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Time to Prepare People to Accept COVID-19 Endemicity
Contagion Live (really) ^ | October 12, 2021 | Jason Gallagher, PharmD, FCCP, FIDP, FIDSA, BCPS*

Posted on 10/14/2021 9:33:55 PM PDT by DoodleBob

SARS-CoV-2 has taken us on a rollercoaster, and not just on graphs of case counts. The natural tendency to project linearity to trends makes each hill and dip feel unnatural. The media exacerbates perceptual changes with its hyperfocal attention on each new development, even expected ones like breakthrough infections. People feel they are being jolted around.

The early efficacy results of the mRNA vaccines from Pfizer-BioNTech and Moderna were positively stunning. Demonstrating more than 90% vaccine effectiveness against symptomatic infection when the goal was a 50% reduction in severe disease caught people off guard. It was the first bit of good news in quite a while, coming at a time when school buildings were shut in much of the country and we adapted to e-school, working from home, and the awkwardness of Zoom happy hours. When vaccines started to be given in December 2020, people began to envision a world without COVID-19.

Things have not turned out that way. Despite commanding the greatest portion of vaccine supply and getting a head start, vaccinations in the US have fallen behind that of most high-income countries; at this writing, the US is at the bottom of the G7 and 60th in the world in percentage vaccinated. However, that is only part of the picture. The virus has not waited for us to vaccinate the world’s population- it keeps evolving towards more transmissible variants. In the Delta variant, SARS-CoV-2 has transformed into not just a highly transmissible variant, but one of the world’s most transmissible infectious diseases. We are fortunate that Delta came to the US after vaccines became widely available or we would be looking at a very different society right now.

The combination of Delta and vaccine hesitancy has cost many lives, but it also highlights the need to reset expectations on the COVID-19 endgame. Herd immunity may never have been a realistic goal, but it seems clear it is an impossibility. Over the next several years, everyone is likely to be infected with SARS-CoV-2. With the attenuation that vaccination provides, most vaccinated people will have asymptomatic, mild, or moderate infection. Unvaccinated people with previous COVID-19 will have less severe reinfection, and the ever-decreasing number of unvaccinated people without previous COVID-19 will be susceptible to severe disease.

The continued spread of immunity, whether acquired by vaccination or infection, will drive overall cases down. However, the incomplete nature of immunity and future mutations in SARS-CoV-2 will allow it to remain a circulating human pathogen like other endemic human coronaviruses.

One of the most apparent issues that the pandemic has revealed is ineffective communication. To increase vaccine uptake, ‘get vaccinated and you’re good’ became the narrative. People listened. When Delta became pervasive and changed things again, momentum towards a ‘post-pandemic’ dream was harder to change. Therefore, it is time to prepare people for a future with endemic COVID-19 now. We won’t be masked forever, but we aren’t wiping the virus off the earth either.


TOPICS: Health/Medicine; Science; Society
KEYWORDS: covid19; covid1984; gassholedrbait
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1 posted on 10/14/2021 9:33:55 PM PDT by DoodleBob
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To: null and void
For your consideration. I think this punchline is spot-on:

Over the next several years, everyone is likely to be infected with SARS-CoV-2. With the attenuation that vaccination provides, most vaccinated people will have asymptomatic, mild, or moderate infection. Unvaccinated people with previous COVID-19 will have less severe reinfection, and the ever-decreasing number of unvaccinated people without previous COVID-19 will be susceptible to severe disease.

2 posted on 10/14/2021 9:34:33 PM PDT by DoodleBob (Gravity's waiting period is about 9.8 m/s^2)
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To: DoodleBob
SARS-CoV-2 has taken us on a rollercoaster

Not really.

Out of control government has been terrorizing American us.

3 posted on 10/14/2021 9:36:26 PM PDT by BenLurkin (The above is not a statement of fact. It is either opinion, or satire. Or both.)
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To: DoodleBob

What an absolute bunch of Horse Dung.


