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After months of trying to vaccinate active-duty soldiers against COVID-19, the Department of Defense is calling for another shot to protect its soldiers from the disease.
Booster Shots Military
While the new Omicron variant is causing concern among health organizations and is spreading rapidly in Europe, the military says additional vaccines may be needed to keep the services ready.
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"There are active discussions here at the policy level about support measures and whether they should be made mandatory," Pentagon spokesman John Kirby said last Friday. "There is no final decision on that. If there is an addition to this in terms of mandatory vaccination, rest assured that we will communicate that clearly and transparently. However, there are also discussions within the department about the effectiveness of vaccination. Adopting a mandatory policy supports."
Most of the military services just passed the deadlines after active duty soldiers were ordered to be fully vaccinated. The deadline for the surrender of the army is December 15.
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The Omicron variant has shown some vaccine-resistant and highly contagious traits, causing health officials to worry that the United States will see another spike in COVID cases in the near future.
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There is a lot of information that the Centers for Disease Control and Prevention and other organizations do not know about Omicron, but the vaccines still protect against serious disease, although sudden infections caused by the variant are more likely.
Anthony Fauci, the president's chief medical adviser, recently told ABC This Week that preliminary data show booster vaccines may increase protection against Omicron.
There is a small pocket of resistance to vaccination within the military. Of the nearly 1.3 million active duty military members, only about 40,000 are still unvaccinated.
Many of these service members seek religious accommodation to avoid being shot. To date, none of the services have provided religious exemptions. Very few medical exemptions are granted.
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The military says that by December 7, 95% of its soldiers were fully vaccinated, and 97% had at least one shot. The Air Force, Space Force and Navy report similar numbers, around 96% or 97% with at least one dose. The Marine Corps is slightly behind at about 95%.
Scott Maucione is a defense correspondent for the Federal News Network and reports on human capital, the workforce and the Department of Defense in general.
Defense correspondent Jared Serbu talks weekly with the heads of the federal government's largest department. Subscribe to PodcastOne or Apple Podcasts.Sgt. Stryker Team 2nd Stryker Brigade Combat Medic Morgan Evans, assigned to the 4th Infantry Division, prepares a dose of Pfizer-BioNTech COVID-19 vaccine at the COVID-19 vaccination site at the William "Bill" Reed Special Events Center. Fort Carson, Colo., Sept. 1, 2021. The vaccine facility administers the first doses of the Pfizer-BioNTech COVID-19 vaccine to soldiers and the second doses of the Moderna COVID-19 vaccine to those who complete the batch. (Photo: Jeanine Mezei) SEE ORIGINAL
ABERDEEN EVIDENCE AREA, Md. - The recent death of former US Secretary of State and retired General Colin Powell from complications related to a COVID-19 infection has led some to criticize the effectiveness of vaccines against COVID-19. Powell, 84, was also immunosuppressed because of multiple myeloma, a blood cancer that research has shown can make injections less effective.
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Center for Public Health Senior Advisor for Clinical Public Health and Epidemiology Dr. "Saying 'vaccines don't work' is like saying 'belts don't work,'" John Ambrose said. "Traffic accidents are a risk despite everyone's best efforts. However, a person wearing a seat belt is more likely to survive an accident."
"Vaccines boost the body's immune response to a particular pathogen," Ambrose said. "When the body's immune system needs to fight pathogens, vaccination is like wearing armor. I don't know of a soldier who would rather be without body armor when going into battle."
Sometimes reports of sudden infections can create the perception that vaccines against COVID-19 are not effective, but this is far from the case. Ambrose said unvaccinated people are at much greater risk of hospitalization and death than those who are vaccinated.
"The data are clear when comparing the clinical outcomes of SARS-CoV-2 infection between fully vaccinated and unvaccinated individuals," said Ambrose. "Unvaccinated people are much more likely to test positive and die from the infection, compared to fully vaccinated people of a similar age."
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Ambrose explains that while the data was consistent throughout the pandemic, the relative risk of not being vaccinated (compared to those who were fully vaccinated) was particularly evident in August 2021, where unvaccinated individuals (compared to those who were fully vaccinated) were as follows:
This is illustrated by a chart shared by the Centers for Disease Control and Prevention that tracks case and death rates by vaccination status. The table below [Figure 1] shows only cases, but charts for cases and deaths are available from the CDC.
CDC also tracks age-adjusted COVID-19 hospitalization rates for vaccination status (see Table of Materials). Figure 2]. The blue line in the table shows the hospitalization rates per 100,000 unvaccinated people aged 18 and over, and the green line shows the hospitalization rates of vaccinated people in the same age group. This chart tracks hospitalization rates from January to August 2021. About 85 percent of the unvaccinated were hospitalized, and about 5 percent of the vaccinated.
"As a result, unvaccinated individuals are at significantly higher risk -- for infection, hospitalization and death," Ambrose said.
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Ambrose said SARS-CoV-2 vaccines remain an effective measure to prevent serious cases of COVID-19. Although vaccines do not prevent all cases of disease, they are very effective in preventing cases of serious disease. No vaccine is 100 percent effective—meaning that some breakthrough cases of SARS-CoV-2 infection will occur despite being fully vaccinated.
"The vaccine will still greatly reduce the clinical impact of the infection," Ambrose said. "Breakthrough cases resulting in hospitalization or death are exceedingly rare, even among fully vaccinated older adults."
Ambrose said the first and most important thing immunocompromised individuals can do to reduce their risk is to get fully vaccinated. Additional efforts to reduce risk for immunocompromised individuals have remained largely the same throughout the pandemic:
Ambrose said there are several things people can do to reduce the risk of interacting with people who are immunocompromised. First, try to avoid close contact (ie, within 6 feet) of people who are immunocompromised, unless they live in your home. If that's not an option, limit face-to-face contact with them to a minimum and try to stay at least two feet apart while talking. If you have any upper respiratory symptoms, any contact with immunocompromised people should be strictly avoided (even if they are in the same household).
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Another topic of discussion that draws criticism or misinformation is vaccine boosters. Critics say that if the vaccine is effective, then why is a boost needed?
Ambrose said the vaccine booster restores the effectiveness of the original vaccine, which can diminish over time. Lately
The article evaluated the efficacy of the BNT 162b2 (Pfizer-BioNTech) vaccine, and the data showed that efficacy (for preventing hospitalization) was high (93 percent) across all ages up to six months. Then, certain groups at higher risk (eg, older age groups) may benefit significantly from adjunctive therapy.
Ambrose also explained the difference between a "third dose" and a "booster." He cited a recent article on the Yale Medicine site that explained this nicely.
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Vaccines strengthen the body's immune response to a specific pathogen. Vaccination is like a protective armor when the body's immune system has to fight against pathogens. (Photo: Joyce Kopatch Center for Public Health graphic illustration) SEE ORIGINAL
The CDC maintains a constantly updated website that tracks breakthrough hospitalizations and deaths from COVID-19. Ambrose says most "clinically significant" breakthrough cases, defined here as cases resulting in hospitalization and/or death, occurred in people over 65 years of age.
The US Center for Public Health improves preparedness by identifying and assessing current and emerging health threats, developing and communicating public health solutions, and ensuring the quality and effectiveness of public health enterprises.
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