CHF is still rare with COVID in the young, but Sudden Cardiac Death and CHF with an ejection fraction of 40 or less is scary. We have had a large number of infections in the military and less than 20 deaths, but we are struggling with how to manage a return to full activity after what might have been very large stress on the body.
I am seeing some patients appear to game the system, but I have to believe that is rare. I hope.
Yup,These vaccines are in their infancy. Data will change over time as we get more numbers.
I think you meant vaccine is 80% effective...New research from the Marine Corps shows that the virus is 80% effective at preventing symptomatic COVID. I just started two studies. One to look at vaccination vs infection vs infection with vacination and the immune response. A second to look at asymptomatic spread after vaccination.
Acually, the interim reporting included efficacy data up to Nov 11 and the current report includes all efficacy data through Nov 21, so...not Oct 23. That date was the last day of subject enrollment and randomization into the study. The Moderna protocol has a follow-up of up to 2 years (potentially), so initial results will likely change a bit.Thanks for posting. However, no surprises. Of note this analysis encompassed the period between July 27 and Oct 23, 2020. How much exposure to newer SARS-CoV-2 variants was not reported. The J and J vaccine efficacy is lower in part due to subject enrollment in areas where there was a high risk of exposure to the South African variant and the Brazilian variant. For somewhat more objective comparisons between the available (or soon to be) vaccines, this critical info is required; otherwise, its like comparing apples to oranges. This point is exemplified by noting that for the J and J vaccine, efficacy in the U.S.A. was reported at 72% while that in South America and Africa was below 60%. Most likely the high exposure rate respectively to the Brazilian variant (in South America) and the South African variant (in Africa) affected these efficacy rates. The J and J statistical assessment was done while limited exposure to both variants was documented in the U.S.A.
Remember that the J & J "one-shot" vaccine dosing was earth-shattering news that would have great advantage. Single dosing would for sure reach many more people Yes. In theory. But it wasn't so effective at 1 dose, which is why J & J (and others) modified their protocol and have added a study arm (large) that is receiving two doses, just like the rest.Question: Why is the CDC pushing 2 doses if one does is 60-90% effective?
Answer: We think and research supports the theory that 2 shots will provide longer immunity than a single shot.
They overextended themselves making too many promises to too many countries. Manufacture and shipping/distribution has fallen behind in the US, too. Perhaps, surprisingly, one of the limiting factors (there are several), at least at the start, was the shortage of suitable glass vials/bottles for packaging! Also, they are expending a lot of resources experimenting with new mRNA sequences to eventually make new vaccine formulations against the evolving (never-ending) viral variants. But they've received a TON of $$ from theat least you guys get the vaccines!
We (Canada) seem to be getting the run-around from Pfizer & Moderna.. Those two seem to be short-supplying us every shipment.. (even a week or two with no doses received..)
Seeking to reassure Canadians who are concerned or frustrated about the pace and scale of the national COVID-19 vaccine rollout, Prime Minister Justin Trudeau said that people should not be worried about the "noise" surrounding the campaign, because the government remains on track to meet its...www.ctvnews.ca
Actually, having been in and out of retail from 1980s to 2000s, and briefly in to auto parts delivery, that doesn't surprise me at all.Perhaps, surprisingly, one of the limiting factors (there are several), at least at the start, was the shortage of suitable glass vials/bottles for packaging!
Unfortunately there are bad apples in every job category, including healthcare workers.Some healthcare workers refuse to take COVID-19 vaccine, even with priority access
How are people, with medical training and experience, "bad apples", when they make a personal medical decision, based on their qualifications ?Unfortunately there are bad apples in every job category, including healthcare workers.
at least for the time being, every dose declined is likely to find another recipient.
Fair point. U.S. is a relatively free country (there are certainly restrictions as in any civilized society, but overall I think less than most countries) and people including Healthcare professionals have the right to decline. In my opinion (humble or otherwise) vaccination, although not without risk, is the only way as a nation we are going to come out of this close to intact. It is therefore (again in my opinion) incumbent on the leaders and healthcare professionals to be the example. My opinion may well turn out to be wrong, and it is certainly possible that there may be unforeseen (or perhaps to more intelligent vaccine rejecting people, FORESEEN) consequences down the road that make this a bad individual and national decision. But when government leaders and healthcare professionals fail to lead, the people of a nation have no one to follow.How are people, with medical training and experience, "bad apples", when they make a personal medical decision, based on their qualifications ?
Excerpt from the article :
"A recent survey by the Kaiser Family Foundation found that 29% of healthcare workers were “vaccine hesitant,” a figure slightly higher than the percentage of the general population, 27%."
End excerpt :
That initially sounds funny.Reminds me of:
Q: What do you call the person that graduated at the very bottom of their medical school class?
Same with RNs, LPNs, nursing assistants, transporters, EMTs, all of which are in the cadre of health care workers.
Shouldn't the fault be assigned to the institutions then?And I have known many brilliant doctors and nurses. Unfortunately, I've also known a couple of both that were abject idiots who left me wondering "just...how?".
It's not just the USA. In Tanzania last week or the one before, their president said that vaccines were useless and the cure was hard labor and to inhale steam while praying. In Iran, the clerics (vaccinated no doubt) publicly stated last week that vaccines caused homosexuality. And waaaay back in 2006, shortly after I worked a bit at the Cape Heart Center at Groote Schuur Hospital in Capetown (first heart transplant there--Barnard in late '60s), then Health Minister advised treating HIV with "lemon, beetroot, and garlic".I am sure this will be one way of weeding out some of the population. It also will leave more shots for patients like the ones that have died in our hospitals over the last week.