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Re:Germany locks down unvaccinated people, as leaders plan t... by fabian2k on Thursday December 02, 2021 @02:46PM (#29421442)
Something like 50% of the people in intensive care for COVID still die.

Even if we were able to handle the load on the healthcare system, that still would be a very large amount of unnecessary suffering and death. And even though there are some fundamental issues with working conditions and pay in this area, fixing them would not be enough to be able to handle the load that an exponentially growing viral disease could cause if it remains unchecked. If you do not stop the exponential spread, even with twice the capacity you'd only gain another 1-2 weeks until you're at capacity anyway.

The vaccines work well and are safe. The problem is that too many people didn't take them. There's plenty of problems with how this was organized in Germany, but in the we simply didn't manage to convince enough people to get vaccinated.

Re:Germany locks down unvaccinated people, as leaders plan t... by fileeditview on Thursday December 02, 2021 @03:12PM (#29421806)
The argument always is that there are not enough beds for non-corona patients. More beds would certainly help.

It is nonsense to vaccinate young and very healthy people, especially kids. Their risk from COVID is minimal to non-existent.

Also the spread is not stopped by vaccinating. Vaccinated still spread the virus. If it is reduced is still unclear. There was a study in GB that showed the incidence numbers in vaccinated was just as high or higher than in unvaccinated. The sample sizes of vaccinated and unvaccinated were equal as they should be. Reports in Germany about these numbers forget to mention that vaccinated people are basically not tested.

> The vaccines work well and are safe.

They do not work well enough. First of all people still transmit the virus after only about 2 months after the vaccination. Then the protection goes down extremely between 2-6 months after the vaccination (that is why we need boosters all the time). It is still unclear if we continue to need boosters after the third shot.

Re:Germany locks down unvaccinated people, as leaders plan t... by TulliusCicero on Thursday December 02, 2021 @04:57PM (#29423283)
Vaccines do reduce spread.

While vaccinated people who get infected still spread the virus, they’re less likely to get infected in the first place, which is a necessary precursor to spreading.

Re:Germany locks down unvaccinated people, as leaders plan t... by tekknik on Friday December 03, 2021 @11:20AM (#29431686)
Not necessarily true with the new variants, and it won’t be true for future variants either. The virus jumped to wild animals so it’s freely mutating in unvaccinated hosts outside of the human population.
Re:Germany locks down unvaccinated people, as leaders plan t... by TulliusCicero on Friday December 03, 2021 @04:29PM (#29435785)
IIRC the effectiveness is reduced for delta, certainly, but not to zero.

But yes, we’ll probably need updated vaccines, similarly to how we update the flu shot every year.

Re:Germany locks down unvaccinated people, as leaders plan t... by lm28469 on Friday December 03, 2021 @05:14AM (#29428423)
> The argument always is that there are not enough beds for non-corona patients. More beds would certainly help.

"beds" is a proxy for "health workers", if you put a bad covid case in a "bed" they just die, they need constant attention

Re:Germany locks down unvaccinated people, as leaders plan t... by TurkishPoptart on Thursday December 02, 2021 @06:19PM (#29424336)
>...fully vaccinated individuals with breakthrough infections have peak viral load similar to unvaccinated cases and can efficiently transmit infection in household settings, including to fully vaccinated contacts. Host–virus interactions early in infection may shape the entire viral trajectory.

Source: https://www.thelancet.com/journals/laninf/article/PIIS1473-3...

Re:Germany locks down unvaccinated people, as leaders plan t... by jashmatthews on Thursday December 02, 2021 @07:20PM (#29424980)
Vaccinated people don’t transmit as much, nor are they as likely to contract the virus. Current estimates are 85-90% of transmission in Germany involves someone unvaccinated

https://rocs.hu-berlin.de/publication/maier-2021-germany/

Re:Germany locks down unvaccinated people, as leaders plan t... by orblivion on Friday December 03, 2021 @12:14PM (#29432407)
* Chance of catching it?

* Peak viral load, GIVEN catching it?

