With early January
2021, hope returned to the world, including hope for restarting travel, as
countries began approving the Pfizer/BioNTech, Moderna, and Oxford-AstraZeneca
vaccines. Sometime in 2021, when enough people are vaccinated against, and
immune from, COVID-19, this could mean a return to globetrotting (or at least
less-risky domestic vacations).
Yet anxiety
surrounding travel isn’t going away as medical workers and older Americans
begin to get jabbed. In the United States, people are still reluctant to plan
future trips. A December 2020 National Geographic and Morning Consult poll
asked how respondents would approach travel after the coronavirus
pandemic was under
control. Forty-nine percent said they would “travel less due to concern of
exposure to other people,” and a third (34 percent) said they didn’t expect to
travel more in 2021 to make up for the lack of trips in 2020.
What do COVID-19
vaccines mean for travel in the near and short term, and how will attitudes
toward them speed up (or slow down) the process of getting back on the road or
into the skies? Here’s what we’ve learned.
There’s no vaccination for fear.
“Vaccine hesitancy is
a critical obstacle to overcome,” says Dr. Tom Kenyon, the chief health officer
of Project HOPE, global health and humanitarian relief organization,
and a former director at U.S. Centers for Disease Control and Prevention (CDC).
To get back to travel, the U.S. and the world need herd immunity, thought to be
achieved when about 70 percent of the population has protective antibodies.
Kenyon says, though, that “70 percent is an arbitrary figure, and there is no
‘off/on’ switch with herd immunity.” Recent news about more transmissible
strains of COVID-19 suggests that herd immunity might only come when 90 percent
of citizens have antibodies.
“To bring COVID-19
under control, a vast majority of Americans (upwards of 75 to 80 percent) will
need to get vaccinated,” says Michelle Williams, epidemiologist and dean of
faculty at Harvard T.H. Chan School of Public
Health. But vaccine
rollout is already taking longer than expected, only about
three million of the promised 20 million doses were injected into American arms in December. The U.K. says it
might take a year to vaccinate its population.
Every country needs
herd immunity for travel to resume the way it did pre-pandemic. “We are part of
a global community whose health, economy, and futures are linked and impacted
by the pandemic,” says Dr. Jewel Mullen, associate dean for health equity and
associate professor of population health and internal medicine at the University of Texas at Austin’s Dell Medical
School.
It may be tough to
reach that herd stage in the U.S., though. Just 47 percent of people who responded
to the National Geographic and Morning Consult poll said they’d get a COVID-19
vaccine as soon as it was available. More than a quarter (27 percent) disagreed
with that statement. Still, 58 percent of respondents said they would
eventually get a vaccine.
Sleeves rolled up, masks on
The new COVID
vaccines are better than predicted at preventing vaccinated people from getting
sick. Health experts were hoping for a
vaccine with 50 to 70 percent efficacy. Clinical trials show Pfizer/BioNTech’s vaccine, approved now
in dozens of countries, including the U.S., is a whopping 95 percent effective. It’s fully
effective a month after the first dose (you need a second jab at least 21 days
later), and it starts to work 10 to 12 days after the first shot. The Moderna
vaccine is similar.
However, it’s still not
clear if vaccinated people can spread COVID-19. “We don’t yet have data on whether any COVID
vaccines reduce risk of spread/transmission; right now, data only shows that
vaccines reduce risk of illness,” says ABC News chief medical correspondent Dr.
Jennifer Ashton.
The virus that causes
COVID-19 is a novel one, and there’s still a lot to learn about it. The CDC
says more than half
of all COVID-19 infections are spread by asymptomatic people; 35 percent before the infected person feels any
symptoms and 24 percent by people who never develop symptoms. Kenyon says that
“leaves open the possibility that some vaccinated people could still get
infected without developing symptoms, and could then silently transmit the
virus.”
Everyone wants to go
on vacation again, but vaccine developers' priority was preventing illness and
death, not restarting cruises. “Trials thus far have only tracked how many
vaccinated people became sick with COVID-19 compared with unvaccinated people,”
says Kenyon. While there’s a good chance the antibodies triggered by the
vaccine will result in a lowered likelihood of spreading the virus to others,
we won’t know until more studies are done.
