The decision by US health officials to reduce the recommended COVID-19 isolation and quarantine time from ten to five days has been criticized by several medical specialists, who believe it would cause additional uncertainty and panic among Americans.
The new standards, much to the dismay of certain authorities, enable people to leave isolation without being tested to check if they are still contagious.
The recommendation has sparked debate about how it was written and why it was revised now, in the midst of yet another wintertime rise in cases, this one mostly due to the highly infectious omicron strain.
The CDC said on Monday that the recommended isolation period for Americans who are infected with the coronavirus but have no symptoms has been slashed in half. Similarly, the CDC has reduced the period of time that those who have come into close contact with an infected person must be quarantined.
The CDC has been pressed by the public and commercial sectors, notably the aviation industry, to limit the time spent in isolation and the possibility of severe personnel shortages as a result of the omicron outbreak. Thousands of flights have been grounded in recent days as a result of the omicron issue.
“Not all of those cases will be serious. In reality, many will be asymptomatic, according to CDC Director Dr. Rochelle Walensky. “We want to make sure there’s a system in place that allows us to securely keep civilization running while adhering to science.”
The advice is in line with accumulating evidence indicating persons with the virus are most contagious in the first few days, according to CDC authorities.
The CDC’s guidelines have a scientific basis, according to Louis Mansky, head of the University of Minnesota’s Institute for Molecular Virology.
“When someone is infected, when are they most likely to spread the virus to someone else?” he wondered. “It normally happens in the early stages of the sickness, usually a day or two before they show symptoms and then a couple of days to three days later.”
Although medical professionals noted that virtually all of the data predated omicron, research, including a study published in the journal JAMA Internal Medicine in August, backs that up.
The Centers for Disease Control and Prevention (CDC) released a report on a cluster of six omicron cases in a Nebraska household on Tuesday, finding that the median incubation period — the time between exposure and the onset of symptoms — was about three days, compared to the five days or more documented earlier in the pandemic. The six persons also became sick, although it was only a minor ailment.
Other experts, on the other hand, questioned why the CDC standards enable persons to be released from isolation without being tested.
Dr. Eric Topol, founder and head of the Scripps Research Translational Institute, stated, “It’s really irresponsible to go like way.” “It’s critical to do a quick test or some form of test to confirm that the person isn’t contagious.”
He said, “There is no proof, no data to support this.”
Exit testing was probably not included in the CDC’s guidelines for practical reasons, according to Mansky: Due to the increase in cases and the hectic holiday travel season, COVID-19 quick testing are in high demand. At-home testing are difficult or impossible to come by in many regions.
The CDC is “motivated by science,” but it also has to consider “what they’re going to inform the public about what they’re going to do,” according to Mansky. “If the CDC had instructions that everyone was disregarding, that would be a disaster.”
Sojourn Philly, which runs four restaurants in Philadelphia, has roughly 15% of its employees off sick with COVID-19, according to Qamara Edwards, director of business and events.
The CDC adjustments are “wonderful for companies,” Edwards said, “since they allow individuals to return to work sooner than they thought,” but she understands why workers may be hesitant and concerned about their safety.
King Holder, the owner of the StretchLab Beverly fitness studio in Los Angeles, agreed that omicron had caused “significant disruption” to his business and praised the newer standards.
“The ability to stay afloat for five days rather than 10-14 days is crucial for our firm,” he added.
“The weaker COVID requirements make me anxious,” Dana Martin, a 38-year-old Philadelphia teacher and educational consultant, said. Because of the omicron version and the presumably more loose regulations, I’m more cautious to participate in holiday festivities.”
Marshall Hatch, senior pastor of New Mount Pilgrim Church on Chicago’s West Side, predicted that his flock would be confused. Testing, vaccines, and booster doses have all been strongly promoted by the church.
The CDC’s recent guideline, according to Hatch, is perplexing and “a bit odd.”
“Either we’re in the midst of a spike that we need to be very concerned about, or we’re towards the end of the epidemic, which is why we’re reducing isolation and quarantine times,” he said Tuesday. “They should provide us with a bit more information to work with.”
Some members of the predominantly Black church, particularly older ones, are distrustful of government information, according to Hatch.
The CDC’s action comes as part of a global drive to change isolation laws, with restrictions varying by nation.
Last Monday, England reduced the duration of self-isolation for vaccinated persons who test positive for COVID-19 to seven days in many cases, providing two negative lateral flow tests are conducted a day apart.
The French government said on Monday that it will shortly ease its isolation regulations, but it is unclear by how much.
The regulatory changes, according to Health Minister Olivier Veran, would prevent “paralysis” in public and private services. By January, France might be reporting more than 250,000 new infections every day, according to some estimates.
In the meanwhile, Italy is contemplating eliminating the quarantine for anyone who have had intimate contact with an infected person if they have received a booster dose. According to estimates, as the virus spreads, up to 2 million Italians might be quarantined in the following two weeks.
The CDC’s decision was praised by the aviation sector in the United States.
“The judgment is the appropriate one based on science,” said Airlines for America, a lobbying organization.
However, the leader of a flight attendants union protested the proposal, claiming that it might lead to employers pressuring sick staff to return before they are fully recovered.
If that happens, Sara Nelson, president of the Association of Flight Attendants-CWA International, said, “we will make clear it is a dangerous work environment, which would create a lot larger disruption than any’staffing shortages.'”