Is it possible to travel responsibly (during a pandemic)?

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Yes I would be interested if you can find it. I get an overwhelming amount of stuff from my employer, the county and state health departments, professional organizations and CDC. I try to keep up but frequently fall behind in my reading and skip some of them.
You are right. The first few months were especially trying. It seemed like we would print patient handouts just to mark through them the next day then shred them by the third day and print new ones! Looking for that info now. Some was on the CDC site, others actual studies.

This is a little dated but mostly valid to the best of my knowledge.

Healthcare Workers

Some of the key points...

The likelihood of recovering replication-competent virus also declines after onset of symptoms. For patients with mild to moderate COVID-19, replication-competent virus has not been recovered after 10 days following symptom onset (CDC, unpublished data, 2020; Wölfel et al., 2020; Arons et al., 2020; Bullard et al., 2020; Lu et al., 2020; personal communication with Young et al., 2020; Korea CDC, 2020). Recovery of replication-competent virus between 10 and 20 days after symptom onset has been documented in some persons with severe COVID-19 that, in some cases, was complicated by immunocompromised state (van Kampen et al., 2020). However, in this series of patients, it was estimated that 88% and 95% of their specimens no longer yielded replication-competent virus after 10 and 15 days, respectively, following symptom onset.

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Although replication-competent virus was not isolated 3 weeks after symptom onset, recovered patients can continue to have SARS-CoV-2 RNA detected in their upper respiratory specimens for up to 12 weeks (Korea CDC, 2020; Li et al., 2020; Xiao et al, 2020). Investigation of 285 “persistently positive” persons, which included 126 persons who had developed recurrent symptoms, found no secondary infections among 790 contacts attributable to contact with these case patients. Efforts to isolate replication-competent virus from 108 of these case patients were unsuccessful (Korea CDC, 2020).

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Specimens from patients who recovered from an initial COVID-19 illness and subsequently developed new symptoms and retested positive by RT-PCR did not have replication-competent virus detected (Korea CDC, 2020; Lu et al., 2020). The risk of reinfection may be lower in the first 3 months after initial infection, based on limited evidence from another betacoronavirus (HCoV-OC43), the genus to which SARS-CoV-2 belongs (Kiyuka et al, 2018).
 
Not following this. If you tested positive and have a letter releasing you to travel, you will not need any additional testing for 3 months from the date of infection. Repeat covid testing within 90 days of infection is not recommended (see next post)

Who is releasing people to travel with a positive COVID test (and two weeks of no symptoms)?
 
Who is releasing people to travel with a positive COVID test (and two weeks of no symptoms)?
I would guess any healthcare provider that is at least marginally knowledgeable about covid illness, recovery and current guidelines?

Is this a trick question?
 
Radio and TV have neither the time nor the inclination to report anything other than superficialities. But you don't have to dig very far. Here are some examples, collected in about 20 minutes:

Patients, clinicians seek answers to the mystery of 'Long COVID'

In a recent study posted on the preprint server medRxiv, analysis of an international survey of more than 3,700 respondents with COVID-19 found that over two-thirds were still experiencing numerous symptoms at 6 months, with significant impacts on patients' lives and livelihoods. Respondents with symptoms for more than 6 months said they are experiencing an average of nearly 14 symptoms across multiple organ systems.

That study has not yet been peer-reviewed, but it adds to a growing body of literature on prolonged COVID-19 symptoms. An Italian study published in JAMA in July found that 87% of 143 hospitalized COVID-19 patients had at least one symptom 2 months after illness onset. A study published this month in The Lancet found that more than three quarters of 1,655 hospitalized COVID-19 patients in Wuhan, China, had at least one symptom 6 months after discharge.


Long haulers: Why some people experience long-term coronavirus symptoms

Novel coronavirus (COVID-19) symptoms can last weeks or months for some people. These patients, given the name "long haulers", have in theory recovered from the worst impacts of COVID-19 and have tested negative. However, they still have symptoms. There seems to be no consistent reason for this to happen.

Researchers estimate about 10% of COVID-19 patients become long haulers, according to a recent article from The Journal of the American Medical Association and a study done by British scientists. That’s in line with what UC Davis Health is seeing.

This condition can effect anyone – old and young, otherwise healthy people and those battling other conditions. It has been seen in those who were hospitalized with COVID-19 and patients with very mild symptoms.


