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Omicron Variant – What Is Known Till Now?

When the world had started believing that COVID-19 is about to enter the endemic stage, the virus has struck back with a brand new variant named Omicron, also known as B.1.1.529. The new variant has reignited the speculations over the emergence of a third COVID-19 wave in India, which can completely disrupt our life. As per the initial research, the new variant has a high amount of spike mutations that were never recorded before.

Omicron seems to be very rampant in terms of spreading as its cases did not take many days to pop up in many other countries after first being reported in South Africa. The World Health Organisation (WHO) has listed Omicron as a “variant of concern”.

Where was Omicron first detected?

The newest variant of SARS-CoV-2 was first reported to the WHO on November 24, 2021. The variant was detected in the specimen collected on November 11 in Botswana and on November 14 in South Africa.

Soon after receiving the report, WHO classified Omicron as a variant of concern on November 26, followed by the United States on November 30 before the country recorded its first case on December 1. The next day, India recorded its first two cases of the Omicron variant.

What are the symptoms of the Omicron variant?

With the limited number of cases recorded so far, there is only a little information available about the symptoms. It has been said that the Omicron variant can present itself with extreme tiredness, body aches, throat discomfort (scratching or soreness), fever and some headache.

As the number of cases has been very low so far, there can be a possibility of this strain presenting severe symptoms in some people. Hence, experts are suggesting not to take this variant lightly.

Should we worry?

The Omicron variant likely will spread more easily than some of the previous variants of the SARS-CoV-2 virus and how easily Omicron spreads compared to Delta remains unknown. More data are needed to know if Omicron infections and especially reinfections and breakthrough infections in people who are fully vaccinated, cause more severe illness or death than infection with other variants. Scientists are working to determine how well existing treatments for COVID-19 work. Based on the changed genetic make-up of Omicron, some treatments are likely to remain effective while others may be less effective.

Will the vaccines work against the Omicron variant?

Current vaccines are expected to protect against severe illness, hospitalizations and deaths due to infection with COVID-19 and also the Omicron variant. However, breakthrough infections in people who are fully vaccinated are likely to occur. With other variants, like Delta, vaccines have remained effective at preventing severe illness, hospitalizations and death. The recent emergence of Omicron further emphasizes the importance of vaccination and boosters.

Takeaway

Scientists are working to learn more about the Omicron variant to better understand how easy it might be transmitted and the effectiveness of currently authorized or approved medical countermeasures, such as vaccines, therapeutics and diagnostic tests, against this variant. New information about the virologic, epidemiologic and clinical characteristics of the Omicron variant is rapidly emerging. Scientific bodies recommend wearing a mask in public indoor settings in areas of substantial or high community transmission, regardless of vaccination status.

Disclaimer: The information included at this site is for educational purposes only and is not intended to be a substitute for medical treatment by a healthcare professional. Because of unique individual needs, the reader should consult their physician to determine the appropriateness of the information for the reader’s situation.

Reality Check! Will The COVID-19 Pandemic Enter The Endemic Stage In 2022?

We all have understood that COVID-19 is here to stay and we will have to make our peace with this fact. Similar to Influenza, some experts opine that SARS CoV-2 may also enter the endemic stage. What does this really mean and how is our behaviour significant at this time? Let’s find out.

 What does endemic mean?

The endemic stage stands for a time when a population learns to live with a particular virus. The region where the virus has entered the endemic stage may keep observing small flare-ups of the spread but those would not be big enough to spread beyond the boundaries of that particular region. Moreover, the spread also does not become as overwhelming as it was during the pandemic or epidemic stages.

What are the experts most concerned about?

Director of the National Institute of Allergy and Infectious Diseases and the Chief Medical Advisor to the US President, Dr Anthony Fauci believes that the world would start seeing a decline in the number of cases in the coming spring, while Moderna’s CEO, Stéphane Bancel claims that the pandemic would be over within next one year.

Some experts believe that the cases of COVID-19 are going to see a steady decline in the winter season

The only challenge in the way of the virus entering the endemic stage is ‘human behaviour’, claimed the experts. One of the biggest reasons behind the second wave of infection was the careless attitude of people around the world who believed that the worst was over. Expressing the same concern, CDC Director Dr Rochelle Walensky said, “We are battling with one another and not battling with the common foe, which is the virus itself.”

