hello and welcome to today's talk
thursday the 26th of august i want to
look at a report from the states that
says that hospitalization is 29 times
less likely in those that are doubly
vaccinated compared to those that aren't
vaccinated at all and we'll also look at
some interesting data from the office
for national statistics in the uk but i
want to start off with these context
screens first of all now
new zealand and australia both of those
are
delta variant now there's a strict lock
down in new zealand there's a
possibility it could work but whether
they get down to zero or not is really
quite questionable i'm afraid
australia well at least the new south
wales sydney area in fact knew all of
new south wales really the genie is out
of the bottle there let's hope the
vaccinations can catch up with that
because that's so disappointing after
such a long period of good news from
australia and new zealand
germany with some other european
countries increasing japan hardly do any
testing so we don't really know
but certainly going up ireland we're
still waiting for the vaccines to catch
up it shouldn't be long now and they
should start having a positive effect
um
it's just a case of how much the cases
go up in ireland before that happens
united states case are going up of
course the united kingdom were on the
way up again now and so many people
asking about israel where cases are
actually pretty high at the moment now
to put this into context and of course
it's not so much okay well it's not the
cases that matter it's people getting
sick that matters so putting that into
context this next slide shows us um
hospitalization so canada going up
gradually ireland
actually some challenges in ireland
although it doesn't look particularly
high they've actually got quite
challenges to aspects of the healthcare
system in ireland
united kingdom is going up slightly
united states is a major concern as
we'll see particularly in some of the
southern states but israel the actual
number of people this number of covered
19 patients actually in hospital it's
actually gone down
the number goal has gone down now the
number of people going into hospital in
israel
is uh is still going up but the number
of patients in hospital is going down in
other words patients aren't staying for
as long which of course is pretty good
news
and the reason for that is their level
of vaccine coverage which we see here so
um new zealand and australia playing
catch-up japan is catching up
japan had some terrible messing around
with their validation procedures it
really was quite bizarre but they're
getting there now
united states vaccines are going up but
gradually although we did notice that
the vaccines are going up quite steeply
in some of the states that were under
vaccinated in the past
so there is some different catching up
going on in the states which is good
germany um united kingdom
is that one there so still but canada
and uh
canada and ireland are the highest so
that they're they're doing uh
they're doing them remarkably well
ireland and canada are sort of neck and
neck there at over well over 60 percent
of total people vaccinated but notice in
israel
the number of people fully vaccinate is
only about 62 percent so that's not too
surprising that we're getting this
resurgence of cases
in israel because the large number of
people aren't vaccinated
now let's go into this study from the
united states which has got pretty
significant import i think
sas coronavirus 2 infections and
hospitalizations among persons aged
greater than 16 by vaccination status
los angeles county so quite a few
million people involved in that the
whole article's there if you want to
read it of course i put the
reference in so you can
spend quite a long time looking at that
if you want
here's the sort of highlight now the
background is a proportion of fully
vaccinated people will become infected
of course we know that
so this is los angeles county department
of public health compiled these figures
and analyzed these figures
the figures from may the 1st
to july the 25th so basically what may
june july getting on for a three-month
period so a pretty good sample
and this was the time when the alpha
variant was being replaced by the delta
variant in the united states so by the
end of this period delta variant was
about 90 percent of cases
in the in the united states diagnosed in
the states
now amongst 43 127 infections
10 895 of those infections were fully
vaccinated that's 25.3 percent
uh 3.3 percent of the population uh
partially vaccinated
so 1 431 people got the infection who
were partially
partially vaccinated that's 3.3 of that
43 000 number
and 30 801 that's 70 1.4 were
unvaccinated so we can see that many
more unvaccinated people are getting the
infection compared to
um fully vaccinated people the reason
that number is so much lower of course
