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		<title>Covid: Why You Need a Booster</title>
		<link>https://medika.life/covid-why-you-need-a-booster/</link>
		
		<dc:creator><![CDATA[Michael Hunter, MD]]></dc:creator>
		<pubDate>Mon, 20 Dec 2021 23:20:29 +0000</pubDate>
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					<description><![CDATA[<p>THE BAD NEWS? ALL THREE&#160;of the COVID-19 vaccines approved in the United States seem to be significantly less protective against the new Omicron variant of the coronavirus, at least in laboratory testing. Fortunately, a booster dose appears likely to restore most of the protection. These are the conclusions of a recent study from researchers at [&#8230;]</p>
<p>The post <a href="https://medika.life/covid-why-you-need-a-booster/">Covid: Why You Need a Booster</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
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<p id="fbb7"><strong>THE BAD NEWS? ALL THREE</strong>&nbsp;of the COVID-19 vaccines approved in the United States seem to be significantly less protective against the new Omicron variant of the coronavirus, at least in laboratory testing.</p>



<p id="9006">Fortunately, a booster dose appears likely to restore most of the protection. These are the conclusions of a recent study from researchers at Massachusetts General Hospital (MGH), Harvard, and the Massachusetts Institute of Technology (MIT).</p>



<h2 class="wp-block-heading" id="9cee">Omicron aggressively spreading</h2>



<p id="d0e9">Explosive. That’s the word I would use to describe the growth and spread of the Omicron coronavirus variant. The virus has been discovered in 89 countries and has a doubling rate of 1.5 to 3 days in regions with community transmission. These are observations from the&nbsp;<a href="https://www.usnews.com/news/world/articles/2021-12-18/who-omicron-detected-in-89-countries-cases-doubling-fast" rel="noreferrer noopener" target="_blank">World Health Organization</a>&nbsp;(WHO) today.</p>



<p id="a84a">Is the rapid growth secondary to the variant virus’ ability to evade our immune systems, or is it secondary to increased transmissibility for other reasons? We don’t know.</p>



<p id="2a9e">Let’s take a quick look at the preliminary evidence regarding the lack of effectiveness of vaccination&nbsp;<em>without</em>&nbsp;a booster shot. The Boston region researchers tested blood from people who had received the Moderna, Pfizer/BioNTech, or Johnson &amp; Johnson vaccines against a pseudovirus engineered to look like the Omicron variant.</p>



<p id="9c25">There appeared to be very little (if any) neutralization of antibodies of the variant from any of the vaccines. However, the blood from those who recently had a booster shot neutralized the variant.</p>



<figure class="wp-block-image size-large"><img data-recalc-dims="1" fetchpriority="high" decoding="async" width="696" height="464" src="https://i0.wp.com/medika.life/wp-content/uploads/2021/12/image-9.jpeg?resize=696%2C464&#038;ssl=1" alt="" class="wp-image-13462" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2021/12/image-9.jpeg?resize=1024%2C682&amp;ssl=1 1024w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/image-9.jpeg?resize=300%2C200&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/image-9.jpeg?resize=768%2C512&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/image-9.jpeg?resize=150%2C100&amp;ssl=1 150w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/image-9.jpeg?resize=696%2C464&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/image-9.jpeg?resize=1068%2C712&amp;ssl=1 1068w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/image-9.jpeg?w=1400&amp;ssl=1 1400w" sizes="(max-width: 696px) 100vw, 696px" /><figcaption>Photo by&nbsp;<a href="https://unsplash.com/@jeremybezanger?utm_source=medium&amp;utm_medium=referral" rel="noreferrer noopener" target="_blank">Jeremy Bezanger</a>&nbsp;on&nbsp;<a href="https://unsplash.com/?utm_source=medium&amp;utm_medium=referral" rel="noreferrer noopener" target="_blank">Unsplash</a></figcaption></figure>



