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tv   Washington Journal Dr. Amesh Adalja K  CSPAN  November 29, 2021 7:24pm-8:02pm EST

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a public service, along with these other television providers getting a front row seat to democracy. >> tuesday the three-judge panel for the dc circuit court of appeals hears oral arguments and the case about the january 6 committee's request to obtain former president trump's call logs and other records surrounding the u.s. capitol attack and that is live in 9:30 a.m. eastern on c-span three, online at cspan.org on c-span now, or new video at. t-mac tuning is next, a senior scholar at johns hopkins school public as the senate for health security there and talking about the covid-19 pandemic on the latest news on the variant and more and doctor baucom into washington journal rated.
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>> thank you for having me pretty. >> is been your reaction and thoughts on the initial reporting of this. out of south africa rated. >> my initial thought is that we have a lot of questions need to be answered before were able to really accurately understand the threat that it poses and this is something that we have to take seriously to underscore the need of this omicron variant and reporting them and their rule and bring them down to see how well her vaccines and antibodies and how well and contagious something like this might be but i think it is very early days and there is a lot of noise nearly dead in the case time to sift through but it's important let me answer these questions and understand what this means for the future of this pandemic. >> is a possible that vaccine currently being given boosters that are especially being given would be modified over time to deal with this variant of the variance predict.
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>> one of the elegant features of mrna vaccines asat they can e codified on the fly very easily know you have to do is change the sequence of the protein and this is something the companies have been doing with each new very the making kind of a mockup or setting a quickly they can put together in a vaccine so if there comes a time when you need to update the vaccine fire that omicron variant or anyup other variant of this something that can be done easily but i think quite at that threshold because wally omicron. contain mutations make it easier for his skin around at some of the immunity that the vaccine has been able to use, it's very very unlikely that i can erase everything that a vaccine does for you mean the maybe you will get a breakthrough infection if it's part of the omicron are a bit unlikely to fully vaccinated of the person that would you see serious disease hospitalization and death i think that is something that shows that the vaccine work and what matters most but we have to for the run
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this town and due to the experience beds and understand of what is happening also. that would epidemiological data from countries where this variant is present, trying to understand it is getting hospitalized in the early dented that we've seen from south africa shows is tends to be in vaccinated individuals getting hospitalized which gives you some says that the vaccine may be protecting against this disease which is a win for the e vaccine. >> this is news from a gallup poll in one of the latest polls u.s. adults and covid-19 vaccinations are steady, and team jabs pickup and 74 percent of u.s. adults are vaccinated against covid-19 and that is more than the early herd immunity thresholds is a not in fact if that is the case then what would so-called herd immunity do pretty. >> herd immunity is something that i think was kind of the holy grail when he came to covid-19 but is something that can be should be trying to do especially the virus that's able to mutate and create new variance because any if we are
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still dealing with a wuhan strain of covid-19, we would be above the threshold. a piece of dramatic drops in case with the delta variant 40 percent vaccinated that delta variant change that because it's so much more transmissible arrays that threshold for what level of the population need to be immune toev reach her communy think the proper goal with covid-19, is to really make sure that are high risk people are fully vaccinated their boots dented and in that they have access to medications and treatments he is we cannot eradicate this virus we cannot inundate this fires my goal is to obtain it in a more like other respiratory viruses that we do what you're in your out basis and that means that we may not ever reach herd immunity from will have this, much more manageable infection when it does not threaten hospital capacity again one for which we have a whole medications diagnostics and all that to be able to make it much easier disease to deal with in the
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future printed to have had there been therapeutic breakthroughs for covid-19 in recent days pretty. >> they have been antivirals of our hearing about from both the merck and pfizer these drugs do to correlate for five day course and it can prevent you from been getting serious illness hospitalizations so there thinkeaking drugs and i we will likely see them to be by the end of the year and in the best case scenario we may see the merck drug first before christmas and then the pfizer drug falling and in the uk merck drug is already approved. these are pillsre you can take. they can prevent you from being hospitalized or die and that's me is a major breaking advance because if you can simplify the treatment and have it at home, that makes this such an easier type of virus to treat compared to what we have to do now where we only really have monochrome deal antibodies which require injections and people having to wait for half an hour or so after they have been given the
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medication to be observed it it may really have a major benefits and hopefully this comes to fruition have like we have the testing and for structure because there is a window of time these drugs are most effective and make sure people get them early on. ...