4 posted on 10/14/2021 9:39:38 PM PDT by Rennes Templar (Come back, President Trump.)
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The Virus will do what it wants to do.


5 posted on 10/14/2021 9:42:33 PM PDT by Doofer
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To: DoodleBob
The continued spread of immunity, whether acquired by vaccination or infection, will drive overall cases down. However, the incomplete nature of immunity and future mutations in SARS-CoV-2 will allow it to remain a circulating human pathogen like other endemic human coronaviruses.

Good article. I think it's spot on.

6 posted on 10/14/2021 9:45:30 PM PDT by semimojo
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To: DoodleBob

“.. and the ever-decreasing number of unvaccinated people without previous COVID-19 will be susceptible to severe disease”.

And the survival rate will still be ~97%.


7 posted on 10/14/2021 9:48:40 PM PDT by laplata
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To: DoodleBob
It's the vaccinated that are being hospitalized and are dying, not those who were never vaccinated.

So, my consideration is that they are continuing to lie to the public.

8 posted on 10/14/2021 9:52:34 PM PDT by Robert DeLong
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To: semimojo

Do any of the vaccines so far developed insure immunity?


9 posted on 10/14/2021 9:54:11 PM PDT by kvanbrunt2
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To: Robert DeLong

“It’s the vaccinated that are being hospitalized and are dying, not those who were never vaccinated.

So, my consideration is that they are continuing to lie to the public”.

BINGO!!

I know of 5 people who have had Covid. 3 were fully vaxed.


10 posted on 10/14/2021 9:56:14 PM PDT by laplata
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To: laplata; ransomnote; grey_whiskers

I think this article was written by The FRoctors.


11 posted on 10/14/2021 9:59:39 PM PDT by Jane Long (What we were told was a “conspiracy theory” in 2020 is now fact. 🙏🏻 Ps 33:12 )
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To: DoodleBob

Public health experts know this, but after 19 months of hysteria, there’s no way for them to get the message through to people.


12 posted on 10/14/2021 10:01:13 PM PDT by Behind the Blue Wall
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To: DoodleBob

Where’s the BARF ALERT?


13 posted on 10/14/2021 10:03:02 PM PDT by LastDayz (A blunt and brazen Texan. I will not be assimilated.)
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To: Jane Long

Lol!! Love that term Jane!!!


14 posted on 10/14/2021 10:12:45 PM PDT by datura (The voice that brought you peace has nothing left to say.)
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To: Jane Long

“I think this article was written by The FRoctors”.

I’d say you’re right. The same types, anyway. Their arguments are progressively getting weaker.


15 posted on 10/14/2021 10:14:49 PM PDT by laplata
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To: BenLurkin

18 months of bad public policy.


16 posted on 10/14/2021 10:21:12 PM PDT by TheDon (Resist the usurpers)
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To: kvanbrunt2
Do any of the vaccines so far developed insure immunity?

No, nor does getting the disease.

I'm not aware of any vaccine with 100% effectiveness.

17 posted on 10/14/2021 10:27:00 PM PDT by semimojo
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To: Jane Long
There is one FRoctor here who is so scared of the China Virus but he was wearing his scrubs home after work.

I called him out in May 2020 and he said it was just a lapse in judgement.

18 posted on 10/14/2021 10:29:19 PM PDT by Deaf Smith (When a Texan takes his chances, chances will be taken that's for sure.)
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To: Deaf Smith

LOL....*scrubs*.....*work*

Yeah, right. ;-)


19 posted on 10/14/2021 10:31:17 PM PDT by Jane Long (What we were told was a “conspiracy theory” in 2020 is now fact. 🙏🏻 Ps 33:12 )
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To: Jane Long
LOL....*scrubs*.....*work*

Yeah, he was cleaning out the hot oil fryer at McDonalds...

20 posted on 10/14/2021 10:38:13 PM PDT by grey_whiskers ((The opinions are solely those of the author and are subject to change with out notice.))
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