You vs Us: Whom Did COVID Vaccines Protect?

COMMENTARY

You vs Us: Whom Did COVID Vaccines Protect?

F. Perry Wilson, MD, MSCE

Disclosures

May 04, 2022

34

This transcript has been edited for clarity.

Welcome to Impact Factor, your weekly dose of commentary on a new medical study. I'm Dr F. Perry Wilson of the Yale School of Medicine.

Someday, perhaps in the not-too-distant future, we will be able to have a calm and informed debate about what interventions saved the most lives during the coronavirus pandemic. My personal vote — supplemental oxygen — doesn't get enough appreciation.

Other interventions are no doubt up there as well: dexamethasone, mechanical ventilation, ECMO, proning, and, of course and without a doubt, vaccines.

Vaccines have performed better in this pandemic than we had any right to hope for. Before the vaccines had come out, I had written an article arguing that a 50% effective vaccine would still be a huge boon to humankind during the pandemic. When we saw 95% efficacy in the original clinical trials, it felt like a miracle. Of course, as the virus mutated, efficacy has waned, and yet we still see a clear benefit of vaccination in terms of preventing the worst outcomes.

At least on an individual level.

The vast majority of studiesof vaccination focus on the individual — comparing death rates, for example, between the vaccinated and unvaccinated.

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