That’s the key reason
why, a month after getting your first shot, you can’t just shop in a crowded
Moroccan souk like it’s 2019. Until research tells us more, Mullen says,
“travelers must not abandon the measures we already know help reduce the risk
of transmission, masks, good hygiene, physical distancing, and not traveling if
one has symptoms.”
It’s reassuring that
the majority of Americans in the National Geographic and Morning Consult poll
(67 percent) plan to continue to always or sometimes wear masks during flu
season, when running errands and grocery shopping (63 percent), and if there’s
bad air pollution (64 percent).
The world needs
immunity.
Getting the world
immunized won’t be quick or easy. According to the People’s Vaccine Alliance—a movement of health and humanitarian organizations
including Amnesty International and Oxfam—rich countries
secured 54 percent of the most promising vaccine candidates, even though they have only 14 percent of the world’s
population. Without urgent action, the People’s Vaccine Alliance says that only
10 percent of the populations of 67 developing countries can be vaccinated in
2021. That puts citizens of popular tourism destinations like Cambodia, Kenya, Sri Lanka, and Uganda at risk.
Rich nations securing
vaccine contracts was an important part of funding vaccine development. The
Vaccine Alliance accused rich nations of hoarding vaccines, and some might.
Over the coming months, we’ll learn how equitable global vaccine distribution
really is. Canada secured more potential vaccines than any other
country, about 10 doses per person from seven vaccine candidates, and intends to
share extra doses of
what’s proven safe and effective. Developing countries are anxious to know how
and when.
The COVAX initiative
A key solution is
the World Health
Organization’s COVAX initiative. COVAX aims to accelerate vaccine creation and ensure
equitable global distribution, first delivering enough doses for the most
vulnerable 20 percent of 184 participating countries’ populations, from
Afghanistan to Zimbabwe. Rich countries help fund poorer countries, although
Russia and the U.S. have yet to join. The initiative is
still underfunded, needing
at least $24 billion in 2021.
Until the world has
herd immunity, travel needs to be approached cautiously: As Mullen says, “being
overly, or prematurely, confident about the vaccines’ effectiveness can lead to
putting people in other countries at risk. Travel gives us a chance to contribute
to their faltering economies. But contributing to disease spread undermines
that.”
What’s a vaccine passport?
After the most vulnerable
get their life-saving shots, eventually, we’ll have enough to start inoculating
the general population. That’s when vaccination status will matter. It’s
unlikely you’ll need to be vaccinated to travel, but it will
be a lot easier if you are.
Qantas was the first
airline to announce it will require international passengers to be vaccinated.
As of March 1, 2021, Cyprus plans to allow anyone who can prove they’ve been
vaccinated to skip the requirement for a negative test. Even at home, being vaccinated
will save you time and money: Live
Nation/TicketMaster plans
to verify that people attending its events are either vaccinated or have a
recent negative COVID test. Tourist attractions, stores, and restaurants could
follow suit.
Until vaccines are
readily available, COVID-19 tests will remain a necessary part of travel.
However, testing is getting easier and more accurate—for example, there’s a new
test (supposedly 99 percent accurate) that uses a mouthwash-like swish, not a nose swab.
How you’ll prove,
your vaccination status is still being figured out. Fake COVID test documents
are already a problem, as assurance that the person who took the test is the
same one brandishing the certificate.
Several “vaccine
passports” are being marketed, but CommonPass looks the most promising. A collaboration
between the World Economic
Forum and
nonprofit The Commons Project, CommonPass is a secure way to validate individuals’
COVID test and vaccination credentials and is being piloted internationally.
The first
government to sign on to the CommonTrust Network was Aruba, allowing travelers to securely prove their COVID
status to enjoy its Caribbean beaches by February 2021.
Vaccine tourism won’t be a thing - yet
COVID-19 vaccines are
one of the world’s hottest commodities, which means people with money or status
will try to jump the queue. Most nations say their vulnerable citizens,
essential workers and the elderly, will get it first. Still, politicians were
among the first to roll up their sleeves in the U.S., and the rich are
offering donations in
hopes of skipping the line.
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