It is important to point out that the Oxford/AstraZeneca vaccine is effective against the B.1.1.7 variant and reduces virus shedding and transmission. With this most likely being the dominate strain, this means their current vaccines are still effective as they update boosters.
From what we have seen, it is evident that B.1.1.7 (UK) is inherently more transmissible when compared to the original strain ( by ~50%), and it may be right to assume when populations are exposed to this variant, it’ll likely become the dominant strain relatively quickly.
We are seeing this happen in many areas. Hear me out. In a sense, this actually works to our advantage as we witness this selective pressure occur. B.1.1.7 may be essentially allowing us time to administer booster vaccinations against this variant and it’s newly added E484K.
The vaccine is effective against this variant and reduces virus shedding and transmission as we saw in a study conducted last week. Remember that B.1.1.7 picked up the concerning E484K mutation that was first detected in the B.1.351 variant.
But what does it mean? Seeing the same mutation (E484K) occur in multiple locations is clear evidence of convergent evolution. In other words, the variants are adapting in similar ways in response to similar selective pressures and this mutation is under + selection.
In essence, this mutation will only be driven to dominance by sterilizing immunity against B.1.1.7. Sterilizing immunity means that your immune system is able to stop a pathogen, including viruses, from replicating within your body. This is what we want of course.
With B.1.1.7 becoming the dominate strain and despite B.1.351 attempting to gain a fitness advantage as they duke this out, we still need to accelerate vaccination efforts because the vaccines are STILL EFFECTIVE. It’s important to see the forest through the trees on this.
While this most recent study found that this vaccine was found to only provide minimal protection against mild-moderate infection from B.1.351 in young adults please understand that the good news is this is not the dominant variant right now and they are updating the vaccines.
In short, still get vaccinated. Do not let this deter you. Every single effort is being made to further increase the efficacy of these vaccines. They’re still effective and protecting you from severe cases and hospitalization. This vaccine will get to where it needs to be.
If you need further insight, cases in South Africa are plummeting, and it doesn't appear to be related to lockdown stringency. This could possibly be related to B.1.1.7 establishing dominance over B.1.351 and the selective pressure initiated from the vaccines.
Something important to note. In this study, they state while we do know that results for J&J’s vaccine, which has a similar design to AstraZeneca’s, showed excellent protection against severe COVID including B.1.351. This is NOT what was studied here.
https://www.ft.com/content/e9bbd4fe-e6bf-4383-bfd3-be64140a3f36
South Africa is now planning to expedite rollout of J&J’s vaccine to health workers based on the results including against B.1.351. In the meantime, AZN can work on modifying its vaccine. While I understand the significance of 1/2 trials such as this, it’s essentially null.
I was just informed of the AstraZeneca vaccine efficacy in the small trial in South Africa. The 95% confidence interval being: -50% to 60%. So yeah, we can carry on. This study was lacking and null.
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