Not exactly. You can be vaccinated and carry the virus (carrier). But if the viral load is so low you can't transmit (not a transmitter) spread is blocked and we move onto the pandemic exit ramp.
No transmitters, no 😷s
How do you know if you are a likely transmitter?
You do a rapid home antigen test that detects high viral load.
The tests that should have been made freely available to all many months ago, 2 finally cleared by FDA yesterday, but they are much too expensive (~$10 each)
Post-vaccination PCR tests are of low value, just detecting any level of virus or its remnants, reported as + or -. A low Ct result (high viral load) from the PCR would be useful, but rarely provided.
Rapid antigen tests provide what we really want to know—am I transmitter?

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More from @EricTopol

2 Apr
What a good Friday!
First 4.0M vaccine day in the US
Hitting 4.0 M in a day gets the average now to 3.0M… Image
CDC tally from this morning
Approaching 40% of adults, 75% of seniors, with at least 1 dose
This represents awesome progress Image
Read 4 tweets
25 Mar
How to be a superhuman vs. #SARSCoV2?
Get vaccinated
Why do you become a superhuman?
1. Levels of neutralizing antibody for vaccine >> natural infection
2. Protection w/ vaccine additive to prior infection
3. Protection vs. variants: vaccine > natural immunity
4. Less reinfection
Read 6 tweets
24 Mar
How do you know that B.1.1.7 is dominant in Michigan?
When it has its highest number of new cases in a day in over 3 months
Just as was seen in Israel, vaccination protection for older individuals with case and hospitalizations predominantly in younger, non-vaccinated. And reminder: the vaccines work very well vs B.1.1.7…
A big boost in vaccine distribution and support for administering mass vaccination in Michigan is warranted ImageImage
Read 4 tweets
23 Mar
Very good news @NEJM today on vaccine effectiveness in the US and Israeli healthcare workforce
1. @UTSWNews health system over 23,000 employees, 70% vaccinated, had a dramatic reduction of infections…
2. And similarly @UCSDHealth @UCLAHealth over 36,000 health care workers were vaccinated…
3. And concordant with a 3rd report of vaccinations among health care workers in Israel…
Read 4 tweets
23 Mar
This @AstraZeneca statement in response to the @NIH press release is unacceptable. They know exactly what is going on w/r to the time cutoff for 1° analysis, which appears to be at odds with the independent Data and Safety Monitoring Board. It should not take 48 hrs to sort out
The DSMB, consisting of 11 independent experts who have been overseeing the trial from its outset through its completion, says the primary analysis showed efficacy between 69-74%. Let's see all the data @AstraZeneca…
Let's be clear. This is *not* about the vaccine. It is about @AstraZeneca, their own worst enemy, with an apparent breach of integrity on data dissemination. And where is the @UniofOxford on this, their partner?
Read 5 tweets
17 Mar
The Astra Zeneca vaccine turmoil as headlines today and tomorrow
This has moved from a very small number of clotting events w/ a vast denominator -> international dismay, characterized as "political" in the update👇-> to (sadly) a crisis in confidence…
I'd like to see fully dataset for the clotting events, particularly the 7 cavernous sinus thrombosis cases in Germany (out of 1.6 million vaccinated), all cases of immune thrombocytopenia (ITP). ITP has been very rarely reported, associated w/ Pfizer/Moderna vaccines /2
Of course, association ≠ causation. More common events like DVT/PE (majority of the reports) would be fully expected and v unlikely related to vaccination. Releasing all the data (rather than EMA/WHO statements) can help bolster trust for the medical community to patients /f
Read 5 tweets

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