Better Health While Aging

By Better Health While AgingArts

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Better Health While Aging episodes

December 09, 2022131 – COVID Update for Aging Adults (12.8.22 Edition)
Dr. K discusses what aging adults & families should know about COVID and flu this winter.
She covers:
The currently increasing rates of COVID & flu
What to know about the new Omicron subvariants BQ.1 and BQ.1.1
How well the fall COVID bivalent booster is working so far
How to avoid getting sick and how to gather safely
When to mask and how to do so effectively
Why use a HEPA air purifier at home and how to choose one
How to detect COVID now
How to treat COVID
Her top recommendations for staying safe during winter gatherings
Note: you can get the CO2 monitor Dr. K refers to here: https://amzn.to/3yhDtq8.
For the masks Dr. K is using, you can get 3M Aura here https://amzn.to/3PJJyRO, the 3M V-flex here https://amzn.to/3OxrsRY, and the Powecom KN95 here https://amzn.to/3W9frXf
Dr. K’s HEPA air purifier is here https://amzn.to/3Y96crN
These are Amazon affiliate links, so any purchases will help support Better Health While Aging, thank you!
Related Episodes:
130 – COVID Booster Update for Aging Adults (9.7.22 Edition)
Related Resources:
BHWA:
COVID & Aging Adults: 2022 Updates
COVID Vaccination for Aging Adults: What to Know & Do
To track COVID data:
NY Times COVID Tracker
Wastewater:
CDC Wastewater Surveillance
Biobot.io wastewater tracker
Walgreens Test Positivity Tracker
OurWorldInData.org Coronavirus Data Explorer
CDC Nursing Home Covid-19 Data Dashboard
CDC Variant Proportion Tracker
CDC COVID cases and deaths by vaccine status
CDC Datasets in this update:
Effectiveness of Bivalent mRNA Vaccines in Preventing Symptomatic SARS-CoV-2 Infection — Increasing Community Access to Testing Program, United States, September–November 2022
Weekly U.S. Influenza Surveillance Report
CDC Influenza Hospitalization Rates
From medical journals and research groups:
Low neutralization of SARS-CoV-2 Omicron BA.2.75.2, BQ.1.1, and XBB.1 by parental mRNA vaccine or a BA.5-bivalent booster (12/6/22)
Effect of hybrid immunity and bivalent booster vaccination on omicron sublineage neutralisation (12/5/22)
Paxlovid Associated with Decreased Hospitalization Rate Among Adults with COVID-19 — United States, April–September 2022 12/2/22
From news and other media:
‘Indoor pandemic’: An engineer on how to clean the air you breathe
For masking, ventilation COVID transmission information:
Masks Dr. K uses:
3M V-flex N95
3M Aura N95
Powecom KN95
Project N95
Twitter resources
@joeyfox85
@masknerd
@marwa_zaatari
CDC Interactive ventilation tool
CleanAirCrew.org Portable Air Cleaner Buying Guide
Air Cleaners dataset
The Corsi-Rosenthal Box: DIY Box Fan Air Filter for COVID-19 and Wildfire Smoke
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44 min
September 08, 2022130 – COVID Booster Update for Aging Adults (9.7.22 Edition)
Dr. K discusses what aging adults & families should know about the new fall COVID boosters, the latest Omicron variants, and more. Plus who died of COVID this summer and how to know if you’re at high risk of severe COVID.
She covers:
The current COVID situation & variants in the US
Newer variants overseas that might evade immunity
What’s in the new bivalent fall COVID booster
How the fall booster was developed and tested
Why there has been debate about the fall COVID booster
Data review: who died of COVID this past summer?
The data on the benefit of boosters so far
Dr. K’s predictions regarding benefits of the fall COVID booster
When to get your fall COVID booster
Do you need a booster if you’ve had Omicron?
