Thursday , June 24 2021

Ihan: The third wave is dangerous. If we do not protect those over 60, it will be about their lives.

Ihan on the continuation of the epidemic

Alojz Ihan, a professor of microbiology and immunology at the Medical Faculty of the University of Ljubljana, commented in Odmevi on changing the government’s vaccination strategy, stopping public life, the problem with AstraZeneca and the dangers of the third wave. He led the conversation Igor E. Bergant.

Deterioration of health conditions before stopping a large part of public life

What is your view on the partial cessation of life in Slovenia? Views are different, do we also have concerns that such laxity, especially with a lukewarm economic response and short-livedness, cannot be particularly effective?
The halt is really relatively short and loose, especially in terms of the economy. In fact, I expect it won’t significantly reduce infection numbers. Ideally, it will retain them. However, this is definitely a good precaution mainly because of the holidays. This stop will definitely prevent additional festive disinfection, that is, on trips, visits, trips. This could lead to a new outbreak of the epidemic in the current context of the epidemic. From this point of view, I find this stop smart. However, it will not significantly affect the retention of the curve we are now facing. We are in that very dangerous part of the ascending curve.

Either infection or vaccination. No one will be able to avoid the new coronavirus.

If we do not protect people after the age of 60, it will be about their life and death. Of course, this strategy needs to be adapted to this danger posed by the third wave. Otherwise, there will be huge casualties.

Pretty much

The shutdown should also be used for as much vaccination as possible, despite all restrictions on supplies. There is a growing criticism of the constantly changing vaccination strategy, as well as inconsistent or non-transparent implementation. How do you, as an expert, evaluate the implementation of vaccination in our country and where do you see the possibility for rapid improvements?
Admittedly, the covid epidemic is a crisis we are experiencing in progress. The illusion is that we would make some solid plans in advance. Vaccination came from a stage where it was not clear whether the vaccine would be available at all, then we vaccinated nursing homes. Then the epidemic seemed to be calming down somehow. And at that moment, in fact, some political interventions came in that instead of pursuing the only health purpose of vaccination – that is, protection by age, because that is the only moral measure when it comes to vaccination – they began to infiltrate so-called critical infrastructure. But now we are again facing a new wave and we have no choice here. If we do not protect people after the age of 60, it will be about their life and death. Of course, this strategy needs to be adapted to this danger posed by the third wave. Otherwise, there will be huge casualties.

Germany under the age of 60 will no longer be vaccinated with AstraZeneca. Trampuž expects the same from other countries.

Part of the problem is in smaller deliveries and different orders. Many of the concerns are raised by the side effects of AstraZenece, which is being recommended only to the elderly in more and more countries. What is your opinion on this?
There is not much to decide at this point. The third wave is coming. In fact, people after the age of 60 are life-threatening. Already at the age of 60, there is a 15 times higher chance of death than, say, the same age for the flu. It is clear that all these people over the age of 60 need to be vaccinated, so the vaccination advisory group also decided today to focus exclusively on vaccinating those over the age of 60 for the next three weeks. No one else is vaccinated to prevent as many hospitalizations and deaths as possible. During this time, of course, it will also be seen what happens to the hypothesis that AstraZenece can cause platelet antibodies in younger people who are more responsive to vaccination, which can then, in rare cases – around 1 in 100,000 – trigger thrombosis. , especially in women. We now have a three-week duty to vaccinate those over the age of 60 who are in no way at risk from these thrombosis events. In the meantime, however, I hope that it will be clarified whether this side effect observed in some countries with AstraZeneca is due to group analyzes, or whether it is in fact a side effect of AstraZeneca or all vaccines. against the crown.

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