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what's that experience been like for you during xi jinping covid >> guest: i did train in emergency medicine as well so i do try and keep up my skills and do about two shifts per month in my local hometown emergency department which is 25 miles north of pittsburgh and i'd say it's a different experience when you're in a place that's a little more acoutside of the city when it comes to covid because hospitals in big cities have less capacity and happen to have very low vaccination rates in the population so i can be at a hospital in pittsburgh and go all weekend without dealing with much covid but when i'm at butler hospital i'm inundated with covid-19. there may be a 220 that hospital and they could have 45 patients with covid and
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you have the fact that there is a heavy anti-vaccine movement in some of these rural hospitals including that one where there's maybe 30 percent or so of the staff that are not vaccinated and i think that's just an eye-opening experience for me every time that i'm there because to me the vaccines are incontrovertibly what gets us through this pandemic and when you see 85 percent or 90 percent of the people hospitalized there that are not vaccinated, it should send a message that this is an important tool but it doesn't and i think that's where we are in this country is we got the city hospitals that are very vaccinated, have manageable loads let you go ininto the rural communities that are just 25 miles north or 25 miles outside of those titties and it's a different world that makes it very difficult for us to put this pandemic behind us because we still have hospitals getting threatened and they can be very difficult when you have
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a population of high risk individuals who are not vaccinated who continue to present to the emergency department with covid-19 which is not a vaccine preventable illness. >> i want to ask about the race of vaccination among pregnant women. an op-ed said in part according to the centers for disease control only 35.3 percent of women in the united states were vaccinated for covid-19 and as of november 6 4700 women have been hospitalized with covid-19 and 227 outside nationwide. it was not in 2020 before vaccines were available but this past august during the delta. search. these numbers do not sway our pregnant patients to comply with our recommendation for vaccination . >> this is a tragedy because we know private women are at higher risk for severe covid-19. they're more likely to
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require icu admission and more likely to have a c-section, more likely to have a still and they have the lowest vaccination rates and getting vaccinated when you're pregnant protects your newborn because those antibiotics that come across essentially will protect the newborn. the anti-breastmilk will protect the newborn this is another public health medication failure because here the anti-vaccine movement of holding people's minds by pspreading utter and complete lies which have been something that pregnant women inadvertently taken in and it's very hard to sway them off of it. this is something that we have to be much more proactive with coming out at this misinformation and calling it what it is. it's dangerous and it kills people. back in 2009 in the h1n1's had the lowest vaccination rates so we have a problem when it comes to educating ob/gyn's about the importance of exhibition because
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pregnancy is a high risk condition and we see a much higher rate in pregnant women they should be getting boosted as well. >> you call it a failure in public health communication. have we seen areas where that has been effective in populations or areas graphically of thecountry where the messaging has worked and the vaccination rates have gone up as a result ? >> nothing i can bring up off the top of my head but look at where vaccination rates are higher and sometimes preaching to the choir but many places have already accepted vaccines as an important part of modern life as an rnimportant technological advance. and they don't really need much selling of the vaccine or much detailing on the vaccine whereas there are places where they are skeptical of vaccines and they always been skeptical and i think that's that makes it very difficult. what i think is sometimes a top-down message where it's es kind of one-size-fits-all don't work and what seems to
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work best is when individual people can talk to their doctors about what questions they may have about the vaccines and kind of get those questions answered at the point of care and then make those decisions then rather than curing it on television or hearing or seeing public service announcements that seems to work better when you're trying to push people towards the right decision when it comes to vaccination and i think we've done a lot less of that and we needed to. for example the rollout of the vaccines wasn't as primary care doctors offices, it's in idioms and places like that where people don't have prcontact. they can't sit down with her doctor and that was a mistake . we should have enlisted more internal medicine doctors is like reviewing with children where were enlisting a lot of pediatricians ebecause we know that works and that maybe an opportunity that we lost. >> let's go to our first color in fort washington new york. good morning. >> i have a question. why didn't you call this new variant with the letter from the greek alphabet that was
