A thread about vaccine efficacy & why we can’t get complacent

We have great vaccines: PFizer vaccine efficacy is at 95% 7 days after the second dose

Does that mean life goes back to normal once we reach a certain threshold vaccinated? Is vaccination ALONE enough?

In short:no
(2) I’m going to use the comparison with contraception as it’s one many people will be very familiar with

The combined oral contraceptive pill used correctly is very effective

But still, used correctly for a year 0.3% of women will get pregnant
(3) our vaccines are 95% effective against symptomatic COVID-19

If they were an oral contraceptive we would be warning people of the risk of pregnancy if engaging in regular unprotected sex especially during fertile periods of the cycle

So how does that compare to covid?
(4) well if it were pregnancy one was trying to avoid with a contraceptive that’s 95% effective we’d consider adding in a second contraceptive such as condoms especially at fertile periods in the cycle

This would reduce the risk of pregnancy but wouldn’t remove risk entirely
(5) so when we have a vaccine that’s 95% effective that is a massive risk reduction almost but not quite as good as the COCP

So unlike the the COCP you wouldn’t recommend it in isolation

We need to keep the “barrier contraception” going
(6) barrier methods for covid are:
social distancing,
regular hand washing
wearing our masks

This is especially important when community transmission is high: which is the equivalent of the fertile period of the menstrual cycle
(7) so in short vaccination is amazing risk reduction

But alone it is not enough

Especially when community transmission is high

We still need to wash our hands, keep our distance & wear our masks
(8) I must thank the amazing obstetricians & midwives that I work with for the fact that now I can convert almost everything into a “if this were pregnancy” comparator ❤️

@drscorcoran @ProfFMcAuliffe @bergerie0709 @mairenihuigin @venitabroderick @Marybrosnan13 @lissaniskey
You can follow @GColleranMD.
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