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Covid Still Threatens Millions of Americans. Why Are We So Eager to Move On?

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The Centers for Disease Control and Prevention has a strict definition of who is considered moderately or severely immunocompromised, such as cancer patients undergoing active treatment and organ transplant recipients. Still, millions of other people are living with chronic illnesses or disabilities that also make them especially susceptible to the disease. Though vulnerability differs based on each person and their health condition — and can depend on circumstances — catching covid is a risk they cannot take.

As a result, these Americans who are at high risk — and the loved ones who fear passing along the virus to them — are speaking out about being left behind as the rest of society drops pandemic safeguards such as masking and physical distancing.

Their fears were amplified this month as several Democratic governors, including the leaders of California and New York — places that were out front in implementing mask mandates early on — moved to lift such safety requirements. To many people, the step signaled that “normal” life was returning. But for people considered immunocompromised or who face high risks from covid because of other conditions, it upped the level of anxiety. ...

Scientists estimate that almost 3% of Americans meet the strict definition of having weakened immune systems, but researchers acknowledge that many more chronically ill and disabled Americans could be severely affected if they catch covid.

By summer 2021, scientific evidence indicated that immunocompromised people would likely benefit from a third shot, but it took federal agencies time to update their guidance. Even then, only certain groups of immunocompromised people were eligible, leaving others out.

In October, the CDC again quietly revised its vaccine guidance to allow immunocompromised people to receive a fourth covid vaccine dose, though a recent KHN story revealed that pharmacists unaware of this change were still turning away eligible people in January.

People with weakened immune systems or other high-risk conditions argue that now is the time, as the omicron surge subsides, to double down on policies that protect vulnerable Americans like them.

“The pandemic isn’t over,” said Matthew Cortland, a senior fellow working on disability and health care for Data for Progress, who is chronically ill and immunocompromised. “There is no reason to believe that another variant won’t emerge. … Now is the time, as this omicron wave begins to recede, to pursue policies and interventions that protect chronically ill, disabled, and immunocompromised people so that we aren’t left behind.” ...

 

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