Very encouraging news out of Scotland. A study from the University of Edinburgh using early national data suggests that Omicron is associated with a two-thirds REDUCTION in the risk of COVID-19 hospitalization when compared to Delta.

Let’s talk about that and more! 🧵
It is IMPORTANT to note severity of disease in humans is NOT determined only by virus replication but also by the host immune response to the infection. Make sure you are PROTECTED. Regarding sources for the information above:
research.ed.ac.uk/en/publication…
imperial.ac.uk/mrc-global-inf…
Early data from Scotland indicates that there is a two-thirds REDUCTION in hospitalization of double vaccinated young adults, compared with the Delta variant. In addition, data from England signals that Omicron infection is associated with a 15 to 20% REDUCED risk in requiring
any hospital treatment, compared with Delta. Preliminary results from Scotland, drawn from linked vaccination and hospitalization data for the entire Scottish population, have shown a 56% REDUCTION in hospitalization in people aged 20 to 50 years with Omicron infection, compared
with what would be expected with the Delta variant. Given the limitations of the data, the true value lies somewhere between 30% to 75% for this age group. Across all ages, the data suggests that Omicron is associated with a two-thirds reduction in the risk of COVID-19
hospitalization when compared to Delta. However, there have been very few cases of Omicron recorded in older populations, which skews the results. With age being a risk factor for hospitalization for prior variants including Delta, it is not clear from this study if the lower
hospitalization rates in older people are due to them being highly boosted with a third vaccine dose or if the variant causes milder disease. The study out of Scotland concludes booster doses offer SUBSTANTIAL additional protection against the risk of symptomatic COVID-19 for
Omicron AND ending up in the hospital with Omicron. So make sure YOU ARE PROTECTED. While limited, the data provide a first sign that Omicron may not be as virulent as the Delta strain. These datasets will be followed up over the coming weeks and will provide a clearer picture of
true risks of severe disease as time goes but thus far, they fall in line with data out of South Africa. In a second study, researchers at Imperial College London have analyzed data in England that included 56,000 cases of Omicron and 269,000 cases of Delta. Their data suggests
that individuals infected with Omicron are 15 to 20% LESS likely to attend hospital overall, and 40 to 45% LESS likely to be hospitalized for a night or more, compared with Delta cases. The researchers also analyzed the impact of prior infection and found that those infected with
Omicron after a previous infection were 50 to 60% LESS likely to be hospitalized, compared with people with NO previous documented infection. You can read more here: politico.eu/article/omicro…
Summary:
•Difficult to disentangle if less severity is due to prior IMMUNITY (vaccine or natural infection) OR intrinsic virulence of Omicron, BUT Omicron IS causing milder illness
•Vaccine immune escape (in regards to nAbs ONLY), protection against SEVERE infection sustained
•Other areas may have lower seroprevalence and lower vaccination rates
•GET PROTECTED. GET BOOSTED.
•Boosters give strong protection against BOTH symptomatic infection AND severe illness from Omicron
•Don’t walk around IMMUNE NAIVE!
I wanted to add this onto this thread. Regarding VACCINES. Three doses of AstraZeneca ARE effective against Omicron AND 2 doses of Sinovac plus a booster of Pfizer ARE effective against Omicron as well!
reuters.com/business/healt…
biorxiv.org/content/10.110…
med.hku.hk/en/news/press/…

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More from @sailorrooscout

24 Dec
Just a friendly reminder. If you test positive for SARS-COV-2 after being vaccinated and are experiencing mild symptoms or even no symptoms at all?

Congratulations.

Your vaccine worked.
The term infection refers to the virus entering and being detectable in your system regardless of whether OR NOT it makes you sick, whereas the term illness refers to the virus entering, being detectable in your system AND making you sick. It it important not to conflate the two.
The first thing to know about the COVID-19 vaccines is that they’re doing exactly what they were designed and authorized to do. Since the vaccines first started their rollout late last year, rates of COVID-19 disease have taken an unprecedented plunge among the immunized.
Read 5 tweets
22 Dec
Very encouraging data out of South Africa. A study released by NICD shows South Africans contracting COVID-19 in the current fourth wave of infections are 80% LESS likely to be hospitalized if infected with Omicron compared with other strains.

Let’s talk about this and more! 🧵
It is IMPORTANT to note severity of disease in humans is NOT determined only by virus replication but also by the host immune response to the infection. Make sure you are PROTECTED. Regarding sources for the information above:
bloomberg.com/news/articles/…
medrxiv.org/content/10.110…
Once admitted to the hospital though, the risk of severe disease doesn’t differ from other variants. Compared to Delta infections in South Africa between April and November, Omicron infections are associated with a 70% LOWER risk of severe disease.
Read 14 tweets
20 Dec
Very encouraging data out of South Africa. Decoupling between new COVID-19 cases and ICU admissions and deaths. In addition, cases in South Africa have peaked and are now on the decline.

Let’s talk about this and more! 🧵
It is IMPORTANT to note severity of disease in humans is NOT determined only by virus replication but also by the host immune response to the infection. Make sure you are PROTECTED. Regarding the information above:
•H/T: @ScottGottliebMD
•Source: ourworldindata.org/coronavirus/co…
Summary:
•Difficult to disentangle if less severity is due to prior IMMUNITY (vaccine or natural infection) OR intrinsic virulence of Omicron
•Most hospital admissions in UNVACCINATED individuals
•>70% seroprevalence and 40% one dose of vaccine
•2-3x higher risk re-infection
Read 12 tweets
19 Dec
This picture paints about 3000 words. Expand for full effect. Image
According to November 2021 Wisconsin data:
•People not fully vaccinated were diagnosed with COVID-19 at a rate 5x higher than people who were fully vaccinated.
•People not fully vaccinated were hospitalized with COVID-19 at a rate 11x higher than people who were fully
vaccinated.
•People not fully vaccinated died from COVID-19 at a rate 12x higher than people who were fully vaccinated.

These rates are age-adjusted. Fully vaccinated here still refers to two doses of a vaccine, not three.
Read 6 tweets
17 Dec
Encouraging news out of South Africa’s MOH this morning. Age-controlled data regarding Omicron severity. ACROSS ALL AGES, death rates among hospitalized patients are 2/3 LOWER in the Omicron wave. In addition, hospitalization rates have FALLEN 91% in the Omicron wave.🧵
You can find the presentation here:
“Only 1.7% of identified COVID-19 cases were admitted to hospital in the second week of infections in the fourth wave, compared with 19% in the same week of the third delta-driven wave.” bloomberg.com/news/articles/…
Read 8 tweets
15 Dec
HKUMed shows Omicron infects and multiplies 70X faster than Delta in the human bronchus, which may explain why it transmits faster, BUT also shows Omicron infection in the lung is significantly LOWER than the original virus, which may be an indicator of lower disease severity. 🧵
They found that Omicron replicates faster than the original SARS-CoV-2 virus and Delta in the human bronchus. At 24 hours after infection, Omicron replicated around 70X higher than Delta and the original SARS-CoV-2 virus.
In contrast, Omicron variant replicated LESS efficiently (MORE than 10X lower) in the human lung tissue than the original SARS-CoV-2 virus, which may suggest lower severity of disease.
Read 8 tweets

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