In a rare case of the headlines underselling good news, yesterday's Public Health England finding that vaccination cuts transmission by up to 50% is actually much better than it sounds.
Why? Two reasons:
The 40-50% reduction in transmission was among THOSE WHO GOT INFECTED DESPITE VACCINATION. That's already a minority of vaccinated people. Most people don't catch the virus at all after vaccination.
Today's ONS study suggests 65% protection against infection after one vaccine dose, rising to 70% after two. So it's 50-60% **of the 30-35% who catch it** who can transmit it in the home. A much bigger reduction in transmission overall.
Second point: home transmission is the riskiest. People spend most of their hours at home, sleeping, eating and sharing air in relatively small spaces.
If the vaccines are cutting infection by 65-70% and reducing home transmission of the remaining breakthrough cases by 40-50%, they're probably doing even more reduction in other settings where viral aerosols have less time to accumulate, eg shops and pubs.

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More from @ariehkovler

30 Apr
Israel's Health Ministry came up with a plan to limit numbers at Meron due to Covid. The plan was ignored by the Government. The authorities just allowed the various Hassidic sects to do their own thing. Last night's tragedy is the result.
This is from a news report yesterday, before the tragedy at Meron.

timesofisrael.com/officials-warn… Image
From a Haredi website 3 years ago: "Who will prevent a disaster at the Toldot Aharon bonfire lighting?". It noted the narrow exit and risk of a crush. But the authorities turned a blind eye for years until tragedy struck.

Read 4 tweets
29 Apr
Israel reports 41 cases of the B.1.617 lineage "Indian Variant" of the coronavirus. Of them, 24 are recent arrivals from abroad and 17 are cases of community spread. Four of the cases were in vaccinated people.
The 24 from abroad are probably unvaccinated. Of the 17 domestic cases, 5 are kids. That leaves 12 adult domestic cases, of which 4 are from the (vast majority) adult vaccinated population and 8 from the (about 13%) adult unvaccinated population.
These numbers are too small to say much. I don't know the current proportion of vaxxed/unvaxxed in daily infections to compare as a baseline. They *look* consistent with the vaccine being meaningfully effective against the Indian variant to me, though.
Read 4 tweets
28 Apr
Very good news for the UK: estimated 70% adult seropositivity as of 17 days ago. Given what we're seeing in Israel, I wonder if the UK might be on the cusp of a significant level of herd immunity?
In Israel, 55% of the whole population is vaccinated and another 9% are known recovered. Israel has basically reopened 7 weeks ago and cases continue to plunge. Some level of population immunity at work?
In the UK, 70% of *adults* had antibodies 2-3 weeks ago, which I think is 55% of the total population. Plus there will be kids with antibodies excluded from the ONS study. The %age of people in the UK with antibodies is probably close to Israel's.
Read 4 tweets
27 Apr
Israel's Cabinet just voted to appoint a Netanyahu crony as Justice Minister, despite this breaching legally-binding coalition agreements and over the objections of the Attorney-General who advised the move was unlawful.
According to the agreements, the Justice portfolio must come from Benny Gantz's half of the coalition, and cannot be discussed without his approval.
Israel hasn't had a Justice Minister for a while, because Netanyahu was blocking the appointment. The Supreme Court was due to force the appointment of a Justice Minister today.
Read 6 tweets
25 Apr
In MAGA forums (and much of QAnon) the THIRD audit of votes in Maricopa county is the biggest story in the world right now.
There's a whole rota of MAGA and Qish volunteers watching the livestreams of every counting table and arguing about the UV light they're using, breathlessly creating "Audit Updates" videos on YouTube, Twitch and DLive
Ron Watkins has been particularly active, sharing maps of the arena, allegations of fraud (of course!) and at one point it seemed to me like he was trying to encourage a MAGA/Q mob to 'secure' the ballots.
Read 6 tweets
25 Apr
Israel will be reducing the scope of its "Green Pass" vaccine certificates. From early May, gyms, pools and indoor attractions may admit unvaccinated people with social distancing rules.
For now, restaurants, hotels, places of worship and indoor celebrations will still require a Green Pass — but unvaccinated people will be able to enter them with a recent negative PCR test.
This plan hasn't been authorised yet, but Health Ministry proposals to *relax* the rules basically always pass
Read 4 tweets

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