is not because that one dose of the
vaccine is giving more protection it's
not there's simply less people in the
community who've only had one dose
compared to those that are unvaccinated
or those that are doubly vaccinated
and those people of course we would
encourage to go on and get their second
dose of vaccine
now
okay that's that's cases which of course
is good to know
but as we've just stressed it's
hospitalizations that's the key factor
here really
and looking at that um
so this is hospitalized
stroke intensive care stroke ventilated
so amongst fully vaccinated people
um
of those that were infected of those
that got infected so of course fewer
fully vaccinated people got infected in
the first place
of those that did get infected 3.2 ended
up in hospital i'm not pretending it's
not higher than we'd like to see of
course it's higher than what we'd like
to see
so it was 3.2 of the fully vaccinated
end up in hospital
many of those had co-morbidities and
were older
0.5 ended up in intensive care and 0.2
were ventilated amongst the partially
vaccinated
6.2 ended up in hospital 1 intensive
care 0.3 ventilated and in the
unvaccinated
7.6 percent
were hospitalized 1.5 went to intensive
care and 0.5 were on ventilators
so we can see that fully vaccinated of
those that were diagnosed and stressed
that that's of those that were diagnosed
3.2 percent
were hospitalized and in the
unvaccinated of those that were
diagnosed 7.6
in the unvaccinated went to
hospital and the p value there is uh p
equals 0.001
so basically what it's saying is that
these differences did not arise by
chance
the difference is that there will be
differences in numbers like that
and that
between the large number of people that
were examined
less than one chance in a thousand that
result
would arise by chance so we can see that
doubly vaccinated people are less
hospitalized than unvaccinated people
and uh
doubly vaccinated people are more
protected than partially vaccinated
people
now
um for the whole population as a whole
20 data up to the 25th of july infection
rates amongst the unvaccinated were
basically five times higher
so if you're unvaccinated you were 4.9
times more likely to get the infection
and on the population base as a whole
you're 29.2 29.2
more likely to be vaccinated more likely
to be hospitalized if you were
unvaccinated
or to put it another way you were 29.2
less likely to be hospitalized if you
were
vaccinated and of course this 29.2 is
made up of the reduced chances of
getting the infection
in the first place
quite a big chance of not getting the
infection in the first place and if you
did get it the reduced chance of
hospitalization as well
and that statistic does very accurately
work out at 29.2
less likely to be hospitalized if you
are doubly vaccinated
compared to someone that is not
vaccinated so it's a headline figure
29.2 but it's also a good figure
so definitely a good
figure there
now the testing that went on in los
angeles county in
may
so testing in may
there was a difference in the uh the cet
the cycle threshold values by
vaccination status
in other words what this is saying is
that people that were vaccinated
had lower the people that were
vaccinated that got infections had low
levels of virus
the people that were unvaccinated and
got the infection had higher levels of
virus that's what that is saying
but by time july came along and of
course that's mostly alpha variant
though by the time july came along it
was mostly delta variant there was no
difference
so even a low doubly vaccinated people
were less likely to get infected in the
first place those that did get infected
were producing the same number of viral
particles therefore we would assume for
that period of time to be equally
infectious
compared to people that were
unvaccinated and this of course is
completely 100
consistent with the data from the uk so
it's good to see
exactly the same result coming out in
two different
continents
so um
people that were vaccinated
with the alpha variant producing low
viral loads people that were vaccinated
and unfortunate enough in the minority
who got the breakthrough infection
the viral loads were unfortunately the
same
conclusion from this report here uh
these infections and hospitalization
rate data indicate that um authorized
vaccines were
protective
against sarcoidosis infection and severe
confidence 19 during a period when
transmission of the delta variant was
increasing
so um pretty consistent data with what
we are seeing in the uk and
quite really strong support for the
efficacy of vaccination
now where are we at now with
hospitalizations in the states well we
looked at this now
total if we look at intensive care
capacity as a proxy for everything
national nationally for all of the
united states it's high at 78
bed occupancy in intensive care and in
