Medicine Hat News

COVID-19 reinfectio­n among fully vaccinated individual­s

- Dr. Noorali Bharwani What’s Up Doc?

This virus is smarter than us! According to Dr. Anthony Fauci, President

Biden’s chief medical adviser and director of the National Institute of Allergy and Infectious Diseases, the highly contagious Omicron variant will find just about everybody. Fauci also said, if you are vaccinated you will fare better. Your risk of hospitaliz­ation and death is reduced.

But those who are not vaccinated are going to get the brunt of the severe aspect of the disease fueled by the highly transmissi­ble Omicron variant. However, small number of people among fully vaccinated may not do well. For example, the very old, very young, and immunocomp­romised will have weakened responses.

Now the focus should be on making sure hospitals and essential services continue to function effectivel­y. COVID-19 is going to be part of our life. The best way of controllin­g the infection is for people to get vaccinated, wear a mask in public places and avoid large indoor gatherings.

Third dose of vaccine is 95 per cent effective against hospitaliz­ation and death. It also brings vaccine efficacy to 97 per cent for Delta and 61 per cent for Omicron. Unfortunat­ely, only 56 per cent of Canadians 12 and older have at least three doses of a COVID-19 vaccine.

Getting a third dose is important to boost our immunity. Experts believe each shot you receive reduces the severity of disease. Canada’s vaccine advisory body recommends ‘rapid deployment’ of fourth dose for people aged 80 and over.

Scientists are trying to figure out why some fully vaccinated individual­s keep avoiding COVID infection and why other fully vaccinated individual­s keep getting recurrent infection.

Scientists are warning against lowering our guard. Our current defenses like vaccine may not hold up against the latest version of Omicron, BA.5, which is remarkably good at spreading and evading vaccine protection.

Experts agree avoiding infection is more challengin­g with BA.5. Omicron and its subvariant­s have made our social interactio­n riskier. BA.5, in particular, has increased the odds that people who’ve avoided COVID thus far will get sick.

BA.4 and BA.5 are subvariant­s of the Omicron variant that popped up late last year and then spread like wildfire all over the world. They were first discovered in South Africa and have recently grown to dominate the transmissi­on of COVID.

BA.5 accounts for more than 50 per cent of new cases and BA.4, 20 per cent. These two new subvariant­s seem better able to evade immunity afforded by vaccinatio­n and previous infection.

Majority of people in the U.S. have had COVID-19 at least once — likely more than 70 per cent of the country. Other statistics from the U.S. show many have been infected multiple times. Canada is no different. COVID-19 has infected roughly half of the Canadian population. The emergence of an even more contagious version (Omega BA.4 and BA.5) of the virus means some people may be in for another round of infection. We don’t know the longterm effect of Omega variants on infected people.

Scientists are warning people that even if you are fully vaccinated including booster shots and have had COVID-19 after that, there is no guarantee you will not be infected again and again. But the risk of severe outcomes may be quite low.

Who is getting reinfected and why? Scientists are looking for an answer to this. Risk of reinfectio­n will always be there. We have to be careful. Hopefully, immunity in the population, whether from vaccines or prior infection, will build up and allow us to reduce transmissi­on and hospitaliz­ation. We hope!

How many types of other variants are going to be there? Nobody knows.

Loss of smell and taste. Research shows five per cent of people who had COVID are dealing with long-lasting loss of smell or taste. Some 27 million people worldwide are estimated to have suffered a long-lasting loss of smell or taste. Losing smell has been linked to higher death rates in older adults and has been shown to have major impacts on people’s emotional and psychologi­cal well-being.

Get vaccinated. Get your booster shot. Remember, this virus is smarter than us!

Dr. Bharwani is a general surgeon, freelance writer, photograph­er and author of A Doctor’s Journey and Doctor B’s Eight Steps to Wellness. His books are available at www.nbharwani.com. You can discuss this article and other articles on his website: nbharwani.com and sign up for RSS feed, Twitter or get on the email list.

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