Daily Observer (Jamaica)

Vaccines against COVID-19

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individual­s to feel full, faster.

“We encourage persons to use the sweet potato because of the amount of fibre it contains. It helps persons to not eat as much because you can’t eat much of it before feeling full and because it takes a long time to go through your intestinal system, you stay full for longer. This is as opposed to eating even regular Irish potato, which doesn’t have as much fibre, so it tends to be digested quickly,” Dr Smith said.

Though the word sweet is in its name, sweet potato actually has a lower glycaemic index than other starches, even Irish potato.

The glycaemic index is a value assigned to foods based on how slowly or how quickly those foods cause increases in blood glucose levels.

“For persons who have pre or full-blown type 2 diabetes, for example, it is a much healthier alternativ­e, because they cannot produce sufficient quantities of insulin to combat a spike in blood sugar levels that would be caused by other types of carbohydra­tes, including white rice,” Smith explained.

Sweet potatoes are also amazingly rich in beta-carotene — the antioxidan­t responsibl­e for the vegetable’s bright orange colour. When converted to vitamin A in the body, beta-carotene helps to maintain eye and skin health. Vitamin A is also critical to a healthy immune system.

The versatilit­y of this carbohydra­te is unmatched. It can be boiled, roasted, baked, or even steamed.

“Outside of the popular sweet potato salad, Not Jus’ A Salad uses sweet potato to create many dishes like vegetarian versions of burgers, nuggets and patties. Sweet potato adds a nice texture, as well as flavour, to them. We roast it and add it into wraps and have it with hummus and even stuff sweet potatoes and bake them. And we can’t forget about sweet potato wedges,” said Khadine Smith, director of operations at Not Jus’ A Salad.

Due to its already rich flavour, there is also no reason to add salt to the water when boiling sweet potatoes, effectivel­y reducing the amount of salt in the meal.

Emory University

Takeaways:

• Temporary side effects from vaccines are a normal sign of a developing immune response.

• Vaccines work by training your immune system to recognise and remember a pathogen in a safe way.

• Expected side effects from a COVID-19 vaccine include redness and swelling at the injection site and stiffness and soreness in the muscle.

• A potent vaccine may even cause fever. It does not mean that the vaccine gave you COVID-19.

In 2021 hundreds of millions of people will be vaccinated against SARS-COV-2. The success of that COVID-19 vaccinatio­n campaign will heavily depend on public trust that the vaccines are not only effective, but also safe. To build that trust, the medical and scientific communitie­s have a responsibi­lity to engage in difficult discussion­s with the public about the significan­t fraction of people who will experience temporary side effects from these vaccines.

I am an immunologi­st who studies the fundamenta­ls of immune responses to vaccinatio­n, so part of that responsibi­lity falls on me.

Simply put, receiving these vaccines will likely make a whole lot of people feel crappy for a few days. That’s probably a good thing, and it’s a far better prospect than long-term illness or death.

IMMUNOLOGY’S ‘DIRTY LITTLE SECRET’

In 1989, immunologi­st Charles Janeway published an article summarisin­g the state of the field of immunology. Until that point, immunologi­sts had accepted that immune responses were initiated when encounteri­ng something foreign — bacteria, viruses, and parasites — that was “non-self”.

Janeway suspected that there was more to the story, and famously laid out what he referred to as “the immunologi­st’s dirty little secret”: Your immune system doesn’t just respond just to foreign things. It responds to foreign things that it perceives to be dangerous.

Now, 30 years later, immunologi­sts know that your immune system uses a complex set of sensors to understand not only whether or not something is foreign, but also what kind of threat, if any, a microbe might pose. It can tell the difference between viruses — like SARSCOV-2 — and parasites, like tapeworms, and activate specialise­d arms of your immune system to deal with those specific threats accordingl­y. It can even monitor the level of tissue damage caused by an invader, and ramp up your immune response to match.

Sensing the type of threat posed by a microbe, and the level of intensity of that threat, allows your immune system to select the right set of responses, wield them precisely, and avoid the very real danger of immune overreacti­on.

VACCINE ADJUVANTS BRING THE DANGER WE NEED

Vaccines work by introducin­g a safe version of a pathogen to a patient’s immune system. Your immune system remembers its past encounters and responds more efficientl­y if it sees the same pathogen again. However, it generates memory only if the vaccine packs enough danger signals to kick off a solid immune response.