Director-General of the World Health Organization (WHO) Tedros Adhanom Ghebreyesus has also claimed that the pandemic is still far from over and it totally depends upon the countries to use the available tools effectively to decide when it finally comes to an end.

Can we be optimistic?

Optimism is totally justified, given people understand their responsibility. Experts have claimed that it is quite natural to be optimistic and believe that the pandemic would end in the next year, but it is important to understand that controlling it would require a global solution.

Learnings from past experiences of pandemics like that of Flu give us some idea of how this pandemic can proceed towards endemicity, but nothing can be assured at this point of time till further studies affirm this. 

Role of immunity in ending the pandemic

According to the experts, immunization has a major role to play when talking about COVID-19 cases. We need to encourage more and more people to get vaccinated.

Some experts have also claimed that an optional booster dose of vaccine may help the high-risk population from getting severe symptoms due to COVID infection. Challenges in the way of COVID-19 entering the endemic stage. Vaccination is the most effective way of containing the spread of the virus, vaccine hesitancy, especially among children, is the biggest roadblock in the way of the virus getting into the endemic stage.

The experts have advised people to get vaccinated on priority as this is the safest way possible to try and make a place COVID-19-free. With the belief that the virus is going to remain in circulation even after a year, we need to be alert to combat every situation.

Studies and research are still going on and no one can actually state what’s going to come next. The virus has surprised us in the part and there is no guarantee it would not do it again, so dropping the guard against the virus may not be a good idea. Social distancing, hand hygiene, respiratory etiquettes, wearing a mask and avoiding crowded places should remain the norms of conducting ourselves in future too.  

Also Read: Omicron Variant: Risks & Safety Precautions

Takeaway

The health experts around the world are convinced that the COVID-19 pandemic is bound to enter the endemic stage sometime in the next year, but it is up to us how we conduct ourselves during the period to expedite the process.

Disclaimer: The information included at this site is for educational purposes only and is not intended to be a substitute for medical treatment by a healthcare professional. Because of unique individual needs, the reader should consult their physician to determine the appropriateness of the information for the reader’s situation

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Has COVID-19 been bigger trouble for HIV patients? Read to know

COVID-19 has been a pandemic everyone of us just wants to be over and forget these horrifying couple of years once and for all. It has not been an easy situation to handle for any of us ever since it first appeared in central China back in December 2019. It, however, has been even tougher for certain people who have a weaker immune system.

Many studies have proven that COVID-19 is even deadlier for those whose immune system isn’t up to the mark or are suffering from a condition that compromises their immune system.

It would not be wrong to say that people who are already suffering from Human Immunodeficiency Virus infection and Acquired Immune Deficiency Syndrome (HIV/AIDS) have been the most troubled lot amongst the people susceptible of getting severe symptoms and hospitalisation due to the respiratory infection.

What did the experts anticipate?

Ever since the coronavirus started spreading across the globe, the healthcare community was worried that it was going to severely affect HIV patients and those with a compromised immune system.

The anticipation was not wrong as the weaker immune system of HIV patients might not have played a role in making them more prone to get infected but it most certainly increased the chances of a more severe case of COVID-19, once the virus was contracted.

Lauren K. Barbera, from the University of Colorado and her teammates, in a review article published in HIV Research and Clinical Practice, have claimed that the recent studies have proven that people with HIV (PWH) are at a bigger risk of suffering from a severe disease on contracting COVID-19, even if they have fairly controlled HIV infection.

The review paper submitted by Barbera and her colleagues had combined a total of 212 articles published on the subject from March 2020 to July 2021.

What do the studies suggest?

A real extensive study, conducted on over three million patients in South Africa, suggests that HIV patients have a two-fold bigger risk of COVID-19 death, irrespective of CD4 count or HIV viral load. Some other studies have also suggested similar outcomes for HIV patients.

In yet another shocking stat, people living with HIV, who are about 0.7 percent of the world’s population, accounted for about 0.5 to 1.5 percent of COVID-19 cases around the globe.

The correlation between COVID-19 and HIV

Discussed below are some facts giving a more clear picture of the correlation between COVID-19 and HIV. Have a look:

Presenting similar symptoms

Fever, shortness of breath, cough and cold are some of the most common symptoms of COVID-19. Other symptoms may include muscle pain, loss of smell and taste and headaches.

The authors of the study, conducted on 286 people with HIV, have found that they noticed similar symptoms in them too. People with HIV should consult their doctor even if they notice the slightest discomfort or any of the above-mentioned symptoms. 