Summary of Dr. K’s COVID booster recommendations, including which booster, if you have a choice
What to know about Paxlovid and what to do if you catch COVID
Related Episodes:
129 – COVID Update for Aging Adults (7.21.22 Edition)
Related Resources:
BHWA:
COVID & Aging Adults: 2022 Updates
COVID Vaccination for Aging Adults: What to Know & Do
To track COVID data:
NY Times COVID Tracker
Wastewater:
CDC Wastewater Surveillance
Biobot.io wastewater tracker
Walgreens Test Positivity Tracker
OurWorldInData.org Coronavirus Data Explorer
CDC Nursing Home Covid-19 Data Dashboard
CDC Variant Proportion Tracker
CDC COVID cases and deaths by vaccine status
Fall COVID booster resources:
CDC ACIP Meeting Slides from September 1, 2022
For human and mice data on Omicron booster: Moderna slides, Pfizer slides
CDC Datasets in this update:
Rates of COVID-19 Cases or Deaths by Age Group and Vaccination Status
Rates of COVID-19 Cases or Deaths by Age Group and Vaccination Status and Second Booster Dose
From medical journals and research groups:
Short term, relative effectiveness of four doses versus three doses of BNT162b2 vaccine in people aged 60 years and older in Israel: retrospective, test negative, case-control study (May 2022)
Effectiveness of a fourth dose of mRNA COVID-19 vaccine against all-cause mortality in long-term care facility residents and in the oldest old: A nationwide, retrospective cohort study in Sweden (July 2022)
Association of Receipt of the Fourth BNT162b2 Dose With Omicron Infection and COVID-19 Hospitalizations Among Residents of Long-term Care Facilities (June 2022)
Risk of BA.5 Infection among Persons Exposed to Previous SARS-CoV-2 Variants (Sept 2022)
Nirmatrelvir Use and Severe Covid-19 Outcomes during the Omicron Surge (Aug 2022)
COVID-19 rebound after Paxlovid and Molnupiravir during January-June 2022
From news and other media:
Omicron boosters: Do I need one, and if so, when? (NPR 9/5/22)
India and China first to authorize inhaled COVID vaccines (CBS 9/6/22)
For masking, ventilation COVID transmission information:
Masks Dr. K uses:
3M V-flex N95
3M Aura N95
Project N95
Twitter resources
@masknerd
CDC Interactive ventilation tool
The Corsi-Rosenthal Box: DIY Box Fan Air Filter for COVID-19 and Wildfire Smoke
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44 min
July 22, 2022129 – COVID Update for Aging Adults (7.21.22 Edition)
Dr. K discusses the high COVID levels, the related risks for aging adults, what to know about Omicron BA.5, the data on boosters, and the most effective ways to take sensible precautions.
She covers:
The current COVID situation and how high cases really are

What to know about COVID hospitalization numbers

Whether COVID vaccines are still working
The data on first and second boosters
How the new Novavax COVID vaccine works

How to test for COVID
How long to isolate if you get COVID
What to know about Paxlovid and relapsing after Paxlovid
What masks she recommends

How to take reasonable precautions
Note: you can get the CO2 monitor Dr. K refers to on Amazon here: https://amzn.to/3yhDtq8. The masks that Dr. K is currently using include 3M V-flex N95, and 3M Aura N95. These are affiliate links, so any purchases will help support Better Health While Aging, at no extra cost to you.
