Hope, Uncertainty

Vaccinations or Interventions?

Today students at WCSU are moving into our residence halls. Like everyone else, we’ve worked hard to create a re-entry plan that offers as much protection from Covid-19 as we can manage. We are testing our mostly vaccinated students as they enter, trying to stop an outbreak before it happens. We are stressing the importance of masks whenever indoors on campus and we’ve made the N95 versions available. We have isolation plans for what we imagine is the inevitable arrival of Omicron, and we have made getting tested as easy as possible so that folks can be proactive. That’s really all there is to do. This is as safe as we can be, and we are ready to go.

The last two years have taught us that these measures are relatively effective, despite the moving targets surrounding this Covid-19. We have had low campus-level infection rates, with only one brief school-level shutdown (not university-wide), and the protections in the classrooms in particular seem to be doing what they need to do. Outside of class people may be willing to take more risks, but in the classroom we seem to be pulling together to protect each other. That has been a bright spot in this whole thing – that impulse to protect each other, at least in the classroom.

But off campus is a different story. We have definitely not been pulling together to protect each other. Instead some of us are focused on individual rights, some of us are lost in a lot of misinformation about the vaccinations, others are swearing by the science and claiming ignorance or malicious intent in those who have questions. And all of these positions are accompanied by scorn for those with whom we disagree. These attitudes have been exacerbated (created?) by politics, to be sure, but there is more to it than that, and with the emergence of Omicron, it is time to evaluate some of what that “more to it” might be. I think one of the biggest culprits in this mess of disagreement is the word “vaccine.”

Throughout my life the word vaccine has meant full protection from a disease. I am vaccinated against polio and the measles and tetanus. As a child I had the mumps and the chickenpox, so I’m safe from those as well. I have had no occurrences or recurrences of these diseases. I appear to be fully immune; my faith in this science is strong. Given this understanding of vaccinations and immunity, it is no wonder I was eager to get my vaccination for Covid-19. Honestly, the emergence of one so quickly appeared to be a miracle to me. I signed up for my first dose as soon as I was eligible. When summer came, I happily returned to restaurants and playing music with my friends. Then Delta hit and boosters were recommended. I got one. Now it’s Omicron and, well I’m seeing a pattern here. The vaccinations that I’m signing up for are not quite what I mean by vaccine.

It seems like the shots we are getting are more like our annual flu vaccines, which offer some measure of protection but not complete immunity. Flu vaccines definitely reduce the number of people who get sick each year, but some number always get sick anyway. These vaccines are always being reformulated as new variants emerge, and that reformulation might miss a variation. I have always known that these shots were helpful but not perfect. This was ok with me, as I lined up for a flu shot each year, but I’m guessing this is because I was young enough and healthy enough not to see any real threat from the flu. Covid-19 has been something different.

Obviously, I’m not discussing the science. I am sure that the doses I am getting for Covid-19 work sufficiently like vaccinations to warrant the same name, but the breakthroughs and the quick mutations are really not helping us all come together to protect each other. The state of affairs with Omicron appears to bolster the arguments of those who didn’t believe in these vaccinations in the first place. The changing understanding of how masks should work are adding fuel to that fire. I get it. I don’t get the politics at all, but I do understand why some people are not confident in these measures because the story appears to keep changing.

I think it is time to re-think that word vaccine. Given the lack of permanence in the protection, and the moving target of the mutations, perhaps we need a new word for these shots that conveys the difference between them and my polio vaccine. I like to think of mine as an intervention. It is clear that the multiple doses provide some protection from Covid-19 overall and severe illness in particular. This protection doesn’t make me fully immune, but it is very likely to keep me out of the hospital. I feel relatively safe because of it, so I’ve done my best to take care of me.

My decision to engage in this intervention, along with my decision to wear a mask, also reduces the likelihood that I will accidently get others sick. We shouldn’t lose sight of this part of the intervention; it is about others. I really don’t want to get others sick. I do not want to be responsible for someone else’s trip to the hospital. I do not want to put all of those folks working in restaurants, grocery stores, hospitals and, yes, classrooms, at a higher risk of infection because of my behaviors. I also want to keep going out to play music with my friends. I want classes to be in person and to see my colleagues at work. I want a relatively normal world.

So, I am reimagining the steps we are taking on campus as interventions that make us safer, not as paths to immunity. I am taking part in these interventions on and off campus, even if the morning news continues to shake us all, because I am doing my very best to contribute to a relatively safe environment for all of us. I am trying to get my mind around the word endemic and the conditions that will signal that we are in that phase of this virus. I’m hoping the decisions we are making are getting us there. Most of all, I am hoping we can leave the scorn for each other aside and pull together to protect each other.

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