tisdag 25 januari 2022

Phuket sandbox by numbers. Bangkok Post


CCSA clarifies details on Test & Go. The Thaiger

 Starting at 9am on February 1, fully vaccinated travellers from any country can apply for a Thailand Pass QR code to enter with (almost) quarantine-free travel, but there have been a few changes.

1. Those who had previously applied for a Thailand Pass QR code to enter under the Test & Go scheme have been able to enter the country under basically the same conditions.
2. Two RT-PCR tests are now required, new applicants have to pay for both
3. Those who are fully vaccinated against Covid-19, but were recently infected and are still testing positive for the virus can still enter the country under the Test & Go scheme.

Do not assume COVID pandemic reaching ‘end game’, warns WHO. “It’s dangerous to assume that Omicron will be the last variant and that we are in the end game,” Tedros Adhanom Ghebreyesus told a WHO executive board meeting of the two-year pandemic that has killed nearly 6 million people. “On the contrary, globally the conditions are ideal for more variants to emerge.” PBS World / WHO

Do not assume COVID pandemic reaching 'end game', warns WHO

GENEVA (Reuters) – The head of the World Health Organization (WHO) warned on Monday that it was dangerous to assume the Omicron variant would herald the end of COVID-19's acutest phase, exhorting nations to stay focused to beat the pandemic.

"It's dangerous to assume that Omicron will be the last variant and that we are in the end game," Tedros Adhanom Ghebreyesus told a WHO executive board meeting of the two-year pandemic that has killed nearly 6 million people.

"On the contrary, globally the conditions are ideal for more variants to emerge."

Though Omicron has sent total cases soaring to nearly 350 million, its less lethal impact and the increasing prevalence of vaccines has led to optimism in some parts that the worst of the pandemic may have passed.

Tedros, the WHO's first African head who is running unopposed for a second term, urged discipline and unity in combatting the coronavirus.

"The COVID-19 pandemic is now entering its third year and we are at a critical juncture," he told a news conference earlier. "We must work together to bring the acute phase of this pandemic to an end. We cannot let it continue to drag on, lurching between panic and neglect."

GERMANY BIGGEST DONOR

Countries must maximise strategies and tools already available, such as testing and inoculation, for the global health emergency to end this year, he said.

Tedros' bid for a second term received a boost when the WHO shelved a decision on his native Ethiopia's request to investigate accusations of links to rebel forces.

He told board members he was seeking an overhaul of the agency's funding model, with Germany now the largest donor, supplanting Washington which had accused the WHO of pro-China bias under former President Donald Trump's administration.

The United States is resisting a financing proposal that would make the U.N. health body more independent, raising doubts about the Biden administration's long-term support.


Prime Minister Prayut Chan-o-cha has instructed the police, the military and local administration officials to ensure that certified eateries and converted pubs which serve alcohol close at 11pm, as the relaxed COVID-19 rules on the serving of alcohol has come into effect this week. PBS World

Thailand's eateries under close watch as alcohol rules relaxed

Prime Minister Prayut Chan-o-cha has instructed the police, the military and local administration officials to ensure that certified eateries and converted pubs which serve alcohol close at 11pm, as the relaxed COVID-19 rules on the serving of alcohol has come into effect this week.

Government Spokesman Thanakorn Wangboonkongchana said today that the prime minister wants authorities to monitor these venues closely and to make arrests and seize operating licenses if any of them break the 11pm rule. Those who fail to do their job properly may face disciplinary action.

Eateries which meet the Ministry of Tourism and Sports' SHA Plus certification or the Public Health Ministry's Thai Stop COVID 2 Plus standard in eight "sandbox" provinces and in 25 "high surveillance" provinces can, since yesterday (Monday), serve alcohol until 11pm, instead of 9pm.

The "sandbox", or tourism pilot provinces, are currently Bangkok, Nonthaburi, Pathum Thani, Phuket, Kanchanaburi, Chon Buri, Krabi and Phang-nga.

According to the COVID-19 Information Centre today, 6,718 new cases were reported in the past 24 hours, including 152 foreign arrivals and 6,566 locally-acquired infections. 7,659 patients have recovered today and 81,532 are still being treated. Today's death toll is 12.

113,749,513 doses of vaccines have been administered to date. These include 52,081,134 first doses, 48,234,726 second dose, 12,599,922 third doses and 833,731 fourth doses.



