COVID-19 vaccination : are more jabs needed or are we now immune?

© 2024 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians..

As the COVID-19 pandemic has progressed, it has become apparent that COVID-19 vaccination has limited impact on SAR-CoV-2 transmission and provides only short-term protection against acquiring infection, but more robust protection against severe disease and death. As a result, vaccinated people remain susceptible to SARS-CoV-2 infection but are less likely to experience severe outcomes. Studies show that immunity derived from the combination of vaccination and natural infection, so-called hybrid immunity, is superior to that provided by vaccination or natural infection alone. Since most Australian adults have received three or more doses of COVID-19 vaccines and >70% have also been infected with SARS-CoV-2, we now have a population with high levels of hybrid immunity. This was mostly achieved by receiving original Wuhan strain vaccines and then experiencing Omicron strain infections. The original Wuhan strain of SARS-CoV-2 has now disappeared and been replaced with Omicron-lineage variants globally. The predominance of the Omicron strain initially led to the development of bivalent vaccines containing both the Wuhan strain and Omicron variants. Currently, vaccines containing the original Wuhan strain of spike protein are being phased out, and new COVID-19 vaccines based exclusively on the Omicron strain XBB have become available in Australia. This article explores the question of whether further doses will be required from 2024 onwards and, if so, who should receive them?.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:54

Enthalten in:

Internal medicine journal - 54(2024), 3 vom: 27. März, Seite 368-373

Sprache:

Englisch

Beteiligte Personen:

Giles, Michelle L [VerfasserIn]
Flanagan, Katie L [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Viral
B cells
COVID-19 Vaccines
Hybrid immunity
Immune imprinting
Journal Article
Neutralising antibodies
SARS-CoV-2
T cells

Anmerkungen:

Date Completed 14.03.2024

Date Revised 14.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/imj.16341

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369041380