EXPONENTIAL DREAD — The situation is the same for millions of Americans. Maybe you are sick, or maybe someone in your house is. Or perhaps everyone in your domicile is well, but every few hours, you hear about a friend who tested positive, or a neighbor, or Aunt Carol’s coworker who coughed a few times, but seemed alright and then tested positive. Masks that were $20 are now $40; tests are more expensive still. Oh, by the way, your kids’ school is closed. The question that courses under the surface of all this: How bad is this Omicron thing really ? To help us understand how to monitor the virus’ spread, and how officials are responding (or not), and just how much to worry, Nightly chatted with health care reporter Erin Banco (who has the latest on the CDC’s recommitment to isolation and quarantine guidelines without tests). This conversation has been edited. How bad are things right now across the U.S.? We know cases are at record highs, and some areas are experiencing pressure on their hospitals, but what does the overall picture look like? We are now several weeks into Omicron’s spread in the U.S., and unfortunately there’s no clear data that shows these case and hospitalization increases beginning to come down. States across the country are still reporting record high case numbers, and hospitalizations are increasing across the Northeast. I’d say that’s where things are the worst right now — in states like New York, New Jersey, Rhode Island and Massachusetts. Not every hospital is overwhelmed, but a lot of them are. Doctors and nurses are struggling to keep up with the work of caring for the influx of patients, not only because there are just more of them, but also because staff are calling out sick with Covid. Despite the numbers we’re seeing, life seems to be continuing somewhat normally for many Americans across the country. States have largely resisted re-implementing strict public health measures such as mask mandates. Restaurants in some of the hardest-hit cities, including Manhattan, are still open and thriving (they do require vaccination). While some schools, especially daycare and younger ed classes, have begun to shut down, many schools remain open. I don’t see us going back in time at this point. One thing we really need to get us through this winter is more tests! I can't find any at my local pharmacy, and the lines where I live in New Jersey are crazy long. We just do not have enough supply. In talking to federal officials and reporting on the CDC, what is the sense you get on how Washington will respond and react in the next few weeks? It depends who you talk to. Officials are really struggling to figure out the best course forward. We don’t have great data on the variant yet. We’ve got some good intelligence from South Africa and Europe, where cases appear to cause massive spikes then decline pretty soon after. And those case studies look like the variant causes a milder form of disease. But we don’t yet understand exactly how the American population has been impacted/might be impacted by Omicron. And until we have that, it is going to be very difficult for officials to make clear public health policy decisions. Beyond that, the administration clearly doesn’t want to disrupt the economy or society in general. Keeping normal life intact while also keeping people safe is a balancing act. And the administration is still trying to walk that line. I think we will begin to see more announcements from the podium about increased investment in public health to help states fight Omicron and perhaps more announcements on increasing testing supply. I think officials are hoping this surge drops dramatically in the next few weeks — just like it appears to have done in South Africa. Is that swift decrease in cases an eventuality U.S. officials are planning for or expecting based on international data? Or is it just a best-case wish? There is a hope that cases will drop here as they did there. But there are a lot of external factors that could have helped that wave in South Africa decline so quickly, such as a younger population, public health measures like masking and people avoiding public spaces, and the fact that it is summer there. The shortest answer: Officials don’t really know. They hope. But they don’t know for sure. Welcome to POLITICO Nightly. Reach out with news, tips and ideas at nightly@politico.com. Or contact tonight’s author at tweyant@politico.com, or on Twitter at @tweyant.
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