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Sunday, April 18, 2021

A booster shot should not be cause for concern. It’s a window into the future. - The Washington Post


Getting that first shot has been hard, but the vaccination campaign has on balance been an extraordinary accomplishment, with two highly effective messenger RNA vaccines developed, manufactured and administered in record time. The vaccines train the body’s immune system to be ready to attack the virus. How long that immunity will last is not yet known, but a booster is a good backup should it wane. Even more significantly, a booster might be tweaked to improve efficacy against the evolving variants. The coronavirus is somewhere between measles, which the immune system can recognize over decades, and influenza, which requires a new shot every year — and it is probably closer to influenza in that sense. Hopefully, the manufacturers will be ready with tens of millions of booster doses, while at the same time managing to produce enough for the rest of the world to be immunized.

But Dr. Bourla’s announcement underscores that the course of the pandemic is still uncertain. It will not just stop one day. The coronavirus will demand that our lifestyles adapt. People will have to continue to wear face masks in closed, tight public settings. More work must be done to engineer better ventilation. Political leaders must accept the need to ramp up public health surveillance against viral threats, an area where the United States remains woefully unprepared.

Another worthy goal is to make viral testing as simple as taking a temperature, so that people can test themselves, or get tested before doing things such as going to a concert or getting on a plane. Such tests could serve the same function as metal detectors do in stadiums and airports. Vaccine passports of some kind may become popular, as proof that you are safe to be around others.

We need some humility, too. If not enough people are vaccinated, if vulnerable people congregate and transmit, if they ignore restrictions and mitigation, the pandemic will rage on. Today, 49.1 percent of the population of the United States aged 18 and over has received at least one vaccine dose — leaving about half the population still vulnerable, and daily new infections are exceeding 70,000, with some states seeing a surge even as vaccines roll out. At the current torrid pace of vaccination, the United States should reach the 70 percent threshold for herd immunity before long, but the very concept of herd immunity is fragile and elusive, and the barrier could be eroded by new variants that are more contagious and lethal. No miracle will stop the pandemic, only a well-grounded realism, and tools that work, including masks, vaccines — and boosters.

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April 16, 2021 at 02:00PM
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A booster shot should not be cause for concern. It’s a window into the future. - The Washington Post

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