Rappahannock News

Why I trust the COVID vaccine

- BY COLIN M. GREENE, MD, MPH Dr. Colin Greene is the Acting Health Director, Rappahanno­ckRapidan Health District. The family physician is a retired Army o cer and Director of the Lord Fairfax Health District in the Shenandoah Valley.

Three vaccines against the COVID-19 infection are now approved, and over 40,000 people have received a vaccine here in the Rappahanno­ck-Rapidan Health District, with some 24,000 fully vaccinated. Vaccinatio­n is continuing apace, with greatest emphasis on the elderly and underserve­d communitie­s, where many of our COVID deaths have occurred. As the most elderly and vulnerable are served we will begin o ering the vaccine to younger members of the population, especially those with chronic health conditions and those in essential occupation­s.

In discussion­s over the last three months, I have encountere­d people who remain uncertain about these vaccines given that they are still fairly new. I’d like to o er an explanatio­n of why I trust these vaccines, and why I chose to be vaccinated myself.

First, in 2016, during my military career, I had the honor of commanding the Walter Reed Army Institute of Research (WRAIR). One of WRAIR’s missions is to develop and test new vaccines, so I have some familiarit­y with the process. Second, as a public health physician, I have watched with dismay the e ects — medical, social and economic — that the COVID pandemic has had on the people of northweste­rn Virginia. Finally, these vaccines o er us a solution to this pandemic, and a return toward normal life. Testing, masking and distancing are still needed to control the spread of the infection, but only the vaccine will end it.

From my observatio­ns, these vaccines have been developed properly, using well establishe­d techniques and without cutting corners. The speed of developmen­t and delivery was unpreceden­ted and was made possible by two decisions. The

rst was Operation Warp Speed, which dedicated several hundred billion dollars up front. This allowed for the setup of all lines of research as well as vaccine manufactur­e to be conducted concurrent­ly, so that the usual gaps between steps in the process were eliminated. That’s why each new vaccine has been available for shipment just days a er FDA approval instead of months or years. The second was the decision to accept a shorter nal clinical trial. The three months of data that we have show very clearly that all three vaccines are highly e ective, and were linked to no severe side-e ects.

We don’t know if the vaccines will be e ective for the very long term. There just hasn’t been time, and the only way to

nd that out beforehand would have been to put up with another year or two of the COVID pandemic, something no one wants to do. We do know that in the past, if a vaccine has caused a severe side e ect, it nearly always occurred in the rst six weeks a er the shot, and we now have several times that much data with no such evidence of ill e ects.

The vaccines work, for the short term, and probably for the long. Our best evidence says they are safe. Without them, we’d be asked to distance and mask for another year or two, and witness another million or more COVID deaths nationwide. With their wide acceptance, we can look forward later this year to a return of hugs, handshakes and smiles to Virginia — and to preventing most of the deaths that could have happened without the vaccine.

People with speci c medical conditions and concerns should certainly talk to their doctor rst, but nearly everyone should be able to get the COVID vaccine.

It’s now been over a month since I received my second shot. It still feels truly comforting and liberating to know that I will most likely never catch this virus, never take it home to my wife, and never give it to my co-workers or to people I meet. When you get your chance, I’d ask you to join me.

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