More chances of a severe case

The review also claimed that a lot of studies and case reports suggest that people suffering from HIV, who contract COVID-19 infection, are more susceptible to be severely ill or get admitted to ICU than the people who do not have HIV. 

The reviewers also claimed that the mortality rate due to COVID-19 is also higher among HIV patients. The study quoted in the review to support the mortality rate is based on a study conducted in the United Kingdom that proved it to be true. The number of deaths reported in the study, however, was relatively low. 

More impact on mental health

As we all know, social distancing, quarantining and self-isolation due to COVID-19 has had a huge impact on the mental health of people in the recent past. According to Barbara and her teammates, the studies have found the impact to be even bigger on the minds of HIV patients.

One of the studies in the review submitted by the team of the University of Colorado proved that people suffering from HIV were more concerned about their physical health, mental health, accommodations and finances during the pandemic.

The researchers also pointed out that telemedicine played a big role in preventing these mental issues turn into something serious due to the privacy and flexibility it offers but the HIV patients had to overcome the barriers of socioeconomic status, digital literacy and reimbursement issues.

Takeaway

As expected, HIV patients had to be even more cautious during the COVID-19 pandemic because of their compromised immune systems and should continue their treatment and follow-ups for HIV. There, however, was a silver lining that they also had to take the same precautions to avoid contracting the virus as a non-HIV infected l person. 

As we are advancing towards endemicity in India, we should not lower our guard against the virus. We all should unite to follow all the precautionary measures like social distancing, wearing a mask, frequently washing our hands, and getting vaccinated as soon as possible to finally kick this virus out of our country.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

What Are The Risk Enhancing Factors Of COVID-19 Breakthrough Infection?

“Breakthrough infection” is a new term that you may have heard recently. It stands for those people who are fully vaccinated for at least two weeks and then contract COVID-19 infection. It is very much similar to unvaccinated people who get infected with the virus but there are some differences in the symptoms and intensity of the infection.

How is breakthrough infection different from the other?

According to a study conducted on the symptoms of the breakthrough infection, it presents itself with signs like –

Some of these symptoms are exactly the same that unvaccinated people experience when they contract COVID-19. The common symptoms are – 

Notably, there are a couple of more symptoms that usually vaccinated people do not experience. They are –

These two are the most common COVID-19 symptoms but vaccinated people are way less likely to experience these problems. According to a study, people who suffer from breakthrough infection are 58 percent less likely to experience heightened body temperature as compared to the people who did not get their jabs.

What are the other differences?

A few studies have also proven that people who have already taken both their shots of COVID-19 are less likely to be hospitalised than people who have not taken the vaccine yet.

The other difference is that vaccinated people are less likely to experience any symptoms in the initial stages of the infection and also may not develop long COVID.

Why does breakthrough infection present mild symptoms?

As per the experts, the reason behind vaccinated people developing milder symptoms could be the vaccines. Even if these vaccines are unable to block the infection entirely, they seem to ensure that the infected person has fewer virus particles in his/her body.

This belief is yet to be proven with concrete studies but the recent cases suggest the same story.

Read More: All About The Omicron Covid Variant

What raises your risk of developing a breakthrough infection?

According to a study conducted in the United Kingdom, 0.2 percent of the population, which means one in every 500 people, suffers from breakthrough infection after being fully vaccinated. The researchers, however, confirmed that the risk is not the same for everyone. They highlighted four things that may be contributing to your shield against COVID-19. Have a look –

  1. Type of vaccine

The most important and the first aspect should be the type of vaccine you have taken and the relative risk reduction it offers. Relative risk reduction stands for a measurement of how less likely you become to contract the infection as compared to an unvaccinated person.

  1. Time since full vaccination

The relative risk reduction doesn’t completely assure you that the effects of the vaccine are going to last forever. Over the past few weeks, the debate over the third dose of the vaccines has intensified only because the scientists and researchers believe that the efficacy of the vaccines is surely going to wane off as time passes.

Therefore, if you have had taken the second dose of the vaccine more than six months ago, you might be more prone to catch the breakthrough infection.

  1. A variant of the virus

A variant of the virus sure does play a crucial role in defining your risk of contracting the breakthrough infection of COVID-19. Most of the studies that we currently have read had been conducted on the original form of the Coronavirus that hit the world back in December 2019.

