‘my Friend Told Me Not To Get Vaccinated’
Its not their decision its yours.
You should follow the advice of doctors and public-health experts with decades of experience not that of unqualified people, even if they mean well.
Getting vaccinated against COVID-19 will not only protect you, but also your family and your community. It will protect others who cant get vaccinated, such as young children.
If youre not sure about COVID-19 vaccination, speak to your doctor. Make an informed choice.
Covid Booster Vaccine Timing In Flux As Scientists Say Shot Not Needed For Most What To Know Today
The White House is preparing to give more Americans booster shots as early as Sept. 20. But a group of scientists is warning it’s too early to be necessary. Here’s what we know.
US health officials are recommending that adults get a booster shot.
President Joe Biden is pushing a pandemic action plan that includes new vaccine mandates, booster shots for everyone already vaccinated and expanded COVID-19 testing — all with the stated goal of getting the country through ongoing pandemic. A group of scientists, however, this week expressed concern about the booster program, writing that the “available evidence does not show the need for widespread use of booster vaccination.” The FDA committee panel also voted against a booster shot for the general public.
As a component of the sweeping “Path Out of the Pandemic” plan, the White House reiterated its recommendation for vaccine boosters to stay ahead of the virus. While Biden said there are enough boosters to be administered by the original late September projection, the details of who can get them — and when — are pending authorization by the Food and Drug Administration and the Centers for Disease Control and Prevention.;
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Genetics Probably Plays A Role As Does Gender; For Instance There Is Some Evidence That Oestrogen May Help Protect Premenopausal Women Against Severe Disease
This week, the largest study of its kind to date identified a specific combination of inflammatory blood markers which correlated with the severity of peoples disease. Published in Science Immunology, it adds further weight to the argument that it is peoples immune response to SARS-CoV-2, rather than the virus itself, that determines who is at greatest risk from COVID-19.
SARS-CoV-2 primarily infects the cells lining the lungs, although the ACE2 receptors it binds to are also found in various organs including the brain, intestine and kidneys, and on cells lining the blood vessels. Once inside these cells, the virus begins to replicate, summoning the attention of the immune cells. What happens next may play a crucial role in determining the severity of that individuals symptoms.
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How To Get Tested
If you have cold or flu like symptoms, such as a cough, fever, sore throat, shortness of breath or runny nose, even if these are mild, you should get tested for COVID-19 as soon as possible. People with mild symptoms can still spread the virus.;To help stop the spread of COVID-19, anyone with cold or flu-like symptoms should get tested.
As part of Australias response to COVID-19, public health units around Australia have increased testing. People may have a COVID-19 test for several reasons. You can find more guidance for people who are tested under these enhanced procedures for COVID-19.
If you need to get tested, you can:
- attend a free COVID-19 respiratory clinic
- contact your doctor and they will arrange the test,;this may attract a fee.
COVID-19 respiratory clinics;are dedicated health centres located around the country, focusing on testing people with symptoms of respiratory infection.
Find the COVID-19 respiratory clinic nearest to you.
If your symptoms are severe, you should seek urgent medical attention. If possible, call ahead so the medical facility can prepare.
If it is a medical emergency, please .
Early diagnosis means you can get the help you need and take steps to avoid spreading the virus to someone else.
Testing is;important for anyone with symptoms and particularly if any of the following apply to you:
Examples of high-risk settings include:;
Why Do Some People Need A Third Dose Of The Covid Vaccine
We know more now about how immunocompromised people including organ transplant recipients, certain cancer patients and those on medications that severely suppress the immune system respond to the COVID vaccine.
As the COVID-19 pandemic has continued, scientists have gathered more data about the coronavirus thats been waging chaos on a global scale as well as what might need to be done to keep the COVID vaccines effective for various populations on a long-term basis.
For those who are immunocompromised, either because of a condition or a medication, theres been much to learn.
Other than those with HIV, immunocompromised people were not included in the large clinical trials that studied the COVID vaccines. So researchers often had to make educated guesses about how this population and subgroups within it would respond to the shots that were intended to protect people from not only contracting and spreading the coronavirus but from becoming severely ill with COVID-19 or dying from it.
Now that more studies have been conducted that feature this group, we have more information, which led the FDA to authorize a third dose of the mRNA vaccines for immunocompromised people.
Michigan Health sat down with Daniel Kaul, M.D., director of the Transplant Infectious Disease Service at Michigan Medicine, to find out what scientists have gleaned about COVID vaccines and those who are immunocompromised and what answers theyre still hoping to find.
