US Coronavirus: High Covid Infection Levels Right Now Could Cause Problems For Vaccines Later, Former CDC Chief Says



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“We need to act now, and I fear that if we don’t take the right steps now, we will experience another preventable surge – just as we are seeing now in Europe and as we scale up vaccination so aggressively,” La director of the Centers for Disease Control and Prevention, Dr Rochelle Walensky, said Monday.

And high levels of infection could also cause problems for vaccines later, an expert told CNN on Monday.

“Not only does an uncontrolled spread cause preventable illness, hospitalizations and death, it increases the risk that an even more dangerous variant will emerge that could make the vaccine less effective,” said Dr Tom Frieden, former CDC director. .

You Asked, We Answered: Your Top Questions About Covid-19 and Vaccines

Travel and crowds tend to cause surges

As vaccines roll out, Frieden says Americans should continue to take precautions, such as wearing face masks and limiting travel and time indoors with people outside their homes.

Spring breakers flock to South Florida as some residents worry about another outbreak of Covid-19

“When people travel and mix, you can see a big increase in infections a few weeks later,” he added.

Despite warnings from health officials, some Americans are doing both.
The Transportation Security Administration screened more than 1.5 million people at airports across the country on Sunday – a new pandemic-era record that beats one set two days earlier.
Meanwhile, spring breakers are flocking to popular destinations like Florida, where Miami Beach officials have declared a state of emergency and set a curfew in response to crowds the mayor said has been “more than what we can handle “.
All this as governors and local leaders across the country ease Covid-19 restrictions meant to curb the spread of the virus.
Tracking cases of Covid-19 in the United States
People have fun walking along Ocean Drive on March 18, 2021 in Miami Beach, Florida

Vaccines have already saved thousands of lives

Frieden says he thinks the United States will likely experience another outbreak, but this one will be “much less deadly” because of the vaccines being administered.

So far, more than 82.7 million Americans have received at least one dose of a Covid-19 vaccine and more than 44.9 million have been fully vaccinated, according to CDC data.

“We estimate that vaccination has already saved at least 40,000 lives in the United States,” Frieden said. “These are very good vaccines and the sooner we get them out the better.”

Krispy Kreme makes vaccines super gentle with one free donut per day for the rest of the year
Three Covid-19 vaccines have so far received the green light from the United States Food and Drug Administration – Pfizer, Moderna and Johnson & Johnson, the only one of the three to require only one injection.
And a fourth vaccine could soon be on the way. AstraZeneca is expected to apply in the coming weeks for an emergency use authorization for its vaccine.
AstraZeneca’s vaccine has shown 79% efficacy against symptomatic illness and 100% efficacy against severe illness and hospitalization in a new US-based clinical trial, the company said on Monday.
However, the independent council examining data from several Covid-19 vaccine candidates expressed concern about the results, according to a statement released Tuesday morning by the National Institute of Allergies and Infectious Diseases.

The Data and Safety Oversight Committee “expressed concern that AstraZeneca may have included outdated information from this trial, which may have provided an incomplete view of efficacy data,” the statement said.

“We urge the company to work with the DSMB to review the efficacy data and ensure that the most accurate and up-to-date efficacy data is made public as quickly as possible,” he added.

Previously, AstraZeneca said it expects to deliver 50 million doses in one month if it obtains emergency use authorization.

“We plan to submit to the FDA in the first half of April, assuming the FDA fully supports our submission,” Ruud Dobber, president of AstraZeneca’s biopharmaceutical business unit, said in a statement.

“After FDA approval, we will instantly release 30 million doses in this first phase, and then in the same month an additional 20 million,” the statement added.

Recommendations for fully immunized people

Americans who are already fully vaccinated should feel free to visit unvaccinated family and friends without restrictions, CDC officials said on Monday, but added that visits should be limited to an unvaccinated household at the times.

“In the context where unvaccinated people come from a single household and all unvaccinated people are at low risk of serious illness with Covid-19, no preventive measures are necessary, so these visits could have held indoors without a mask or physical distance, ”Tami Skoff, CDC epidemiologist, said.

Fully vaccinated people can visit unvaccinated family and friends, but one household at a time, CDC official says

For example, fully immunized grandparents can visit their unvaccinated daughter and unvaccinated children indoors and without a mask, assuming neither of them are at higher risk of serious illness, Skoff said.

The recommendations only apply to people who are fully vaccinated, Skoff said, which means at least two weeks have passed since the second dose of a two-dose series of vaccines or two weeks since receiving the vaccine. single dose from Johnson & Johnson.

“A growing body of evidence suggests that fully vaccinated people are less likely to have an asymptomatic infection, and therefore potentially less likely to pass SARS-CoV-2 to others,” Skoff said.

But there are two important exceptions that would require everyone to follow safety precautions: if one of the unvaccinated people at high risk of severe Covid-19 or if there are more than two unvaccinated households mix.

Read CDC guidelines for fully immunized people

One-third of hospital patients experience long-term effects

Researchers are also trying to better understand the long-term consequences of infections – and the number of people who could be affected.

About a third of hospitalized Covid-19 patients experience long-term effects that can affect multiple organ systems, according to a comprehensive review of scientific studies published Monday in the journal Nature Medicine.

Researchers looked at the scientific literature on post-acute Covid-19 – which means complications caused by the virus that extend beyond four weeks after symptoms start.

Clinics are growing across the country for what some are calling a potential second pandemic: Long Covid

The effects of “Long Covid” can impact more than half a dozen organ systems, including the pulmonary, hematologic, cardiovascular, neuropsychiatric, renal, dermatologic, gastrointestinal and endocrine systems, according to studies.

Among the most common prolonged symptoms: fatigue, shortness of breath, brain fog, tachycardia, anxiety, sleep disturbances, depression and post-traumatic stress disorder.

The researchers suggested a framework for caring for these patients through long multidisciplinary Covid clinics and praised the work of patient advocacy groups, including the COVID Advocacy Exchange, Body Politic and Survivor Corps, for collecting evidence. patient symptom data and coordination with researchers to help gather more information.

CNN’s Pete Muntean, Michael Nedelman, Ryan Prior, Christopher Rios, Ben Tinker, and Maggie Fox contributed to this report.

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