Related Episodes:
128 – COVID Update for Aging Adults (5.5.22 Edition)
Related Resources:
BHWA:
COVID & Aging Adults: 2022 Updates
COVID Vaccination for Aging Adults: What to Know & Do
To track COVID data:
NY Times COVID Tracker
Wastewater:
CDC Wastewater Surveillance
Biobot.io wastewater tracker
Walgreens Test Positivity Tracker
OurWorldInData.org Coronavirus Data Explorer
CDC Nursing Home Covid-19 Data Dashboard
CDC Variant Proportion Tracker
CDC COVID cases and deaths by vaccine status
FDA:
Update: COVID-19 Vaccine Booster Composition (6/30/22)
Novavax COVID-19 Vaccine, Adjuvanted Emergency Use Authorization Review Memorandum (7/13/22)
Paxlovid EUA Fact Sheet for Healthcare Providers
For masking, ventilation COVID transmission information:
Masks Dr. K uses:
3M V-flex N95
3M Aura N95
Project N95
Twitter resources
@kprather88, @linseymarr, @masknerd
CDC Interactive ventilation tool
The Corsi-Rosenthal Box: DIY Box Fan Air Filter for COVID-19 and Wildfire Smoke
From medical journals and research groups:
Effectiveness of a second BNT162b2 booster vaccine against hospitalization and death from COVID-19 in adults aged over 60 years (Nature, April 2022)
Effectiveness of 2, 3, and 4 COVID-19 mRNA Vaccine Doses Among Immunocompetent Adults During Periods when SARS-CoV-2 Omicron BA.1 and BA.2/BA.2.12.1 Sublineages Predominated — VISION Network, 10 States, December 2021–June 2022 (CDC, 7/15/22)
Hospitalization and Emergency Department Encounters for COVID-19 After Paxlovid Treatment — California, December 2021–May 2022 (CDC 6/21/22)
Self-reported long COVID after infection with the Omicron variant in the UK (UK ONS 7/18/22)
SARS-CoV-2 transmission on planes, by “Your Local Epidemiologist” Katelyn Jetelina, PhD
UK Health Security Agency COVID-19 vaccine weekly surveillance reports
COVID-19 Rebound After Paxlovid Treatment (CDC 5/24/22)
Newest Omicron subvariants can evade boosters, antibody therapies (UMN CIDRAP, 7/6/22)
covers bebtelovimab, the only monoclonal antibody treatment still effective against BA.5
From news and other media:
What you need to know about the Novavax vaccine (Johns Hopkins Univ, 6/16/22)
New COVID Vaccine for Fall? What to Know About the FDA’s Plans (CNET 7/15/22)
FDA says COVID boosters for the fall must target newer omicron types (NPR 6/30/22)
Twitter sources that helped with this update:
Dr. Eric Topol (good for all kinds of COVID data and info)
Graphic for PCR and rapid tests here
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44 min
May 06, 2022128 – COVID Update for Aging Adults (5.5.22 Edition)
Dr. K discusses the current rise in COVID cases, the related risks for aging adults, what to know about the newest Omicron variants, and the most effective ways to take sensible precautions.
She covers:
Where we are at with COVID now, and the impact on aging adults
About the Omicron variants BA.2 and BA.2.12.1
What’s changed (& hasn’t) with COVID
The latest on COVID vaccine efficacy during Omicron
What to know about first and second boosters
The latest on how COVID is being transmitted
What to do for masking to be effective
Ventilation & checking CO2 levels
Does rapid testing still work?
What to know if you catch COVID
Whether to mask on airplanes & answers to other FAQs
Her top recommendations for taking reasonable precautions right now
Note: you can get the CO2 monitor Dr. K refers to on Amazon here: https://amzn.to/3yhDtq8. This is an affiliate link, so any purchases will help support Better Health While Aging, at no extra cost to you.
Related Episodes:
127 – COVID Update for Aging Adults (2.24.22 Edition)
Related Resources:
BHWA:
COVID & Aging Adults: 2022 Updates
COVID Vaccination for Aging Adults: What to Know & Do
To track COVID data:
NY Times COVID Tracker
OurWorldInData.org Coronavirus Data Explorer
CDC Nursing Home Covid-19 Data Dashboard
CDC Wastewater Surveillance
CDC COVID cases and deaths by vaccine status
CDC:
COVID variant proportion tracker
FDA: Paxlovid EUA Fact Sheet for Healthcare Providers
For masking, ventilation COVID transmission information:
CIDRAP: What can masks do? Part 1: The science behind COVID-19 protection
Project N95
Twitter resources
@kprather88, @linseymarr, @masknerd
CDC Interactive ventilation tool
The Corsi-Rosenthal Box: DIY Box Fan Air Filter for COVID-19 and Wildfire Smoke
From medical journals and research groups:
SARS-CoV-2 transmission on planes, by “Your Local Epidemiologist” Katelyn Jetelina, PhD
UK Health Security Agency COVID-19 vaccine weekly surveillance reports
Effectiveness of 3 doses of COVID-19 vaccines against symptomatic COVID-19 and hospitalisation in adults aged 65 years and older (UK HSA)
Efficacy of a Fourth Dose of Covid-19 mRNA Vaccine against Omicron (NEJM 3/16/22)
Protection by a Fourth Dose of BNT162b2 against Omicron in Israel (NEJM 4/5/22)
From news and other media:
Another rare virus puzzle: They got sick, got treated, got covid again (WaPo 4/27/22, about Paxlovid relapses)
If you’ve had omicron before, are you safe from infection by the new variants? (NPR 5/4/22)
Twitter sources that helped with this update:
Dr. Eric Topol (good for all kinds of COVID data and info)
Graphic for PCR and rapid tests here
Dr. Bob Wachter (good for SF data and thinking through risk for 60 year olds)
Good thread on whether it’s currently worth trying to avoid COVID here
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44 min
February 25, 2022127 – COVID Update for Aging Adults (2.24.22 Edition)
In This Episode:
Dr. K discusses the ebbing of the Omicron surge, what to know about the “stealth” Omicron BA.2 (it has taken over in Denmark and is growing here), how to “live with COVID” safely, and more.