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Why Are Vaccinated People Still Getting Covid
Weve heard of cases where people who are in between doses or people who have received both doses are still testing positive or becoming infected with COVID-19. How is this possible? Dr. Cardona attributes this to exposure risks or where people are in the vaccination process.;
Immunization with the COVID-19 vaccines provides the best protection within two weeks of being fully vaccinated. A person is considered fully vaccinated two weeks after receiving the second dose of Pfizers or Modernas vaccine or one dose of Johnson & Johnsons.;If someone tests positive for COVID-19 or becomes ill a few days later, they most likely were exposed before being fully vaccinated. There are reported cases of illness and/or exposure after the vaccines, but the complications of the disease for those not vaccinated yet has been of greater magnitude.;
‘i Dont Trust The Vaccines Because They Were Developed Quickly’
It does seem like the vaccines were invented overnight. But scientists and manufacturers started working together on vaccines as soon as the pandemic started.
The AstraZeneca vaccine, for example, is based on years of research by Oxford University in the UK.
All COVID-19 vaccines approved for use in Australia have been through the same rigorous clinical trials that any vaccine normally would go through. The trials were just fast-tracked thanks to unprecedented funding.
And as other countries progress with their vaccine rollouts, more and more ‘real-world’ data is showing that these vaccines are highly effective at protecting people from severe illness, hospitalisation and death.
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Are There People Who May Still Not Respond To A Third Dose
Yes. Even a third dose still leaves a significant number of solid organ transplant recipients with relatively low or unmeasurable levels of antibody. So unfortunately, continuing to practice social distancing and being careful to avoid exposure remains appropriate for that group of people.;
But none of this should discourage people from getting vaccinated. Transplant patients in particular are at considerable risk of bad outcomes if they get COVID. Even though we can’t guarantee that the vaccine will be fully protective, it’s really the best thing that we have available.
How Long Can The Coronavirus Stay Airborne I Have Read Different Estimates
A study done by National Institute of Allergy and Infectious Diseases’ Laboratory of Virology in the Division of Intramural Research in Hamilton, Montana helps to answer this question. The researchers used a nebulizer to blow coronaviruses into the air. They found that infectious viruses could remain in the air for up to three hours. The results of the study were published in the;New England Journal of Medicine;on March 17, 2020.
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When To Wear A Mask
The CDC recommends everyone wears a mask if they are out of their own home, and unable to practice safe social distancingfor example, inside a supermarket, a pharmacy or a doctor’s office. This is especially important any time you are inside.;
However, if you are walking, when you get into a less busy spot, where you can keep your 6 feet distance with ease, you can remove your mask. When you are out in the open, such as a park, woodland or a non-crowded beach , there is no need to wear a mask.
Wearing a mask is helpful to reduce viral spreading, however, it does not prevent viral spread altogether. Don’t think that by wearing a mask, none of the other protective measures matter. You still need to be hand washing frequently and staying 6 feet away from other people.
How Long Do The Covid
The jury is still out on that one. According to Dr. Cardona and the Centers for Disease Control and Prevention , the;exact timeframe for protection is unknown;at this time. When you think about it, we all tolerate vaccines differently. So, the scientific community is still studying natural immunity and vaccine-induced immunity concerning COVID-19.;
We dont know exactly how long the vaccines will protect us after being fully vaccinated. However, the CDC and experts are still working to determine the answer to this question and will keep us informed of any changes. But the one thing we do know is that getting vaccinated is still the safer choice for preventing serious illness for you, your loved ones and the benefit of our communities.;
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How Well Are The Covid
On June 7, the CDC issued a press release regarding their study of the effectiveness of vaccines in fully vaccinated people. The study found that the mRNA COVID-19 vaccines authorized by the Food and Drug Administration ;reduced the risk of infection by 91% for fully vaccinated people. The study also is among the first to show that mRNA vaccination benefits people who get COVID-19 despite being fully vaccinated or partially vaccinated .;
The results of this study also suggest that fully or partially vaccinated people who become infected with COVID-19 might be less likely to spread the virus to others. With fully or partially vaccinated study participants, the virus was 40% less detectable in their noses. It was also detected in six fewer days as compared to those who werent vaccinated when they became infected.
In addition, people who were partially or fully vaccinated were 66% less likely to test positive for the SARS-CoV-2 infection for more than one week in comparison to those who were unvaccinated. The CDC adds that while these indicators are not a direct measure of a persons ability to spread the virus, they have been associated with a reduced spread of other viruses like varicella and influenza .
Learn When It Is Safe To Be Around Others
Most people with COVID-19 can be released from isolation and can be around others after:
- At least 10 days have passed since symptoms first appeared, and
- At least 24 hours with no fever without fever-reducing medication, and
- Other symptoms are improving. ;
If you tested positive for COVID-19 but never had any symptoms, you can be around others after 10 days have passed since the first positive diagnostic test.
