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Third Covid shot could also be approach round masking, says Dr. Peter Hotez

Dr. Peter Hotez told CNBC that while the Centers for Disease Control and Prevention’s new Covid masking guidelines are “absolutely” necessary to battle the delta variant and surging cases, there might be an alternative to wearing masks indoors again. 

“There is potentially a way to get around it, and it may be that third immunization,” said Hotez, co-director of the Center for Vaccine Development at Texas Children’s Hospital.

The vaccines are currently proving to hold up against symptomatic illness and against serious illness, ICU admissions and hospitalizations. Hotez, however, noted that the vaccines “are not holding up as well” when it comes to stopping asymptomatic transmission, because the delta variant is so highly contagious. 

New data shows that people infected with the delta strain can carry up to 1,000 times more virus in their nasal passages than those infected with the original strain.

CDC Director Rochelle Walensky said Tuesday recent studies show that those vaccinated individuals who do become infected with Covid have just as much viral load as the unvaccinated, making it possible for them to spread the virus to others.

Hotez explained to “The News with Shepard Smith” that the booster shot could increase the virus- neutralizing antibodies in people who have been vaccinated, and that is important because it could help stop asymptomatic transmission. 

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Pediatricians Affiliation Recommends Common Masking in Faculties

The American Academy of Pediatrics issued new Covid-19 guidelines for schools on Monday recommending that everyone over the age of 2 wear masks in the fall, even if they have been vaccinated. Exceptions can be made for those with medical or developmental conditions that make it difficult to wear masks, the group said.

The universal masking recommendation is a departure from the guidelines issued earlier this month by the Centers for Disease Control and Prevention that only recommend masking in schools for unvaccinated people over the age of 2. These guidelines strongly imply that fully vaccinated children and adults are not required to wear masks in the classroom – although they also said individual schools are free to implement universal masking requirements.

However, in many ways the two directives are similar. The AAP, like the CDC, stressed the importance of returning to personal learning.

“Our priority must be getting children back to school with their friends and teachers – and we are all helping to ensure that it happens safely,” said Dr. Sonja O’Leary, the chair of the AAP Council on School Health, in a statement.

Like the CDC, the AAP recommended a “layered” approach that combines a variety of measures to reduce the risk of coronavirus transmission. In addition to universal masking, these measures include vaccinations, improved ventilation, virus testing, quarantines, and cleaning and disinfection, the group said.

The AAP gave several reasons for its universal masking recommendation.

Many students are too young to be eligible for the vaccines, which are only approved for those aged 12 and over, the group found. And universal masking could reduce overall transmission of the virus and help protect those who are not vaccinated.

The group also cited concerns about more communicable virus variants and the possibility that vaccination rates could be low in the surrounding community, which could increase the risk of an outbreak at a particular school. The AAP also recommended universal masking because it can be difficult to verify that individual students or employees have been vaccinated.

Some state and local officials have already announced that they will not be calling for universal masking this fall, and at least eight states have banned such mandates.

The AAP guideline didn’t stop recommending vaccine mandates, but it said they might ultimately be needed. “It may be necessary for schools to collect Covid-19 vaccine information from staff and students and for schools to require Covid-19 vaccination for personal learning,” the guidelines say.

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C.D.C. Says Vaccinated Camps Can Cease Masking and Distancing

Federal health officials are encouraging young people aged 12 and over who are heading to camp this summer to get vaccinated against the coronavirus as soon as possible, saying on Friday that camps where all staff and campers are vaccinated can drop many Covid restrictions, including masks, and return to full capacity. Unvaccinated children can also go without masks most of the time when they are outside because the risk of transmission outdoors is low.

“For camps where everyone is fully vaccinated prior to the start of camp, it is safe to return to full capacity, without masking and without physical distancing,” the new guidance says.

In camps where not everyone is fully vaccinated, mask recommendations for all have been relaxed for most outdoor activities, unless the setting is crowded and involves sustained close contact. But other prevention strategies should be maintained, including physical distancing, grouping youngsters in cohorts or pods that don’t mix with one another; encouraging frequent hand washing; avoiding crowded settings and poorly ventilated indoor areas.

The guidance, issued by the Centers for Disease Control and Prevention, says that if campers prefer to wear masks despite being fully vaccinated, camps should be supportive of their choice. Staff members and campers with compromised immune systems are urged to talk to their providers, and continue practicing precautions, like wearing masks.

Individuals are considered fully vaccinated by the C.D.C. two weeks after receiving the one-shot Johnson & Johnson vaccine or the second dose of either the Pfizer-BioNTech or Moderna vaccines.

“We’re going to start to see more and more adolescents fully vaccinated by mid summer, so it is possible that camps could provide a camp experience for children who are fully vaccinated, and you could get back to the camp experience that was pre-pandemic: no masking, no distancing, and all the activities you would normally do,” said Erin Sauber-Schatz, who leads the C.D.C. task force for community interventions and critical populations.

She noted that 2.5 million children aged 12 to 15 have received the first dose of a Pfizer vaccine in the last 18 days alone.

Individual camps will have the flexibility to determine both how they go about verifying the vaccination status of campers and how they run programs where not everyone is fully vaccinated, she said. They could mix vaccinated and unvaccinated campers or group them in separate cohorts with different rules, she said, or decide that in order “to keep non-vaccinated campers as safe as possible, they may have standard rules across the camp regardless of vaccination status.”

The guidance to campers comes after the agency’s recent recommendation that fully vaccinated people can choose to go maskless in most situations.

