Double Vaccinated, Mask Aware – I Caught COVID

Whether you agree or disagree with our government’s heavy-handed ‘kill the patient’ approach to COVID over the last two years. What many of us haven’t (thankfully) experienced is seeing the effects of a COVID infection up close and personal.

After many months, Hong Kong’s vaccination rate is creeping up and since 1 January everyone is eligible for a third booster shot six months after your second dose.

Being vaccinated DOES NOT stop you from getting COVID, it just helps your body fight off the virus and reduce side effects – most of the time.

A former HongKonger Suzie (name changed) now living overseas, double vaccinated and mask aware recently caught COVID – this is how she describes the first few days of her infection:

“I have worked the entire time through the pandemic. In one job, I am the Director of Operations for a bustling restaurant. And in the other, a Psychiatric Technician working in a COVID unit.

In neither job did I (rather amazingly, I feel) contract COVID. What I was diagnosed with instead was a chronically painful autoimmune disease.

I’ll be honest, at two years in, I had really just started to believe that COVID was side-stepping my system, for whatever reason. I told myself that maybe my autoimmune diagnosis was enough and that the universe was giving me a break on the big Rona, just for some life-balance. Lucky me.

And then, I woke up yesterday feeling in more full-body agony than I can possibly explain. With a fever, my girlfriend hurried me to the ER, where in the two hours I had to wait to be seen, my fever climbed dangerously high and my pain peaked to points where I had to bite my lip not to scream.

When I was finally examined and swabbed, it was determined that I was COVID+ and despite this new variant being “mild”, my case is so severe that I need a transfusion. The amazing hospital staff immediately set to work trying to stop my fever from climbing any higher. An IV was put in, and I could do nothing but close my eyes in my hospital room and pray for relief.

My throat felt like acid had been poured down it, my skull felt as though nails were being driven into it, I couldn’t move my eyes without a pulsing pain that I felt in my brain, my body felt like it had been bludgeoned by a baseball bat and my skin couldn’t even tolerate the touch of my clothing. Yesterday was honestly one of the most unbearable days of my life.

As I lay there with icy cold medicine flooding my veins, desperately working to bring my fever down, shivering so hard that my body was convulsing, I bitterly asked myself “Why me?”. 

I had done everything right. Double vaxxed. Masked. Stayed away from big gatherings. I even started ordering my groceries online, just to avoid busy supermarkets.

But, as I lie here, with a brain slightly less clouded by physical agony I’ve realized that the better question is “Why NOT me?”.

Day 2: with COVID: Feel a little more human. I can feel my heartbeat in every bone on my face because my sinuses are so backed up. Blinking hurts so much that I walk around the house to get things with my eyes mostly shut. Everything feels like a baby jellyfish sting on my skin, clothing included. Throat full of razor blades. Able to eat and drink though.

Day 3 with COVID: Regressed. Left lung throbbing. Coughing causes horrible pain, which brings up mucus which I then proceed to choke on because I can’t clear it out of my airway, because there is so much of it.

End up trying *not* to cough because choking on your own lungs is terrifying. Not coughing doesn’t work. Nauseous. Food is starting to lose all taste. Skin slightly less sensitive though. Throat so bad that a sip of soup with spice in it makes my eyes well up in pain.

Day 4 with COVID: All of the above, but it’s also now 4:48pm in the afternoon and I still have yet to be able to eat food or drink any fluids without it coming back up within 3 or so minutes.

Day 10 with COVID:
Still puking.
Still have no taste or smell.
Lungs still on fire.
Debilitating brain fog.

I’ve honestly never felt so ill in my life. My partner is not immunocompromised, but there have been days in all of this where she’s been even sicker than me.

Day 11 with COVID:
Stomach still violently upset, nauseated 85% of my waking life.
Taste returning slowly, smell still absent.
Get horrible dizzy spells just walking around
Zero appetite
Brain fog so bad that I tried to wash my hair twice

And my favorite yet? Tried to put on a bra for shits and giggles, and it felt like my diaphragm was going to explode from the pressure & pain…. Like. I literally can’t even wear a bra because my chest is so sore.

So, yeah. Surviving COVID, one absolutely miserable day of existence at a time…

Why am I writing about my COVID experience, two reasons:

Firstly, if you haven’t contracted COVID yet, please don’t let your guard down. This new variant is just as serious as the ones before it. And, it’s far more contagious. I could be experiencing a severe form of this virus because of my immune system, but, if we have learned anything about COVID it’s that everyone is hit differently, in ways we are still struggling to understand. Young healthy people are dying, while older patients with comorbidities are going home, healed. It doesn’t matter what your status is. It could come for you, and hard.

