CDC ditches 5-day COVID isolation, argues COVID is becoming flu-like

MicroWave@lemmy.world to News@lemmy.world – 189 points –
CDC ditches 5-day COVID isolation, argues COVID is becoming flu-like
arstechnica.com

COVID-19 is becoming more like the flu and, as such, no longer requires its own virus-specific health rules, the Centers for Disease Control and Prevention said Friday alongside the release of a unified "respiratory virus guide."

In a lengthy background document, the agency laid out its rationale for consolidating COVID-19 guidance into general guidance for respiratory viruses—including influenza, RSV, adenoviruses, rhinoviruses, enteroviruses, and others, though specifically not measles. The agency also noted the guidance does not apply to health care settings and outbreak scenarios.

"COVID-19 remains an important public health threat, but it is no longer the emergency that it once was, and its health impacts increasingly resemble those of other respiratory viral illnesses, including influenza and RSV," the agency wrote.

The most notable change in the new guidance is the previously reported decision to no longer recommend a minimum five-day isolation period for those infected with the pandemic coronavirus, SARS-CoV-2. Instead, the new isolation guidance is based on symptoms, which matches long-standing isolation guidance for other respiratory viruses, including influenza.

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Fuck you CDC. Long Covid is real.

Just leave 5 days as a recommendation. What's the harm in that? fuckers.

Ed: CDC could do better to protect people, but instead bend to capitalist (mostly GQP) forces to ignore that edict and get sick people back out working.

Fwiw, they mostly did, it's just that it is no longer restricted solely to COVID and now is shared with others.

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e.g. stating that people should "take precautions", which if someone can work from home could be that, and/or wearing masks if not, etc. Unfortunately, not everyone (single mothers?) has the luxury of taking a week off whenever they want or even NEED to.

Also, this is just a guess but I am fairly positive that this is based on all the EXTREME amount of push-back that they have been putting up with from Republicans over the last few years to CONTINUALLY get all up in their business, despite barely having finished a high school's worth of edumacashiun. And probably also, to an enormously lesser degree, from Democrats who want to push the "pandemic is solved, b/c Biden won the last election" message that they believe will resonate with the handful of centrist people left in the country.

So this is once again a symptom of late-stage capitalism, where obstructionists shoot the department in the head, then complain how "ineffective" it is after that.

e.g. stating that people should “take precautions”, which if someone can work from home could be that, and/or wearing masks if not, etc. Unfortunately, not everyone (single mothers?) has the luxury of taking a week off whenever they want or even NEED to.

On the other hand, employers will take this to mean 'come in or else,' even if WFH is an option. I know for a fact that my previous hybrid job that claimed they were doing whatever the CDC suggested would interpret this as 'you can come into the office after 24 hours of the symptoms ending.' I guarantee you that they would be far from alone.

So yeah, this would help those single mothers. This will also spread a lot more COVID and possibly kill those single mothers.

First, this is (legit!) the first I am hearing about a job that actually pays attention to the advice of CDC. For multiple YEARS now we have been inundated by stories of corps that have ignored that, time and again, sometimes being more lenient than normal (e.g. allowing WFH 100% of the time) while other times being far less. I am saying that this "advice" from the CDC was never binding to begin with. I wonder how normal that situation you describe is? Maybe it is far more common than our media sources have led us to believe?

Second, they still say to "take precautions", which now is expanded to include other respiratory viruses that can likewise kill - e.g. more severe flus that can be damaging especially to the elderly or those with compromised immune systems.

I haven't even mentioned how the variants have changed the scope of the situation, and/or what expectations there are in the coming months (perhaps, although this article did not tell us, this merely describes the baseline but there may be special alerts during peak times and/or irt special variants that would modify this advice, specially to those particular circumstances?). I was just presuming that they, being the CDC, know more than me, who to be absolutely clear, does not have an M.D.