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the next one? it would have been moved or side. >> i wasn't involved in any of that but my understanding is they had some issues with pronunciation with you and maybe that was confusing. people were tweeting the word move as the variance before they came up with all micron and decided to skip these for whatever reason. there's lots of rumors why they skipped but to me i thought maybe they didn't want to use the word and you because they were confusing it with and ew they thought you were talking about the new variant, that might have been confusing. i don't know why they skipped ex i as the next letter maybe it's a common name and they didn't want to use that . it doesn't really matter what it's called. the mutations are more important to study. >> let's hear from jane in illinois. >> my question doctors is early on in this pandemic everywhere i went it seem
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like they were taking my temperature. my christmas gift take their temperature before they leave home. or would it be safe for us to gather. what part are you contagious with. if you have the flu? >> guest: if you have a fever you should not be around other people because you likely are contagious but it's important to remember that only about 50 percent of people have fevers with covid and some may have taken ibuprofen so it's not goingto be ironclad . i don't think it's a great way to screen people. obviously if a fever is present but if fever is absent that's not helpful because someone could have a runny nose and no fever and still be contagious i don't think fever screening is an
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effective tool to doing that. we should advise people if they have a fever don't come around but it's not just fever, it's also runny nose, or throat, muscle aches . loss of smell, nausea vomiting diarrhea there's a whole host of questions and instead ofdoing that why not use a rapid home test to be thable to know someone's status . that's probably a much more robust way of doing it then fever or symptom screening because we got those tools if you can find them . >> political reporting on what may be a covid treatment. stubborn surges signal a bleak winter and obviously the complications are the flu crowning medicalfacilities . what other problems for the oncoming winter present in a rise of cases. >> we know that coronavirus is tend to spread more efficiently when it gets cold or when people start moving their activities endorse and that's likely going to be case . this is coupled with the fact that people are tired of the virus going into the second year of the pandemic and what we know is that people have
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learned, have someone starting to learn to recalculate so they may not necessarily the same precautions which could lead to some levels of transmission and as you mentioned influenza is a ticking and probably is not be as bad as it was two seasons ago but it's going to be worse than it was last season. already taken care of flu patients. remember, in the early days of covid they were just doing covid because so many other services were stopped and we knew that was a mistake hospitals are trying to do covid plus so that makes it harder . covid plus colon cancer screenings that netbeans hospitals have to be and apt atmanaging their capacity. they're going to have the regular things that happen every day . that becomes different and that's why vaccination is so important. not only will it protect you but your community hospitals so if you are somebody that gets in a car accident and
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needs to be seen you might have hours of a weight because there's so many covid-19 patients in the hospital with no beds so that's important to emphasize that to keep hospitals clear in the winter requires people to get vaccinated so they're not impinging on their local hospital capacity. >> host: bill in higgins pennsylvania, go ahead. >> caller: i am vaccinated and boosted. they tell me i had already and it wasn't that bad. people that have alreadyhad, they have to realize the next. maybe a whole lot worse . >> guest: this is true that people who have prior infection have some protection but we've seen with other variance including the beta and gamma variance that is physical we relax his work on and what's interesting about people like ron. is that it didn't have many of the mutations we seen in beta and gamma so this is a
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reason to really get vaccinated if you have infections because it's going to increase your community, make it more robust especially against these variants and there is data that maybe only one dose is necessary for people who recover so if you can get the johnson and johnson vaccine is a one and done vaccine and your community will be topped off. this is another reasonpeople who have prior infection would benefit from vaccinations . >> let's hear from michael in connecticut. michael. you're on with doctor fauci. >> thank you for taking my call. i had taken the john hopkins university risk, calculator in 2021. i'm 79 years old. i was worried about my risk. it was a 99.96 percent risk. so not dying was a captain leader from johns hopkins university so i never get vaccinated.