And secondly, if you’re an anti-vaxxer or someone who no longer wears a mask…. I really want to appeal to your humanity, as an immuno-compromised individual. Please be better. I can only do so much to protect myself… And even that wasn’t enough.

I suspect that it’s going to be a while before I feel okay again. Today, I can sit upright without the pain making me nauseous. I can just about bear the weight of my blanket against my skin. It took me a long time to type this out because I keep having to stop and rest. We will see what tomorrow brings.

I know we are bored of hearing about COVID two years in, trust me, I was too. And then I got sick, and this has been a terribly brutal lesson in what happens when vigilance slips.
Like….Imagine not being able to taste your COFFEE.
Yeah.
This sucks.
Please be safe out there and PLEASE take this seriously. Because trust me, when you’re lying in the ER praying for unconsciousness because it hurts so badly, you will wish you did too.

image: dariaserdtseva

Free Travel on MTR, Bus, Trams on 19 December

Even though almost everyone who wants to vote can easily walk to their polling station the government (scared of a low voter turnout?) has arranged free travel for all on Sunday 19 December, LEGCO election day.

“Members of the public will be able to enjoy free rides on the MTR, franchised buses and the tram.”

As the government puts it: “The above-mentioned public transport operators will provide free rides from the first to the last departure on that day. Services will be maintained at the normal level and be enhanced for busier routes and during peak periods subject to passenger demand and actual traffic conditions. The public transport operators will separately announce further details of the arrangement.”

The exact details of the free travel will be confirmed by the relevant companies.

LeaveHomeSafe App Required for Restaurants and Bars

From 9 December usage of the ‘LeaveHomeSafe‘ mobile app will be strictly enforced for entering all restaurants.

The Government has announced the updated arrangements for using the “LeaveHomeSafe” (LHS) mobile application that will take effect on 9 December 2021.

Scanning of the venue QR code will be required for entry to all premises regulated under the Prevention and Control of Disease (Requirements and Directions) (Business and Premises) Regulation (Cap. 599F). The modes of operation of catering business will also be adjusted accordingly…

Cap 599F covers all catering business premises that offer dine-in services, bars or pubs, bathhouses, party rooms, clubs or nightclubs, karaoke establishments, mahjong-tin kau premises, cruise ships, amusement game centres, fitness centres, places of amusement, places of public entertainment, beauty parlours and massage establishments, clubhouses, sports premises, swimming pools, hotel and guesthouses, and event premises.

If you are not sure there is more information www.coronavirus.gov.hk

LeaveHomeSafe App Required for Government Buildings

From 1 November usage of the ‘LeaveHomeSafe‘ mobile app will be strictly enforced for employees and members of the public when entering government buildings.

Scanning of the venue QR code will be required for entry.

What exactly constitutes a ‘government building’ is not defined in the announcement.

The more important question is if the government are willing to mandate usage of the LeaveHomeSafe app to enter. Why won’t they take the commonsense step and only allow entry to vaccinated people?

A requirement that is in place in several countries across the world. This would quickly boost the vaccination levels in the SAR.

Self-paid Serology Antibody Testing Service at Airport

The Government has announced the commencement of a self-paid serology antibody testing service at the airport from 18 August for people arriving in Hong Kong. No prices have yet been confirmed.

Fully vaccinated people arriving in Hong Kong who do not possess a positive result proof of a recognised serology antibody test can choose to undergo a self-paid serology antibody test at the airport’s Temporary Specimen Collection Centre (TSCC) during “test and hold”.  The relevant arrangement will be as follows:
(a) Fully vaccinated persons who have stayed in the new Group B specified places will still have to abide by the following relevant boarding requirements, otherwise they will not be able to board flights for Hong Kong:
(i) present a recognised vaccination record,
(ii) present a negative result proof of a polymerase chain reaction (PCR)-based nucleic acid test for COVID-19 conducted within 72 hours before the scheduled time of departure of the aircraft, and
(iii) present confirmation in English or Chinese of room reservation in a DQH in Hong Kong for no less than 14 nights starting from the day of the arrival of the relevant traveller at Hong Kong;
(b) before departure, relevant persons should register and pay for the test on the website of the self-paid serology antibody testing service provider, accessible via a link to be uploaded on the Government’s COVID-19 thematic website (www.coronavirus.gov.hk/eng/inbound-travel.html);
(c) upon arrival, follow instructions to undergo “test-and-hold” at TSCC;
(d) after specimen collection for the nucleic acid test under “test-and-hold” and on receipt of the relevant quarantine order, persons arriving at Hong Kong who choose to undergo a self-paid serology antibody test at the airport can follow directions to undergo the test by venous blood sampling; and
(e) after undergoing venous blood sampling, the relevant person can leave the airport on confirmation of a negative nucleic acid test result by Government-arranged designated transport to undergo compulsory quarantine in DQHs.

