South African doctors see signs omicron is milder than delta

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As the omicron variant sweeps through South Africa, Dr. Unben Pillay is seeing dozens of sick patients a day. Yet he hasn’t had to send anyone to the hospital.

That’s one of the reasons why he, along with other doctors and medical experts, suspect that the omicron version really is causing milder COVID-19 than delta, even if it seems to be spreading faster.

“They are able to manage the disease at home,” Pillay said of his patients. “Most have recovered within the 10 to 14-day isolation period.” said Pillay.

And that includes older patients and those with health problems that can make them more vulnerable to becoming severely ill from a coronavirus infection, he said.

In the two weeks since omicron first was reported in Southern Africa, other doctors have shared similar stories. All caution that it will take many more weeks to collect enough data to be sure, their observations and the early evidence offer some clues.

According to South Africa’s National Institute for Communicable Diseases:

  • Only about 30% of those hospitalized with COVID-19 in recent weeks have been seriously ill, less than half the rate as during the first weeks of previous pandemic waves.
  • Average hospital stays for COVID-19 have been shorter this time – about 2.8 days compared to eight days.
  • Just 3% of patients hospitalized recently with COVID-19 have died, versus about 20% in the country’s earlier outbreaks.

“At the moment, virtually everything points toward it being milder disease,” Willem Hanekom, director of the Africa Health Research Institute, said, citing the national institute’s figures and other reports. “It’s early days, and we need to get the final data. Often hospitalizations and deaths happen later, and we are only two weeks into this wave.”

Photo – A man gets his Covid-19 Coronavirus test at a testing station in Johannesburg, South Africa. EPA-EFE/KIM LUDBROOK

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