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Texas Governor Greg Abbott announces the reopening of more Texas businesses during the COVID-19 pandemic at a press conference at the Texas State Capitol in Austin on Monday, May 18, 2020. Abbott said that childcare facilities, youth camps, some professional sports, and bars may now begin to fully or partially reopen their facilities as outlined by regulations listed on the Open Texas website. (Lynda M. Gonzalez\/The Dallas Morning News Pool)<\/p><\/div><\/p>\n
NEWSMAX<\/p>\n
When Texas Governor Greg Abbott announced that businesses in the state could fully reopen and residents could remove their masks, health experts objected and President Joe Biden declared it \u201cNeanderthal thinking.\u201d<\/p>\n
Since the March 10 order, however, COVID-19 has been on the wane in the Lone Star state, even as infections climb in places where tougher restrictions remain. Fewer Texans are getting infected, becoming seriously ill, and dying than at any time since a surge that strained the state\u2019s hospitals last summer. On April 5, as hospitalizations dropped below 2,800, Abbott said in a tweet that the state had only three COVID deaths that day.<\/p>\n
There are a variety of reasons Texas has averted a viral rebound despite doing away with its curbs on commerce, health experts say. Though masks are no longer compulsory, many Texans are choosing to wear them anyway, and many businesses still require them. The state\u2019s move to widen vaccine eligibility early on appears to be paying off. And warm weather in much of the state has moved activities and socializing outdoors, where there is less chance of transmission.<\/p>\n
One of Abbott\u2019s top coronavirus advisers, John Zerwas, attributes the drop in cases to the state\u2019s \u201cvery aggressive\u201d vaccine rollout, together with a \u201cvery strong\u201d public health message about continuing to wear masks, wash hands and maintain distance.<\/p>\n
Still, Texas may not be in the clear. For one, testing has declined, which means the state may lack visibility into asymptomatic infections. Further, viral variants are ascendant, with highly contagious B.1.1.7 \u2014 first documented in the U.K. \u2014 now the dominant strain across the U.S.<\/p>\n
The return of gatherings could also lead to new outbreaks. The Texas Rangers welcomed more than 38,000 fans to their home opener on April 5, at a time when other Major League Baseball teams are adopting much tighter limits on crowd size.<\/p>\n
Additionally, there is concern that an influx of undocumented migrants at the border may trigger a resurgence. Abbott demanded Tuesday that the Biden administration shutter a San Antonio coliseum sheltering underage migrants, alleging that in addition to suffering neglect and sexual abuse, healthy kids and COVID-19-positive cases aren\u2019t being segregated.<\/p>\n
Yet for a state hit hard by COVID, the lack of a surge upon reopening is hugely welcome news. More than four months ago, on Nov. 11, Texas became the first U.S. state to record more than 1 million cases. In January, the state recorded more than 2 million cases, and more than 32,000 fatalities. That provoked a tweet from its Department of State Health Services, saying it was greatly concerned about hospital capacity, and warned that intensive care units \u201ccannot take much more.\u201d<\/p>\n
James Musser, chair of the Department of Pathology and Genomic Medicine at Houston Methodist, said it\u2019s \u201cunusual\u201d that cases are dropping in Houston with the prevalence of B.1.1.7 in the city, yet noted the successful vaccination campaign along with adherence to wearing masks and other health measures. Plus, there is natural immunity from previous spikes, he said.<\/p>\n
Here are the factors that experts say have helped Texas contain cases even with the reopening:<\/p>\n
Masks Issue<\/strong><\/p>\n Mask wearing is a heated issue in Texas. Earlier this year mask opponents protested outside a Houston burger restaurant that had refused service to someone not wearing a mask. In a counter-protest, mask supporters retaliated by flooding the restaurant with orders. Yet post-mandate, Texans are continuing to wear masks.<\/p>\n Ana Fernandez, the health and safety director for Legacy Restaurants, which owns and operates The Original Ninfa\u2019s and Antone\u2019s Famous Po\u2019 Boys in Houston, said they\u2019ll continue to require masks while people aren\u2019t eating or drinking. And though Legacy is running vaccine drives for its employees, masks after immunization will be required. \u201cPeople feel more comfortable when you see people with masks, and interacting with others that way,\u201d she said.<\/p>\n Jaleh Salle, the owner of L\u00e9r\u00e1nt, a luxury gift store in Houston, said she still requires masks in her store, although her staff doesn\u2019t have to wear them when there are no customers around.<\/p>\n \u201cThere are quite a substantial amount of people who are still very scared, so there\u2019s no need to feed into their fear by not wearing a mask,\u201d Salle added.<\/p>\n Zerwas, who along with being Abbott\u2019s adviser is executive vice chancellor for health affairs at the University of Texas System, said while mask wearing isn\u2019t ubiquitous statewide, many are still masking up \u201cbecause of the public health messaging of this.\u201d<\/p>\n Testing, Vaccination<\/strong><\/p>\n Texas\u2019s success in vaccinating residents has brought an unwelcome downside: Demand for testing has declined amid a growing feeling that the fast-moving immunization campaign has the virus on the ropes.<\/p>\n \u201cThe sense of security people feel when they\u2019re vaccinated is having an impact on testing numbers and the number of cases,\u201d Angela Clendenin, an instructional assistant professor at the Texas A&M School of Public Health, said in a phone interview. \u201cWe\u2019re still very cautious about making any broad announcement that we have a decline in cases and that we\u2019re in the clear.\u201d<\/p>\n Texas faced unprecedented cold weather in February, which left millions without power. Since then, data shows a significant drop in COVID testing rates.<\/p>\n Texas was the first state to administer one million doses of the COVID-19 vaccines. As of Thursday, 14 million doses have been given in the state, enough to vaccinate 24% of its population.<\/p>\n The state went against the Centers for Disease Control and Prevention\u2019s vaccine rollout recommendations by focusing on those most vulnerable to COVID, including young people with co-morbidities that put them at an increased risk of severe disease or death.<\/p>\n Natural immunity should also be considered as Texas had earlier been hit with huge spikes in cases, said Amesh Adalja, a senior scholar at the Johns Hopkins Center for Health Security. People who are most likely to spread the virus could have some natural immunity from prior infections.<\/p>\n Mild Weather<\/strong><\/p>\n Texas has wildly varying climates across the state and throughout the year, from subfreezing temperatures seen in February, to stifling summer highs. Zerwas said the state is currently in a grace period between \u201cthe cold and the severely hot\u201d where many people prefer to be outdoors.<\/p>\n \u201cIf unmasked activities are going on outdoors, it may be less likely that it leads to transmission,\u201d Adalja said.<\/p>\n \u00a9 Copyright 2021 Bloomberg News. All rights reserved.<\/p>\n