1/ New data in the last day on how well natural immunity and vaccine-induced immunity protect us against the Delta variant.

Here's the take-home message:
2 doses of Pfizer or Moderna vaccine will protect you,
even against the Delta variant.
2/ Published in the @NEJM
nejm.org/doi/full/10.10…

Delta is 2.4-3.3x less susceptible to neutralizing Abs elicited by prior infection or Pfizer/Moderna vaccination as compared to the early WA1/2020 variant.

The dotted line represents protective immunity.
3/ Published in @Nature:
nature.com/articles/s4158…

Left:
Low neutralizing antibody (nAbs) levels by 12 months after natural infection
4x decrease in nAbs vs Beta & Delta compared to Alpha

Right:
Dramatic bump in nAbs levels if vaccinated after infection, including vs Beta & Delta
4/ nature.com/articles/s4158…

Left: nAbs 3 weeks after Pfizer

Right: nAbs 8 weeks after Pfizer (i.e. 5 weeks after 2nd dose)

You need the second dose to assure neutralization versus Beta & Delta.

The dotted line represents limits of detection.
5/ nature.com/articles/s4158…

12m after infection:
50% neutralizers vs Beta variant
47% neutralizers vs Delta variant

12m after infection + vaccination:
100% neutralizers vs all variants

Natural infection alone doesn't protect vs variants.
mRNA vaccination after infection does.
6/ nature.com/articles/s4158…

Week 3 after Pfizer vaccine (just prior to 2nd dose):
6% neutralize Beta
13% neutralize Delta

Week 8 after Pfizer vaccine (5 weeks after 2nd dose):
81% neutralize Beta
94% neutralize Delta
7/ Immunity is NOT on/off.
8/ Immunity is on a spectrum or gradient.

nAbs = neutralizing antibodies

We can overcome immune-evading variants (e.g. the Beta & Delta variants) with higher nAbs titers.

This is why you need to be vaccinated—even if you've had COVID—if you want to be protected vs variants.

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More from @celinegounder

Nov 17, 2024
1/ I explain how RFK Jr's plans could affect Americans' health.

He is known for falsely claiming that vaccines cause autism & other health issues.

cbsnews.com/video/doctor-e…
2/ RFK Jr: "The problem with the measles vaccine is that it's a leaky vaccine. It doesn't provide sterilizing immunity."

It's true that the measles vaccine doesn't prevent ALL infections.

It's ~97% effective after 2 doses.
3/ In rare cases, vaccinated people may get infected & transmit the virus to others.

This is all the more reason for vaccinating everyone in a community, not just those who feel like it.
Read 13 tweets
Nov 16, 2024
1/ RFK Jr. to lead @HHSGov US Dept of Health & Human Services

with @AdrianaDiaz & @tonydokoupil on @CBSMornings
2/ Kennedy has criticized multiple public health agencies he could now lead.

He's said the @US_FDA's "war on public health is about to end," claiming the agency suppresses anything that "advances human health & can't be patented" by pharmaceutical companies.
3/ But Kennedy's statement demonstrates a common misunderstanding about public health authorities in te US.

We are the United States of America — public health powers reside at the state level.
Read 23 tweets
Sep 19, 2024
1/ A new report from the American Association for Cancer Research @AACR finds that excessive alcohol use is a risk factor for at least 6 cancers.

with @GayleKing @vladduthiersCBS @tonydokoupil
2/ Heavy drinking is associated with an increased risk of:
🔹head & neck cancer
🔹esophageal cancer
🔹stomach cancer
🔹liver cancer
🔹colorectal cancer
🔹breast cancer Image
3/ Drinking during pregnancy can also increase the risk of leukemia later in childhood.

At least 5% of cancers are attributable to alcohol.
Read 19 tweets
Aug 15, 2024
1/ Yesterday, the @WHO declared mpox a public health emergency of international concern (PHEIC).

This is the 2nd time in 2 years that the WHO has declared a PHEIC for mpox.

with @vladduthiersCBS on @CBSMornings
2/ There have already been more than 17K cases in Africa so far this year – more than the total for all of last year.
3/ @WHO announces a Public Health Emergency of International Concern (PHEIC) when there is a significant risk to global health & it requires an internationally coordinated response.

A PHEIC:
🔹helps marshal funding for a public health response
🔹pressures governments to act
Read 22 tweets
Jul 27, 2024
1/ COVID study shows mask and vaccine mandates saved lives

with @CBSNews' @LanaZak cbsnews.com/video/covid-st…
Image
2/ A new study published in the JAMA Health Forum yesterday found that:
🔹mask requirements & vaccine mandates were associated with ⬇️ deaths
🔹prohibitions on vaccine or mask mandates were associated with ⬆️death rates

jamanetwork.com/journals/jama-…
3/ Activity limitations (e.g. closing schools, restaurants, bars; stay-at-home orders; restrictions on leisure time activities & public gatherings) likely provided minimal benefit while imposing substantial cost.
Read 6 tweets
Jul 26, 2024
1/ New Hope Against Dementia: study says singles vaccine also appears to delay onset of dementia
with @CBSMornings' @tonydokoupil @AdrianaDiaz @nateburleson
2/ A study published yesterday in Nature Medicine found that the new Shingrix vaccine was more protective than the old Zostavax vaccine in delaying dementia.

The Zostavax shingles vaccine was discontinued after the Shingrix vaccine was approved.

nature.com/articles/s4159…Image
3/ The Shingrix vaccine is also more protective than Zostavax in preventing shingles.

Shingles is caused by the varicella-zoster virus (VZV), a herpes virus that also causes chickenpox.
Read 15 tweets

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