Tuesday, January 12, 2021

How vaccinated grandparents should approach visiting loved ones now

Many grandparents have one goal in mind this winter: Get vaccinated so they can see their children and grandchildren again. But is that safe if their younger family members have not yet been vaccinated?

Older adults are one of the priority groups for vaccination. After health care workers and nursing home residents are vaccinated, the US Centers for Disease Control and Prevention has said that individuals 75 years old and older -- along with other categories of essential workers -- are next in line for vaccines. In an increasing number of states, seniors are already getting vaccinated or will be vaccinated soon.
 
What happens when older adults are vaccinated, but their children and grandchildren aren't? Can grandparents now safely visit with family, or are there still certain precautions they need to take? We turned to CNN medical analyst Dr. Leana Wen, an emergency physician and visiting professor at George Washington University Milken Institute School of Public Health, for guidance. 
 
CNN: Let's start with timing. When does the vaccine give you protection after you're vaccinated? How much protection does it offer?
 
Dr. Leana Wen: Both the Pfizer and Moderna vaccines require two doses to give optimal protection. There is probably some level of immunity after one dose, but we don't know how complete the protection is and how long it lasts. The clinical trials were run with two doses, and you should definitely get both doses. Make sure you get the second dose of the same vaccine as the first (so if you got the Pfizer vaccine the first time, get the Pfizer the second time, too). Follow your provider's recommendations about when to get the second dose. The second dose of the Pfizer vaccine is typically given after three weeks and the Moderna after four weeks. 
 
After the second dose, it probably takes another two or three weeks to develop the optimal degree of immune protection.
 
Let's say you've received one dose of vaccine. After a week or two, you have some level of immunity, but you could certainly get Covid-19 if you're exposed to the coronavirus. A few weeks after the second dose, studies have shown that the vaccine efficacy is approximately 95%. That's a very high level of protection but it's not 100%. So even after getting both doses of the vaccine, you could still get Covid-19, but your chance is much lower. And if you did get it, according to what we know from clinical trials, you're probably going to have less severe disease than if you didn't get the vaccine. 
 
CNN: Once an older adult has received the second dose, and it's been three weeks, can they visit their grandchildren?
 
Wen: Maybe. The answer is not as simple as saying that someone who is vaccinated can get back to pre-pandemic life. Here's why. 
 
First, the vaccine is not 100% effective. There is still a chance that someone who has received the vaccine can get Covid-19. This is particularly true as there are many parts of the country that are undergoing substantial surges of infection. The rate of community transmission is very high, so there is still going to be a chance of contracting coronavirus even after getting vaccinated.
 
Second, the vaccine has not yet been shown to reduce transmission of the virus. We don't know if people who are vaccinated could still be carriers of the virus, even if they don't get sick. That means you could be protected yourself if you get exposed to someone with coronavirus, but you could still be a carrier of the virus. When you get together with your loved ones, you could spread it to those who aren't vaccinated.

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     

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