Hence we should have extra precautions especially around vulnerable populations: vaccine mandates around them (like nursing homes), frequent testing, lower virus circulation. Immunity is protective but not absolute immortality, obviously. Cheers!
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As for Delta, agree! I said in tweet you replied that Delta made things worse. No doubt. I know the Lancet paper: it is yet an estimate, and not for vaccination. With clinical outcomes, the test is in the pudding. Are there hospitals full of re-infected? That would be alarming.
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The virus is circulating in multiple countries. People who have been infected and/or vaccinated are getting exposed and some re-infected/breakthroughs. Re-infections getting more severe would result in a wave worse than anything before: unvaccinated plus more severe re-infected.
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I am not drawing conclusions. We undertest and rarely sequence, so those 16 reinfections are a tiny fraction of the total. I am mostly concerned about the long term sequalae of Covid. This paper explains it well and makes parallel with HIV/AIDS.https://www.infectioncontroltoday.com/view/more-data-assert-vaccination-reduces-covid-19-spread …
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