The efficacy of most of the available vaccines drops when they are dealing with the Alpha variant of Coronavirus and when it comes to the delta variant, the efficacy drops even further. As the virus is expected to keep mutating in future too, the efficacy of the vaccines may drop even further, leaving us more vulnerable to breakthrough infection.

Also Read: Omicron vs Other Variants

  1. Immune system strength

The above-mentioned factors are based on a general study on a population, irrespective of the overall health of a particular person. It means that your level of protection against breakthrough infection also depends upon your overall health, how strong your immunity is and the other person-specific factors.

You may be more vulnerable to the breakthrough infection because you work in the healthcare sector where you stay more exposed to the virus or your age is over 50 years or you already suffer from a chronic ailment that has compromised your immune system, etc. These may be the contributing factors to your vulnerability.

Notably, all the countries had first vaccinated the people who were most vulnerable to the infection, which means that most of them took their second dose about 6-7 months back. Hence, their immunity against COVID-19 may have waned off by now putting them at risk again.

Should the vaccinated people be worried?

Despite the above-discussed risk factors, vaccines surely are our biggest weapon against COVID-19 disease. Even if they are unable to give 100 percent protection against breakthrough infection, they surely are keeping the chances of severe illness and hospitalisation at the lowest.

There are plenty of countries that are planning to start administering the third dose of the vaccine to provide sturdier protection against COVID-19. Initially, they are planning to administer the dose to the vulnerable groups and then move on to the entire population. This may become a norm in the months to come in every country.

Takeaway

The vaccines might be failing to prevent breakthrough infection in a few cases but they should not be interpreted in any way that these are not effective. The only way we can defeat COVID-19 is by getting vaccinated as soon as possible. When there would be fewer people getting infected, the virus would eventually disappear. Moreover, we should also ensure to keep all the risk enhancing factors in mind to prevent the spread of the virus.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

Do Indians Need A Third Dose Of The COVID-19 Vaccine? Read To Know

With the COVID-19 cases rising once again in many parts of the country, the speculations regarding the need for a booster vaccination dose against the virus have intensified. Everyone is concerned if they should get the third dose or not.

To make things even more intriguing, the United States has decided to administer their people with the third dose from September onwards. They have decided to inoculate the vulnerable group of people first with the third dose.

There are a few more countries thinking about administering the third dose to eliminate the possibility of another deadly wave of COVID-19.

Does India need a third COVID dose?

As per the experts, India surely is going to need a booster dose in the later stages. The government, however, has maintained that the need for the third dose of the vaccine is being closely monitored.

What is a Booster Shot?

A booster dose is administered to enhance the antibody levels in the body when they start lowering after a certain period of time following the second shot of the vaccine.

What do experts have to say?

The director at the National Institute of Virology, Dr Priya Abraham recently explained that studies have been under process in several foreign countries on the requirement of booster shots and at least seven vaccines have already been tried out. In the days to come, the booster dose will surely become a recommendation for everyone.

The director of the All India Institute of Medical Sciences (AIIMS), Dr Randeep Guleria has also pointed out that booster doses are definitely going to become a necessity looking at the mutating variants of the deadly virus. He also claimed that the immunity tends to fall as time passes. It happens because of waning immunity.

He said that it still has to be found out if a yearly dose would be required or not and if it would be mandatory for everyone or not.

On the other hand, European Medicines Agency has notified that it is too early to claim that there was any need for an additional dose of COVID-19 vaccine, apart from the pre-defined two doses. It said that they were certain that the current regimen was sufficient for COVID-19 prevention.

Some other experts have suggested that the authorities around the world should focus more on the first round of vaccination as when enough people would be inoculated, the mutated versions of coronavirus would take time to pop up again.

Did you know?

  • The CDC recommends a third dose of the COVID-19 vaccine for certain immunocompromised individuals. Source: cdc.gov
  • A third dose of the BNT162b2 mRNA COVID-19 vaccine is effective in preventing severe COVID-19-related outcomes in Israel. Source: ncbi
  • The effectiveness of the third dose is estimated to be 93% in preventing COVID-19-related hospital admissions. Source: ncbi

Why is WHO against the third dose?

Currently, the World Health Organisation (WHO) is stopping the countries from going ahead with the third dose as there are plenty of poor countries where the inoculation rate is very alarming. 

WHO has said that the high-income countries should not go ahead with the third dose administration drive till the low-income countries catch up with a healthy inoculation rate.

