The Herald

Patients with previous virus infection show stronger response to vaccine

- By Helen Mcardle

SECOND Covid vaccine doses could be skipped for patients who have already recovered from the infection, according to a new study.

Researcher­s found that patients who had recovered from the virus produce 59 times more Covid antibodies four weeks after a first vaccine dose than people with no history of the infection.

They said the findings could be used to delay second doses for these patients in order to prioritise supplies to more unvaccinat­ed people sooner.

The results, which have not yet been peer-reviewed, included both recipients of the Oxfordastr­azeneca vaccine and the Pfizerbion­tech vaccine.

In the most recent 48-hour period, Scotland has given nearly 101,000 people a second Covid vaccine dose compared to just over 5,100 first doses.

Modelling provided to the UK’S Scientific Advisory Group on Emergencie­s has indicated that limited supplies mean that vaccinatio­ns for the healthy under50s group may not be ramped up significan­tly until late May or early June. This has led some scientists to call for the lockdown exit to be delayed until a broader section of the population is protected from disease and – potentiall­y – less able to catch and spread the virus.

The study, carried out by the Richmond Research Institute in London, is based on a small sample of 64 individual­s aged 22 to 63 years, of whom 40 had had the Astrazenec­a vaccine and 24 had had the Pfizer vaccine.

Of the analysed patients, 19 vaccinated individual­s had recovered from a known Covid infection and were on average vaccinated within around six months of infection.

Dr Jorg Taubel, CEO of Richmond

Pharmacolo­gy and a scientific lead at RRI, said: “We recognise our study is small.

“However, the results are striking and the cohort we tested is well characteri­sed.

“We encourage the Government and wider research environmen­t to explore this issue further to test our findings.

“If these results can be validated among a larger sample group, it may mean countries can de-prioritise those who have had Covid-19 for their second vaccinatio­ns and reach their wider priority population­s.”

Professor Jason Leitch, Scotland’s national clinical director, said it

“makes sense” but stressed that the logistics of identifyin­g eligibilit­y by infection history would be counter-productive.

He said: “In a system that’s got to vaccinate 60 million-odd people across all four countries as fast as we possibly can, you would probably slow it down so much that you would lose the advantage that you gain.

“The [UK Joint Committee on Vaccinatio­n and Immunisati­on] look at all this and every time they look the thing that overwhelms everything else is ‘just go as fast as you can’ – get the vaccine in arms, by age, as fast as you can.”

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