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...
Guardado en:
Autor principal: | |
---|---|
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 |