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It may seem like everyone’s getting COVID. What a local doctor says you should know. – Boston.com

May 12, 2022
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It may seem like everyone’s getting COVID. What a local doctor says you should know. – Boston.com
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COVID

“It’s a funny thing: we’re literally all at risk… but also, #VaccinesWork.”

A dose of the Moderna COVID-19 Vaccine is prepared. Pat Greenhouse/Globe Staff

With COVID-19 cases rising both nationwide and in Massachusetts, you may know more and more people who are testing positive.

Responding to the increasing case trends, Dr. Megan Ranney, an emergency room physician and academic dean at the Brown University School of Public Health, is sharing some advice for the public to navigate the current moment of the pandemic.

As has always been true with coronavirus, no protective measure is 100% effective, and everything comes with a caveat, but Ranney emphasized Tuesday on Twitter how important testing and being vaccinated still are if you want to avoid contracting COVID-19 and becoming seriously ill.

How at risk of catching COVID are you?

Ranney pointed to research from the Centers for Disease Control and Prevention that found when no one in a household is vaccinated or isolating, about two-thirds of people living with someone who has omicron get infected.

Being vaccinated and boosted reduces that risk by about 30 to 50%, Ranney said, which leaves you with about a 30% risk of infection if someone in your household has COVID. 

That might be even lower, however, Ranney said, if the infected person masks and isolates. 

“It’s a funny thing: we’re literally all at risk… but also, #VaccinesWork,” Ranney tweeted. 

Ranney said new omicron variants, which are spreading quickly, may change the game since different strains of the virus have different levels of transmissibility.

What to do if you test positive?

If you do test positive, isolating is key, Ranney said.

Ideally, the emergency room doctor said you should isolate until you have a negative rapid test or for at least 5 days. Any close contacts need to quarantine if they are not vaccinated, and if they are vaccinated they should test five or more days after exposure just to be sure.

Ranney said masking is recommended and “the right thing to do” for everyone for 5-10 days. 

“COVID ZERO” hasn’t been an option since #deltavariant.

And we’re decreasing fatality rates, slowly but surely.

May this keep getting better.

But it takes work to keep us there. And may we be prepared, if it doesn’t.

/ fin /

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

The doctor said the risks associated with testing positive are less than earlier in the pandemic. She said many people — those who are vaccinated, boosted and healthy — would likely feel crappy for days or weeks due to the virus, but the risk of long COVID is lower and they “will almost certainly be ok.”

While BA.2 cases have been rising “dramatically” for more than a month (and, as Ranney points out, are still being undercounted because of at-home tests), one note of good news is that hospitalizations and deaths are only rising slightly.

The seven-day average of positive cases in Massachusetts was at 2,605.7 as of May 9, up from below 1,000 in early March. Hospitalizations didn’t start rising consistently until partway through April, a month after cases did. Now, the seven-day average for hospitalizations is around 600. Deaths, on the other hand, haven’t shown a substantial increase in the state, hovering under 7 for the seven-day average of confirmed deaths since mid-March. 

Ranney said one “caveat” for the risk of catching COVID is that for people who aren’t vaccinated and boosted; are immunosuppressed; or have several chronic diseases, the virus can still be dangerous.

(Yes: If enough people get infected, it can be bad for the country, even if it’s okay for the individual.)

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

If you are immunosuppressed, Ranney recommended asking your doctor about Evusheld, a prevention therapy that can help protect people from future COVID-19 infections.

Read through Ranney’s full thread of advice below:

It seems like everyone is coming down with #covid19 right now.

It’s NOT a scarlet letter.
But you DO need to know your risk, and what to do.

So here’s an honest thread (with receipts!) on what this means for you. 🧵 pic.twitter.com/D0h7hWFhHu

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

The vaccine + booster reduces that risk by 30-50% –

So you’re probably looking at ~30% risk of infection (maybe lower, if your infected household member isolates & masks)!

It’s a funny thing: we’re literally all at risk… but also, #VaccinesWork https://t.co/qL5QiKtAqi

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

2⃣The second question — so what if you get infected?

For MANY of us (vaxxed, boosted, healthy) you will feel crappy for days to weeks. But you’re at lower risk of #longcovid, & you will almost certainly be ok.

THIS WAS NOT TRUE earlier in the pandemic.https://t.co/yiipfBsxhH

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

⚠️But!!

For those who aren’t vaxxed & boosted – or who are immunosuppressed, or have lots of chronic diseases – it can still be dangerous.

Also: risk is not distributed equally.

(Still, even here, #VaccinesWork to protect from the worst of it)https://t.co/qNNSClppZz

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

(Yes: If enough people get infected, it can be bad for the country, even if it’s okay for the individual.)

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

⚠️Caveat: ~40-50% of us have already been infected, but we still don’t fully understand what (or how long-lasting) the protection is from the prior variants. Still safest to get vaxxed.https://t.co/fanmIJoIlL

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

* If you are high risk in any way (based on age or comorbidities) please ask your doctor about a prescription for Paxlovid/other rxs!

(A lovely checklist to bring to your doc: https://t.co/y3ehDdlqqA )

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

4⃣ What does this mean for society?

Luckily, for many, #covid19 is way less dangerous than even a couple months ago.

But the millions who’ve died, deserve to be remembered. Long-term effects are only beginning to be defined. Healthcare hasn’t recovered. And new variants loom.

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

“COVID ZERO” hasn’t been an option since #deltavariant.

And we’re decreasing fatality rates, slowly but surely.

May this keep getting better.

But it takes work to keep us there. And may we be prepared, if it doesn’t.

/ fin /

— Megan Ranney MD MPH 🌻 (@meganranney) May 11, 2022

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