“Breakthrough” infections DO NOT mean vaccines don’t work. Remember, they are preventives, NOT cures. One can still contract COVID once vaccinated. As long as that vaccine is preventing you from facing severe disease and worse, it IS working and doing what it was designed to do.
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.
The second thing to know about the COVID-19 vaccines is that they’re flame retardants, not impenetrable firewalls, when it comes to the coronavirus. Some vaccinated people are still getting infected, and a small subset of these individuals is still getting sick
-and this is completely expected. “Breakthroughs” are known to occur after vaccination against other diseases, such as influenza and measles. Why? Because NO VACCINE IS 100% EFFECTIVE.
“Even the measles vaccine, which is incredibly effective, fails to protect about 3% of vaccinated individuals who are exposed to the virus. Jonas Salk's polio vaccine-hailed a medical miracle- was 80% to 90% effective at preventing paralysis caused by the polio virus.”
Measles and polio breakthrough infections aren't just rare because the vaccines are so effective but also because those who are vaccinated rarely interact with infected people. Even with highly effective vaccines for COVID-19, breakthrough infections are likely to keep happening
because the virus is so widespread and we have highly transmissible variants like Delta and Omicron. For lighter reading on the subject I suggest:
smithsonianmag.com/science-nature…
scientificamerican.com/article/breakt…
theatlantic.com/science/archiv…
theatlantic.com/science/archiv…
theatlantic.com/science/archiv…
“Breakthrough” infections typically cause mild to moderate symptoms, if one develops symptoms at all. Another benefit of vaccines is that they likely shorten the length of illness for many individuals who do become infected.
A genome sequencing study of SARS-CoV-2 in the Houston Methodist healthcare system identified 862 symptomatic patients with infections caused by Omicron from late November through December 18th, Omicron very rapidly increased in only 3 weeks to cause 90% of all new COVID-19 cases
Compared to patients infected with either Alpha OR Delta variants in their healthcare system, Omicron patients required LESS intense respiratory support AND had a SHORTER length of hospital stay, consistent with DECREASED disease severity.
THIS is why it is important to make sure you are VACCINATED. Get protected. DON’T WALK AROUND IMMUNE NAIVE. medrxiv.org/content/10.110…

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More from @sailorrooscout

3 Jan
Guys, B.1.640.2 isn’t new. It actually PREDATES Omicron. It's a sub-lineage of B.1.640- which caused some concern back in mid-November but couldn’t even compete with Delta. B.1.640.2 was first sequenced OVER a month ago and was officially recognized as a lineage in December.
As Tom points out, there haven’t been any new sequences uploaded since before Christmas and this variant has had a decent chance to cause issues but never really materialized. It’s been classified as a Variant Under Monitoring by WHO since November. Let’s focus on Omicron.
If you need background on this I went over it all here. Approximately THREE days ago.
Read 8 tweets
3 Jan
A CWRU School of Medicine study of 577,938 pediatric and adult patients shows first time SARS-CoV-2 infections occurring at a time when Omicron was rapidly spreading were associated with significantly less severe outcomes than first time infections when Delta predominated. 🧵
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. Source for the information above can be found here: medrxiv.org/content/10.110… PLEASE NOTE. Image
Currently, data on the severity of the disease caused by the Omicron variant compared with the Delta variant has been limited. Here, researchers compared 3-day risks of emergency department (ED) visit, hospitalization, intensive care unit (ICU) admission, & mechanical ventilation
Read 15 tweets
31 Dec 21
@_almond_tree May I make a suggestion. This isn’t new. The preprint just got uploaded like two days ago but that’s it. If anyone does a Google search they’ll see this pops up as early as October/November deseret.com/coronavirus/20… and hasn’t done much. Omicron kinda blew this out of the water.
@_almond_tree This has been under monitoring with B.1.640 being first detected in September 2021. ecdc.europa.eu/en/covid-19/va…. I know everyone is looking for the “next big thing” but context is important. The preprint just got uploaded on 12/29 which is why some people think it’s “new.”
@_almond_tree I mean, it didn’t even get to spread far due to Delta. Now with Omicron, if this variant couldn’t stand to Delta it likely wouldn’t be able to against Omicron either. Again, it’s been under monitoring, that’s it. Image
Read 5 tweets
31 Dec 21
Encouraging news out of South Africa. Study data has suggested South Africa’s Omicron peak has indeed passed with NO major spike in deaths OR hospitalizations.
The study looked at the rate at which the fourth surge in cases progressed in the South African city of Tshwane, which researchers described as the "global epicentre" of the Omicron wave.
Researchers looked at hospital records from a Tshwane hospital system and compared them to prior surges. Based on their analysis, the omicron wave "spread and declined in the City of Tshwane with unprecedented speed peaking within 4 weeks of its commencement."
Read 7 tweets
30 Dec 21
Them: Is there any other vaccine in history that required three doses in a year and yet still didn’t prevent transmission of the virus it was meant to protect against?

Me: Your childhood vaccinations would like a word with you.
Before I forget, reminder that your TDap: Tetanus-Diphtheria-Pertussis (every 10 years) are technically a repetitive vaccine series or rather boosters during adulthood. HPV is another vaccine that could fit here as well.
“Even the measles vaccine, which is incredibly effective, fails to protect about 3% of vaccinated individuals who are exposed to the virus. Jonas Salk's polio vaccine-hailed a medical miracle- was 80% to 90% effective at preventing paralysis caused by the polio virus.”
Read 4 tweets
30 Dec 21
Immunity is more than just neutralizing antibodies.

Why? Because MOST of your T-cell responses from vaccination or previous infection STILL recognize Omicron.

Let’s talk about that!🧵
Immunological memory consists of antibodies, memory B-cells, memory CD8+ T-cells, and memory CD4+ T-cells. These responses are what give us enduring protection even against newly emerging SARS-CoV-2 variants.
Immunological memory is probably the most important feature of immunity as it allows us to better respond when the threat is encountered a second time. Against SARS-CoV-2, it helps to determine protection against reinfection, disease risk, and vaccine efficacy.
Read 14 tweets

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