For most people, getting another COVID test to determine when to end isolation is not recommended. If you have severe to critical COVID-19 and/or a weakened immune system because of a health condition or medication, check with your healthcare provider about when to stop isolation.
See the VDH When to End Home Isolation and Quarantine Infographic for more information.
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The Biden Administration Just Recommended That Everyone Who Received An Mrna Vaccine Get A Booster Shot About Eight Months After Their Second Dose Regardless Of Whether Theyre Immunocompromised Or Not Is There Enough Data To Support This
People who are immunocompetent, who have received two doses of mRNA vaccine, are currently still very well protected against serious disease and hospitalization. I don’t think there’s a justification or need to run out and try and get a booster dose in that circumstance, so I wouldn’t be too concerned about that right now. Im certainly not going to get a third dose myself at the moment. The evidence for this remains incomplete.;
And theres this issue of vaccine equity. Theres a desperate need for it around the world. I think it’s a little hard to justify going outside of any FDA or CDC recommendations to get a booster dose. But I don’t mean that at all for immunocompromised folks, for whom I think a third dose is totally appropriate.
All Of Which Led To More Testing Of Third Doses Of The Covid
Its not surprising that the vaccine works less well in immunocompromised people than the immunocompetent. That’s generally true of other vaccines. But because immunocompromised people weren’t included in the clinical trials of the COVID-19 vaccine, there was no idea to know how much less well it worked, whether additional doses would be helpful and so forth.
When Michigan Health published its explainer, Should I still wear a mask if Im immunocompromised? a few months ago, we had just a hint from a very small, not very well standardized report, where people got third doses that were immunocompromised, and the researchers checked antibody levels and saw that there was some response in people who didn’t respond initially. It was hard to know exactly what to make of that in terms of how meaningful that was.
There have since been two major pieces of data that have helped fill in the story in different ways.
One was in France, where they just decided to give everybody who was immunosuppressed and had a transplant a third dose, usually 28 days after the second dose of the Pfizer-BioNTech vaccine. And what they saw was that there was a significant increase in the number of people who received the third dose who developed antibodies after the third dose, but not the second dose. Again, we didnt really know what that meant.
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Who Is At Risk Of Covid
By now, we know that anyone can get COVID-19 the vaccinated and unvaccinated, those who have had it already and those who havent. In the same vein, anyone can get COVID-19 again.
Its important to note that were still learning a lot about reinfections and whos at risk for those reinfections, Dr. Esper says. But doctors do know that some people are at higher risk of reinfection for COVID-19 than others.
Mysterious Inflammation In Children
Physicians have also seen troubling clinical manifestations of asymptomatic COVID-19 in children. Early in the pandemic, reports emerged of a rare and mysterious inflammatory syndrome similar to Kawasaki disease that typically sets in weeks after an initial infection.
Six weeks down the line these people, especially children, will develop inflammation throughout their body, Rajpal says.
The conditionnow called multisystem inflammatory syndrome in children, or MIS-Ctypically causes fever, rash, abdominal pain, vomiting, and diarrhea. It can have harmful effects on multiple organs, from hearts that have trouble pumping blood to lungs that are scarred. It is typically seen among children under 14, although adults have also been diagnosed with this syndrome.
MIS-C is incredibly rare. Kanwal Farooqi, assistant professor of pediatrics at Columbia University Vagelos College of Physicians and Surgeons, says that less than one percent of pediatric COVID-19 patients present with some type of critical diseaseand MIS-C is just one of them. However, asymptomatic infections do play a role in the syndrome: A recent study of 1,075 children who had been diagnosed with MIS-C showed that three-quarters had originally been asymptomatic.
Whats important is that we cant right now say that there are no consequences, she says.
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People Who Live Together Dont Always Get Covid
If anyone I live with were to get COVID-19, I would be resigned to the idea that I would get it, too. After all, we breathe the same air without wearing masks and touch the same doorknobs, day in and day out. And yet, its not necessarily a foregone conclusion that members of a shared household will share the virus.
Once one person becomes infected, there is a 12% likelihood that someone they are living with will become infected, too, according to University of Utahs Utah HERO phase one study. The findings have not yet been published in a peer reviewed journal. Reports from China , however, indicate that the report from Utah is similar to whats happening elsewhere in the world.
Scientists arrived at the number by performing antibody tests on more than 8,000 Utahns in randomly chosen households across four counties in the state. A positive test indicates that person has had COVID-19 sometime in the past. Among households where at least one person tested positive, the scientists calculated the proportion of remaining members who also had antibodies.
Its thought that, typically, when two or more people in a household test positive, one passed the virus to the other. But in some cases, they each may have been infected by someone outside the household. Either way, the frequency that two or more people in a household test positive is lower than one might expect considering how quickly COVID-19 is spreading all around us.