Omicron and Natural Immunity. Why should we get a Covid-19 booster dose ? ASEAN NOW / NNT

Article by Silada Rojratanakiat

 

Remember when parents purposely exposed their children to chickenpox to boost immunity? People now try to catch Omicron for the same reason.

 

After two years of humanity desperately attempting to avoid COVID-19, some in Thailand now feel it is impossible to remain virus-free indefinitely. Omicron is about to become the predominant COVID-19 variant in Thailand. This strain is highly infectious, which means that a large number of people, both vaccinated and unvaccinated, will get infected during this wave. As a result, some people strive to catch Omicron just to get it over with. Because Omicron causes fewer illnesses, hospitalizations, and deaths than predecessors like Delta, some believe it functions as a "natural vaccine."

 

However, Omicron may not be a live virus vaccination.

 

The COVID-19 patients' "recovered" status is a sort of immunity to COVID-19. A person is deemed properly immunized if they have recently been infected and recovered. The question is which induces a more robust immune response: a natural infection or a vaccination? While the answer is not straightforward, the short answer is that no one knows. It is largely determined by the variant and the time in which a person tests positive.

 

Although a milder variant of the COVID-19 virus may have the potential to act as a natural vaccine, there is no prediction or knowledge of how an infection's impact may differ from person to person. One person may benefit from enhanced immunity, while another may realize that the sickness is more severe than expected. The difference in immune responses after natural infection may be due to the virus level to which the person was exposed.

 

COVID-19 vaccines, on the other hand, have been shown to work reliably and are significantly safer as they are developed in a clinical setting. The main advantages of vaccines are predictability and safety, and they are designed to elicit a strong immunological response. Each person gets the same dose of the jab, and the medical staff is aware of the amount administered. COVID-19 vaccines have been tested in tens of thousands of individuals with no adverse side effects, but if there are any, they are much less serious than those associated with natural infection.

 

Do not gamble!

 

As with prior COVID-19 strains, patients infected with the Omicron variant are less likely to be hospitalized or turn worse than patients in preceding waves. Despite being milder than other variants, Omicron can still be catastrophic for some. A person cannot pick which strain to be infected with, so there is no way to tell whether one has been exposed to the Omicron or the still circulating and more severe Delta.

 

Another issue is "Long COVID" which refers to symptoms such as weariness, brain fog, difficulty breathing, and others that persist after COVID-19 infection. Even minor infections may result in Long COVID. No one knows if they are going to be one of those who can endure an infection with few long-term consequences.

 

The impact on vulnerable people is another compelling reason to avoid collecting COVID-19. Anyone infected with COVID-19 may infect others, including those who cannot receive the inoculation for medical reasons, are too young, or are otherwise unprotected. A transmission chain may drastically increase patient numbers, straining an already overworked health care system and labor. Nobody should make the situation worse by hoping to become ill.

 

Trying to get infected is not a good idea. It is a risk for both fully vaccinated and non-vaccinated people. First, the severity of a COVID-19 infection cannot be predicted. Second, immunizations and boosters already provide good protection. Third, any illness may cause a chain reaction that can be harmful to others. The best course of action is to obtain shots and conduct oneself in a COVID-appropriate manner.

 

What about herd immunity?

 

The COVID-19 pandemic's long-term goal was frequently cited as "herd immunity." When a significant majority of the population is immune, the virus cannot find a host. Omicron, which may speed up endemicity and cut hospitalization and death rates, is said to be a potential game-changer. Then, the world may achieve herd immunity.

 

Nevertheless, herd immunity is time-sensitive, notably in the case of COVID-19. Antibody protection tends to be only temporary and may not be effective against future variants. Infection with a particular variant may not generate sufficient immunity. Sustained immunity is unlikely if COVID-19 keeps mutating. If a new variant that evades the antibodies emerges, it may be a restart.

 

Thus, rather than infecting enough people and then creating natural immunity, which is a risky approach, herd immunity should be achieved by vaccination. Omicron may provide a temporary increase in natural immunity at a terrible cost since it is impossible to anticipate who will emerge unscathed from the infection.

 

Go get a booster.

 

It is absurd to seek natural immunity when vaccines and boosters are safe and effective. Because natural immunity deteriorates with time, no guarantee taking Omicron will protect against the next unknown variant. It is too early to speculate on the possibility of Omicron as a natural vaccine. In the meantime, go get a booster. As an example, consider the flu shot. It is intended to help mitigate the severe effects on a seasonal basis. That seems to be the situation with COVID-19. Everyone desires that it will become endemic, which is a worthy objective to strive towards.