She covers:
Why current COVID numbers are better but still not low enough
What we’ve learned about vaccines & boosters during the Omicron surge
What we can learn from Denmark lifting all COVID restrictions
How to compare US COVID data to that of other countries, and why our outcomes are worse
What to know about the Omicron sister variant BA.2
What it would mean for COVID to be “endemic”
The ideal approach to living with COVID
Wastewater & other ways to monitor COVID in your local area
What older adults can do to keep themselves and their families safer
Note: The CDC released updated guidance re COVID and assessing local COVID-19 community levels on 2/25/22. Dr. K has posted written comments regarding this on her 2022 COVID article: COVID & Aging Adults: 2022 Updates.
Related Episodes:
126 – Update: COVID Vaccination in Aging (1.6.22 Edition)
Related Resources:
BHWA:
COVID & Aging Adults: 2022 Updates
COVID Vaccination for Aging Adults: What to Know & Do
To track COVID data:
NY Times COVID Tracker
OurWorldInData.org Coronavirus Data Explorer
CDC Nursing Home Covid-19 Data Dashboard
CDC Wastewater Surveillance
CDC COVID cases and deaths by vaccine status
CDC:
COVID variant proportion tracker
FDA: Paxlovid EUA Fact Sheet for Healthcare Providers
Twitter threads referenced in update:
Kristian Andersen on Danish COVID outcomes since restrictions were lifted
Bob Wachter on estimating the COVID risk of attending a party
Photo summarizing his math here
From medical journals and research groups:
UK Health Security Agency COVID-19 vaccine weekly surveillance reports
Effectiveness of 3 doses of COVID-19 vaccines against symptomatic COVID-19 and hospitalisation in adults aged 65 years and older (UK HSA)
Effectiveness of mRNA-1273 against SARS-CoV-2 Omicron and Delta variants
Immunogenicity of a BNT162b2 Vaccine Booster Against SARS-CoV-2 Delta and Omicron Variants in Older People
4th Dose COVID mRNA Vaccines’ Immunogenicity & Efficacy Against Omicron VOC
Transmission of SARS-CoV-2 Omicron VOC subvariants BA.1 and BA.2: Evidence from Danish Households
Reinfection with different subtypes of Omicron is possible
Covid-19: Even mild infections can cause long term heart problems, large study finds
From news and other media:
What does endemic mean? Experts answer your questions about the future of covid. (Washington Post)
U.S. Covid Death Toll Surpasses 900,000 as Omicron’s Spread Slows
More contagious version of omicron spreads in U.S., fueling worries (NPR)
Twitter sources that helped with this update:
Dr. Eric Topol (good for all kinds of COVID data and info)
Graphic for PCR and rapid tests here
Zeynep Tufecki (smart takes on COVID & more)
Dr. Ashish Jha (good for pithy common-sense takes on COVID)
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44 min
January 07, 2022126 – Update: COVID Vaccination in Aging (1.6.22 Edition)
In This Episode:
This episode covers the latest on the ongoing Omicron surge, including whether it’s milder in older adults, what’s we’ve learned about rapid testing for Omicron, what to know about the current hospital situation, how to stay safer during the surge, and more.
The episode also addresses these FAQs:
But isn’t Omicron supposedly “milder”?
Do COVID tests (PCR and rapid) work against Omicron?
Do the COVID vaccines still “work”, and will they work against Omicron?
Are the COVID vaccines effective in older adults?
Why get vaccinated/boosted if you’re just going to get COVID anyway?
What about those new COVID treatments?