<p id="6158">These research observations are in line with some other recent reports. In a study announced earlier this week,&nbsp;<a href="https://www.cnbc.com/2021/12/13/oxford-university-study-says-omicron-can-hit-the-double-vaccinated.html" rel="noreferrer noopener" target="_blank">Oxford University (England) researchers</a>&nbsp;tested subjects’ blood samples 28 days after their second dose of the Oxford-AstraZeneca or Pfizer-BioNTech vaccine.</p>



<p id="91ae">When the scientists introduced Omicron to the samples, there appeared to be a substantial fall in the neutralizing antibodies that fight Covid. Some recipients failed to neutralize the virus at all. This response appears inferior to that seen against earlier variants of the coronavirus. Here is the take of the study’s authors:</p>



<blockquote class="wp-block-quote is-layout-flow wp-block-quote-is-layout-flow"><p>“This will likely lead to increased breakthrough&nbsp;<em>infections</em>&nbsp;in previously infected or double vaccinated individuals, which could drive a further wave of infection, although there is currently no evidence of increased potential to cause severe disease, hospitalization or death.”</p></blockquote>



<p id="1b98">The researchers reported this pre-print study, which is yet to be peer-reviewed,&nbsp;<a href="https://www.medrxiv.org/content/10.1101/2021.12.10.21267534v1" rel="noreferrer noopener" target="_blank">on the MedRxiv server.</a></p>



<h1 class="wp-block-heading" id="cb03">Good news</h1>



<p id="3278">BioNTech and Pfizer said last week that a&nbsp;<a href="https://www.reuters.com/business/healthcare-pharmaceuticals/biontech-pfizer-say-test-shows-3-doses-vaccine-neutralise-omicron-2021-12-08/" rel="noreferrer noopener" target="_blank">three-shot course of their COVID-19 vaccine neutralized the new Omicron variant</a>&nbsp;in a laboratory test. However, the two doses resulted in significantly lower neutralizing antibodies.</p>



<p id="6e1e">Moderna and Johnson &amp; Johnson have not released their data about the vaccines against the new variant.</p>



<p id="b977">I am glad that I got a booster vaccine shot. Thank you for joining me today.</p>
<p>The post <a href="https://medika.life/covid-why-you-need-a-booster/">Covid: Why You Need a Booster</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
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		<title>Breakthrough Infections Dramatically Enhance COVID Immunity</title>
		<link>https://medika.life/breakthrough-immunity/</link>
		
		<dc:creator><![CDATA[Dr. Hesham A. Hassaballa]]></dc:creator>
		<pubDate>Fri, 17 Dec 2021 03:18:15 +0000</pubDate>
				<category><![CDATA[Breaking Research]]></category>
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					<description><![CDATA[<p>I do not wish a breakthrough infection on anyone. If one does get a breakthrough, though, the silver lining is that the immunity after such infection is very, very robust. </p>
<p>The post <a href="https://medika.life/breakthrough-immunity/">Breakthrough Infections Dramatically Enhance COVID Immunity</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p>I don&#8217;t want anyone to get Covid after being fully vaccinated, a so-called &#8220;breakthrough infection.&#8221; I wish they would never happen. The reality is, however, breakthrough infections do happen. And, it seems, they are happening more often this Fall.  </p>



<p>This is not totally surprising. While it would be ideal for a vaccine to prevent <em>infection</em> &#8211; i.e., catching the virus at all &#8211; at the very least, a good vaccine will prevent you from getting very sick from the disease. On this latter front, the vaccines continue to hold up well. </p>



<p>Yet, if it were to happen &#8211; if someone were to get a breakthrough infection &#8211; research shows that this person ends up with very robust immunity. </p>



<p>Researchers from the Oregon Health &amp; Science University <a href="https://jamanetwork.com/journals/jama/fullarticle/2787447?guestAccessKey=69f5e224-912c-4db6-a39e-4e6749e192fb&amp;utm_source=silverchair&amp;utm_medium=email&amp;utm_campaign=article_alert-jama&amp;utm_content=olf&amp;utm_term=121621" target="_blank" rel="noreferrer noopener">studied</a> 26 people who were fully vaccinated against SARS CoV-2 and subsequently got COVID and compared them with 26 people who were vaccinated but did not get COVID. They found the immunity after a breakthrough infection was substantial: </p>