The result of the serology antibody test will be available in about 2 days.  If the result is positive, the Department of Health will contact the relevant passengers through their DQHs to shorten their compulsory quarantine period to 7 days.  The relevant persons can then arrange with DQHs on refunding the cost of the remaining 7 nights of room reservation.

Passengers still have to undergo two nucleic acid tests during the 7-day compulsory quarantine period, followed by a 7-day self-monitoring period as well as compulsory testing on the 9th, 12th, 16th and 19th days of arrival at Hong Kong.

“Persons who choose to undergo self-paid serology antibody testing at the airport will still be required to present at boarding the confirmation of a room reservation of no less than 14 nights in a DQH in Hong Kong, or they will not be allowed to board flights for Hong Kong.  The self-paid serology antibody testing service is provided by private testing institutions. Details can be checked with the institutions directly. Persons arriving at Hong Kong should endeavour to reserve and pay for the serology antibody test before departure, in order to ensure a smooth arrival process,” a Government spokesman reminded.

Macao Temporarily Removed From Return2hk Scheme

The Government announced today (August 3) that in the light of the latest epidemic development in Macao, Macao will be included on the List of At-risk Places Temporarily Inapplicable under the Return2hk Scheme (List of At-risk Places) from 4 August.

The Macao Special Administrative Region (SAR) announced today that one imported case and three imported-related cases have been confirmed. According to the assessment by Macao’s Novel Coronavirus Response and Coordination Centre, the risk of local transmission and outbreak of COVID-19 was extremely high. The Chief Executive of the Macao SAR announced that Macao has entered a state of immediate prevention, with effect from 3.30pm today. Starting from the same time, a proof of negative nucleic acid test result obtained within 24 hours is necessary for departure from Macao.
Taking into consideration Macao’s local epidemic development and the relevant announcement, the HK Government will include Macao on the List of At-risk Places from 4 August. Persons who have stayed in Macao or any other places on the List of At-risk Places on the day of arrival at Hong Kong or during the 14 days before that day will not be eligible to return to Hong Kong under the Return2hk Scheme. They will be subject to a 14-day compulsory quarantine at home, and have to undergo compulsory testing on the third, the seventh and the 12th days of arrival at Hong Kong during quarantine, as well as on the 16th and 19th days of arrival at Hong Kong after the completion of quarantine.

The arrangements of shortened quarantine period to seven days for fully vaccinated persons will also not be applicable.

Antibody Tests

Today (26 June), the Government announced a list of private medical laboratories for conducting recognised antibody tests.

Antibody tests will be used by the HK Government as part of administering compulsory quarantine duration requirements for inbound travellers who have been fully vaccinated and tested positive for antibodies.

Antibody tests must fulfil the following criteria:
(1) The test is IgG/total antibody test against SARS-CoV-2 spike protein/surrogate neutralising antibody test;
(2) The test is done by a recognised medical laboratory listed in Annex;
(3) The test is done within three months (based on specimen collection date);
(4) Laboratories in Group A (private medical laboratories with the test area of “virology–serology” accredited under the Hong Kong Laboratory Accreditation Scheme (HOKLAS)) may use any validated antibody testing platforms;
(5) Laboratories in Group B (accredited private medical laboratories recognised by the Hong Kong Government’s Laboratory Recognition Scheme without the “virology–serology” accreditation) may only use specified antibody testing platforms (currently include antibody testing platforms in use by the Hospital Authority); and
(6) The test result must be reported in the prescribed format in paper form or in the electronic form on the Government system to be rolled out separately.

The currently recognised antibody tests will be done by serology testing using blood drawn from veins. The decision to receive serology testing is completely voluntary and it is a self-paid arrangement.

Antibody tests will be introduced in two parts:
Phase 1, starting from 30 June, HongKongers may take a recognised antibody test before departing Hong Kong. The documentary proof of such will be recognised to administer the compulsory quarantine arrangements upon returning to Hong Kong.

Phase 2 starting later in July will offer self-paid antibody tests for inbound travellers at the airport – subject to the implementation progress and epidemic developments.

