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Oxford University breakthrough on global COVID-19 vaccine

ox.ac.uk

11–20 of 569 posts

Re: Oxford University breakthrough on global COVID-19 vaccine

#11

over 7 billion human population, a 90% effectiveness is what? alright? please enlighten me. does anyone know what was the effectiveness of the smallpox vaccine that we did actually manage to eradicate successfully?

Dr Fauci stated earlier that he was hoping for 70% efficacy. So these results are still good, not just as good as the 94% seen earlier for Moderna's vaccine.

Re: Oxford University breakthrough on global COVID-19 vaccine

#12
From AstraZeneca:

> One dosing regimen (n=2,741) showed vaccine efficacy of 90% when AZD1222 was given as a half dose, followed by a full dose at least one month apart, and another dosing regimen (n=8,895) showed 62% efficacy when given as two full doses at least one month apart. The combined analysis from both dosing regimens (n=11,636) resulted in an average efficacy of 70%. All results were statistically significant (pAlso:

> and no hospitalisations or severe cases of the disease were reported in participants receiving the vaccine.

https://www.astrazeneca.com/media-centre/press-releases/2020...

Re: Oxford University breakthrough on global COVID-19 vaccine

#13

over 7 billion human population, a 90% effectiveness is what? alright? please enlighten me. does anyone know what was the effectiveness of the smallpox vaccine that we did actually manage to eradicate successfully?

The key point is that if you lower the replication rate-- the number of people each person with the virus goes on to infect-- below 1, the number of active cases exponentially decays to zero.

The business-as-usual replication rate of covid appears to be somewhere around 4-6, meaning that if we have universal vaccination with something like 80% efficacy, the number of active cases will exponentially decay with no other measures taken (social distancing, masks, lockdowns, quarantines etc).

Re: Oxford University breakthrough on global COVID-19 vaccine

#14
post #12

From AstraZeneca: > One dosing regimen (n=2,741) showed vaccine efficacy of 90% when AZD1222 was given as a half dose, followed by a full dose at least one month apart, and another dosing regimen (n=8,895) showed 62% efficacy when given as two full doses at least one month apart. The combined analysis from both dosing regimens (n=11,636) resulted in an average efficacy of 70%. All results were statistically significa…

Wow, what a fascinating phenomenon. A weak first dose somehow primes the immune system better than a full one?

Re: Oxford University breakthrough on global COVID-19 vaccine

#15
post #3

"These preliminary data indicate that the vaccine is 70.4% effective, with tests on two different dose regimens showing that the vaccine was 90% effective if administered at a half dose and then at a full dose, or 62% effective if administered in two full doses."

Does anyone here who understands vaccines know how starting with a smaller does can improve effectiveness? It goes against my intuition.

This vaccine is a viral vector vaccine. Immunity against the vector can be an issue, but this is moderately informed speculation.

Re: Oxford University breakthrough on global COVID-19 vaccine

#16
This statement seems a big deal: "There were no hospitalised or severe cases in anyone who received the vaccine"

Is that also true of the Pfizer and Moderna trials? Are the various trials measuring 'effectiveness' in the same way? Is there a standard for 'effectiveness' in these Covid-19 trials?

It will take some digging and real effort to compare the risks and benefits of the various vaccines coming to market.

Re: Oxford University breakthrough on global COVID-19 vaccine

#17
Correct me if I am wrong, Oxford uses traditional Vaccine design technique (using a weaker virus and adding spikes or something similar) while Biontech(Pfizer) and ModeRNA use MRNA which is completely new technique (messenger RNA).

This is awesome for more than just vaccinations. Traditionally the groups allocating govt funding to science and industries are very risk averse and this could be one more example where taking risks can payoff.

Re: Oxford University breakthrough on global COVID-19 vaccine

#18

over 7 billion human population, a 90% effectiveness is what? alright? please enlighten me. does anyone know what was the effectiveness of the smallpox vaccine that we did actually manage to eradicate successfully?

The disease will 'die out' (in quotes because it will not actually) if there are not enough targets that are susceptible to it.

People infected by SARS-Cov2 seem to infect two to six other people [0]. Reduce this number by 90% and we are well below one infection per infected, so it is not sustained. This assumes that everyone would be vaccinated.

Currently we are doing something similar: each measure like wearing a mask, social distancing, meeting fewer people, ventilating rooms, finding infected people before they can infect someone else ("contact tracing") contributes to reducing the number of follow-up infections a bit. (This is why "but masks do not really work" is an ill-informed argument. They do not have to because they are meant to be used together with other measures to achieve reduction in spread)

A vaccine will protect us passively instead of requiring us to actively following these measures and will therefore be a lot more convenient.

[0] https://en.wikipedia.org/wiki/Basic_reproduction_number

Re: Oxford University breakthrough on global COVID-19 vaccine

#19

over 7 billion human population, a 90% effectiveness is what? alright? please enlighten me. does anyone know what was the effectiveness of the smallpox vaccine that we did actually manage to eradicate successfully?

This depends on the r0 of the virus, an r0 of 2 means a 50% effective vaccine (and 100% vaccinated pop) will defeat the virus. With measles and a r0 of 18, youd need an effectiveness of 95%. Considering not everyone can or will take a vaccine, the effectiveness needs to be higher than this.

Covid is apparently around 3, and if you can vaccinate 90% of the population then an effectiveness of 75% would be the minimum you could get away with.

Re: Oxford University breakthrough on global COVID-19 vaccine

#20

over 7 billion human population, a 90% effectiveness is what? alright? please enlighten me. does anyone know what was the effectiveness of the smallpox vaccine that we did actually manage to eradicate successfully?

Google claims that the smallpox vaccine was somewhere between 90-97% effective (they didnt do fully controlled studies back in the day)

Keep in mind, that controlling covid is a giant win. We don't need to eradicate it, just get things under control.

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