Shouldn’t we just “let it rip”?
And if I test positive for COVID?
Is it safe to ….
Related Episodes:
125 – Update: COVID Vaccination in Aging (12.16.21 Edition)
Related Resources:
BHWA:
COVID & Aging Adults: 2022 Updates
COVID Vaccination for Aging Adults: What to Know & Do
CDC:
COVID 19 Quarantine and Isolation
Nursing Home Covid-19 Data Dashboard
FDA: Paxlovid EUA Fact Sheet for Healthcare Providers
From medical journals and research groups:
Imperial College London Omicron severity report (Dec 22, 2021)
From news and other media:
NY Times COVID Tracker
The C.D.C. Is Hoping You’ll Figure Covid Out on Your Own (Zeynep Tufecki, Jan 5, 2022)
Emerging Data Raise Questions About Antigen Tests and Nasal Swabs (Jan 5, 2022)
CDC recommits to isolation and quarantine guidelines without tests (Jan 4, 2022)
Pfizer Investor Presentation (covers Paxlovid and more) (Dec 17, 2021)
Twitter sources that helped with this update:
Dr. Eric Topol (good for all kinds of COVID data and info)
Graphic for PCR and rapid tests here
Dr. Michael Mina (good for understanding COVID tests & more)
John Burn-Murdoch (good for COVID data stories, mostly UK but some US)
Zeynep Tufecki (smart takes on COVID & more)
Dr. Ashish Jha (good for pithy common-sense takes on COVID)
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44 min
December 17, 2021125 – Update: COVID Vaccination in Aging (12.16.21 Edition)
In This Episode:
This update covers Omicron, COVID boosters, plus how to search the CDC data to see just how well vaccines have worked, even in older adults. I also show the data demonstrating that vaccinated people age 80+ are still at higher risk of serious COVID than unvaccinated people under age 50; this is why fully vaccinated older adults should take precautions during the current surge!
(View the show notes page to watch my subtitled talk and my slides.)
This episode includes:
What do we know about Omicron so far, and will the vaccines remain protective
Should I get vaccinated against COVID?
Should my 90-year-old mother get the COVID vaccine?
How well does the vaccine work in older adults? How to use CDC data to see how well it works in different age groups
Should I worry that the vaccine might harm me (or my frail older parent)?
Who should get a COVID booster and why?
How to stay safer during the holidays.
Related Episodes:
123 – Update: COVID Vaccination in Aging (10.28.21 Edition)
Related Resources:
BHWA:
COVID Vaccination for Aging Adults: What to Know & Do
CDC:
CDC COVID Data Tracker
County view (to check your local transmission rates)
Rates of COVID-19 Cases and Deaths by Vaccination Status
Rates of laboratory-confirmed COVID-19 hospitalizations by vaccination status
Nursing Home Covid-19 Data Dashboard
COVID-19 Vaccine Booster Shots
Selected Adverse Events Reported after COVID-19 Vaccination
SARS-CoV-2 B.1.1.529 (Omicron) Variant — United States, December 1–8, 2021 (report on first Omicron cases in US)
COVID-19 Vaccine Booster Dose Safety (from 11/19/21 CDC COVID-19 Vaccine Task Force Meeting)
From medical journals:
Preliminary findings from study after Christmas party in Oslo (Norwegian Institute of Public Health)
Protection of BNT162b2 Vaccine Booster against Covid-19 in Israel (NEJM Oct 2021)
From news and other media:
Omicron: What We Know About the New Coronavirus Variant (NY Times Dec 2021)
As U.S. Nears 800,000 Virus Deaths, 1 of Every 100 Older Americans Has Perished (NY Times 12/13/21)
For COVID-19, age matters as much as vaccination status (9/27/21)
I’m fully vaccinated and I also had COVID. Do I need a booster? (NPR Nov 2021)
COVID-19 preventable mortality and leading cause of death ranking (Kaiser Family Foundation analysis, Dec 2021)
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44 min
November 19, 2021 124 – Does Your Aging Parent Need Help?<br> What to check & how to talk about it
In This Episode:
Dr. K explains what to do if you’ve become worried about your aging parent, and are trying to figure out if they need help, or are unsure of what to do next. She covers:
What mental changes are normal as people get older, and what’s not normal
The three types of problems you’ll want to check for
Specific signs to check for, to detect possible memory or thinking problems
How to tell if your parent needs more help around the house or with their daily life
The safety red flags I usually check for
A more respectful and effective way to talk to your aging parent about how things are going
What to stop doing and what to do instead, to reduce conflicts
Related episode:
028 – When Older Parents Resist Help: 4 Tips for Better Talks
Related Resources:
When Your Aging Parent Needs Help: A geriatrician’s step-by-step guide to memory loss, resistance, safety worries & more
6 Ways that Memory & Thinking Change with Normal Aging (& What to Do About This)
What are Activities of Daily Living (ADLs) & Instrumental Activities of Daily Living (IADLs)?
