Vaccinated or unvaccinated, you can still give others COVID
Louisa Wright
August 20, 2021
A study has found the effectivieness of the BioNTech-Pfizer vaccine lessens over time, and AstraZeneca might too. But that doesn't mean you're not protected.
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Protection against the delta coronavirus variant from the BioNTech-Pfizer vaccine weakens over time, and it could be the case for the AstraZeneca vaccine too, according to a study by a group of British scientists.
The study, which is awaiting peer review and included work from the University of Oxford and Public Health England, found that 90 days after the second jab, the vaccine's efficacy against all infections in the UK's delta-dominant period fell to 75% for BioNTech-Pfizer and 61% for AstraZeneca.
For infections with high viral burden, protection dropped to 78% after three months for BioNTech-Pfizer and 61% for AstraZeneca.
Two weeks after the second dose the effectiveness against any infection from BioNTech-Pfizer was 85% and 68% for AstraZeneca.
But there was some uncertainty in the results for AstraZeneca, said study author Koen Pouwel, a senior researcher at Oxford University's Nuffield Department of Population Health.
"We can be confident that for [BioNTech]-Pfizer these numbers really represent a decline, [whereas] for AstraZeneca, the uncertainty means that the differences are compatible with chance, that is there could be no change at all in the protection from AstraZeneca," said Pouwel.
'Overall effectiveness still very high'
Two doses of BioNTech-Pfizer have great initial effectiveness against new COVID-19 infections, but the effectiveness declines faster than two shots of AstraZeneca, the study found. The results suggest that after four to five months, the effectiveness would be similar, but further long-term effects need to be studied, the scientists said.
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"It's important to note that overall effectiveness is still very high because we were starting at such a high level of protection," Pouwel said, adding that the data does not provide information on two important factors: how well the vaccines protect against severe disease and hospitalization.
Since June 27, the delta variant has been responsible for 99% of COVID-19 cases in the UK.
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Is Moderna more effective?
The study was only able to assess the effectiveness of a single Moderna dose during the UK's Delta-dominant period, but it appeared to be more effective against the variant than the BioNTech-Pfizer and AstraZeneca vaccines.
But this finding could be influenced by the age of people who received the Moderna vaccine, the authors wrote, because on average younger people received this jab, and effectiveness was greater in them.
"The bottom line is all the vaccines we have do provide protection against delta, but it is slightly reduced protection, for example, compared to what we would've seen against the original variant or against alpha," said Penny Moore, a virologist at the University of Witwatersrand and the South African Institute for Communicable Diseases.
"It also depends [on] how you define protection," Moore told DW. "All the vaccines do a very good job at preventing hospitalization and death and probably that's the most important thing to think about from a public health perspective."
Less effective at preventing transmission
The study also found that the viral load in people who were infected despite vaccination with BioNTech-Pfizer or AstraZeneca shifted in the delta-dominant period in the UK.
These cases had a similar viral burden to people who had been infected without vaccination, the study said. With the alpha variant, studies had shown that vaccinated individuals had a lower viral burden compared to people who were unvaccinated.
This could also affect the transmission of the virus from vaccinated people due to the strong association between viral load and infectivity, the scientists said.
The study comes as some countries start to consider giving citizens a third jab to improve antibody levels, a move the World Health Organization has criticized. In Israel, this is already happening. But millions of people in low- and middle-income countries are still waiting for their first vaccination.
Southeast Asian countries struggle to curtail COVID surge
A devastating third coronavirus wave is wreaking havoc in the region as the delta variant takes hold. Many countries, with their meager and inadequate public health resources, have been unable to control the situation.
Image: Wisnu Agung Prasetyo/ZUMA/picture alliance
Third wave
COVID infections have risen exponentially in Southeast Asia in the past few months. Countries such as Laos, Thailand and Vietnam had avoided large-scale outbreaks in 2020, but they are now struggling to cope with the devastating new wave. Indonesia, for instance, has been hit hard by a third wave, with the number of deaths also rising in the country.
Image: Agung Fatma Putra/ZUMA/picture alliance
Chaos and devastation in Indonesia
As of Sunday, Indonesia had reported 73,582 COVID-related deaths and more than 2.8 million confirmed cases since the start of the pandemic. Last week, the country surpassed India and Brazil as the world's leader in new infection rates. Experts say the actual number of cases could be much higher. Citizens are desperately searching for oxygen cylinders and hospital beds.
Image: Timur Matahari/AFP/Getty Images
Delta at large
Indonesia's health care system and hospitals are struggling to keep up with an influx of new COVID patients. With a population of some 270 million, the country was severely hit by the outbreak after the Eid celebration in May, which saw millions of people travel to celebrate the Ramadan. That outbreak has been made worse, as cases surge during the spread of the highly transmissible delta variant.
Image: Wisnu Agung Prasetyo/ZUMA/picture alliance
From good to worse
In 2020, Vietnamese officials were praised for efficiently containing the coronavirus spread in the country. But, with the delta variant, which was identified in India, taking hold in the region, the number of infections is on the rise in the country. The government has now put the entire southern region in a two-week lockdown, as confirmed COVID-19 cases exceeded 3,000 for the third day in a row.
Image: Luke Groves/AP/picture alliance
Anger against authorities
Thai protesters are calling for Prime Minister Prayuth Chan-ocha to step down over alleged mismanagement of the COVID-19 pandemic. The demonstrations are taking place as the kingdom registers record levels of coronavirus infections, with hospitals under severe strain. Thailand has reported nearly 90% of its total number of cases and 95% of its deaths since the pandemic began since April.
Thailand's tourism sector has also been hit badly by the pandemic. With Bangkok and its surrounding provinces struggling to deal with the COVID-19 surge, the government is pushing ahead with its plans to reopen the popular resort island of Phuket in a bid to salvage the economy.
Image: Sirachai Arunrugstichai/Getty Images
Slow vaccine rollout
The Thai government has been slow to procure vaccines. The Southeast Asian country began vaccinating front-line workers in February and kicked off a mass vaccination campaign in June by administering locally produced Oxford-AstraZeneca shots and importing the Chinese-made Sinovac doses. The vaccination drive has so far been slow and erratic.
Image: Soe Zeya Tun/REUTERS
Desperate measures
Malaysians, too, are struggling amid COVID lockdowns. Some of them have come up with a novel way to ask for help; they are flying white flags outside their homes to signal distress. The #benderaputih — or white flag — campaign has gained momentum on social media. The country has been under a nationwide lockdown since June 1 to curtail a surge of COVID infections.
Image: Lim Huey Teng/REUTERS
COVID and the coup
The military coup has disrupted people's access to health care facilities in Myanmar. Many doctors have refused to work in hospitals to show their opposition to the junta. The UN has warned that the country can become a "superspreader state" because of increasing infections and a slow vaccination drive.
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Herd immunity, a distant dream
Like other Southeast Asia countries, the Philippines is facing a limited vaccine supply and a slow vaccine rollout. Health experts say the country may be among the last ones in the region to reach herd immunity against the virus. At the current pace of vaccination, authorities might take two or more years to vaccinate at least 75% of the population.