With the early variants of Covid-19, all the evidence suggested that vaccines helped slow the transmission of the virus. People who were vaccinated were less likely to test positive for the virus, and case counts were dropping. Here are the data for Ontario up through early December.
But then things changed in early December 2021, and by Christmas, a larger percentage of those fully vaccinated were testing positive than among those partially vaccinated or not vaccinated at all!
The first reaction of some of my anti-vax or skepti-vax friends was "Wow, those vaccines didn't help; in fact, they made people worse off!"
Some other friends and I tried to decide what happened. How could it be that people fully vaccinated were more likely to test positive for Covid-19 than people who weren't vaccinated?
My first thought was something like the Peltzman Effect: People who were fully vaccinated felt freer to take more risks of exposure to the new variant. Many times I heard people say, "It's okay, I'm fully vaccinated." The fully vaccinated felt freer to go to restaurants and bars, to hold house parties, to get together with friends, to attend major sporting events. And, it turned out, being fully vaccinated wasn't very good protection against contracting the Omicron variant of the virus. At the same time (in Ontario), people who were not fully vaccinated were not allowed to go into restaurants, pubs, theatres, major sporting events, etc. The regulations imposed by the provincial gubmnt led to a separation of people: the vaccinated felt freer and were allowed to take more risks; meanwhile, the unvaccinated were not allowed to take the same or as many risks. [This regulation variant of the Peltzman Effect was suggested in email exchanges with my former colleague Jason Childs (Univ. of Regina)].
So if being vaccinated doesn't slow the transmission of the Omicron variant of Sars-covid-19, what good are the vaccinations? If people who are fully vaccinated are more likely to get the virus, what's the point of being vaccinated? I've been asked these questions by several friends and relatives, and with good reason. Public health officials, Pfizer, Moderna, and others promoted vaccinations early on by emphasizing that we needed to get vaccinated to stop the spread of the virus. And it hasn't been working with Omicron.
And so now we're hearing urgings that sound very much like very early public health advice: do this to flatten the curve. Flattening the curve is NOT what public health authorities were emphasizing last summer or this past fall when they were telling everyone to get vaccinated. In fact I don't recall their even mentioning "flatten the curve". The cynic in me sees this as 'backtracking'.
So what is the evidence? Has the vaccination helped to flatten the curve? Has the vaccination helped reduce the likelihood that people who are vaccinated will become seriously ill?
Here are the latest data for Ontario again:
Roughly 90% of the population over the age of five in Ontario has been fully vaccinated, but only about 2/3 of the people in hospital (but not the ICU) were fully vaccinated. It seems likely that the vaccines have, indeed, reduced the likelihood that people infected by the virus will have symptoms serious enough that they need to be in hospital. [But as many people point out, the case counts are so high that hospitalizations are reaching new high numbers despite the vaccinations.]
The data for Intensive Care Units present an even stronger case for vaccinations:
90% of Ontarians are fully vaccinated, but only about a third of the patients in ICUs were fully vaccinated.
It looks as if vaccinations help reduce the seriousness of the disease.
Update: See this from Reason [Note: the numbers don't match up with those cited above.]
Ontario public health authorities report that as of yesterday, 2,093 and 288 people are being treated for omicron variant infections in hospitals and intensive care units (ICUs), respectively. The hospitalization rate per million among unvaccinated people stands at 532.7; it's 105.9 for folks vaccinated with at least two doses. This means that the reduction of hospitalization risk for those inoculated with at least two doses is 80.1 percent.
The ICU occupancy rate per million is 135.6 for unvaccinated people and just 9.2 for those who have gotten two doses of COVID-19 vaccines. So vaccination reduces the ICU risk by 93.2 percent.
An analysis by the United Kingdom Health Security Agency (UKHSA) similarly found that "the risk of being admitted to hospital for Omicron cases was lower for those who had received 2 doses of a vaccine (65% lower) compared to those who had not received any vaccination." The risk "was lower still among those who had received 3 doses of vaccine (81% lower)."
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Personal note: I'm fully vaccinated and boosted, and I will seek a fourth vaccination when they become available to my demographic cohort in Ontario. Also, I stay home as much as possible, and I wear an N95 mask. There are several reasons:
- The Delta variant hasn't completely disappeared, and the evidence strongly suggests that the vaccines provided considerable protection against it.
- The evidence suggests that those of us who are vaccinated will suffer less if we do become infected.
- We have considerable comorbidities in our household. If the virus gets in here, it could have quite serious effects.