What I do know is that Republicans kept HOUNDING the agency, DEMANDING that they explain every tiny little thing down to the smallest detail, all without paying the slightest attention to its responses - i.e. like a DDoS attack, it just became another form of harassment that wasted an enormous fraction of their budget every year - it's the election counting scenario all over again. Also, I note that despite the federal fiscal budget year having begun back on October 1, we are now IN THE SIXTH MONTH of that fiscal year, but still with no fiscal budget. i.e., the CDC, like every other federal agency, has come upon hard times. Will their budget increase (which seems as likely as flaming monkeys suddenly flying out of my butt), or will it be cut by some amount (i.e. they cannot really hire anyone until they know for sure), or will it be constrained to remain the same (which puts it into a legal quandary, b/c iirc there is some legal stipulation that federal staff salaries always have to increase by a certain amount each year, which was intended to help them keep pace with inflation although who are we kidding about keeping up with THAT in the modern era? but still, they HAVE to do it... except they CAN'T do it, if they are not given the funds, and to make matters worse, whatever budget eventually does get past the Congressional Obstructionist Wall will have to work retroactively back to have began on October 1... or something like that anyway).

So the CDC caved, it seems, yet managed to preserve its integrity in the process, by both keeping its standards within the realm of correct medicinal advice, while moving forward in a way as to "first do no harm" to those who would continue to be negatively impacted by it remaining under attack from Congress. Single mothers may die, yes, but that is not something that I would lay all of the blame at their feet for. With a gun to their head, and another one aimed at their crotch, they made a decision to move forward as best they could. I am not saying that blame should not be involved here, but I am saying that we should forget who did this to us all: conservatives. The CDC itself imho held up admirably, given what conditions they were operating under. If we want them to perform better in the future, perhaps we should exempt them from Congressional oversight, and allow doctors to give medical advice without having to pay overtures to powerful white geriatric men who for whatever reason continue to hold their strategy session get-togethers in Moscow even after it invaded Ukraine. i.e., look at what happened to the Post Office, and the IRS - it is remarkable to me that the CDC is one of the last bastions of government from the Golden Era of ye olden socialist (aka "sharing is caring") United States that is actually most of the way functional. Like, if my car ran out of gas and then managed to limp along another 100 miles, I wouldn't be blaming the car for refusing to go any further! Instead, I'd be praising how well it managed to perform in such a difficult scenario.

I worked for a company that absolutely took Covid seriously. If you went into the office, you walked through a visual IR scanner to make sure you did not have a fever. Conference rooms that could house 12 were restricted to for people with masks (nobody used the rooms). Anyone that came in had to check off that they sterilized their desk before leaving. The production line was masked up and properly distanced. I don't know anyone in the building that died of COVID which seemed to be an extreme rarity in manufacturing. I visited a biopharma company and the first day I was there someone swung by to mention that one of their coworkers just died of COVID. They had a mask policy but it was also Indianapolis so masks outside of that workplace were pretty few and far between.

My company still requires regular testing and notifies of cases. In a company of ~100 or so employees I get an email every other week or so notifying of a new case. When the new CDC recommendation was brought up in our department meeting of scientists and engineers the reaction was bemused laughter and my boss immediately said "well, we're definitely not doing that".

Much better than Tyson Foods that wrote the executive order to stay open during the pandemic, ignored masking, and made bets on how many of their workers would die.

So the CDC caved, it seems, yet managed to preserve its integrity in the process, by both keeping its standards within the realm of correct medicinal advice

LOL, what? This is absolutely not correct medicinal advice. Doctors and scientists have been telling them that since the shortening to 5 days. You yourself say you don't know what correct advice is earlier in this comment.

Fwiw, they mostly did

No they didn't. 5 days of "normal activities with precautions" is not 5 days of "isolation".

And the core problem is that 5 days was already not scientific and "fever" isn't an indicator of infectiousness at all, it's just a symptom that some infectious people experience for some of their infectious period.

From https://pubmed.ncbi.nlm.nih.gov/35853589/:

"We showed that among the SARS-CoV-2 Omicron variant infected patients, viral shedding continues for ≥10 days in 13.5% of all cases and 11% in symptom-free cases. The decision for cessation of isolation according to the presence of symptoms could be reconsidered until further studies disapprove of our results."

Unfortunately, not everyone (single mothers?) has the luxury of taking a week off whenever they want or even NEED to.

The CDC changing he recommendation doesn't do anything for people who might need to leave the house for supplies or to pick up a child. They already could and would do that, because a recommendation to private citizens is just a recommendation. Where it matters is that it removes liability from their employers and "lets" them work, but that's only "helpful" because so many people are desperately poor and they haven't mandated paid sick leave when people have infectious diseases. This is the sort of "helping workers" where the help is just because they do absolutely nothing to require humane conditions from their employers. Taking a week off to not infect your fellow workers shouldn't be a "luxury".

stating that people should "take precautions", which if someone can work from home could be that, and/or wearing masks if not, etc.

