Preliminary data on Omicron and whether it escapes vaccine antibodies shows immune escape is “robust” but NOT complete- it’s partial! Reduction in nAbs was even LESS in those who had a previous infection & two doses of Pfizer’s vaccine. Boosters should be able to take this on!🧵
VERY prelimary data so numbers subject to change but live virus studies show a 20-40 fold reduction in nAbs with two doses of Pfizer’s vaccine. ONLY TWO. This is NOT regarding boosters. CRUCIAL point: the reduction was not total. It’s partial. I know the number sounds alarming-
BUT that DOES NOT mean 40%-60% decrease in vaccine efficacy! Please don’t get confused. I told you guys these vaccines could take a hit and still hold up. Now, let’s continue.
In samples of participants who had been previously infected and vaccinated with two doses (HYBRID IMMUNITY for the WIN!) escape was REDUCED suggesting boosters could have a significant effect!
IMPORTANT NOTE: those previously infected in this study were infected with the ancestral strain (D614G)! NOT Beta or Delta.
TLDR: GET BOOSTED. We CAN beat this. It is NOT complete immune escape so make sure you are protected! I’ll help answer any and all questions that I can. You can find this study here, under the preprints section: sigallab.net
NOTE: This is in regards to INFECTION and reduction in neutralizing antibodies. NOT VE. NOT SEVERE DISEASE. This also does not take into account T-cells or cell-mediated immunity. Remember, boosters not only RESTORE protection against infection, they EXCEED it.
MORE PRELIMINARY DATA. Another study that just came out shows only a mean 7-fold reduction in neutralizing antibody titers against Omicron. Again, immune escape is NOT COMPLETE- it’s partial! Get boosted! This is manageable. See: drive.google.com/file/d/1CuxmNY…
MORE PRELIMINARY DATA.
•The % figures DO NOT EQUATE TO VACCINE EFFICACY, just nAbs
•Two doses is not enough against Omicron
•Boosters are ESSENTIAL
•As expected, 3X Pfizer looks similar to 2X Pfizer plus previous infection
•This is ONLY vs. INFECTION, NOT SEVERE DISEASE
REMEMBER: this is in regards to INFECTION ONLY. The encouraging part of all this in a sense is that Omicron symptoms thus far have been far milder as observed to date in South Africa & other countries which likely point to vaccines retaining their efficacy against severe disease.
•NO. This DOES NOT mean the vaccines are 40X less effective.
•NO. This doesn’t mean the protection of the vaccines is down to 0%.
•NO. You CANNOT get VE% from a neutralization assay.
•YES. Hybrid immunity AND boosters provide much better neutralization. Get protected!

• • •

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More from @sailorrooscout

8 Dec
Fantastic news. Initial lab studies show a third dose of Pfizer’s COVID-19 vaccine neutralizes Omicron. A booster with the current version of the vaccine RAISES antibodies 25-FOLD providing a similar level as observed after two doses against the original virus and other variants!
As 80% of epitopes in the spike protein recognized by CD8+ T-cells are not affected by the mutations in Omicron, two doses MAY STILL induce protection against severe disease.
Blood plasma from people immunized with two doses of the vaccine had a 25-fold reduction in neutralizing antibody levels versus Omicron, when compared with the original strain of the virus, boosters RESTORE that loss.
Read 8 tweets
7 Dec
Sotrovimab, a COVID-19 antibody treatment that has been approved in the UK, has proven to be effective against ALL new mutations in the spike protein of the Omicron variant, NOT just the key mutations. The tests included ALL 37 mutations identified to-date in the spike protein.
Sotrovimab reduced the risk of hospitalization and death in people with mild to moderate COVID-19 by 79% in trials.
Given the less than three-fold drop in neutralization during tests, developers are confident that Sotrovimab will continue to provide significant benefit for the early treatment of patients hoping to avoid the most severe consequences of COVID-19. The injected antibodies are just
Read 11 tweets
3 Dec
If you are wondering what is going on in South Africa in regards to Omicron, doctors describe what they are seeing thus far. bloomberg.com/news/articles/…
Now, if one is wondering why hospitalizations are going up, according to their MOH, 90% of hospitalizations in South Africa are unvaccinated individuals (zero doses), 10% remaining are mostly partially vaccinated (one dose) Low vaccination rates (less than 30% fully vaccinated).
In regards to the rise in cases, this isn’t exactly surprising based on the study I highlighted yesterday on Omicron’s ability to reinfect. Per in article in this thread, hospitalizations seem to be lower proportion of cases than previous waves. medrxiv.org/content/10.110…
Read 9 tweets
2 Dec
Epidemiological data from South Africa shows a 3-fold increase in risk for reinfection due to Omicron vs. Beta and Delta. These findings provide epidemiological evidence for Omicron’s ability to evade immunity from prior infection.

GET VACCINATED.

medrxiv.org/content/10.110…
NOTE: This is from PREVIOUS INFECTION, NOT VACCINE INDUCED IMMUNITY. Vaccinated individuals are significantly better protected from illness, hospitalization, AND death due to COVID-19 compared to unvaccinated individuals in regards to other variants and we will likely see this
with regards to Omicron. PLEASE, if you have not gotten vaccinated yet, do so. If you are eligible for a booster, please DO NOT wait for a variant specific booster.
Read 4 tweets
1 Dec
Regarding the 1st case of Omicron in the U.S. What do you need to know?
•California (San Francisco)
•Returned from South Africa on November 22nd
•Fully VACCINATED
•MILD symptoms that are IMPROVING
•Self-quarantining, all close contacts have tested NEGATIVE

Get vaccinated.
NOTE: This individual was NOT boosted.
Figured I would put this out there now because you’re not going to find too many media outlets giving you much information at the moment unfortunately.
Read 6 tweets
1 Dec
An official speaking on behalf of the World Health Organization has said most Omicron cases are 'mild' and there's no evidence to suggest vaccines may be less effective against the variant but did say some mutations of the virus indicate an increased risk of quicker transmission.
The World Health Organization has also urged countries to apply "an evidence-informed and risk-based approach" to travel measures, saying blanket bans will not prevent the spread of the new Omicron COVID variant. Please, when you can, if you have not already, get vaccinated.
A top official in Botswana's health ministry said on Tuesday that 16 out of the 19 cases of the Omicron variant detected in the country were asymptomatic. You can read more here: news.sky.com/story/covid-19…
Read 9 tweets

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