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QUARANTINE

Should Switzerland abolish quarantines and roll back testing for Covid-19?

Even though the quarantine period has already been cut from seven to five days, some Swiss heath experts say confinement — and in some cases screening as well — should be scrapped altogether.

Will Switzerland scrap its quarantine requirement, as some experts propose? Photo by Sharon McCutcheon on Unsplash
Will Switzerland scrap its quarantine requirement, as some experts propose? Photo by Sharon McCutcheon on Unsplash

While this may seem like a risky move while Omicron continues to infect tens of thousands of people each day, a number of Swiss experts believe quarantines and, in some cases testing, are useless.

As nearly 215,000 people in Switzerland are currently confined to their homes because they either tested positive or were in contact with an infected person, some health experts are calling for the end to quarantines.

They question the usefulness of quarantines for preventive purposes, as well as mass testing, in curbing the spread of the Omicron variant.

READ MORE: Switzerland to cut quarantine period for vaccinated and extend current measures

“Currently, counting undeclared cases, we have between 50,000 and 100,000 infections per day. One can wonder if someone who is in quarantine because he is a contact case still represents a greater risk than others who move around freely in society”, said Jürg Utzinger, director of the Tropical and Public Health Institute.

Under these circumstances, and given the economic costs of home confinements, it would be better to abolish quarantines and widespread testing until the number of cases drops to a much lower level, he said.

And once the numbers return to a lower threshold and become more manageable and easier to trace, both testing and quarantines could return to prevent infections from soaring again, Utzinger pointed out.

At the moment, however, it is necessary to establish priorities by reserving PCR tests for symptomatic people or those who work in exposed sectors, such as healthcare, according to Utzinger.

In the meantime, “we must temporarily suspend mass testing so as not to overload the laboratories”, he noted.

READ MORE: Switzerland drops PCR tests for confirming positive rapid antigen test

Philipp Walter, president of the Swiss Union for Laboratory Medicine, agrees. “You have to ask yourself how much screening still makes sense. Testing does not cure. And if so many people are infected, it is better to assume that everyone can be positive”, he said.

As for immunologist Daniel Speiser, quarantines are not very useful, but screening remains important.

“Even if the results of the PCR tests arrive late, they still have the effect of curbing contamination,” he noted.

On the positive note, and echoing the view of many other health experts, Speiser believes that Omicron will put an end to the pandemic, as this variant will not be supplanted by another in the foreseeable future.

“Omicron is so successful that it is difficult to beat it,” he quipped.

Utzinger agrees: “We will very soon experience the peak of this wave and the number of cases will then decrease as quickly as it has increased”.

What other, looser measures are being proposed in Switzerland?

After Spain has proclaimed it wants to stop counting daily infection rates and instead treat Covid the same way as a seasonal flu — that is, with selective surveillance — some Swiss experts said they support this approach.

Valérie D’Acremont, an infectious disease specialist at the University of Lausanne, believes Switzerland should follow the Spanish strategy and adopt the same monitoring system as it already has in place for counting flu cases.

This new approach would signal the transition from a pandemic mode to an endemic one, meaning the disease is commonly found among the population and its evolution has become predictable.

Health Minister Alain Berset has recently mentioned this transition “from a pandemic to an endemic phase with high levels of immunity already reached” in Switzerland.

Even so, it is too early to end quarantine and testing, Berset pointed out.

“We can’t say that this week, or the next, it will be possible to remove all the measures that are currently in place”.

Member comments

  1. Abolish immediately, and keep restrictions on the over 50s if neccessary, seeing as they are the ones filling ICUs

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For members

COVID-19

What does the increase in the number of Covid cases in Switzerland mean?

Coronavirus infections are on the rise again, with Swiss health officials and epidemiologists expressing concern over the possible evolution of the disease.

What does the increase in the number of Covid cases in Switzerland mean?

While the worst of the Covid pandemic is long over, and experts don’t expect it to re-emerge with the same strength and health consequences as it had in 2020, new cases have been reported in the past weeks.

Wastewater analysis, one of the means employed by health officials to measure the presence of coronavirus, indicates a viral load that is at least five times higher than usual, with values “now almost as high as in some previous Omicron-related waves,” Christoph Ort, spokesperson for Eawag Institute, which traces Covid viruses in 14 wastewater treatment plants in Switzerland, told the media.

What does this mean?

According to Federal Office of Public Health (FOPH), the most common sub-variant in Switzerland right now is the highly transmissible XBB, also known as ‘Kraken.’

The Eris and Pirola variants, which circulated in the summer and early fall are also still present.

While none is nearly as dangerous (at least for most people) as the early Alpha and Delta viruses, which claimed hundreds of thousands of lives in the early stages of the pandemic, there is a reason for concern nevertheless.

“It’s a start of a small wave,” said Rudolf Hauri, head of the Cantonal Doctors’ Association.

“More people are being admitted to hospitals again with, or because of, coronavirus. There are also new cases in intensive care units, but these are generally people with a medical history.”

Should you be worried?
 
While the number of people with serious Covid-related complications is not expected to be as high as previously, the rise in the number of infections should not be trivialised either, infectious disease specialists say.
 
This is especially important for people in the high-risk category — those over 65 or suffering from chronic illnesses — who can get quite sick if infected with the new variants, according to FOPH.
 
This is all the more important as the flu season is about to begin in Switzerland as well, and the confluence of both illnesses, plus other respiratory viruses that typically circulate during the winter, can be very risky.
 
What can you do to protect yourself?
 
Other than adopting the same protective measures as those during the pandemic — that is, washing hands, avoiding close contacts and crowded spaces, and wearing masks where needed — health officials also recommend top-up shots, for both Covid and flu.

READ ALSO: Who should get top-up Covid and flu jabs in Switzerland?

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