Vaccine-acquired immunity, coupled with widespread infection, offers a chance to concentrate prevention efforts, testing and illness-tracking resources on moderate- to high-risk groups, said Dr. Salvador Trenche, head of the Spanish Society of Family and Community Medicine, which has led the call for a new endemic response.
“We can't do on the sixth wave what we were doing on the first one: The model needs to change if we want to achieve different results," he said. For now, the discussion about moving to an endemic approach is limited to wealthy nations that can afford to speak about the worst of the pandemic in the past tense. Their access to vaccines and robust public health systems are the envy of the developing world.
In Portugal,with one of the world's highest vaccination rates, President Marcelo Rebelo de Sousa declared in a New Year's speech that the country had “moved into an endemic phase.” But the debate over specific measures petered out as the spread soon accelerated to record levels — almost 44,000 new cases in 24 hours reported Tuesday.
The requirement for infected people to isolate for five full days remains in place, but Johnson said he will seek to scrap it in coming weeks if the virus data continues to improve. Official statistics put at 95% the share of the British population that has developed antibodies against COVID-19 either from infection or vaccination.
In Germany, where less than 73% of the population has received two doses and infection rates are hitting new records almost daily, comparisons to Spain or any other country are being rejected.
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