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is that calculator in line with your thinking that i'm low risk and i have no comorbidities? >> the fact you have low comorbidities puts you at lower risk but your age puts you at higher risk t. most people survive fromthe vaccine is not just about preventing serious illness . that's something, that's the most important thing it does butif you can avoid it , with a safe and effective vaccine, why not cause even if you have a mild case and it's still something is going to disrupt your life. you'regoing to not feel very good for a couple of days and you're going to have to get tested . you're going to have to tell your contact that they need to quarantine.you're going to have to self isolate and all of that is something you can avoid and if you also just because you do not get severe, you can spread it to somebody else who may not be vaccinated or who are immunocompromised . so the vaccine has multiple different benefits all of them improve your life even if you're not someone at
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serious risk . i'm not serious risk. i get vaccinated the first chance i got. >>. >> host: the only chronic. has produced a number of tribal lands and the suit asks this, are there circumstances which should justify temporary travel plans. i try not to buy into media hysteria but yet onepoint do we consider instituting what such bands and would be wise for the humanitarian thing to do ? >> i don't think the travel bands will be efficient in spreading respiratory virus. i never been a fan of tribal lands. when you're talking about respiratory virus is likely everywhere by the time you notice it and i think we're learning that with only from just by looking at the cases that occurred in belgium in south african countries where people are concernedbut what ends up happening is you signify countries . our goal is to have transparency . those discovered to be rapidly transported but
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that's exactly what south africa and botswana did. what are they getting? punishment. are traveled and doesn't take effect until monday. what about those three days before or the fact it doesn't involve us citizens. what about it doesn't involve many countries thathave run cases like the netherlands or like canada like the uk . to me it doesn't make sense. i think this is something politicians often are pushed to do but the risks and the downside aremuch greater than any minimal benefit you're going to get .i think this part in the pandemic when we have the ability to test and we got monoclonal anti-bodies and we know some so much about transmissibility going back to these tools which are not recommended by the world health organization and any other bodies makes no sense it's not surprising that the us did this and many other countries are also doing it. >> host: this is benjamin in huntsville alabama.
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>> caller: i would like to know as this virus ever been scientifically isolated and if so can you point me to the study or paper that describes the process of scientifically isolated microbe or virus. >> course this virus has been isolated, this is a talking point of conspiracy theories that this has not been isolated . they isolated this virus multiple times and grown it in cell culture just like they do with anyother virus and any other bacteria but this is not something that's been questions . this is a talking point that arose from people who believe conspiracy theories that this virus has never been isolated when it's been done multiple times and it's in every academic paper that characterized the virus they brought it on cell culture . this is not something that's worthy of debating because it's just a conspiracy theory that is completely arbitrary and should be dismissed out of hand.
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>> host: headline for the washington post, south african lab replicates moderna shot. they report six percent and some have said seven percent of africa's 1.2 billion people have been immunized against mmthe virus. it is not surprising given africa has had success with some vaccinations for example smallpox and in africa has was wiped out because of vaccination pretty much. >> the smallpox eradication campaign was a worldwide issue and i think that's a little bit different because that was a concerted effort to get taxing into people to eradicate the virus from the planet the first time that's ever happened but we know that africa lags in immunization when it comes to measles, mumps rubella. they were very late to get vaccines and we have struggles doing polio immunization. in places like nigeria there so it is in the place where
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vaccinations are plentiful or about we still have major challenges there itwith childhood vaccination so it's not surprising to me that this happened. yithis is something we've been trying to correct for a while with organizations like e the bill and melinda gates foundation and other ngos that have been trying to increase immunization in africa and i think the only chronic variance is a great example of something that happens when you don't think about a itpandemic in a global sense because it's not surprising this was first described in a country where there's 20 percent only vaccinated because if this spread unchecked it's going to have the opportunity to evolve into a new variant so when we think about infectious diseases we have to think about a planetary solution not just a country solution even though there are major incentives to think domestically if you're a politician and we talk about their doses in theus but it's first and second doses that will put thispandemic behind us . ha>> host: to william in astoria illinois . hi there. >> caller: i've got a question to ask the doctor
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about. one is about i send out a picture of a scientist in poland and it has the remedy of the coronavirus shot and it's been sent out and nobody ignored that i sent to him which this other doctor has. and fda never checked through the coproducts, the pepsi products , the people who have been following the epidemic of the situation at the coca-cola plant and all of a sudden they have not revealed anything about the there talking about it. >> host: doctor, are you aware what he's speaking about? >> i'm not following question . >> host: melissa in qu bloomfield iowa, good morning
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. >> caller: thanks fortaking my call. i have 2 questions . first is the doctor mentioned about pregnant women needing to get the vaccine. they by any chance done any studies on women that were pregnant getting the vaccine western mark. >>. >> guest: based on multiple studies and in fact people got pregnant during the clinical trial and there is a registry of pregnant women who been vaccinated andwe've seen no increased rate of tcomplication , no increased rate of any real abnormality, no increased rate of miscarriage this is a safe and effective vaccine for women. that's why thecdc recommends it and that's why the american college of gynecology recommends it. this is something that women should do today if they've been delaying . >>. >> host: we will go to jenny.
