[Salon] Is Natural Covid Immunity Good Enough?



https://www.bloomberg.com/news/newsletters/2023-03-19/does-natural-covid-immunity-provide-good-enough-protection?cmpid=BBD031923_prognosis

What’s the deal with natural immunity?

A new study found previous infections prevent severe Covid infection. How should this impact vaccine policy moving forward? Jason, Chicago 

When you get a Covid infection it functions a little in the same way a vaccine does. It revs up your immune system to protect you from the virus. The defenses it develops linger in your body. If you encounter Covid again that so-called natural immunity can lower your risk of severe disease, a February meta-study in the Lancet showed.

‘The immunity conferred by past infection should be weighed alongside protection from vaccination when assessing future disease burden from Covid-19, providing guidance on when individuals should be vaccinated,” the authors wrote. 

That shouldn’t be interpreted as an endorsement for developing immunity to Covid through infection, rather than vaccination, according to Katrine Wallace, an epidemiologist at the University of Illinois at Chicago.

“Covid can cause chronic health problems,” she says. “So no one should misunderstand this study to think vaccination in the first place is not important.”

She also points out that the study looks at the outcomes of reinfection. That means people who died of Covid aren’t represented in the data, something epidemiologists refer to as “survivorship bias.”

The best way to avoid severe infection or chronic infection from Covid is to not get Covid. And the best way to do that is to get vaccinated. New CDC data show the bivalent booster that came out last fall — which only 16% of eligible Americans got — makes a huge difference when it comes to avoiding Covid, according to Wallace.

If it’s too late for you to avoid the virus, you should still stay up to date on your shots. Both natural immunity and vaccine immunity wane over time.

“Real-world vaccine effectiveness data shows that adults who are vaccinated and receive a bivalent booster are three times less likely to get infected than someone who is unvaccinated, and almost 10 times less likely to die,” Wallace says. — Kristen V. Brown



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