Sunday, September 05, 2021


Lessons from the "Diamond Princess"

There are a number of articles circulating that see governmental reactions to Covid as the product of malign conspiracies. And it is true that government Covid policies are not well justified by the science.

There is however an old provrerb that says never attribute to malice what can equally be attributed to stupidity or folly. And it is my view that the lockdowns etc. are just the sort of stupidity that we expect from politicians rather than being due to anything more devious.

The conspiracy articles oftem preent a good case for a very different response to the virus but the paranoia in them makes for a tedious read. Below however I present an excerpt from one of the conspiracy articles that seems to me well reasoned

I have always argued that government responses to the virus should have been limited to particularly vulnerable groups


The outbreak on the Diamond Princess cruise ship served as an inadvertent petri-dish to study the COVID virus. Thanks to that example, by the end of February 2020, we knew that COVID was not some monster virus like the 1918 Spanish Flu but was simply another coronavirus strain that was closely related to previous coronaviruses and that most of us already carried some level of cross-reactive immunity to protect us.

How do we know that? The virus circulated freely onboard the ship, yet age corrected lethality remained between 0.025% and 0.625% (that's on the order of a bad flu season and nothing at all like the fatality rate of the 1918 Spanish Flu, which was between 2% and 10%). Only 26% of the passengers tested positive for the virus and of those that tested positive 48% remained completely symptom free despite the advanced age of most of these passengers!

The Diamond Princess didn't turn into the floating morgue of bygone eras when ships carrying a disease were forced into quarantine. That should have been the first clue that this virus was anything but novel in the colloquial understanding of the term. Like most cold and flu viruses, only those with weak immune systems were in danger while everyone else got off with little or no symptoms. That is simply not how a truly novel virus behaves when it encounters a population without any pre-existing cross-reactive immunity. The only plausible explanation for that lack of deadliness (deadly for some, annoying for some, and asymptomatic for most others) is that most people already have sufficient pre-existing cross-reactive immunity from exposure to other coronaviruses.

Research subsequently confirmed what the Diamond Princess outbreak revealed. Cross-reactive immunity. As I mentioned before, studies like this one demonstrated that up to 90 - 99% of us already have some residual level of partial protection to COVID. And we also subsequently found out that most people who were exposed to the deadly SARS virus in 2003 have little to fear from COVID, again because of cross-reactive immunity. COVID was never a mortal threat to most of us.

The important thing to remember is that the Diamond Princess data was already publicly available since the end of February of 2020. Operation Warp Speed, the vaccine development initiative approved by President Trump, was nevertheless announced on April 29th, 2020. Thus, our health authorities knowingly and opportunistically recommended lockdowns and promoted vaccines as an exit strategy after it was already clear that the majority of us had some kind of protection through cross-reactive immunity. The Diamond Princess example provided the unequivocal proof that the only people who might benefit from a vaccine, even if it worked as advertised, were the small number of extremely vulnerable members of society with weak immune systems. Likewise, lockdowns should have been recommended only for nursing home residents (on a strictly voluntary basis to protect their human rights) while the pandemic surged through the rest of us.

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How long does immunity last after COVID vaccination? And do we need booster shots?

An important factor in achieving herd immunity against SARS-CoV-2 (the virus that causes COVID-19) is is how long the vaccines protect you.

If a vaccine continues to work well over a long period, it becomes easier to have a significant proportion of the population optimally protected, and in turn suppress or eliminate the disease entirely.

As the rollout of COVID-19 vaccines continues, public attention is increasingly turning to booster shots, which aim to top up immunity if it wanes. But is a third dose needed? And if so, when?

Let’s take a look at what the data tell us so far about how long immunity from COVID-19 vaccines might last.

Immunity after a COVID-19 infection?

The presence of antibodies against SARS-CoV-2 is used as an indicator of immunity, with higher levels indicating greater protection.

Once antibody levels drop below a particular threshold, or vanish completely, the person is at risk of reinfection.

Initially, scientists observed people’s antibody levels rapidly decreased shortly after recovery from COVID-19.

However, more recently, we’ve seen positive signs of long-lasting immunity, with antibody-producing cells in the bone marrow identified seven to eight months following infection with COVID-19.

In addition, scientists have observed evidence of memory T cells (a type of immune cells) more than six months following infection.

