It’s tearing open a new debate about how far the government or employers should go to protect their citizens or employees, and to what extent people should be free to make a wrong choice that endangers others.
In Florida, the rate of new Covid cases per 100,000 people is more than triple the national rate of 16 new cases per 100,000 people.
Arkansas and Louisiana both have higher rates but, with smaller populations, are contributing far fewer total cases than Florida, where more than 10,000 people have tested positive each day for more than a week, triple the figure of two weeks ago and a quarter of all new Covid cases in the entire US.
Hospitalizations there have more than tripled in July to more than 6,000, testing hospital systems in a way not seen since the spring.
Alix Zacharski, a nurse manager in the Covid ICU at Jackson Memorial Hospital in Miami, said Monday on CNN that when sick people come into her ICU asking for the vaccine, it’s too late.
“When they come to the ICU is when they can’t really breathe, and they’re gasping for air. That’s when they come into the ICU, and at that point they’re just really in really bad shape,” she said.
How to get people to get the shot. The answer to the Covid problem, almost everyone — from doctors and health experts to Republican governors — seems to agree, is vaccination.
But there is a gulf in the country between those who want to prod or compel vs. those who want to entice and persuade.
In addition, unvaccinated city employees must mask up indoors in New York as of August 2.
As an either/or, New York City’s action allows for some choice between vaccines and testing, but the message is clear to those who make their living with city money: Get the shot.
The city is already a relative vaccine success story — 59% of the population and 71% of adults have been vaccinated already, de Blasio said.
He urged private companies to impose their own version of a vaccine mandate and require masks for the unvaccinated, but he won’t try to require it.
“My message to the private sector is: Go as far as you can go right now. Do what you can do,” de Blasio said.
At the moment, everything is voluntary. Who knows if that person in front of you in line without a mask has the vaccine.
“I really wish that more businesses would be doing this,” said Dr. Leana Wen, a CNN medical analyst, “because otherwise, it’s hard for those of us, for example, who are parents of unvaccinated children if we’re told that we have to come back to work in person and be sitting shoulder to shoulder with other people who are unvaccinated and we don’t know whether they’re carrying Covid? That’s really dangerous for us, so this is really about protecting people’s health and safety.”
Many governments, employers, school districts and others may be waiting for the FDA to issue full approval for the vaccines, which are currently being given under emergency use authorization. Though some policymakers and politicians are exasperated at the FDA’s pace, the agency is actually moving at record speed on this.
Doing business vs. government mandates. There is certainly a stronger push in Arkansas and Alabama, states harder hit by the Delta variant and with lower vaccination rates, for people who can to do the right thing and protect themselves and others.
But the push stops at guilt.
Blame, yes. Require, no. Her press secretary tweeted over the weekend that the governor can’t make anyone get vaccinated. It’s a person’s responsibility.
“We’re not going to do that, because that would even cause a greater reaction of negativity toward the government and that imposition on freedom,” Hutchinson said. He said the vaccine rate in his state, a Covid epicenter, has ticked up recently.
One piece of good news about vaccinations. While the number of vaccinations overall has flattened in the US, CNN’s Harry Enten crunched data and argued there is some cause for optimism and vaccinations are increasing in some key places.
Vaccine requirement for health care workers pushed. Perhaps a mandate would not work for the general public, but what about for people working on the Covid front lines? More than 50 health and medical groups — including the American Medical Association, the American College of Physicians, the American Academy of Pediatrics and the American Public Health Association — issued a joint statement calling for all health care and long-term care employers to mandate that employees be vaccinated against Covid-19.
Mandates backfire. Dr. Seema Yasmin, the author and former CDC disease detective, was asked about such a requirement for health care workers during an appearance on CNN and she argued against the idea, saying it is exactly the wrong time to turn people off from working in health care.
“Health care workers don’t differ that much from the general populace,” she said of their openness to vaccines. “There are many who work in health care who we need to continue working in health care. We don’t want to disenfranchise them.”
She also argued that the contradictory messages on masking are contributing to an overall erosion in trust.
“I come back to this point that you can do on a local level what you need to do that’s right for your municipality, for your state, but be careful about the messaging. Because at a time when we are losing trust in the public and the public is losing trust in the scientific establishment, we’re seeding more confusion,” she said.
Meanwhile, America is opening up more and more, with people traveling, congregating inside and outside, and even going to concerts.
Shown pictures of a sea of people in line for a hip-hop festival in Florida, Dr. Erin Bromage, a comparative immunologist at the University of Massachusetts-Dartmouth, said on CNN that in full disclosure he’d also been to a concert over the weekend, and he had helped Dave Matthews Band try to conduct a safe event.
“We’re moving to this stage now where everybody in that audience are adults. They’ve had choices to make on how they protect themselves through the vaccine or maybe they don’t have the same risk profile,” he said.
The ultimate result could be more masking inside — That’s the question school districts are grappling with.
Dr. Harry Atallah, chief medical officer of Jackon Memorial, said a return to indoor masking could be required to stop the Delta variant.
“There are things that we know that work, right?” he said on CNN. “We did this before … a lot of people were vaccinated. We had people wear masks. We washed our hands. We socially distanced. We know those things work. I think it’s a good idea if we were to follow the science and say we should probably start to mask again. That will help shorten or decrease the number of infections in the community. And it will ultimately help get us out of this situation we’re in at the moment.”
Dr. Jerome Adams, the US surgeon general under President Donald Trump, predicted a return to some restrictions as he warned about the rise in Covid cases “spiraling out of control.”
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