intensive care in the states one-third
22
345 patients as of about 40 hours ago um
were copied patients two-thirds of
non-covered patients and of course this
is a very big
demand on intensive care and
hospitalization facilities generally
meaning other patients aren't getting
treated
in places operations and medical care
patients are being cancelled which is
really
a pity
alabama seems to be the worst that's got
more icu patients the total bet so
they're above 100 capacity
um in alabama
now dozens forced to wait for space
unfortunately
giorgio is next at 94 full again
you think 94 full means that there's six
percent left over but
you know to be on intensive care unit
running at 94 capacity is pretty
horrendous actually
so very busy there florida mississippi
93 occupancy texas 92
kentucky 90.7 louisiana 89.3 missouri
88.9 so clearly in these states people
need to get vaccinated and take care not
to get infected if they are currently
unvaccinated
while they wait for the three weeks for
the second dose of the vaccine or four
weeks in some cases and while they wait
for another two or three weeks for the
vaccine to take effect otherwise they've
got a risk of
significantly increased risk of
hospitalization
in fact we know what the risk is it's uh
7.6
so a good reason to be
vaccinated in those areas and in most of
these states now vaccination levels are
picking up
next it's oklahoma arkansas nevada north
carolina south carolina new mexico idaho
maine
in that
order
so still pretty
stretched in these areas and of course
this is just intensive care
so um you know this means the whole
hospital sector is is under pressure
now i want to go and look at some
information from the office for national
statistics
in the uk
that's here now the the presentation of
the data is improving all the time of
course
so let's just look at some of the uh
click on there by all means and have a
browse around
uk office national statistics so this is
the weekend week ending the 14th of
august
antibody levels were 94.2
of the population
impressive and of course this is thereby
exposed to the virus or vaccination
so ninety four point two percent had
some antibodies to sustain a virus too
this is not necessarily a great equate
with protection
but it is it is pretty uh encouraging
um percentage of the community
population that covered 19 week and this
is this is in the seven days leading up
to the 14th of august in other words the
prevalence
england it was 1 in 80 people so
pretty high one point two eight percent
wales it was 139.77
of the population
northern ireland one in 50. wow that's
pretty high one point nine two percent
of the population and uh
scotland one in two hundred four point
nine percent of the population so that's
the prevalence people that would have
tested positive in that week
now um
another slightly concerning statistic
now that the office of national
statistics is
quoting on regularly is the incidence of
long coverage
and these numbers are quite high an
estimated 1.46 of the whole uk
population experienced self-reported
long coverage
for fourth uh
the up to the fourth of july so that the
stats are a bit high so that's up to the
fourth of july
um
945 000 people
in private households there could be a
few more hospital in prisons and things
like that so 1.46 of the population this
is high
four in ten of those so in other words
what getting on for getting on for four
hundred thousand
uh we're experiencing these symptoms for
over a year
this is quite a big burden of morbidity
symptoms adversely affected the
day-to-day activity of around two-thirds
of people difficulty looking after
themselves difficulty going to work
commonly reporting fatigue shortness of
breath musculate loss of smell
gastrointestinal features as well such
as stomach pains diarrhea
stomach cramps
so this is um a significant issue and
four four in ten of those people still
symptomatic after a year
which is uh which is concerning we don't
know where this is going to go because
the time simply hasn't elapsed yet
um more common long-covered more common
in females
don't think we really know why
those aged 35 to 69 again no real clear
reason for this yet
people living in the most deprived areas
and also those working in health or
social care and
really to give reasons for any of these
i mean you could talk about nutrition
and things in that one and
comorbidities like smoking but
there's a lot we don't know
and those were the co-morbidities also
were more prone to long covered as
well
um and just uh
you know we'll just look at a couple
more things from the office for national
statistics um
up to the fourth of july so this is the
fourth fourth of july to the 14th of
august so slightly more up to date and
you know actually that last data must
have been fourth of july to the 14th of
august as well so that that last data
we're looking at was in fact up to the