A study of more than 9000 recovered COVID-19 patients in the United States up to November 2020 showed a reinfection rate of only 0.7 per cent.

These findings closely align with a slightly more recent study suggesting reinfection after COVID-19 is very uncommon, at least in the short term.

While it seems likely there’s some level of lasting protection following COVID-19 infection, if you’ve had COVID, getting vaccinated is still worthwhile.

There’s some evidence vaccination after recovery leads to a stronger level of immunity compared to “natural” immunity from infection, or immunity from vaccination alone.

People with so-called “hybrid immunity” appear to exhibit a more diverse range of antibodies.

How long does immunity from vaccines last?

The vaccines deployed against COVID-19 in Australia and most of the western world come from two classes.

Those produced by AstraZeneca and Johnson & Johnson are viral vector vaccines. They use an adenovirus (which causes the common cold) to prime the immune system to respond to SARS-CoV-2.

The vaccines developed by Pfizer and Moderna use mRNA-based technology. The messenger RNA gives your cells temporary instructions to make the coronavirus’ spike protein, teaching your immune system to protect you if you encounter the virus.

For the viral vector vaccines, despite ongoing trials, there’s little data available on the duration of the antibody response.

The original studies showed efficacy for one to two months, however the duration of protection, and whether a booster will be needed, require further evaluation.

Notably, a vaccine similar to AstraZeneca against a related coronavirus (Middle East respiratory syndrome, or MERS) showed stable antibody levels over a 12-month follow-up period. This gives hope for lasting protection against similar coronaviruses.

The Pfizer and Moderna COVID-19 vaccines are the first vaccines based on mRNA technology to be approved for human use. So there’s still significant research required to evaluate the nature and duration of immunity they induce.

Interestingly, “germinal centres” have been identified in the lymph nodes of people vaccinated with the Pfizer vaccine. These act as training sites for immune cells, teaching them to recognise SARS-CoV-2, indicating a potential for long-lasting protection.

Initial studies only evaluated short-term efficacy, however recent research has found strong antibody activity at six months.

What about Delta?

Variants such as Delta, which are more transmissible and potentially more dangerous, are likely to increase interest in booster programs.

All vaccines show modestly reduced efficacy against Delta, so any decrease in protection over time could be more problematic than with the original SARS-CoV-2 virus, or other variants.

A recent preprint (a study yet to undergo peer review) found protection against the Delta variant waned within three months with both the Pfizer and AstraZeneca vaccines.

This research from the United Kingdom showed the Pfizer vaccine was 92 per cent effective at preventing people from developing a high viral load at 14 days after the second dose, but this dropped to 78 per cent at 90 days.

AstraZeneca was 69 per cent effective against the same measure at 14 days, dropping to 61 per cent after 90 days.

This study shows vaccinated people who become infected with Delta still carry high amounts of virus (viral load).

Third booster doses will be important to reduce these breakthrough infections and subsequent transmission.

Although the UK study looked at infections rather than hospitalisations or deaths, data from around the world continue to show the unvaccinated are making up the vast majority of patients who develop serious illness.

Nonetheless, scientists are continuing to investigate how waning immunity could affect protection against the more serious outcomes of COVID-19.

OK, so what now?

Pfizer has reported positive results from trials of a third dose to boost immunity, and the company is seeking formal approval for a booster from the United States Food and Drugs Administration.

The United States has announced it will begin distributing third doses next month to people who received an mRNA vaccine eight months ago or more.

Other countries, such as Israel, have already begun rolling out boosters.

The move to offer third doses in some high-income countries has raised ethical concerns, with many people around the world still unable to access a first or second dose.

A number of countries have authorised booster doses for at-risk populations in response to the rise of the Delta variant.

This includes older adults and those with compromised immune systems, to combat the increased risk of severe disease and diminished vaccine protection in these people.

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Also see my other blogs. Main ones below:

http://edwatch.blogspot.com (EDUCATION WATCH)

http://antigreen.blogspot.com (GREENIE WATCH)

http://pcwatch.blogspot.com (POLITICAL CORRECTNESS WATCH)

http://australian-politics.blogspot.com/ (AUSTRALIAN POLITICS

http://snorphty.blogspot.com/ (TONGUE-TIED)

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