{"id":76089,"date":"2021-10-20T14:22:26","date_gmt":"2021-10-20T14:22:26","guid":{"rendered":"https:\/\/websitedesigns.com.au\/elankanew\/?p=76089"},"modified":"2023-07-02T06:31:51","modified_gmt":"2023-07-02T06:31:51","slug":"disruptive-outbreaks-expected-after-the-borders-are-open-by-dr-harold-gunatillake","status":"publish","type":"post","link":"https:\/\/websitedesigns.com.au\/elankanew\/disruptive-outbreaks-expected-after-the-borders-are-open-by-dr-harold-gunatillake\/","title":{"rendered":"Disruptive outbreaks expected after the borders are open.- By Dr Harold Gunatillake"},"content":{"rendered":"<h1 style=\"text-align: center;\"><span style=\"font-size: 24px; color: #000000;\">Disruptive outbreaks expected after the borders are open.- By Dr Harold Gunatillake<\/span><\/h1>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-77916 aligncenter\" src=\"https:\/\/websitedesigns.com.au\/elankanew\/wp-content\/uploads\/2021\/11\/Harold-Gunethilake.jpg\" alt=\"Harold-Gunethilake\" width=\"160\" height=\"160\" \/><\/p>\n<p>&nbsp;<\/p>\n<h1 style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">A third booster could be Novavax in Australia.<\/span><\/h1>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong><em>Do not wait for your so-called favorite vaccine, as unvaccinated people are far more likely to die of COVID-19<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">It seems that highly transmissible Covid-19 variants \u2013 copies of Delta, are circulating in many overseas countries, and the fears that, when Australian borders are open soon, an influx of people returning or visiting Australia may result in an unexpected outbreak, is a possibility.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Complacence after 80% of people over 16 years fully vaccinated is questionable as incidence of breakthrough outbreaks are on the rise in other countries.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">We are fortunate in Australia that the breakthrough COVID-19 infections have been slightly more than five hundred. It has been observed that the AstraZeneca COVID vaccine has the same rate of effectiveness in keeping people alive and out of hospital as much as the more popular Pfizer jabs some preferred.<\/span><\/p>\n<p><!--more--><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">The latest data from NSW Health showed that since March 21, there have been 317 locally acquired cases in people, with two doses of a vaccine. That puts the breakthrough infection rate at about 2.6 per cent.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">In Queensland, of the 133 locally acquired COVID-19 cases reported last month, just fifteen were fully vaccinated<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">The federal government\u2019s chief infectious disease modeler said that the Oxford University-developed vaccine was on par with Pfizer when combating the aggressive delta variant, but in UK the Pfizer-BioNTech and Oxford- AstraZeneca COVID-19 vaccines though highly effective against the highly infectious Delta variant of SARS-CoV-2, but their protection drops away with time, a study of infections in the United Kingdom has found.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">The vaccine made by Pfizer in New York City and BioNTech in Mainz, Germany, was 92% effective at keeping people from developing a high viral<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">load \u2014 a high concentration of the virus in their test samples \u2014 14 days after the second dose. But the vaccine\u2019s effectiveness fell to 90%, 85% and 78% after 30, 60 and 90 days, respectively.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">The vaccine developed by Oxford and the pharmaceutical company AstraZeneca in Cambridge, UK, was 69% effective against a high viral load 14 days after the second dose, falling to 61% by 90 days.<\/span><\/p>\n<h1 style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Third vaccine Novavax is coming to Australia<\/span><\/h1>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">The federal government has said it expects Novavax to begin arriving in Australia, this November.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>It is more likely that it will be used as the third booster, as more than 80 per cent of the people have received both jabs from AstraZeneca and Pfizer COVID vaccines.<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>What is the difference between Novavax and other mRNA vaccines? <\/strong>mRNA vaccines like Pfizer and Moderna delivers active spike proteins into our bodies to develop antibodies to the active spike proteins.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Novavax delivers harmless version of the spike protein found on the surface of the SARS-CoV-2 virus, along with other chemicals to heighten your body\u2019s immune response.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Once the injection is delivered, your immune system learns how to fight the spike protein, which it can then do when confronted with the virus.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Novavax is called a subunit vaccine, because it uses harmless fragments of the virus to trigger an immune response.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">It is described as a more \u201ctraditional\u201d vaccine than mRNA or viral vector vaccine like AstraZeneca vaccines, which teach your body to create its own harmless spike proteins, which then trigger the immune system.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Efficacy of this subunit vaccine is recorded as 90.4 per cent against illness and one hundred per cent protection against severe illness.