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>> caller: why question is going to be i want to see a study on how many people have had the vaccine and how many people are sick of it or have heart problems from it. i am right now wearing a heart monitor because after my second vaccine i was really tired, blamingit on the summer . i just heart was racing. i'm 74 so course i'm getting checked to make sure my heart is okay but i was fine until i had that vaccine. so i want to know how many people. i look online and a lot of people are having problems after the vaccine i'm not getting the booster. >> this is an important as question that many people have that no vaccine has zero side effects, all of them have a risk-benefit calculation that you have to put into effect. but you've got to think what is the risk of the disease, what is the risk of the vaccine and what is the benefit of the vaccine there have been on cardiac
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abnormalities in younger people that have occurred . that maybe related to the vaccine . i would think that when you look at the actual date of the number of people that have these cardiac abnormalities really pales in comparison with the e benefit vaccine has especially in high risk individuals. yes, there are some side effects that occur. they are very rare and very manageable and where on the lookout forthem all the time but in almost every scenario in the middle of a pandemic where thousand people are dying every day in the us the vaccine is nothing that is safe and effective people should choose . and i think we can handle these side effects and they are very minor . in comparison to thegreat benefits you get fromthe vaccine . >> next is gabriel over spring maryland , go ahead . >> doctor, i have a question for you. how is it possible that in less than a weeks time we l have this new variant all over the world. could it be possible that
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it's generated from somewhere in asia or europe and brought to africa and also, my second question is this. do you know any major pandemic hasn't started from africa? the spanish flu, the black plague, all these pandemics killing 50 million people started in europe. there's almost always know pandemic originating from africa . >> guest: that's an important point to be made here. it isn't clear where this virus various variant originated. it was discovered in botswana but that doesn't mean that those countries are where this variant evolve. and it likely was running probably since maybe october or november at a very low rate and had been detected but yes, we don't know the origin of where this area and
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actually evolved. it may have come from somewhere else and only been recognized in south africa so that's an important reason why we call it the only chronic variance and not mean after somecountry . the thing about 1010 pandemics that have originated from africa there have been a couple but africa is not the major place where received respiratory viral pandemic like influenza or sars for things that we really worry about but of course the hiv pandemic did originate in africa probably in west africa in places like cameroon and that did spread if it's not for that to try to signify one part of the world. it's a very flat world and what happens in one part of the world happens in any other part of the world quickly especially with efficiently spreading viruses that travel at the speed of a jet, not at the speed of a steam liner so this will be more that we have to get past trying to figure out where this originated from an waning the country and deal with the problem at hand. >> how difficult is it for woscientists to do the detective work to find out
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where this. for other variants are. >> is difficult in the sense that we don't do much sequencing of the cases. we often diagnose them with antigen test or pcr test in order to understand the evolutionary relationship you have to do sequencing and in south africa a sequence one percent of their cases which is very high. so it's not something that's done routinely. sometimes you can't figureout evolutionarily where something may have occurred . there is a propensity to believe it's in the same place where there's an increase in cases and they've done samples inthat we haven't seen it there there has been some of the epidemiological links with south african countries but it's difficult because we don't have full information on every case and the cases in africa are major on therepresentations of the true burden of illness is not something you can figure out . you can reconstruct it using sophisticated genetics and
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mathematics but it's hard to know definitively when we don't have sequences being done high enough rate . >> acouple more calls and we would go to jonathan in nashville . good morning . >> caller: i'm wondering if i need a booster shot. i got the vaccine and got booster shots this summer and i've heard of the variance and actually i got the virus a couple weeks ago.i have the symptoms and when i went to the local store to get vaccine test or excuse me a diagnostic test it came out negative but i'm just wondering about the seriousness of it. do i need d to get another booster shotsoon ? >> guest: when it comes to booster shots. people who definitely should be getting it immediately and those are people above the age of 65, those with hthigh risk conditions including being pregnant and those who got the j and j vaccine is that immunity from the
