Thursday, December 30, 2021

Mushmouthed Professional Managerial Class Disagreement With New CDC Guidelines

pbs  |  So, they have also issued some new guidelines from the CDC for anyone who's just exposed to the virus, if you come into contact with someone who has tested positive for COVID-19.

And I want to lay this out for people. There's a lot to digest. They are saying, if you are exposed, and you are unvaccinated, they recommend five days of isolation, plus five days of masking. If you have been vaccinated earlier, which means more than six months have passed since the time you were fully vaccinated with Pfizer or Moderna or more than two months for the J&J, the Johnson & Johnson vaccine, they say five days of isolation and five days of masking.

If you were vaccinated recently — that means fewer than six months for Pfizer or Moderna, fewer than two months for J&J — no isolation recommended, and they say 10 days of masking. And if you have been boosted, they say no isolation and 10 days of masking.

Dr. Davis, it's a lot to keep up with. A lot of people are very confused. How are you making sure people in your community understand this? And how are you implementing it? 

Dr. Mati Hlatshwayo Davis: 

Well, Amna, my background before I became the director of health for the City of St. Louis is, I'm an infectious diseases physician and a public health expert.

And so one of the things you understand in my field is that infectious diseases are not static. They're not a monolith. They evolve over time, which means the guidance is going to change over time.

So what needs to happen is that the leadership needs to do a good job of helping people to make those transitions when they occur. So, the confusion is warranted. The job now is on the CDC, on the federal government, and on local health officials to make sure that people understand the science and can make that transition.

Now, what's also a challenge is that, while I completely agree with the science, as the director of health of a major city, the implementation may take time, because we need to do it in a way that is as safe and effective for our populations.

And not every county or city has the same level of support measures to make sure that this is successful as the next. So, for example, my counterparts in New York are able to ramp up testing to support this, because part of these guidelines do make the recommendation for testing at day five for certain populations.

But if you come from a city or a county where the funds and the capabilities just aren't there for that level of testing, this may not be something that you can implement right away. They're within lies the challenge.


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