But the title being used ("A Pandemic of the Vaccinated") is misleading. The letter's point is that transmission of the virus by the vaccinated may be more significant than was expected or believed, and that it may be incorrect to ignore the vaccinated when considering public health measures. Nothing more or less.
The epidemiological relevance of the Covid-vaccinated population is increasing
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Re: The epidemiological relevance of the Covid-vaccinated population is increasing
#12This letter to the Lancet is interesting and worthy of being on HN. But the title being used ("A Pandemic of the Vaccinated") is misleading. The letter's point is that transmission of the virus by the vaccinated may be more significant than was expected or believed, and that it may be incorrect to ignore the vaccinated when considering public health measures. Nothing more or less.
Re: The epidemiological relevance of the Covid-vaccinated population is increasing
#13Even If I am fully vaccinated, I do not wish to send someone who have decided not to take the vaccine to the ER. Even if it was in my opinion a bad decision. I do not mind wearing a mask while we collect more data to have a more efficient response.
Re: The epidemiological relevance of the Covid-vaccinated population is increasing
#14This letter to the Lancet is interesting and worthy of being on HN. But the title being used ("A Pandemic of the Vaccinated") is misleading. The letter's point is that transmission of the virus by the vaccinated may be more significant than was expected or believed, and that it may be incorrect to ignore the vaccinated when considering public health measures. Nothing more or less.
It's a counter to the catchphrase "pandemic of the unvaccinated" that politicians have been using to put the blame on keeping restrictions on people who haven't gotten vaccinated.
Re: The epidemiological relevance of the Covid-vaccinated population is increasing
#15"Fourteen fully vaccinated patients became severely ill or died, the two unvaccinated patients developed mild disease". This seems to imply an adverse effect of the vaccine. On the contrary, what happened is that patients were either older or had comorbidities - check https://www.eurosurveillance.org/content/10.2807/1560-7917.E... and https://www.eurosurveillance.org/content/table/10.2807/1560-...
The last phrase of the article, though, has its merits:
"It appears to be grossly negligent to ignore the vaccinated population as a possible and relevant source of transmission when deciding about public health control measures."
This is true. New measures like the new italian "super green pass" exclude unvaccinated from certain activities (cafes, theaters, cinemas) even when they can exhibit a negative Covid-19 test. This makes no sense; the latter group has fewer chances of transmitting the disease than the former.
On the contrary, it could make sense to have an "admission priority" in hospital wards when they're full, depending on whether you're vaccinated or not; because, hospitalization-wise, that's totally relevant. No vaccine would imply lower priority when requiring access to medical wards.
Re: The epidemiological relevance of the Covid-vaccinated population is increasing
#16By no means am I an expert, but my understanding is that vaccines don’t go far enough. They provide B-Cell immunity, which doesn’t last permanently because newer variants have different antigens. Getting COVID after vaccination seems to be the most robust, because there is both T-Cell and B-Cell activation.
I used to work in immunology - this is not accurate. We know that e.g. mRNA vaccines elicit quite a good T-cell immune response. e.g. for one of many studies looking at T-cell responses to the recent sars-cov-2 vaccines: https://www.cell.com/immunity/fulltext/S1074-7613(21)00308-3
Re: The epidemiological relevance of the Covid-vaccinated population is increasing
#17Earlier quoted context omitted.
I used to work in immunology - this is not accurate. We know that e.g. mRNA vaccines elicit quite a good T-cell immune response. e.g. for one of many studies looking at T-cell responses to the recent sars-cov-2 vaccines: https://www.cell.com/immunity/fulltext/S1074-7613(21)00308-3
Why does vaccine-based immunity lack the durability of natural immunity?
Re: The epidemiological relevance of the Covid-vaccinated population is increasing
#18Interesting, but misleading beyond the title. One part that deserves attention about the Israel outbreak: "Fourteen fully vaccinated patients became severely ill or died, the two unvaccinated patients developed mild disease". This seems to imply an adverse effect of the vaccine. On the contrary, what happened is that patients were either older or had comorbidities - check https://www.eurosurveillance.org/content/10.2…
I think you're only looking at transmission of a pre-existing infection during the event. You don't seem to be looking at transmission that happens later but that was caused by attending the event (and getting the virus), nor do you appear to be looking at the number of people who get the disease directly at the event. Shouldn't those be factored in as well?
Re: The epidemiological relevance of the Covid-vaccinated population is increasing
#19This letter to the Lancet is interesting and worthy of being on HN. But the title being used ("A Pandemic of the Vaccinated") is misleading. The letter's point is that transmission of the virus by the vaccinated may be more significant than was expected or believed, and that it may be incorrect to ignore the vaccinated when considering public health measures. Nothing more or less.
"Please use the original title, unless it is misleading or linkbait; don't editorialize."
Re: The epidemiological relevance of the Covid-vaccinated population is increasing
#20Again I am asking this with sincerity, if we could blink away COVID but keep the world as it is (remote work, limited travel, acceptable reason for isolation etc.) would you prefer that world?
I hate the world COVID has created . I hate seeing everything through the lens of infection risk. I hate sacrificing childhood to save elderly. I hate masks. I hate that my glasses fog up. I hate working out wearing a mask. I hate that I couldn’t see my father as he died in an ER. I hate that I can’t enjoy a simple meal with friends. I hate being talked down to. I hate remote meetings. I hate the little condoms they put on remotes in hotel rooms. I hate taking my cat to the vet and waiting in the car. I hate paying some poor person a pittance to deliver my meals. I hate that students have to stay at home. I hate that I love alcohol. I hate that I am judged for hating these things. I hate that I have to wear a mask outside, despite it being utterly pointless, due to social pressure.
I hate that I’ve ideated suicide more in the past year than the previous 34 combined. I hate this pandemic. And fuck you if you make me feel like I’m selfish for hating this pandemic