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Opinion

What does living with Covid mean

Successes of vaccine roll-out, mass testing and genomic sequencing have been triumphs


Published : 25 Feb 2022 07:59 PM

British Prime Minister Boris Johnson followed Denmark in scrapping most Covid restrictions for England. His “living with Covid” plan shifts the emphasis from government intervention to personal responsibility.

From today England will no longer require people to self-isolate if they’ve had a positive Covid test. The colossally expensive contact-tracing programme will be scrapped, and the unvaccinated will not have to self-isolate on coming into contact with someone who has Covid.

A swathe of other restrictions, which were guidance rather than law, are also being lifted. Schools can dispense with swabbing staff and students, there’s no pressure on sports venues or clubs to ask for vaccine status, and elaborate advice on workplace safety will be changed.


How individuals change their behaviours will depend on 

personal assessments of risk and thresholds for tolerance. Most 

of us have banked some lessons about staying safe that will 

continue to guide us for a while


Since most of these restrictions were due to expire on March 24, the accelerated timing is certainly politically expedient. The prime minister is fighting to change the subject from the Partygate scandal that has angered his own party and sent poll ratings in the wrong direction. Many of his own MPs, who would vote in a leadership contest, were deeply opposed to lockdown restrictions, and so it doesn’t hurt to give them something to cheer about for a change.

And yet the move was also grounded in clear logic. Vaccinations and natural immunity levels, antivirals, Covid treatments and the less severe omicron variant have all changed the risk profile of Covid. Where those exist together, we are no longer defenceless against infection. Many of the measures that are ending had also grown unenforceable, inefficient or unnecessary.

Living with Covid

But how “living with Covid” works in practice will depend on how responsibly individuals, employers and the government hold up their end of the new deal.

Johnson — who early in the pandemic suggested the Covid restrictions would end in a few months — knew better than to hang a “mission accomplished” banner. Britain still has significant numbers of people hospitalised with Covid and areas where infection levels are high. A new variant could emerge that is more transmissible, better able to escape the immunity offered by vaccines, more severe or any combination of these.

Living with Covid, then, doesn’t mean ignoring it. How individuals change their behaviours will depend on personal assessments of risk and thresholds for tolerance. Most of us have banked some lessons about staying safe that will continue to guide us for a while.

It’s high cold and flu season but I can’t remember the last time I heard someone with a hacking cough around me apart from an apologetic young house guest. And although many people have ditched their masks, I wouldn’t expect them to disappear as long as the virus is around.

“Masking is such a simple and cheap way to prevent the spread of not just Covid but other respiratory diseases,” says Bloomberg Intelligence pharmaceutical analyst Sam Fazeli. “Why wouldn’t you want to wear one in busy public places like trains?”

As the government steps back, employers can no longer hide behind official rules and guidance; they will need to decide how much flexibility they want to give workers and what mitigation measures are reasonable in offices. Ventilation and measuring air quality have become indispensable demands.

Right objectives

Meanwhile, Johnson’s government will focus on detecting changes in the virus and infection patterns, responding quickly and protecting the vulnerable using extra vaccine doses and other pharmacological interventions. Those are the right objectives, but lawmakers cannot drop the ball.

Britain’s broader ability to withstand a more dangerous variant or future pandemic will also depend on adding greater capacity, particularly in medical staff, to the National Health Service.

One worrying sign is the decision to end the provision of free lateral flow tests for most people. Free rapid tests were a major factor in giving people the ability to control transmission while enjoying relative freedoms. With a box of seven tests expected to cost $27 (20 pounds), many will no longer bother to swab before activities and gatherings.

Many who are also carers for vulnerable people will find it harder to test, increasing the risk of transmission. Similarly, the removal of self-isolation support payments for those on low incomes will mean that advice to stay home with Covid is likely to be ignored. Britain’s level of statutory sick pay is one of the lowest in Europe.

When Johnson declared the restoration of liberties as a “moment of pride for our nation and a source of hope” for the future, he wasn’t wrong. Despite a disastrous string of early pandemic decisions, the successes of the vaccine roll-out, mass testing, genomic sequencing and virus surveillance have been triumphs that make earlier lockdown restrictions unnecessary now.

Just a few days before the new plan was unveiled, Buckingham Palace announced that 95-year-old Queen Elizabeth tested positive for Covid. There was concern, but not panic. She was experiencing mild symptoms and planned to continue with “light duties” over Zoom, the Palace said. The monarch neatly modelled both the remarkable achievements of the past year and the continued need for 

svigilance — a picture of how we live with Covid.


Therese Raphael is a Bloomberg Opinion columnist. She was an editor of the Wall Street Journal Europe. Source: Bloomberg