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vaccine so those are the people that i think definitely should be getting a booster shot right now. there's less importance for less priority in a healthy person below the age of 65 and pegetting booster vaccine. it will not hurt you but the benefits is really in preventing breakthrough infections from being severe. people below the age of 65 without any high-risk conditions don't ahave a high risk ofhospitalization but if you want to get a booster and it's available to get a booster but it's not something i think is a priority the way it is for people in the high-risk committees . >> host: a tear from chris in huntsville. huntsville alabama. and i'll get you on the right line. good morning. >> thank you for taking my call. and doctor, i just have a comment about the variance the virus in particular. i've heard many many news outlets say things like you know , the vaccine is safe and effective.
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it preventshospitalizations and all that but my question simply is this . if you are fully vaccinated for any of the current vaccines available, how is it possible that you catch covid-19 and require hospitalizations. that would indicate the vaccine is not effective for that. you have read however that doesn't mean that in the future, we will not have one that is not effective for everyone and i say this in relation to thepolio vaccine. how many people polio since they got a vaccination . >> a couple of things to unpack there. vaccines are not magic force fields. they're not going to protect you from every infection . there role is to prevent hospitalization and death and wi for the vast majority of people fully vaccinated they will be protected against serious illness hospitalization and death.
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breakthrough infections can occur but that's expected and the fact that they are mild outside those high-risk groups that need to get boosted, that tells you the e vaccines are working so that's the exact opposite. it means they work and there are going to be better for virus vaccines in the future, maybe universal vaccines and i think those will be very exciting and may change the way we deal with all the coronavirus. when it comes to polio is important to remember most people don't realize polio is agi on this that causes nausea, vomiting, diarrhea and the soft polio vaccine, which is the inactivated shot form that you get doesn't cause sterilized american community. prevents polio from causing neurologic problems so most people think of polio as part of its urologic dysfunction when people have paralysis but that's really a very mild or very minor proportion of people who get polio. in the inactivated polio vaccine people did get infected. they just did not develop was called poliomyelitis which is a effectiveness final
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paralyzing them so it did not provide sterilized immunity. this is another myth the anti-vaccine movement is been propagating and it really shows a basic misunderstanding of the biology of poliovirus and i ic think it's something that you continually have to debunk it it's because people don't understand what vaccines are meant to do. and the ipv, polio vaccine does not prevent you from getting polio, it prevents you from pgetting poliomyelitis and that's what i'm saying. they may not necessarily prevent you from getting a breakthrough but they prevent you from being hospitalized f. >> host: a quick questionfrom virginia. when will a booster be available to 12-year-olds and above ? >> guest: this is something that needs to be studied because people between the ages of 12 and 18 are low risk for severe disease outside of the immunocompromised population so this is something where you'd you need to see data be there and there's controversy as i said before about
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bohealthy people needing a booster vaccine because there is low risk for hospitalization so for the 12 to 17 group it may not actually be something that you need with the regiment that they're getting and there is such a low risk that may not be anything more than a marginal benefit at least in the near term. >> host: center for health security johns hopkins bloomberg school of public health, thank you for being with us . >> thanks for having me. >> c-span is your unfiltered view of government funded by these companies including charter communications . >> broadband is a force for empowerment. that's why charter has invested billions in building infrastructure, upgrading technology, empowering opportunity in business is big and small. charter is connecting us. >> charter communications supports c-span as a public service along with these television providers giving you a front ro

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