.
Alexandria, Va., is urging people to wear masks indoors;
the city is only 58 percent fully vaccinated, with 67 percent having one
shot. It’s a similar story in Washington, D.C., where the district’s health
director declared earlier this week, “Wearing a mask in indoor
public settings provides an additional layer of protection for those who are
fully vaccinated — and continues to be one of the key ways to protect those who
cannot be vaccinated, namely young children.” Only 53
percent of D.C. residents are fully vaccinated, and 62 percent are
partially vaccinated.
As I’ve been emphasizing all week, if you envision the
unvaccinated as a pickup-truck-driving, MAGA-hat-wearing, rural older white
male, you’re not getting the full picture.
And guess which big organizations just came out in opposition to
vaccination requirements for their members?
So far, the nation’s two largest
education unions, The National Education Association and the AFT, have declined
to call for vaccine mandates. Instead, the NEA says that teachers should be
given the option of weekly testing, while the AFT says it should be decided in
contract negotiations between the workers and the company.
Oh, really? Who’s the paranoid
anti-science anti-vaxxer now?
Jay
Caruso made this point before I could: You cannot work yourself into a
frenzy denouncing unvaccinated rural Americans and Trump voters as a bunch of
ignorant, tin-foil-hat-wearing lunatics who are extending the pandemic and the
suffering it has caused for everyone and then shrug when a bunch of teachers
refuse to get vaccinated. The fact that these unions — powerful allies of the
Democratic Party — are going to get little to no grief for their position that
their members don’t need to get vaccinated if they don’t want to reveal that
the vast majority of pro-vaccination rhetoric is really just political
tribalism, dressed up in the rhetoric of public health.
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