Re Covid, what you knew a few months ago is different now. Thank Delta variant and vaccines.

 

The pandemic is changing. What we knew a year ago is different now.

Here’s some of the latest.

This disease is now driven by the unvaccinated population. The unvaccinated are a minority of the population, but they dominate both all illness and severe illness requiring hospitalization.

An August 2021 study by the Centers for Disease Control of health care facilities in Los Angeles found that if you were unvaccinated, you were 5 times more likely to get the disease and 29 times more likely to require hospitalization for COVID.  

Young people seemed somewhat protected from the early strains of the virus, but that is changing.

“Rates of COVID-19–associated hospitalization among children and adolescents increased rapidly from late June to mid-August 2021, coinciding with predominance of the Delta variant,” the CDC reported.

(Children aged 12 to 17 are eligible for vaccination. Children 11 and younger are not currently eligible.)

Children are getting sick at higher rates than they were early in the epidemic, and unvaccinated kids are getting far sicker. Unvaccinated teenagers are 10 times more likely than those vaccinated to require hospitalization.

Among kids aged 0 to 17, “Emergency department visits and hospital admissions in a 2-week period in August 2021 were higher in states with lower population vaccination coverage and lower in states with higher vaccination coverage,” the CDC said. 

The changing dominant variant has changed the behavior of the pandemic. Where children were not particularly likely to get the Alpha variant, they seem more likely to get the Delta variant.

“Weekly rates of COVID-19-associated hospitalizations per 100,000 children and adolescents younger than 18 years old increased nearly five-fold, from 0.3 during the week ending June 26, 2021, to 1.4 during the week ending August 14, 2021,” the CDC said.

The data shows that among children, the youngest children are at increased risk.

“The sharpest increase during this period occurred among children aged 0-4 years, for whom the rate per 100,000 children during the week ending August 14, 2021 (1.9) was nearly 10 times that during the week ending June 26, 2021,” said the CDC.

© Jan TenBruggencate 2021

Vaccination against the Delta variant: the newest COVID-19 research

The Delta variant has upended the decline in COVID-19 numbers, but the most recent scientific reports indicate vaccination continues to be dramatically effective against it.

The disease is changing with new variants, and the science is changing as more and more researchers report data reflecting the new dominance of the Delta variant. We reviewed the latest scientific studies, which reflect the presence of Delta. The general conclusions are:

❶ Delta is more capable of overcoming vaccination than Alpha or other variants.  That said, vaccination still provides remarkable protection—far more than half of vaccinated individuals will never experience illness with symptoms that make them feel sick.

❷ Vaccination will make you three times less likely to be infected than not being vaccinated. The COVID vaccines provide strong protection—better than the flu shot does against flu.

❸ Underlying medical conditions still increase the threat of severe infection requiring hospitalization, whether you are vaccinated or not, but vaccination improves your odds of experiencing few or no symptoms.

Here are some of the points in research published within the past three months. I have included hyperlinks so you can look at the original source material.

An Israel study showed that vaccination protection from the Pfizer vaccine dropped from 94 to 64 percent when measured against the Delta variant, the protection for the need for hospitalization only dropped from 97 to 93 percent. Meaning there was an increased chance you might get sick, but you were still extremely unlikely to get very sick. 

An India study similarly showed that while Delta gets through vaccination (which researchers call “breakthrough” infections) a little more effectively than other variants, most vaccinated individuals never get sick. 

An English study done from May to July 2021 found that during the study, earlier variants were completely replaced by Delta. And they found that unvaccinated people were three times more likely to get sick than the vaccinated. 

A Singapore study showed the mRNA vaccines, like Pfizer and Moderna, are extremely effective against the Delta variant. This study found that vaccinated patients who did experience breakthrough infections were much more likely to have no symptoms, while unvaccinated individuals were much more likely to get very sick. 

A Mayo Clinic study in the United States reviewed Moderna and Pfizer vaccines January through July 2021 confirmed that both were generally highly effective, but were less effective against Delta. That said, both are much more effective than the seasonal flu vaccine is against flu. 

A Canadian study found that all available vaccines provide significant protection against all variants. Single-dose vaccination provided some protection but full vaccination (2 doses properly timed) was far better. 

A BMJ (formerly British Medical Journal) article notes that vaccination provides good protection against infection, but that it provides excellent protection (in the 90+ percent range) against being so sick you need hospitalization. 

A Welsh-Scottish-Irish study found that vaccines provide similar or better protection than having actually had the disease. And even if you have had the disease, vaccination increases your protection against reinfection. “Effectiveness of two doses remains at least as great as protection afforded by prior natural infection,” the report says.  

The upshots are these:

Some vaccinated people will still get sick. That is the case with all vaccines--they are not 100 percent effective. As as case counts rise, you'll hear about more of these breakthrough infections, but that doesn't mean vaccines are not working.

All the newest evidence shows that vaccination makes you less likely to get infected with COVID-19, and that even if you do get infected, you are dramatically less likely be so sick that you’ll need hospital care.

Put another way, at this point in the pandemic, if you are not vaccinated,  you and your family are at dramatically higher risk of infection and severe illness.

© Jan TenBruggencate 2021

Your odds if not vaccinated are worse than drawing to an inside straight

Did you get the flu vaccine but not the COVID-19  vaccine?

How about that decision?

According to the Mayo Clinic: 

In the 2019-2020 flu season, 22,000 deaths among 38 million cases. Somewhat less than 1 in 1,000.

In the COVID-19 epidemic in 2020-2021, 580,000 dead among 32 million cases. Somewhat less than 2 in 100.

If you get the disease, you are 30 times more likely to die of COVID-19 than the flu. And these numbers don’t yet reflect the full impact of the new, more virulent Delta Variant.

Among vaccinated individuals, the death rate drops to less than 1 in 100,000, and most of those deaths are among frail, elderly folks in care homes.

Not getting vaccinated is betting on an inside straight. You might get lucky, but the odds are stacked way, way against it. Less than 1 in 10.