<figure class="wp-block-image size-full is-style-default"><img data-recalc-dims="1" decoding="async" width="696" height="372" src="https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2.jpg?resize=696%2C372&#038;ssl=1" alt="" class="wp-image-13422" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2.jpg?w=848&amp;ssl=1 848w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2.jpg?resize=300%2C160&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2.jpg?resize=768%2C410&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2.jpg?resize=150%2C80&amp;ssl=1 150w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2.jpg?resize=696%2C372&amp;ssl=1 696w" sizes="(max-width: 696px) 100vw, 696px" /><figcaption>Data showing substantially enhanced immunity after breakthrough infection. Source: <a href="https://jamanetwork.com/journals/jama/fullarticle/2787447?guestAccessKey=69f5e224-912c-4db6-a39e-4e6749e192fb&amp;utm_source=silverchair&amp;utm_medium=email&amp;utm_campaign=article_alert-jama&amp;utm_content=olf&amp;utm_term=121621" target="_blank" rel="noreferrer noopener">JAMA</a></figcaption></figure>



<p>In fact, the immunity after a breakthrough infection helped protect against multiple variants of SARS CoV-2, including Delta (the study was conducted before Omicron was born): </p>



<figure class="wp-block-image size-full is-style-default"><img data-recalc-dims="1" decoding="async" width="696" height="337" src="https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2-2.jpg?resize=696%2C337&#038;ssl=1" alt="" class="wp-image-13423" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2-2.jpg?w=859&amp;ssl=1 859w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2-2.jpg?resize=300%2C145&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2-2.jpg?resize=768%2C372&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2-2.jpg?resize=150%2C73&amp;ssl=1 150w, https://i0.wp.com/medika.life/wp-content/uploads/2021/12/JAMA-Figure-2-2.jpg?resize=696%2C337&amp;ssl=1 696w" sizes="(max-width: 696px) 100vw, 696px" /><figcaption>Immunity after a breakthrough infection was substantial against multiple variants, including Delta. Source: <a href="https://jamanetwork.com/journals/jama/fullarticle/2787447?guestAccessKey=69f5e224-912c-4db6-a39e-4e6749e192fb&amp;utm_source=silverchair&amp;utm_medium=email&amp;utm_campaign=article_alert-jama&amp;utm_content=olf&amp;utm_term=121621" target="_blank" rel="noreferrer noopener">JAMA</a></figcaption></figure>



<p>This is also not surprising, as an infection after vaccination serves as a &#8220;booster shot,&#8221; of sorts, and it therefore greatly enhances one&#8217;s immunity. </p>



<p>Now, of course, this is not the best way to boost your immunity against COVID if you are vaccinated. Sometimes, even mild COVID infections can have <a href="https://medium.com/illumination/you-really-should-not-fight-off-covid-naturally-3f47ec9b0eab" target="_blank" rel="noreferrer noopener">lasting long-term effects. </a></p>



<p>The best way, in fact, to boost your immunity against COVID is to <strong>get a booster shot</strong>. In the United States, everyone over the age of 16 is eligible to get a booster shot 2 months after the J&amp;J vaccine and 6 months after the mRNA vaccines. They are safe. They are effective. And they boost your immunity to a great degree. </p>



<p>Again, I do not wish a breakthrough infection on anyone. This disease is horrible, and I have seen its horror up close. If one does get a breakthrough, though, the silver lining is that the immunity after such infection is very, very robust. </p>



<p></p>



<p><strong><span style="text-decoration: underline;">Reference</span></strong>: Bates TA, McBride SK, Winders B, et al. Antibody Response and Variant Cross-Neutralization After SARS-CoV-2 Breakthrough Infection.&nbsp;<em>JAMA.</em>&nbsp;Published online December 16, 2021. doi:<a href="https://jamanetwork.com/journals/jama/fullarticle/2787447" target="_blank" rel="noreferrer noopener">10.1001/jama.2021.22898</a></p>
<p>The post <a href="https://medika.life/breakthrough-immunity/">Breakthrough Infections Dramatically Enhance COVID Immunity</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
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