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30 min
November 19, 2021124 – Does Your Aging Parent Need Help?<br> What to check & how to talk about it
In This Episode:
Dr. K explains what to do if you’ve become worried about your aging parent, and are trying to figure out if they need help, or are unsure of what to do next. She covers:
What mental changes are normal as people get older, and what’s not normal
The three types of problems you’ll want to check for
Specific signs to check for, to detect possible memory or thinking problems
How to tell if your parent needs more help around the house or with their daily life
The safety red flags I usually check for
A more respectful and effective way to talk to your aging parent about how things are going
What to stop doing and what to do instead, to reduce conflicts
Related episode:
028 – When Older Parents Resist Help: 4 Tips for Better Talks
Related Resources:
When Your Aging Parent Needs Help: A geriatrician’s step-by-step guide to memory loss, resistance, safety worries & more
6 Ways that Memory & Thinking Change with Normal Aging (& What to Do About This)
What are Activities of Daily Living (ADLs) & Instrumental Activities of Daily Living (IADLs)?
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30 min
October 29, 2021123 – Update: COVID Vaccination in Aging (10.28.21 Edition)
In This Episode:
This video update covers COVID boosters, recent research on the efficacy of COVID vaccination in older adults over the last six months, why we are seeing breakthrough infections, and more. I also cover my recommendations for how aging adults and their families can be safer during the holidays, and using rapid antigen tests.
(View the show notes page to watch my subtitled talk and my slides.)
This episode includes:
The current COVID situation in US
What recent research shows, when it comes to how well the vaccines work over time and in older age groups
What to know about COVID boosters and who should get them
How to stay safe during the holidays
What to know about rapid antigen tests
My latest recommendations for older adult & families
Related Episodes:
122 – Update: COVID Vaccination in Aging (9.9.21 Edition)
Related Resources:
BHWA:
COVID Vaccination for Aging Adults: What to Know & Do
CDC:
CDC COVID Data Tracker (to check your local transmission rates)
CDC: When You’ve Been Fully Vaccinated
Nursing Home Covid-19 Data Dashboard
Rates of COVID-19 Cases and Deaths by Vaccination Status
CDC: Comparative Effectiveness of Moderna, Pfizer-BioNTech, and Janssen (Johnson & Johnson) Vaccines in Preventing COVID-19 Hospitalizations Among Adults Without Immunocompromising Conditions — United States, March–August 2021 (Published Sept 2021)
COVID-19 Vaccines for Moderately to Severely Immunocompromised People (CDC)
Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nursing Home Residents Before and During Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant — National Healthcare Safety Network, March 1–August 1, 2021
From medical journals:
Heterologous SARS-CoV-2 Booster Vaccinations – Preliminary Report
The accuracy of novel antigen rapid diagnostics for SARS-CoV-2: a living systematic review and meta-analysis
COVID-19 Vaccine Effectiveness by Product and Timing in New York State (pre-print posted Oct 9, 2021)
Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA: a retrospective cohort study (Lancet, Oct 2021, about the Pfizer vaccine)
From news and other media:
For COVID-19, age matters as much as vaccination status (9/27/21)
Who Had Covid-19 Vaccine Breakthrough Cases? (10/28/21)
C.D.C. Recommends Covid Booster Shots for Millions of Americans (10/21/21)
If You’ve Had Covid, Do You Need the Vaccine? (10/12/21) (about hybrid immunity)
NY Times: COVID-19 Vaccine Tracker
NY Times: Coronavirus Variant Tracker
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1 hr 9 min