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Herd immunity is not going to happen

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  • Posts: 3,801 ✭✭✭ [Deleted User]


    Well what they always did with regards to flus and colds I suppose. The immunocompromised don't have to be vaccinated or inoculated for herd immunity to work. For herd immunity to work the inoculated need to be greater than R/R-1 of the population. The transmission will die off, although outbreaks are possible.



  • Registered Users Posts: 6,705 ✭✭✭Pete_Cavan


    You claimed "if the vaccinated can often be infected and spread the virus themselves, then the whole concept is out the window". So yeah, nonsense.

    The concept of vaccination is not "out the window", there are huge benefits to vaccination even if it doesn't prevent people from getting infected and spreading the virus. As regards herd immunity, even if it requires everyone getting infected with the virus, that can still happen. It was hoped we could achieve herd immunity via vaccination alone but that isn't the only goal of the vaccination plan. The other goals of hugely reduced severe illness and mortality are going very well and can still allow for herd immunity to be achieved even if not via vaccination alone.

    Bringing how we protect the vulnerable into it now seems like moving the goalposts from where you started. Would the answer to that question be any different without vaccines? If anything, vaccines have made them easier to protect. Fair enough having a conversation around how we protect the vulnerable but you seem to be making out that vaccines are a problem in that (several times mentioning no chance of reaching herd immunity via vaccination).



  • Posts: 3,801 ✭✭✭ [Deleted User]


    Last year's variant wasn't as contagious. If Delta is as contagious as some scientists say then you would expect if someone gets it in a home, then everybody would get it, unless vaccinated.



  • Registered Users Posts: 2,147 ✭✭✭TonyMaloney


    Pete, read the post please. You keep banging on about things I didn't say.



  • Registered Users Posts: 13,637 ✭✭✭✭josip


    Gibraltar not taking any chances achieving herd immunity from a 90-100% vaccination rate.

    They've hit 100 and kept going.

    (boards has taken a perfectly good image and made it unreadable, here's a link)

    https://ourworldindata.org/covid-vaccinations



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  • Registered Users Posts: 5,280 ✭✭✭Ardent


    Great response to that hysterical nonsense. This data is very interesting and very encouraging (for younger cohorts especially). Thanks for sharing.



  • Registered Users Posts: 68,317 ✭✭✭✭seamus


    Ultimately the immunocompromised will do what they have always done; take care. The closest I've been to that was a good friend whose boyfriend underwent treatment for leukaemia. The usual fare where they annihilate your bone marrow and replace it with the cancer-free stuff.

    Her family home was closer to the hospital than his, so he moved in with her family while he was recovering, and they had to have very strict measures in place for themselves. No visitors were allowed to the home except for a few key people. Even of those key people it was made very clear that the slightest inkling of any illness and they had to stay away until they were better. Everyone living in the house limited their social contacts. My friend convinced work to transfer her to a desk job for a full 12 months where she'd have minimal contact with anyone.

    And they had all sorts of contingency plans; where he would go if everyone else got sick. Where one family member would go if they got sick.

    The reality is that immunocompromised people have been doing all of these things forever. And they will just continue doing it. The WHO are currently trialling treatments for covid, which should provide some relief/comfort for the immunocompromised. But ultimately the nature of the beast is that we can't perfectly protect them, we can only do our best.

    One would hope - if someone is immunocompromised - that their primary and secondary social bubbles would all be fully vaccinated, which will massively limit the potential for a breakthrough infection to them.



  • Registered Users Posts: 6,705 ✭✭✭Pete_Cavan


    No I don't, I have used your exact words several times.

    You talk about not reaching herd immunity via vaccination, why? We can still reach it via infection, only vaccines mean we avoid most of the negative consequences of that happening naturally.

    You asked how do we protect the vulnerable, would the answer to that question be any different without vaccines?



  • Registered Users Posts: 777 ✭✭✭machaseh


    So develop a new vaccine that works better against the delta variant.


    Once all who WANT to be vaccinated have been fully vaccinated and their vaccine has activated (which takes 2 weeks after the last jab), we should remove ALL coronavirus restrictions. All of them.



