imppress 15 Posts Specializes in Treatment-resistant Clinical Depression. Aug 11, 2021 49 minutes ago, toomuchbaloney said: Nonsense. All effort should be focused upon vaccinating the unvaccinated while protecting those who cannot vaccinate. I provided CDC-backed data explaining why naturally immune people are not a threat to those who cannot vaccinate. Saying "nonsense" refuted nothing. Can you defend your position? Or is passion your only tool? Passionate error is still error.
toomuchbaloney 10,834 Posts Specializes in NICU, PICU, Transport, L&D, Hospice. Has 44 years experience. Aug 12, 2021 3 hours ago, imppress said: I provided CDC-backed data explaining why naturally immune people are not a threat to those who cannot vaccinate. Saying "nonsense" refuted nothing. Can you defend your position? Or is passion your only tool? Passionate error is still error. You provided your interpretation of the data which happens to run contrary to the expert analysis and opinion. All unvaccinated adults should vaccinate against covid ASAP. All. Eligible. Adults.
allnurses Guide BostonFNP, APRN 3 Articles; 5,581 Posts Specializes in Adult Internal Medicine. Has 12 years experience. Aug 12, 2021 15 hours ago, imppress said: Previously infected people have demonstrated a very modest improvement from vaccination only if they were hospitalized by COVID the first time, but that is the only exception. https://www.CDC.gov/mmwr/volumes/70/wr/mm7032e1.htm?s_cid=mm7032e1_w This is a dynamic topic right now. I agree that if there was limited vaccine supply it should be given to those that are not vaccinated nor convalescent. It's murkier water when there is plenty of vaccine available.
subee, MSN, CRNA 4,779 Posts Specializes in CRNA, Finally retired. Has 51 years experience. Aug 12, 2021 23 hours ago, imppress said: Right. It will be cheaper, faster, and accomplished with less pushback if we focus on those who have been neither vaccinated nor infected. Both the CDC https://www.CDC.gov/coronavirus/2019-ncov/science/science-briefs/fully-vaccinated-people.html#ref30 and the European Centre for Disease Prevention and Control https://www.ecdc.europa.eu/sites/default/files/documents/Partial COVID vaccination and heterologous vacc schedule - 22 July 2021.pdf (reference #18) Have both cited (and therefore, vouched for) the Israel Ministry of Health Study at: https://www.medrxiv.org/content/10.1101/2021.04.20.21255670v1 which said: "Vaccination was highly effective with overall estimated efficacy for documented infection of 92·8% (CI:[92·6, 93·0]); hospitalization 94·2% (CI:[93·6, 94·7]); severe illness 94·4% (CI:[93·6, 95·0]); and death 93·7% (CI:[92·5, 94·7]). prior SARS-CoV-2 infection for documented infection is 94·8% (CI:[94·4, 95·1]); hospitalization 94·1% (CI:[91·9, 95·7]); and severe illness 96·4% (CI:[92·5, 98·3]). Our results question the need to vaccinate previously-infected individuals." Not all unvaccinated people are deniers, nor do they pose a proven public safety threat greater than vaccinated people. The current distraction of demanding vaccination of those who are not a public threat is not based on scientific data. Previously infected people have demonstrated a very modest improvement from vaccination only if they were hospitalized by COVID the first time, but that is the only exception. https://www.jabfm.org/content/risk-new-hospitalization-post-covid-19-infection-non-covid-19-conditions-0 "After adjustment for potential confounding variables, there was no significantly increased risk in future hospitalization for any condition for patients who were COVID-19 positive versus those who were COVID-19 negative (HR 1.31; 95% CI 0.98, 1.74). In adjusted analyses, individuals with severe COVID-19 had an increased risk of hospitalization for potential complications compared to both mild/moderate COVID-19 (HR 2.20; 95% CI 1.13, 4.28) and COVID-19 negative patients (HR 2.24; 95% CI: 1.52, 3.30). Discussion: Patients with a severe COVID-19 episode were at greater risk for future hospitalizations. This study reinforces the importance of preventing infection in patients at higher risk for severe COVID-19 cases." This isn't medical opinion or speculation, these are CDC cited facts and our outreach is currently pointlessly diluted. This last article you included above only 1. measures patients who actually got the opportunity to go home as opposed to the morgue and 2., Discussion: Patients with a severe COVID-19 episode were at greater risk for future hospitalizations. This study reinforces the importance of preventing infection in patients at higher risk for severe COVID-19 cases." This only supports the point that preventing infection is important. They are only looking at the level of sickness AFTER a person gets re-infected; NOT at the folks who did not get re-infected and never popped up on the radar because they didn't show up at a hospital. So, this study says a little something, but not anything meaningful.