Except that is not what is being reported, it not what managers will enforce, and it’s not what most people will do. It’s a poor decision because adding nuance will just make people ignore what they want to.

The pessimist looks down and hits his head. The optimist looks up and loses his footing. The realist looks forward and adjusts his path accordingly.

(1) Companies are going to do whatever they want, regardless; (2) the CDC "advice" was never anywhere close to binding; (3) they are real doctors - they know more about COVID and also other respiratory diseases than any of us here; but mostly what I wanted to say is (4) they did not make this decision entirely in isolation of all of the facts. They had a gun to their head, and it seems like they tried to do the best they were able given the circumstances.

But yes, I hear you, it is another victory for conservatives - and for some strange reason most Democrats as well - who want to pretend that the pandemic never happened. But it is not anywhere close to as bad as could have happened.

I think it's that case that a lot of these viruses have "long" versions. We just call it things like ME/CFS.

Long CoVID is indeed real but the same issue happens with many other diseases including the flu. That said, Covid is still much deadlier than the flu should not be treated as such.

Long COVID happens at a WAY higher rate than ME/CFS does with any other illness. In an oversimplification, they're basically the same thing. COVID is the first disease we've found that can reliably trigger ME/CFS, to the point where it got its own name.

I never considered it but long covid might explain a lot about how I can barely concentrate anymore. like at all, on anything

3 more...

COVID-19 remains an important public health threat, but it is no longer the emergency that it once was, and its health impacts increasingly resemble those of other respiratory viral illnesses, including influenza and RSV," the agency wrote.

Instead of treating COVID like Influenza and RSV, let's treat Influenza and RSV like COVID. Cough more than twice in 24 hours, put on a fucking mask.

Fuck the cdc. They've made one bad call after another on this thing since the start. Becoming like the flu? Last time I caught this shit a few months ago I was in bed for 2 weeks before I could even function at a base level again. And that's with being fully boosted, otherwise healthy, in shape, and using paxlovid.

5 more...

It still kills multiple times the number of people that the flu does. They are not the same.

10,000 people have died of COVID in the US in the two months of 2024 alone.

How many people have died of influenza in that time?

I looked this up because I was curious, according to the CDC 4171 people have died from influenza in 2024 so far

https://www.cdc.gov/flu/weekly/index.htm

Yikes. So COVID is still twice as deadly as the flu.

Edit: I guess twice as deadly isn't exactly correct. It could be equally as deadly as the flu, but twice as transmissible. That actually seems likely. Still, twice as many deaths is really bad either way.

None, remember the stats? Completely ceased to exist couple years ago.

Fuck the CDC and late stage capitalism. One of my best friends is in a wheelchair for the rest of her life because of Long COVID, she can't walk a few feet without being so out of breath she passes out. My mom got Long COVID the first and now the second time she's been infected. She still coughs every time she walked around or does any activities. She has to carry an inhaler now but she doesn't have asthma, just Long COVID. She got COVID only a few weeks ago and it's was most definitely NOT like the flu for her or anyone I've known that's gotten it.

After mask mandates lifted people actually seemed to be conscious around illness and stayed home or kept their kids home if they were sick. Lately it seems like sick people are everywhere especially this winter. In the past two months we had both covid and norovirus in the house.

There are a lot of never-maskers out there, but I’d say that I’ve seen at least an order of magnitude increase in general usage even years after the lock downs and mandate have been lifted.

I would call it 'stupid' but there is 100% a more malicious reason for this

Man, last time most of my relatives died of the flu 😷 that must have been pretty bad. But good thing the flu never killed my immediate relatives like my grandparents, my parents or my siblings. The others that did get killed by the flu probably had it coming. El flu es muy bueno! Y sabroso! Yeah! Baby!

But now here comes COVID 19 trying to be a copycat. Sure if you get COVID you might get long COVID and never recover and die eventually. Sure if you got autoimmune stuff going on like HIV, colitis, psoriasis, rheumatoid arthritis, MS and such with suppressants, you could actually die of COVID. But we're here to make money not to worry about if you're gonna die from a deadly disease or not. So fine COVID you can be flu like.

We'll miss you guys! Specially my mom. I'm gonna miss her. And my sister with her MS. But hey, McDonald's gotta make a buck! We can't be holding the line mom! Sorry! We can work on a nice eulogy while you don't have COVID yet. I'll call you sometime! 😉

People should also quarantine if they have the flu.