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Thread starter marcbatco Start date Sep 20, Hi, I would please ask you if the expression in bold is correct in the following: The quality of ZT Inc. It's not a well-written sentence. The decline in efficacy was more pronounced among those aged 35 and older. Although this may sound alarming, it is important to note that vaccines do offer good protection against hospitalisation and severe disease even after six months.
This is because they promote the production of memory cells that remember parts of the virus and mount an immune response should you come across it in the future. These are different from the neutralising antibodies which form part of the initial immune response and help protect even against mild disease. So it appears that, even though the neutralising antibody levels drop after three to six months, memory cells remain, meaning that people who have had both doses of the vaccines may be at risk of breakthrough infections and mild disease but remain protected against severe illness.
It is important to say at this stage that those who have compromised immune systems or are elderly are less likely to mount the same level of immune response and gain the full benefits from vaccines so they would almost certainly benefit from a third dose or booster shot. For the rest of us, booster doses will certainly help increase our neutralising antibody levels and offer us better protection against mild to moderate disease but this has to be balanced out against the ethical arguments.
Should people in richer developed nations be given a booster shot at the expense of sharing these doses with poorer developing nations that are yet to offer a first dose to some of their population? On this my views are aligned with Professor Dame Sarah Gilbert: booster shots are needed for the immunocompromised, those with underlying health conditions, front-line healthcare workers and people aged over 65, but beyond that, any excess doses should be donated to poorer countries which will gain more benefit.
This is not entirely selfless. Further mutations of the virus are likely to arise in countries where COVID cases are on the rise, increasing the chance of a mutation that results in better transmission or, even worse, evasion of vaccine-induced protection. By offering our excess vaccine doses, we will help get more people across the world vaccinated, reducing the risk of mutations developing. Booster shots remain a controversial topic and more and more developed nations, including the US and the UK, are pressing on with mass-scale booster programmes.
But it is always worth remembering that this is a global pandemic and as the saying goes: no one is safe until everyone is safe. The pandemic has undoubtedly adversely affected the education of children. Schools across the world closed as cases peaked to help reduce the spread of the virus and lessons moved online.
There is no substitute for classroom teaching and although teachers have been working exceptionally hard, the educational impacts from this pandemic will remain with us for many years. In Cuba, many schools have been closed since March and they are set to reopen for classroom teaching in October. On the back of rising infections across the island, the government has authorised the use of its domestically produced Abdala and Soberana vaccines for those aged 12 and above and, following this, for younger children.
Cuba, which has a long history of producing its own vaccines, has an advanced biotechnology centre and even exports some to neighbouring countries.
Its COVID vaccines use the spike protein part of the coronavirus which is injected alongside an adjuvant that helps it enter cells, which then recognise the spike protein as foreign and mount an immune response. If the vaccines are as effective as the Cuban trials suggest, then they may well allow schools to open safely and education to return to normal. The summer period in primary care is usually less busy than the rest of the year.
We tend to use this time to focus on our patients with more chronic illnesses and ongoing symptoms. But this summer has been unlike any I have seen in my 17 years as a clinician. We are seeing unprecedented levels of both mental and physical illnesses and the surgery has never been busier. The combination of the previous lockdown that saw patients not coming into the surgery for fear of contracting COVID or worrying about being a burden, combined with a rise in common infections that have resulted from a sudden ability to mix with others, has meant that I often finish work hours after I am supposed to.
The problem is that along with demand there seems to be an increased level of abuse directed towards primary carers. In order for us to remain open and operate safely during the pandemic, we had to change the way we worked. We could no longer allow large numbers of people to be in the waiting room nor could we see everyone who wanted to be seen for minor ailments.
We operated a triage system, performing remote consultations for those for whom that was safe, while bringing those we felt needed to be seen in person into the surgery. With 1. Then we have Anabolics. A recent addition is the technology research diploma, which offers training in technological innovation. The restaurant 2 Mazi is housed in a beautiful neoclassical in Plaka, which offers an excellent taste of creative Greek cuisine.
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