* Duration of peak viral load, GIVEN catching it?

* Severe disease, GIVEN catching it?

* Hospital stay, GIVEN catching it?

* Death, GIVEN catching it?

There are many relevant parameters that the vaccines might affect. And the vaccinated people have a few parameters: number of shots, time since last shot, age, etc. People seem to focus on one or two of these questions at a time.

From your link, actually, related to duration:

"Fully vaccinated individuals with delta variant infection had a faster (posterior probability >0·84) mean rate of viral load decline (0·95 log10 copies per mL per day) than did unvaccinated individuals with pre-alpha (0·69), alpha (0·82), or delta (0·79) variant infections."

Clearly it's not going to stop transmission, but it could slow it down. People on both sides of this issue seem to undervalue partial measures and tradeoffs.

Re:Germany locks down unvaccinated people, as leaders plan t... by WickyNilliams on Thursday December 02, 2021 @06:15PM (#29424290)
> There was a study in GB that showed the incidence numbers in vaccinated was just as high or higher than in unvaccinated

I would like to see the source for that if you have the link?

Re:Germany locks down unvaccinated people, as leaders plan t... by fileeditview on Friday December 03, 2021 @03:56AM (#29428003)
A bit late reply but I was asleep. You can find the report here: https://assets.publishing.service.gov.uk/government/uploads/...

There is a lot to digest and probably it's easy to come to the wrong conclusions from this. I was referring to Figure 2.(a)

Re:Germany locks down unvaccinated people, as leaders plan t... by gizmo on Thursday December 02, 2021 @02:57PM (#29421609)
The problem isn’t simple and certainly not a matter of just vaccinating. A big part of the problem is that govt was confident that two jabs in the summer would be sufficient because of two faulty assumptions: that immunity would last and that fully vaccinated people would not spread covid.
Re:Germany locks down unvaccinated people, as leaders plan t... by crooked-v on Thursday December 02, 2021 @03:25PM (#29421990)
Also, more broadly, that people would actually be willing to get vaccinated at a rate high enough to reduce the R-value below 1.
Re:Germany locks down unvaccinated people, as leaders plan t... by tremon on Thursday December 02, 2021 @04:04PM (#29422546)
The vaccines were never proven to reduce virus spread, were they? I mean, the clinical trials were about reducing susceptibility, not infectivity. I don't think there were any numbers available on the vaccine's effect on virus transmissibility. It was implicitly assumed that fewer symptoms would translate to fewer transmissions, but was this ever proven?

Point being, we didn't know what vaccination rate would reduce the R-value below 1, and FAFAIK we still don't know. Not even for the original Sars-cov-2 virus, and not for any of the variants.

Re:Germany locks down unvaccinated people, as leaders plan t... by neuronexmachina on Thursday December 02, 2021 @04:23PM (#29422807)
Vaccination reduces transmission: https://www.nejm.org/doi/full/10.1056/NEJMc2106757

> Cases of Covid-19 were less common among household members of vaccinated health care workers during the period beginning 14 days after the first dose than during the unvaccinated period before the first dose (event rate per 100 person-years, 9.40 before the first dose and 5.93 beginning 14 days after the first dose). After the health care worker’s second dose, the rate in household members was lower still (2.98 cases per 100 person-years). These differences persisted after fitting extended Cox models that were adjusted for calendar time, geographic region, age, sex, occupational and socioeconomic factors, and underlying conditions. Relative to the period before each health care worker was vaccinated, the hazard ratio for a household member to become infected was 0.70 (95% confidence interval [CI], 0.63 to 0.78) for the period beginning 14 days after the first dose and 0.46 (95% CI, 0.30 to 0.70) for the period beginning 14 days after the second dose. ... Not all the cases of Covid-19 in the household members were transmitted from the health care worker; therefore, the effect of vaccination may be larger.1 For example, if half the cases in the household members were transmitted from the health care worker, a 60% decrease in cases transmitted from health care workers would need to occur to elicit the association we observed (see the Supplementary Appendix). Vaccination was associated with a reduction in both the number of cases and the number of Covid-19–related hospitalizations in health care workers between the unvaccinated period and the period beginning 14 days after the first dose.