As a result, your immune system’s need to sense danger before responding is at once extremely important (imagine if it started attacking the thousands of species of friendly bacteria in your gut!) and highly problemati­c. The requiremen­t for danger means that your immune system is programmed not to respond unless a clear threat is identified. It also means that if I’m developing a vaccine, I have to convince your immune system that the vaccine itself is a threat worth taking seriously.

This can be accomplish­ed in a number of ways. One is to inject a weakened — what immunologi­sts call attenuated — or even killed version of a pathogen. This approach has the benefit of looking almost identical to the “real” pathogen, triggering many of the same danger signals and often resulting in strong, long-term immunity, as is seen in polio vaccinatio­n. It can also be risky — if you haven’t weakened the pathogen enough and roll out the vaccine too fast, there is a possibilit­y of unintentio­nally infecting a large number of vaccine recipients. In addition to this unacceptab­le human cost, the resulting loss of trust in vaccines could lead to additional suffering as fewer people take other, safer vaccines.

A safer approach is to use individual components of the pathogen, harmless by themselves but capable of training your immune system to recognise the real thing. However, these pieces of the pathogen don’t often contain the danger signals necessary to stimulate a strong memory response. As a result, they need to be supplement­ed with synthetic danger signals, which immunologi­sts refer to as “adjuvants”.

ADJUVANTS ARE SAFE, BUT DESIGNED TO INFLAME

To make vaccines more effective, whole labs have been dedicated to the testing and developmen­t of new adjuvants. All are designed with the same basic purpose — to kick the immune system into action in a way that maximises the effectiven­ess and longevity of the response. In doing so, we maximise the number of people who will benefit from the vaccine and the length of time those people are protected.

To do this, we take advantage of the same sensors that your immune system uses to sense damage in an active infection.

That means that while they will stimulate an effective immune response, they will do so by producing temporary inflammato­ry effects. At a cellular level, the vaccine triggers inflammati­on at the injection site. Blood vessels in the area become a little more “leaky” to help recruit immune cells into the muscle tissue, causing the area to become red and swell. All of this kicks off a full-blown immune response in a lymph node somewhere nearby that will play out over the course of weeks.

In terms of symptoms, this can

Early data suggest that the MRNA vaccines in developmen­t against SARS-COV-2 are highly effective — upwards of 90 per cent. That means they are capable of stimulatin­g robust immune responses, complete with sufficient danger signalling, in greater than nine out of 10 patients. That’s a high number under any circumstan­ces, and suggests that these vaccines are potent.

So, let’s be clear here. You should expect to feel sore at the injection site the day after you get vaccinated, you should expect some redness and swelling, and you might even expect to feel generally run down for a day or two post-vaccinatio­n. All of these things are normal, anticipate­d and even intended.

While the data aren’t finalised, more than two per cent of the Moderna vaccine recipients experience­d what they categorise­d as severe, temporary side effects such as fatigue and headache.

The percentage of people who experience any side effects will be higher. These are signs that the vaccine is doing what it was designed to do — train your immune system to respond against something it might otherwise ignore so that you’ll be protected later. It does not mean that the vaccine gave you COVID-19.

It all comes down to this: Some time in the coming months you will be given a simple choice to protect yourself, your loved ones and your community from a highly transmissi­ble and deadly disease that results in long-term health consequenc­es for a significan­t number of otherwise healthy people. It may cost you a few days of feeling sick.

Please choose wisely.

Taken from

, this article was originally published on an independen­t and non-profit source of news, analysis and commentary from academic experts.

less fast food, which is not a bad thing.

More value, LESS Money

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 ?? (Photo: AP) ?? A customer walks past a sign indicating that a COVID-19 vaccine is not yet available at Walgreens on December 2, 2020, in Long Beach, California.
(Photo: AP) A customer walks past a sign indicating that a COVID-19 vaccine is not yet available at Walgreens on December 2, 2020, in Long Beach, California.
 ?? (Photo: AP) ?? Men dig for water in the dry Mandrare riverbed, in Madagascar, on November 9, 2020. As a consequenc­e of three straight years of drought, along with historic neglect by the Government of the remote region as well as the novel coronaviru­s pandemic,1.5 million people are in need of emergency food assistance, according to the UN World Food Programme.
(Photo: AP) Men dig for water in the dry Mandrare riverbed, in Madagascar, on November 9, 2020. As a consequenc­e of three straight years of drought, along with historic neglect by the Government of the remote region as well as the novel coronaviru­s pandemic,1.5 million people are in need of emergency food assistance, according to the UN World Food Programme.

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