Though there is still no vaccine for children under the age of 12, the Food and Drug Administration authorized the use of the Pfizer vaccine in children aged 12 to 15 earlier this month. Younger children will probably be eligible for vaccination in the fall.

Tom Rosenberg, president and chief executive of the American Camp Association, a nonprofit that accredits camps, said the new guidance was issued just in time, as many camps in the southern United States start as early as next week.

But, he said, “The reality is that the majority of camps are for kids six years old to 17, so a good portion of the kids attending camp, by virtue of their age alone, will not be vaccinated. So camps are preparing to manage another Covid summer with a layered mitigation strategy, like last year.”

Federal health officials urged camps where campers are vaccinated to continue with other precautions, including making sure there is good ventilation in indoor spaces by keeping windows open, using fans and air filters; practicing good hand hygiene and respiratory etiquette; and cleaning and disinfecting high-touch areas frequently.

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Do not count on masking guidelines to vary in a single day

Shoppers and diners are likely to see few, if any, immediate changes to company policies regarding social distancing and wearing masks when going to the grocery store or eating out, despite new recommendations from the Centers for Disease Control and Prevention in the UK Public health field.

“All in all, nothing is likely to happen,” said Joel Bines, global co-leader of the retail practice for consulting firm AlixPartners. “Most retailers will choose to continue doing what they did.”

The CDC issued updated guidelines on Thursday that, in most cases, fully vaccinated people do not need to wear a mask or stay 6 feet away. It marked a turning point in the Covid pandemic and paved the way for a degree of normalcy in both outdoor and indoor gatherings. The decision is made because nearly 59% of all adults in the US have received at least one dose of vaccine by Thursday.

However, the calculation is different for large retailers. Many, including Target, Home Depot, Gap, and Ulta Beauty, said they would maintain their pandemic precautions and continue to monitor developments over the coming weeks and months. Some said in company statements that they were still reviewing the guidelines. Others stressed the importance of safety, especially since some customers and employees have not received a Covid vaccination and children under the age of 12 are not eligible for a vaccination.

“We are aware of the updated CDC guidelines released today and are actively reviewing the impact of these updated guidelines on our guests and employees, with health and safety as our top priority,” said Ulta in a company statement.

Trader Joe broke the trend. In a statement on its website, the grocer urged shoppers to follow guidelines from health authorities – including the CDC guidelines that don’t require customers who are fully vaccinated to wear masks when shopping. However, the company did not reveal how to check customers’ vaccination status and said it would maintain other measures such as additional cleaning and wellness checks for staff.

Starbucks and Kroger didn’t have an immediate response to the updated CDC guidelines, but they did have notes on mask requirements in stores and on their websites.

In statements, leaders of the National Retail Federation and Retail Industry Leaders Association said the safety of customers and employees will continue to be a priority.

Lisa LaBruno, Senior Executive Vice President, Retail Stores and Innovation at RILA, encouraged people to continue to obey the rules for private businesses.

“We urge all retail customers and guests to adhere to a store’s safety protocols, including wearing a mask and social distancing,” she said. “Frontline employees deserve that respect. Retailers are encouraging non-masking customers to shop online or through roadside pick-ups.”

Larry Lynch, senior vice president of science and industry for the National Restaurant Association, said operators must work with state and local regulators to ensure they are complying with other existing mandates. Lynch said the trading group won’t update its operating guidelines for Covid-19 immediately, but the CDC’s recommendation is encouraging as the industry looks to recover from the crisis.

According to Bines of AlixPartners, retailers and restaurants face a major operational challenge: they have no “visible evidence” of who is vaccinated or not when someone walks through the door. He said most don’t want to check customers’ vaccine status as it may seem political or intrusive.

They would also need to balance other factors, such as mask mandates that differ in different states and locations, and health concerns for customers and their own workforce.

“The Covid protocols are unlikely to unwind quickly – the [social distancing] Stickers, the plexiglass and so on – regardless of what the CDC put out and said today, because most retailers are going to take the “better safe than sorry” approach to deal with it, “he said.

He said there is one change that consumers might see: retailers who may switch to softer language on signs on their shop doors or in the aisles. Instead of saying that masks are required, companies could change the wording to include more nuances – for example, out of respect for other customers or out of kindness to employees, wearing masks.

This shift could also ease tensions with clients who opposed mandates and may be more open to masks out of courtesy, he said.

“It’s a little easier for them now because it’s not that polarized,” he said. “It’s not that black and white. It is now, ‘We want to encourage the wearing of masks for the benefit of our employees and for mutual benefit while we are in this uncertain time.'”

Some companies – mostly outdoor venues oriented companies – have dropped mask requirements or say they may soon. Hersheypark said in a tweet Thursday that face covering and social distancing are not required for fully vaccinated guests. The Pennsylvania amusement park followed on Friday morning with a message that it is up to customers to enforce the guidelines for themselves.

“At this point, we will be relying on our guests to strictly follow guidelines based on their vaccination status,” it said.

But not everyone was happy about the decision. One of the largest food unions in the country, the United Food and Commercial Workers, said again that frontline retail workers will find themselves in a difficult position as they interact with numerous strangers and help enforce the rules.

“Millions of Americans are doing the right thing and getting vaccinated, but key workers are still being forced to play masked police for shoppers who are not vaccinated and who refuse to follow local COVID safety measures,” said Marc Perrone, the international president of the Union, in a statement. “Shall you become the vaccination police now?”

– CNBC’s Amelia Lucas, Sarah Whitten, and Nadine El-Bawab contributed to this story.