Re:Germany locks down unvaccinated people, as leaders plan t... by tekknik on Friday December 03, 2021 @11:25AM (#29431765)
Given that vaccination reduces asymptomatic infection with SARS-CoV-2,2,3 it is plausible that vaccination reduces transmission; however, data from clinical trials and observational studies are lacking.
Re:Germany locks down unvaccinated people, as leaders plan t... by TulliusCicero on Thursday December 02, 2021 @04:59PM (#29423313)
> The vaccines were never proven to reduce virus spread, were they? I mean, the clinical trials were about reducing susceptibility, not infectivity.

Populations where people are less likely to get infected are less likely to spread. You have to be infected before you can spread.

Re:Germany locks down unvaccinated people, as leaders plan t... by SamTwardowski on Thursday December 02, 2021 @07:42PM (#29425168)
The psychology of the vaxxed asymptomatic COVID carrier cannot be left out of the equation. Whether this psychology leads one to engage in risky disease-spreading behaviour, this is for the experts to elucidate.
Re:Germany locks down unvaccinated people, as leaders plan t... by TulliusCicero on Thursday December 02, 2021 @07:48PM (#29425210)
Maybe. On the other hand, a lot of anti vaxxers seems to think Covid-19 is a hoax, and that undoubtedly influences behavior.
Re:Germany locks down unvaccinated people, as leaders plan t... by tekknik on Friday December 03, 2021 @11:28AM (#29431785)
Do you have a source for that? This is the first time Ive heard someone call it a hoax that was an antivaxxer. Most antivaxxers are hesitant due to the speed at which the vaccines were made, the new technology used to make them, and the fact that the companies making them can’t get sued if they kill people.
Re:Germany locks down unvaccinated people, as leaders plan t... by TulliusCicero on Friday December 03, 2021 @01:00PM (#29432974)
There are those type too, yes, but there are also people who think Covid is a hoax, or at least that its danger has been drastically exaggerated. There tends to be a lot of overlap between beliefs here.
Re:Germany locks down unvaccinated people, as leaders plan t... by tekknik on Saturday December 04, 2021 @06:58AM (#29440320)
So no source. Interestingly if you look up the list of global epidemics however COVID is #6 of 20, and if you sort by total global population list, COVID is #11. So it seems we have actually had worse pandemics. Maybe you’re seeing people reading the actual stats?
Re:Germany locks down unvaccinated people, as leaders plan t... by TulliusCicero on Monday December 06, 2021 @01:16PM (#29463474)
I haven’t seen any studies diving into anti vaxxer beliefs that deeply, no.

> Maybe you’re seeing people reading the actual stats?

What kind of reasoning is this? So because Covid-19 isn’t the worst pandemic in history, then it makes sense to believe it’s a hoax or overhyped?

Re:Germany locks down unvaccinated people, as leaders plan t... by dragonelite on Thursday December 02, 2021 @05:02PM (#29423350)
I was under the same impression that vaccine would not reduce the spread or carrying of the virus. It would just greatly reduce the change you landing on the IC.
Re:Germany locks down unvaccinated people, as leaders plan t... by int_19h on Thursday December 02, 2021 @05:17PM (#29423524)
What would be the rate in question for Delta? My understanding is that it was feasible for earlier variants, but Delta has R too high to begin with.
Re:Germany locks down unvaccinated people, as leaders plan t... by landemva on Thursday December 02, 2021 @09:37PM (#29426016)
If your focus is on R value for transmission, then you will also need to eradicate it from every single cat and deer on the planet. Good luck with that.
Re:Germany locks down unvaccinated people, as leaders plan t... by red_trumpet on Thursday December 02, 2021 @03:27PM (#29422022)
Also, the government knowingly ignored warnings by the RKI (german institute for public health) saying that numbers and hospital admissions will go up rapidly in autumn.
Re:Germany locks down unvaccinated people, as leaders plan t... by Scoundreller on Thursday December 02, 2021 @03:13PM (#29421817)
> Something like 50% of the people in intensive care for COVID still die.

