Whether Children should be vaccinated before attending school is a topic where not everyone agrees upon.
In other words this is not a binary topic; which means that a “yes or no” answer is not relevant.
That is why the opinion of doctors who take care of patients matter.
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Experience in my part of India on the ground has overwhelmingly stated the following facts.
1. Regardless of what immunology says, the chance that a child will fall sick from COVID-19 is so rare - it is much rarer than chance of death from many routine things in life.
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In Kerala the chance of surviving Covid 19 in children = 99.992%, which basically is as close to certainty as it could possibly get.
The few children who not do well, are those with comorbidities who can easily be identified and special strategies planned for.
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Immunology notwithstanding, long Covid is ~absent in Kerala. When I say absent, 22 out of 25 paediatricians who each see thousands of patients have all said they’ve not seen a case. The opinion of a paediatrician is the most important in this matter.
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Out of the 25 pediatricians, only one doctor saw a slight uptick in long Covid like symptoms in his practice.
Another doctor saw just one case of pre-existing IBS possibly aggravated by Covid 19.
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This is the reason why it is important to observe and also LISTEN to people rather than just look at publications.
The reason is, publications contain filtered information. This is not to discount the value of publications; but they only form a fraction of knowledge.
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For instance the immunologist says that “Reinfection could be more severe”.
Nothing could be further from the truth.
The severity of reinfections are either asymptomatic or mildly symptomatic at worst. This again is the problem of relying on single case reports.
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The case report quoted here was that of a 66-year-old woman with multiple comorbidities in whom the first infection was suspect to start with -basically an asymptomatic case with an extremely low viral load.
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Vaccination among children is not without risks. No matter how much denial is done by the so-called experts, vaccines are not 100% benign products.
The equation of giving such a product to a person who is older is not the same as giving to someone with very very low risk.
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Instead, it is important to add as many layers of protection as possible for children, which also includes vaccination for those with selected comorbidities.
Schools need to open in a phased manner.
Because the risk of keeping them closed is higher than opening them.
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I will link a detailed thread below, but will add that vaccinating children is unlikely to stop spread of infection. In a classroom, there will be breakthrough infections - as was evidenced by the Texas prison outbreak secondary attack rate of 70% among fully the vaccinated.
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At the same time, vaccinated individuals are less likely to be admitted to hospital, or die from COVID-19.
The reported death protection is likely to be an underestimation, because vaccination preferentially occurs among people who have more background illnesses.
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The question is why the rate of infection is higher among vaccinated people.
It is obvious by now that vaccines aren’t very good at stopping the virus from entering the nose or throat, particularly past the initial few weeks of high antibody titres.
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When we view the outside world while standing in the ICU, it is easy to be tricked into believing that the whole world is falling severely ill.
It is true that a tiny % of children fall ill, but that % is less than 0.008 (Kerala) and is ~made up of children with comorbidity.
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Which is why if we only look at the severely ill children, we will not be able to see the massive denominator of healthy children who were not affected significantly by the virus.
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Optimal T cell response was detected - that is CD4 Th1 and CD8 with a high degree of polyfunctionality, covering a broad range of spike protein epitopes.
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This increased T cell breadth will help fight variants. In other words, a few viral mutations here or there will not make a difference to these T cells.
This means the virus will continue to be hunted down even if it modified its appearance to gain entry into the body.
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Such measures, taken by several nations in 2020, were justifiable due to a fear of the unknown. Now that we have 21 months of data, it is time to sit down & see if they made any difference.
We must also not forget that it is the SAME virus, regardless of fancy Greek names.
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The problem with variants of concern is two-fold.
1. They take a long time to show their true colours. Thus, by the time they are declared as VOC, modern travel would have taken them all around the world.
2. Even a single introduction is enough to infect a whole country.
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This thread shows instances of fully vaccinated people picking up (and spreading) infections. Apart from very low baseline risk, this is one more good reason why universal COVID vaccination for healthy children isn’t advisable. See UK study linked below. @GKangInd@doctorsoumya