Benefit of COVID-19 vaccination accounting for potential risk compensation

Abstract People receiving COVID-19 vaccines may subsequently markedly increase their previously suppressed exposure risk. A simple model can evaluate the benefit of vaccination to the vaccinated (index) person and others exposed to that person; and calculate the amount of risk compensation required...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autor principal: John P. A. Ioannidis
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
Materias:
Acceso en línea:https://doaj.org/article/6d2de73701fa42be9c8a804f790eb33b
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:6d2de73701fa42be9c8a804f790eb33b
record_format dspace
spelling oai:doaj.org-article:6d2de73701fa42be9c8a804f790eb33b2021-12-02T15:08:32ZBenefit of COVID-19 vaccination accounting for potential risk compensation10.1038/s41541-021-00362-z2059-0105https://doaj.org/article/6d2de73701fa42be9c8a804f790eb33b2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41541-021-00362-zhttps://doaj.org/toc/2059-0105Abstract People receiving COVID-19 vaccines may subsequently markedly increase their previously suppressed exposure risk. A simple model can evaluate the benefit of vaccination to the vaccinated (index) person and others exposed to that person; and calculate the amount of risk compensation required to eliminate all the benefits or to halve the benefit. As shown, 2.5-fold increase in exposure will eliminate the benefit of a vaccine of moderate efficacy (E = 0.6) unless the probability of infection in the population of interest is very high. With very high vaccine efficacy (E = 0.95), substantial benefit is maintained except in situations where there is a very low probability of infection in the population. If the vaccine efficacy decreases to 0.8, the benefit gets eroded easily with modest risk compensation. Risk compensation may markedly affect the benefit of COVID-19 vaccination, especially if vaccine efficacy in real-life or specific high-risk populations (e.g., nursing home residents) is not very high.John P. A. IoannidisNature PortfolioarticleImmunologic diseases. AllergyRC581-607Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Vaccines, Vol 6, Iss 1, Pp 1-5 (2021)
institution DOAJ
collection DOAJ
language EN
topic Immunologic diseases. Allergy
RC581-607
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Immunologic diseases. Allergy
RC581-607
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
John P. A. Ioannidis
Benefit of COVID-19 vaccination accounting for potential risk compensation
description Abstract People receiving COVID-19 vaccines may subsequently markedly increase their previously suppressed exposure risk. A simple model can evaluate the benefit of vaccination to the vaccinated (index) person and others exposed to that person; and calculate the amount of risk compensation required to eliminate all the benefits or to halve the benefit. As shown, 2.5-fold increase in exposure will eliminate the benefit of a vaccine of moderate efficacy (E = 0.6) unless the probability of infection in the population of interest is very high. With very high vaccine efficacy (E = 0.95), substantial benefit is maintained except in situations where there is a very low probability of infection in the population. If the vaccine efficacy decreases to 0.8, the benefit gets eroded easily with modest risk compensation. Risk compensation may markedly affect the benefit of COVID-19 vaccination, especially if vaccine efficacy in real-life or specific high-risk populations (e.g., nursing home residents) is not very high.
format article
author John P. A. Ioannidis
author_facet John P. A. Ioannidis
author_sort John P. A. Ioannidis
title Benefit of COVID-19 vaccination accounting for potential risk compensation
title_short Benefit of COVID-19 vaccination accounting for potential risk compensation
title_full Benefit of COVID-19 vaccination accounting for potential risk compensation
title_fullStr Benefit of COVID-19 vaccination accounting for potential risk compensation
title_full_unstemmed Benefit of COVID-19 vaccination accounting for potential risk compensation
title_sort benefit of covid-19 vaccination accounting for potential risk compensation
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/6d2de73701fa42be9c8a804f790eb33b
work_keys_str_mv AT johnpaioannidis benefitofcovid19vaccinationaccountingforpotentialriskcompensation
_version_ 1718388064186793984