Moreover, WHO chief scientist Dr Soumya Swaminathan also highlighted recently that the data available right now does not suggest any need for a third dose for anyone.

On the other hand, the United States health officials have been claiming for a long time now that people might require a third dose of the COVID-19 vaccines just like they do for other vaccines.

What does the Serum Institute of India recommend?

Pune-based Serum Institute of India (SII) chairman Cyrus Poonawalla, recently revealed that he has already taken the third dose of the vaccine and also appealed to everyone, who have already completed their course of two vaccines, to go ahead and take the third dose once it has already been six months.

Furthermore, he said that he has already got about seven to eight thousand SII employees inoculated with the third dose.

Covaxin booster dose trials

According to the media reports, the results of trials of the third booster dose of Covaxin developed and manufactured by Bharat Biotech and the National Institute of Virology, are expected to come by November 2021.

The booster dose of the “Made in India” vaccine was first introduced in May this year. It has been under trial ever since then at 12 different centres including AIIMS in Delhi and Patna. 

The Drug Controller General of India (DGCI) had granted permission to run clinical trials for the third dose of Covaxin back in April this year. The results of the first trials carried out in April are expected in August, while the result of the second trial is scheduled to arrive in November this year.

The results of these trials will define the immunogenicity, reactogenicity, safety and tolerability of the booster dose of Covaxin.

Takeaway

As far as Indian and US experts are concerned, they both seem to be on the same page in terms of the need for the third dose of COVID-19 vaccine, while WHO has something else to suggest. The government may soon take a decision on the issue as the cases of Delta plus variant are rapidly increasing in some parts of India and may spread across states very quickly.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

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Herd Immunity Against Delta Variant – Is It Really Possible?

When people were hoping to develop herd immunity after enough people would have recovered from COVID-19 or got vaccinated against it, the head of the UK’s Oxford Vaccine Group has warned that it may never be possible.

The leader of Oxford University’s COVID-19 vaccine developer team, Professor Andrew Pollard, has claimed that nothing can eliminate the possibility of even more transmissible variants of Coronavirus. Therefore, we would never be able to put a full stop to the spread of the virus.

He, however, has also mentioned that there is nothing to “panic” while expressing his doubts over the third booster dose suggested by the government of the United Kingdom.

What did Prof. Pollard say?

He clarified that the Delta variant is not in any way similar to measles, which could not spread in a community where 95 percent of the population has already been inoculated.

More points he highlighted are –

Support to the theory

Professor Pollard’s views were supported by Paul Hunter who is also a professor at the University of East Anglia. Prof. Hunter is a very credible expert in infectious diseases. He was the same professor who first mentioned that the current vaccines are surely giving protection against severe COVID-19 infection and death but they cannot eliminate the possibility of infection entirely.

What Did Prof. Hunter say?

Describing herd immunity as “unachievable”, he said that that infection will keep spreading among the unvaccinated populations and also added that the latest data suggests that the two doses of the vaccines are only providing 50 percent of protection against infection.

Pro Third Dose Experts

Some experts believe that Professor Pollard’s doubts over the third dose are not relevant and the plan of UK Health Secretary Sajid Javid to administer the third booster shot along with a flu vaccine to those who are at a higher risk of getting infected is a smart choice. This has been proposed to be brought into action from September onwards.

When should we actually administer the Third Dose?

Professor Pollard suggests that we may consider administering the third dose to vulnerable people if we see more hospitalisations or deaths among the vaccinated people.

While accepting that the level of immunity does drop after a certain period of time, he pointed out that our immune system still remembers the body getting vaccinated and this memory lasts for decades. 

Hence, there is nothing to panic about at the moment. Raising another very important point, Professor Pollard said that these doses should be transported to those places of the world where people have not been vaccinated and where these can actually create a greater impact.

What are the current stats of COVID-19 Infection in India?

Fresh cases recorded on Monday – 32,937

Total deaths recorded on Monday – 417

No of doses administered – Over 55 crore

COVID hotspot in India – Karnataka, accounting for more than 50 percent of the total cases

Takeaway

Although we do not have the right resources as of yet to stop the spread of COVID-19, we surely do not need to panic and just have to adhere to the protocols established by your local authorities. We can only stop the spread and protect our loved ones if we abide by the rules. As suggested by the experts, the situation is going to get better with time.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.