If you were a betting man, you think an April/May target for tourist travel to Japan is a possibility? Flights in the early spring are ridiculously low for me right now....
I honestly think that's a possibility. I'm personally laying out plans for an early March trip to Tokyo and crossing my fingers. But also keep in mind that even if Americans get vaccinated, there's no guarantee Japan will allow them in just yet--particularly with so many southwest states undergoing huge surges, and the potential for re-surges anywhere in the country once people come out of lock-down (look at Spain). As I mentioned earlier I'm currently located in a region that the Japanese government is considering granting a reciprocal travel exemption to as we have comparatively very low rates of COVID (although we are going through a surge) so my timeline may be different from yours.
I'm also basing all of this on speculation I'm getting from political connections in D.C. I obviously know nothing about the science or medicine behind the larger picture, but in the era of Trump, politics is playing an increasingly larger role in how our government operates so take it for what you will.
With that said, take everything we currently know about how Trump's administration and his underlings are operating. Trump wants this vaccine, or at least an approval for a vaccine, before the November election. That's not up for debate. I think it's fair to say that Trump would be willing to do virtually anything to make that happen. Also, in the midst of this pandemic and with many states switching to all-mail ballots, the majority of Americans will be voting through mail or absentee/early voting, which in most states will begin around mid-October. Trump needs an approval by that time, at latest by end of October of the effect on voters will be negligible. That's not to say Trump can't win outright even without a vaccine, with Joe Biden's mental faculties quickly and obviously declining, but that's an entirely different issue.
Several weeks ago I was hearing that Trump's people had identified the Oxford/AstraZeneca vaccine as the one they'd pick for emergency approval. Now, I'm hearing it may be Novavax, which is supposedly showing even better results and is easier to transport and distribute but further behind in testing. To that end, FDA's Steve Hahn has suddenly changed his tune and is now saying he's willing to issue emergency approval without Phase-III testing. We know the government is now prepping for distribution.
So let's say, best case scenario, Trump gets his vaccine approved in early October, or in about five weeks. And let's also assume that the news reports are true, and we're currently sitting on potentially a half-million doses of the vaccine awaiting approval. By every account, those first available doses will to go front-line workers and healthcare staff, as it should. Most agree that such a small amount won't have a noticeable impact. It will, however, have a political impact as Trump can now start bragging that his vaccine has arrived and he's saving the country.
Then let's say most of his posturing is true, and he can very quickly secure "a hundred million doses" by the end of the year. What does that mean? By Thanksgiving? Christmas? And even if he does, most of that amount will almost certainly still be allocated for healthcare workers, front-line and first-responders and then probably elderly or high-risk if there's anything left. I would venture a guess, just looking at the initial estimates, that very few of us will have access to a shot in 2020.
And let's also not forget that virtually every vaccine in development requires two doses (at least). So whatever number we get, say 500k, is really only 250k people vaccinated. Also keep in mind that there are three competing vaccines in Phase-III trials now, so even if they don't get an EUA they may very likely get approval around the new year. How many of those doses can Trump get his hands on? A hundred million of each? So then it comes down to how quickly these corporations can manufacture and deliver vaccinations. And here's where my insight ends, because I know jack shit about how that works. But for the sake of argument, let's say most of the speculation pans out and the Average Joe will finally be able to get vaccinated in early 2021. Let's say you actually get vaccinated on January 1st. Follow-up shot is 3-4 weeks later. Supposedly takes another month after that to build up max antibody protection. So IN THEORY, you might be fully vaccinated by early March. And then all of this rests on the massive assumption that the vaccine ACTUALLY WORKS. How long after that does it take to bring down global numbers to the point where countries feel safe to open up? It ain't going to happen in a month. Maybe results start showing up in two months? Three?
And then assuming all of the developed world has access to vaccinations in early 2021, the other big variable comes into play: Will everyone willingly get vaccinated? Reports and polls are showing that roughly 40% of Americans say they'll refuse to take a COVID vaccine. I would say a quarter of my own friends and colleagues have expressed similar sentiments, and they're serious about it. They think it's a government conspiracy (and yes, they're all republicans). So how quickly do numbers come down when almost half the fucking country is playing tinfoil hat conspiracy theorist and refusing to get a shot. Scientists have suggested that we may only need at least 40% of the population to have immunity in order to reach actual herd immunity, but it sure isn't going to help when half the people around you are potential carriers.
But again, who knows? Not me, for sure. I'm not the brightest guy around, which is why I ended up operating in politics rather than a laboratory. I can make an (un)educated guess about how the politics will affect things but you should really ask your doctor friends or relatives for their opinion of what happens after Trump gets his approval and the first vaccine arrives.