<\/span><\/p>\n<h1 style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Side effects after the second jab of this vaccine are short-term, and mild such as tenderness at the injection site, headache, aches, pains, and fatigue. The good news about Novavax is that the vaccine has a significantly lower rate of side effects compared to the Pfizer and Moderna vaccines.<\/span><\/h1>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>Moderna vs. Pfizer vaccines compared.<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Both these Covid vaccines were thought to be equally effective. With time this happened to be not true.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">221 million doses of the Pfizer-BioNTech vaccine have been dispensed thus far in the United States, compared with about 150 million doses of Moderna\u2019s vaccine. In a half-dozen studies published over the past few weeks, Moderna\u2019s vaccine appeared to be more protective than the Pfizer-BioNTech vaccine in the months after immunization<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Recent data published by the Centers for Disease Control and Prevention found that the efficacy of the Pfizer-BioNTech vaccine against hospitalization fell from 91% to 77% after a four-month period following the second shot. The Moderna vaccine showed no declines over the same period.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Meanwhile, it has revealed that a booster of Johnson &amp; Johnson\u2019s COVID-19 vaccine may give more protection than a single dose as declared before.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">\u201cI think this frankly was always a two-dose vaccine,\u201d said FDA adviser Dr. Paul Offit of Children\u2019s Hospital of Philadelphia. \u201cIt would be hard to recommend this as a single-dose vaccine at this point.\u201d<\/span><\/p>\n<h1 style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">What is long COVID?<\/span><\/h1>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">WHO defined long COVID as a post-Covid-19 condition in individuals with a history of probable or confirmed SAERS CoV-2 along with symptoms lasting for at least two months?<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Long Covid is defined as \u2018post-acute-Covid Syndrome\u2019<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Fortunately, it is not as fatal and hard-hitting as acute Covid-19 and mostly found to improve over time.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">It may not be as fatal and hard hitting as acute Covid-19 and mostly improve over time but it can worsen existing ailments such as diabetes and kidney diseases.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Dr Khan Amir Maroof, professor at department of community medicine said, &#8220;But the deterioration of quality of life of these patients is worrisome. From a public health perspective, the disability -adjusted life years burden and economic repercussions could be high, which needs to be studies more\u201d..<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Dr Maroof also said that preventing Covid will prevent long-Covid too.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">\u201cSo, in a way, a vaccine is the key intervention for long-Covid too. Furthermore, some recent studies have shown that those vaccinated have lower intensity and duration of long-Covid as compared to the unvaccinated. So, initial results are promising\u201d<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Hope these updates are useful.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Dr Harold Gunatillake FRCS. Sydney<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">Disclaimer:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">The information contained in this article is for general information purposes only, and whilst the author will endeavour to keep the information up to date and correct, eLanka makes no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the eLanka website or the information, products, services, or related graphics contained in this article for any purpose. Any reliance you place on such information is therefore strictly at your own risk. In otherwords, eLanka In no event will we be liable for any loss or damage including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits arising out of, or in connection with, the use of this website \/ article. Also please note that through this website \/ web page articles you are able to link to other websites which are not under the control of eLanka and therefore we have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Disruptive outbreaks expected after the borders are open.- By Dr Harold Gunatillake &nbsp; A third booster could be Novavax in Australia. Do not wait for your so-called favorite vaccine, as unvaccinated people are far more likely to die of COVID-19 It seems that highly transmissible Covid-19 variants \u2013 copies of Delta, are circulating in many [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":116942,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"aside","meta":{"footnotes":""},"categories":[20,1103],"tags":[13619,872,38180],"class_list":{"0":"post-76089","1":"post","2":"type-post","3":"status-publish","4":"format-aside","5":"has-post-thumbnail","7":"category-articles","8":"category-dr-harold-gunatillake","9":"tag-covid-19","10":"tag-dr-harold-gunatillake","11":"tag-pfizer-biontech-vaccine","12":"post_format-post-format-aside"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.7.1 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Disruptive outbreaks expected after the borders are open.- By Dr Harold 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