  • Registered Users Posts: 1,476 ✭✭✭floorpie


    Based on data from other places (e.g., Estimation of Total Immunity to SARS-CoV-2 in Texas | medRxiv) it's likely that a notable proportion of people are immune but don't realise it via asymptomatic infection. As far as I'm aware, calculations for vaccination levels needed for herd immunity assume statistical independence between those who are previously infected, and those who've been vaccinated. If this assumption is violated then the level of vaccination needed for herd immunity is lower.

    Back of the envelope based on the Texas data of seropositivity, that shows that this assumption is significantly violated, it reduces the requirement for herd immunity from 80% vaccination to ~50%. If the vaccines worked for delta then I assume we'll have herd immunity soon in Ireland.



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  • Registered Users Posts: 2,147 ✭✭✭TonyMaloney


    Sorry to hear that. How is he now?

    I'm aware that the immunocompromised have to be very careful tyically, but I think it's fair to say that covid has ratcheted it up a notch or two.

    Your friend's boyfriend is going to have to endure an exceptionally protected and difficult time until such a time as the herd can be relied upon to protect him.

    And my point is that we're nowhere near that. And nobody can say when we might get there.

    I've no local data, but a quick google suggests 2.7% of Americans are compromised, so I think it's a fair to say that it's a significant problem



  • Registered Users Posts: 6,803 ✭✭✭timmyntc


    Herd immunity cannot happen even with 100% vaccination coverage because of the number of "breakthrough" or repeat infections. They alone will be enough to sustain the virus in a population so that we never get herd immunity.

    And the fact that there are now several animal reservoirs of the virus (including deer) - covid is not going anywhere



  • Registered Users Posts: 5,458 ✭✭✭Former Former Former


    The problem is people thinking of herd immunity as meaning the end of Covid, like with measles or smallpox. That was never likely.

    However, we can get to a point where herd immunity reduces the risk and impact of Covid to a manageable level, and we're very close to that.



  • Registered Users Posts: 6,803 ✭✭✭timmyntc


    That is by definition, not herd immunity.


    Herd immunity is where there is enough immunity in a population to prevent circulation of a virus - so those who cant get vaccinated can still be protected. We cannot get to that level for SARS-COV-2 because its too infectious, you can still get infected and shed virus even when vaccinated, and at a (relatively) high rate compared to other viruses. So we will never get that population level protection.



  • Registered Users Posts: 5,458 ✭✭✭Former Former Former


    The definition of herd immunity is that enough people have immunity so that the risk to those without immunity is greatly reduced (NB - there is no such thing as zero risk). The problem (again) is that people are thinking about herd immunity as an all-or-nothing scenario and that is never going to be the case.

    We can get enough herd immunity to resume normal life.



  • Registered Users Posts: 11,517 ✭✭✭✭Flinty997


    The first large scale vaccinations only started in Dec. Why would anyone think this would be gone in 8 or 9 months.

    Why would people be giving and throwing in the towel on vaccinations after a few months. I don't get it.

    "https://en.wikipedia.org/wiki/Eradication_of_infectious_diseases"



  • Registered Users Posts: 5,385 ✭✭✭brickster69


    Anyone want to tell this guy he is wrong ?


    All roads lead to Rome.



  • Posts: 0 [Deleted User]


    Basing strategies around herd immunity was flawed anyway. The idea that infections would stop once once we reached a certain threshold of immunity was never realistic in the long term.

    The ultimate outcome of SARS-CoV-2 is heading towards endemicity where it exists in the background for the foreseeable future. Pretty much everyone can expect to be exposed eventually either through vaccination or infection. The vaccines may not always protect against infection but they are remarkably effective at reducing morbidity and mortality as well as transmission (I don't care what the CDC says. They do). Most can expect to be re-infected multiple times throughout their lives. Good news is though due to immune memory a vast majority of these infections will be mild.

    As for protecting the vulnerable, booster programs will likely be a feature of life going forward. Particularly for the immunocompromised.



  • Registered Users Posts: 5,458 ✭✭✭Former Former Former


    He's not wrong, he just has a different take on the same set of facts.