Updated Quarantine Requirements

As announced on 21 June the duration of compulsory quarantine for inbound travellers could be adjusted to seven days of quarantine at a designated quarantine hotel plus seven days of self-monitoring with multiple polymerase chain reaction (PCR) nucleic acid tests if they meet all the following three criteria:

(1) Fully vaccinated with a vaccination record (Note);
(2) Obtained a negative nucleic acid test result during “test-and-hold” arrangement upon arrival at Hong Kong; and
(3) Possess positive result proof of a recognised serology antibody test conducted within the past three months.

The purpose of checking antibodies is to show evidence of response to vaccination.

Note: Fully vaccinated means the suggested dosage has been administered in accordance with the relevant guidelines of a COVID-19 vaccination course at least 14 days prior to arrival in Hong Kong. The relevant vaccines administered should be those included on the List of COVID-19 Vaccines Recognised for Specified Purposes (www.coronavirus.gov.hk/pdf/list_of_recognised_covid19_vaccines.pdf). Travellers who have recovered from a previous COVID-19 infection will be required to receive one dose of a COVID-19 vaccine to be considered fully vaccinated.

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Quarantine Reduced to 7 Days for Vaccinated Arrivals to Hong Kong

The Government announced today (21 June) that the quarantine requirements for persons arriving at Hong Kong who have received COVID-19 vaccination will be adjusted in phases from 30 June. Except for those who had stayed in extremely high-risk or very high-risk places (Group A1 and A2 specified places), fully vaccinated persons with a positive result of serology testing for antibodies will be subject to a further shortened compulsory quarantine period of seven days upon arrival.

Non-Hong Kong Residents

Additionally, the restriction from entry to Hong Kong will be relaxed for fully vaccinated non-Hong Kong residents who have a vaccination record and who have only stayed in Group B specified places, Group C specified places or Taiwan to enter Hong Kong.

Such non-Hong Kong residents have to comply with the same quarantine and nucleic acid testing requirements as those applicable to Hong Kong residents, including a seven-day shortened compulsory quarantine period for those who possess positive result proof of a recognised serology antibody test conducted within the past three months.

Fully Vaccinated

Fully vaccinated means complying with these three criteria

  1. Fully vaccinated with a vaccination record (14 days after second dose);
  2. Obtained a negative nucleic acid test result during “test-and-hold” upon arrival at Hong Kong; and
  3. Possess positive result proof of a recognised serology antibody test conducted within the past three months (Note 2).

Overseas places outside China have been categorised under the Prevention and Control of Disease (Regulation of Cross-boundary Conveyances and Travellers) Regulation (Cap. 599H) into extremely high-risk Group A1 specified places, very high-risk Group A2 specified places, high-risk Group B specified places, medium-risk Group C specified places, and low-risk Group D specified places.

Low-risk Group D

Under the new arrangements, persons who have stayed in low-risk Group D specified places, and who have been fully vaccinated, will be subject to compulsory quarantine in designated quarantine hotels for seven days (14 days unvaccinated). They will subsequently be required to self-monitor for seven days and undergo compulsory testing on the 12th day of their arrival at Hong Kong.

Group D: Australia, New Zealand

Medium-risk Group C, High-risk Group B

For persons who have stayed in medium-risk Group C specified places and high-risk Group B specified places, and who have been fully vaccinated, they will be subject to compulsory quarantine in designated quarantine hotels for 7 days vaccinated, 14 days unvaccinated, and subsequently, be required to self-monitor for seven days and undergo compulsory testing on the 16th and 19th day of their arrival at Hong Kong.

Group B: Argentina, Bangladesh, Belgium, Cambodia, Canada, Colombia, Ecuador, Egypt, Ethiopia, France, Germany, Italy, Japan, Kazakhstan, Kenya, Korea,  Malaysia, the Netherlands, Romania, Russia, Singapore, Switzerland, Thailand, Turkey, Ukraine, the United Arab Emirates, the United Kingdom, the United States of America, and Vietnam

Group C: All places except China which are not Group A1, Group A2, Group B or Group D specified places *China means the Mainland, Hong Kong, Macao and Taiwan

Extremely High-risk Group A1, Very High-risk Group A2

As for extremely high-risk Group A1 specified places and very high-risk Group A2 specified places, the boarding, quarantine, and testing arrangements will remain unchanged.

Groups A1, A2: Brazil, India, Nepal, Pakistan, Philippines, South Africa, Ireland, Indonesia

Details on the grouping of specified places and their respective boarding and compulsory quarantine requirements can be found at www.coronavirus.gov.hk/eng/high-risk-places.html.