What are the long-lasting effects of COVID-19? - Harvard Health

There also are people who survived COVID and have no evidence of injury to the heart, kidneys, or brain — but who nevertheless have not returned to full health. They still have fatigue, body aches, shortness of breath, difficulty concentrating, inability to exercise, headache, and trouble sleeping. Some studies find that more than 50% of people who "recovered" from COVID remain hobbled by these symptoms three months later. They can't return to work. They can't fulfill their responsibilities at home. They are being called "long haulers." Such lingering symptoms have been reported following "recovery" from a number of other infectious illnesses, including mononucleosis, Lyme disease, and SARS (another disease caused by a coronavirus). So, it is not surprising that this illness — which is similar to the illness called myalgic encephalomyelitis / chronic fatigue syndrome — develops following COVID.


If you've been exposed to the coronavirus - Harvard Health.

Most people with mild cases appear to recover within one to two weeks. However, recent surveys conducted by the CDC found that recovery may take longer than previously thought, even for adults with milder cases who do not require hospitalization. The CDC survey found that one-third of these adults had not returned to normal health within two to three weeks of testing positive for COVID-19. Among younger adults (ages 18 to 34) who did not require hospitalization and who did not have any underlying health conditions, nearly one in five had not returned to normal health within two to three weeks after testing positive for COVID-19. With severe cases, recovery can take six weeks or more.

Some people may experience longer-term physical, cognitive, and psychological problems. Their symptoms may alternately improve and worsen over time, and can include a variety of difficulties, from fatigue and trouble concentrating to anxiety, muscle weakness, and continuing shortness of breath.



From ‘brain fog’ to heart damage, COVID-19’s lingering problems alarm scientists

The list of lingering maladies from COVID-19 is longer and more varied than most doctors could have imagined. Ongoing problems include fatigue, a racing heartbeat, shortness of breath, achy joints, foggy thinking, a persistent loss of sense of smell, and damage to the heart, lungs, kidneys, and brain.

The likelihood of a patient developing persistent symptoms is hard to pin down because different studies track different outcomes and follow survivors for different lengths of time. One group in Italy found that 87% of a patient cohort hospitalized for acute COVID-19 was still struggling 2 months later. Data from the COVID Symptom Study, which uses an app into which millions of people in the United States, United Kingdom, and Sweden have tapped their symptoms, suggest 10% to 15% of people—including some “mild” cases—don’t quickly recover. But with the crisis just months old, no one knows how far into the future symptoms will endure, and whether COVID-19 will prompt the onset of chronic diseases.

A paper this week in JAMA Cardiology found that 78 of 100 people diagnosed with COVID-19 had cardiac abnormalities when their heart was imaged on average 10 weeks later, most often inflammation in heart muscle. Many of the participants in that study were previously healthy, and some even caught the virus while on ski trips, according to the authors.
Pretty rough stuff. I stand by what I said. Cautious, intelligent, travel can be safe, it’s been proven by members on this board. I talked to a dive shop owner today, many many people that worked in Cozumel left the island and went back to the mainland, to work in produce fields. Many of those people will never come back. Do you believe that people can just stop and start their life on a dime, because the cruise ships suddenly appear? Actually there may be nothing to come back to. Doesn’t matter if you work in the service industry in Cozumel or if you own a restaurant in Oklahoma. Literally destroying whole economies and peoples livelihoods, possibly forever, would leave dire consequences as well.
 
The mayors in many big cities...Chicago, New York, heck even California is finding out that if they don’t open things, there will be nothing left.
 
Pretty rough stuff. I stand by what I said. Cautious, intelligent, travel can be safe, it’s been proven by members on this board.

Survivors bias in one sentence. That some people traveled with no consequences that you or they are aware of is NOT proof of anything. At best it shows they were lucky.
 
Who is releasing people to travel with a positive COVID test (and two weeks of no symptoms)?

i think this is a good question.

if i understand correctly, if a u.s. citizen has had the virus, is still testing positive, but has a doctors note saying they have "recovered" and it is ok for them to travel, then the requirement for them to provide a negative test to re-enter the usa is waived ? is that about right ?

i do not know enough about the science to know whether this is appropriate or not. and most GP's probably don't either.

but it seems to me that policies should always err on the side of caution. i am not sure we should trust the opinion of someone's GP to decide whether they are safe to travel. in my opinion, if you test positive, then you test positive. stay home. if that means you have to wait 2, 4, or 6 months before you are allowed to travel then so be it.

K.I.S.S.
 
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