    He proposes that people in the UK will have a higher (but still very low) risk of serious illness, in order to send vaccines abroad to help vaccinate at-risk individuals in poorer countries.

    I see his point, but if he was talking about Ireland, how many people would say "yes, let's continue with Covid restrictions so that we can help other people around the world".



  • Registered Users Posts: 1,160 ✭✭✭snowcat


    I get banned from lots of diverse threads. I post verifiable but unpopular opionions. I like to question things. I read a lot of diverse opinions. Does not make me an anti-vaxxer. I am very much pro vaccine and have been vaccinated. I question lots of chemical/drug among others claims such as pesticides biocides anti-depressants sun screen GM products. fertilizers, preservatives etc. Does not mean I doubt their effectiveness or will never use them. Seems any opinion/query/view that does not meet the mainstream opinion is best dealt with a thread ban and a label of 'anti-vaxxer'. I will probably get a forum ban now. Censorship is alive and well.



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  • Posts: 0 [Deleted User]


    He's not wrong. The problem is the media have cherry picked the most provocative headlines based on what he said. If you listen to the whole thing in context it's actually pretty reasonable.



  • Registered Users Posts: 3,374 ✭✭✭celt262


    I don't think herd immunity via vaccination was the plan though was it?

    I though the vaccine was to prevent serious illness, hospitalisations and death.



  • Registered Users Posts: 6,803 ✭✭✭timmyntc


    It wasnt the plan, until we started mandating vaccine passports and vaccinating u18s and u16s - they are at such minimal risk from covid, the only reason to want to vaccinate them is for herd immunity (which wont ever be achieved)



  • Registered Users Posts: 5,458 ✭✭✭Former Former Former


    Are you in favour of lockdown?

    Because that is the alternative.

    It's that simple.



  • Registered Users Posts: 5,385 ✭✭✭brickster69


    Now it is vax everyone with a pulse even those who don't die from it, but eventually we will get round to those at risk and are dying elsewhere later on.

    All roads lead to Rome.



  • Registered Users Posts: 6,803 ✭✭✭timmyntc


    No, I'm in favour of working on actual treatments rather than burying heads in the sand and thinking vaccination will bring us all back to normal.



  • Registered Users Posts: 6,705 ✭✭✭Pete_Cavan


    Doesn't the fact that vaccinated people can still get and transmit the virus mean that herd immunity can still be reached, it will just take a lot longer? Everybody will likely get it at most stage and will therefore get immunity. In theory at least, herd immunity is still possible and it is transmitability after vaccination which makes that so, despite people trying to present that as a negative.

    The big unknown is variants and how vaccines stands up to them but even then the vaccine is likely to mean people have a less severe illness which reduces the need for lockdowns, thereby aiding the spread and movement towards immunity to the variant.



  • Registered Users Posts: 5,458 ✭✭✭Former Former Former


    Are they mutually exclusive??

    Like, there are billions of euros being spent on developing treatments right now.

    However, until they arrive, we need to vaccinate as many people as possible to reduce the impact of the virus.

    Or, again, we go back into a winter of lockdowns.



  • Registered Users Posts: 7,538 ✭✭✭Deeper Blue


    My apologies 🙈 I must be mixing you up with someone else. I'll delete the comment.



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  • Registered Users Posts: 16,457 ✭✭✭✭astrofool


    As long as the average infected person infects less than one person (which the vaccines allow us to get to) then herd immunity will be reached.

    Herd immunity doesn't mean elimination, it means that the virus dies out quickly because it can't jump from host to host but that pockets of infections can occur, and this puts the risk to the general population into very small figures.

    It doesn't mean it can't happen, people die of diseases like measles where we have herd immunity every year, but the % dying is a tiny fraction of what it would be without herd immunity.

    Also important to remember that herd immunity is a concept rather than something strictly defined and can mean different things for different diseases, what it's really about is making the risk of infection so low that it's not worth caring about, with (usually) an eventual goal of eliminating the disease entirely if the vaccination rollout continues (which is why idiot anti-vaxxers are such big idiots, they were the biggest idiots before SARS-COV2, are the biggest idiots during SARS-COV2 and will continue being the biggest idiots after SARS-COV2).



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