I don’t think this is too far from the survival rate of those admitted to intensive care in general.

But I think the point is that COVID really increases your chances of being admitted there in the first place.

Re:Germany locks down unvaccinated people, as leaders plan t... by tekknik on Friday December 03, 2021 @11:31AM (#29431838)
So far I know 4 that have contracted COVID and all explained it felt like a bad flu but no where near enough to go to the hospital. But mileage will vary here for sure.
Re:Germany locks down unvaccinated people, as leaders plan t... by daddylongstroke on Thursday December 02, 2021 @10:40PM (#29426384)
>But I think the point is that COVID really increases your chances of being admitted there in the first place.

If you're in a certain age range, and have several comorbidities.

Re:Germany locks down unvaccinated people, as leaders plan t... by bduerst on Thursday December 02, 2021 @04:41PM (#29423066)
ICU survival rate is highly dependent on the cause, diagnosis, and/or disease that the patient is admitted for. It can range from 70-10%.
Re:Germany locks down unvaccinated people, as leaders plan t... by landemva on Thursday December 02, 2021 @09:34PM (#29425990)
The smallpox and polio vaccines worked well. The corona shots have people still getting sick and transmitting live virus. That was not success even a couple years ago.
Re:Germany locks down unvaccinated people, as leaders plan t... by krater23 on Thursday December 02, 2021 @03:28PM (#29422040)
You forget one, the people that are dying have taken the risk for ther own and didn't want to get vaccinated. It's ok when they die, it's their decision that's gone wrong. Other people didn't got vaccinated and will never get covid anywhere. This is a decision that not the government has to make for the people.
Re:Germany locks down unvaccinated people, as leaders plan t... by discreteevent on Thursday December 02, 2021 @04:00PM (#29422481)
Those people don't refuse to go to hospital and they don't refuse the ICU bed.
Re:Germany locks down unvaccinated people, as leaders plan t... by jpttsn on Thursday December 02, 2021 @04:19PM (#29422752)
Would you support a comprehensive healthcare opt-out, where an unvaccinated person would forego right to treatment, and also not have to pay taxes for public healthcare?
Re:Germany locks down unvaccinated people, as leaders plan t... by CamperBob2 on Thursday December 02, 2021 @04:57PM (#29423290)
No, because at the end of the day, we're not going to literally let them die on the sidewalk outside the hospital just because they can't pay.

That means that somebody has to pay for them. Given that unavoidable but inconvenient fact, basic health care and life support might as well be organized under the auspices of the state and the costs shared among all residents.

Re:Germany locks down unvaccinated people, as leaders plan t... by kelnos on Thursday December 02, 2021 @08:32PM (#29425552)
If you aren't willing to do your part to protect yourself and your community, why should your community protect you, when doing so would endanger others' lives?
Re:Germany locks down unvaccinated people, as leaders plan t... by mensetmanusman on Thursday December 02, 2021 @09:34PM (#29425985)
The same can be said if many STDs though, drug use, and obesity.
Re:Germany locks down unvaccinated people, as leaders plan t... by landemva on Thursday December 02, 2021 @09:38PM (#29426027)
That reflects a deep socialist mentality.
Re:Germany locks down unvaccinated people, as leaders plan t... by pelasaco on Thursday December 02, 2021 @04:25PM (#29422843)
those people still paid their taxes, health plan care and they should be treated. Stuff like this https://www.aerzteblatt.de/nachrichten/sw/Intensivmedizin?s=... should be better investigated. I thought as German, something that we learned from our past was not "oben buckeln und nach unten treten" or something like "to crawl to the bigwigs and bully the underlings". Winter 2021, and we still don't have a plan, the schools still offline and the numbers are much worse now than winter 2020 when the numbers of unvaccinated were almost 90% of the population.