14th
of uh up to the 14th of june
yeah that's the fourth of july to the
14th of august i've just left that out
so basically what this is saying on the
14th of august apologies the 14th of
august
there were
94.2 percent had antibodies in the whole
population
up to the 14th of august
and of course this is the period of the
iraq study the 4th of july to the 14th
of august so it's obvious when you think
about it
age-wise um quite interesting percentage
of people testing positive daily
so we see younger age groups more
represented
over two percent
in the sort of um
eight or nine to
about 20 year 20 early 20s age group
testing positive um
more more testing positive on a daily
basis
compared to the older age population
of course this this sector of the
population is much more vaccinated so
that's not too surprising really and
children of course aren't vaccinated
uh deaths in the week to the 13th of
august
14.1 above the five-year average so more
deaths in the week up to the 13th of
august than the average
england and wales uh 517 mentioned novel
coronaville covered 19 5.5 of all deaths
so um still
the actual deaths from uh
coronavirus have actually been creeping
up
over the past
six weeks now in the uk
still nothing like what they were but
still
quite a lot of people still dying now
just before we finish today i'm gonna
we're gonna have a report from robbie in
cornwall in a minute because we like to
get people's personal experience
but north korea well what do we know
well the answer is not too much really
we do know there's 25 million
unfortunate people in that country
uh vaccines so far we believe is zero
whether the elite have been vaccinated
we simply don't know
uh un is now trying to get kovac
supplies there three million doses of
cyanovac hopefully on their way
technical issues still need to be
resolved like how it's giving out in the
refrigeration around the country so it's
not there yet
it's sealed its borders to trade and
visitors now
north korea
people live hand to mouth very often
through anything that they can trade on
the black market because officially they
will basically just starve to death so
closing the borders cutting off trade
with china is going to cause food
shortages and terrible terrible
deprivation there's no question about
that this is quite a tragedy
for the people of north korea
essentially no international staff on
the ground so
ngos united nations virtually no one
there so what the heck's going on no one
knows they've had floods typhoons and a
heatwave there is going to be famine
unfortunately
lag in routine vaccination program since
2020 so these are all the other
conditions that people need vaccinated
against like measles and tetanus that's
well behind
but ironically enough in 2007 they had a
measles campaign
in north korea they managed to vaccinate
3.3 million people a day
so it does show they have the capacity
to at least in 2007 he had the capacity
to do this
now the vast majority of people that get
vaccinated um do very well i i was
completely asymptomatic minimally saw
arm after the first notes absolutely
nothing
after my vaccine some people are having
difficulties so we're going to look at
robbie's experience now always
interesting to get individual
experiences as a bit of context so
robbie in cornwall thank you and
over to you robbie
john so i'm just doing that video report
that you asked me to do um with regards
to my
recent experiences getting a second jab
um just for everybody else but a
background i had the astrazeneca jab
back in april
i was very pleased and excited about
that but unfortunately i was one of the
small percentage of people that had a
bad reaction to it
not blood clotting but
a full list of things over a six to
eight week period
and they're still happening now five
months later so i'm getting those
checked out basically it boils down to
now being
muscle spasms all over
and loss of strength in my arms um
so that's being investigated but i was
still very keen to get my second one
uh but on the advice of my doctor
obviously he said don't get astrazeneca
let's try for another one
um so it took a bit of time but i
managed to organize getting a pfizer for
my second so again turned up at the
vaccine center very happy to be
finally getting second jabbed
um
and from watching the channel and from
having the experiences that i've had i
didn't know anything about this stuff
before
but aspirating the needle obviously
seemed to be something
that could be quite important
and i don't remember it happening the
first time
i've got some friends that are doctors
and stuff and they said well you
probably wouldn't have even noticed it
and they absolutely would have done that
um so i thought well okay i'm sure they
would have done but i don't remember
seeing it so this time i'm just going to
check
so i went in
um went up to my nurse and i said thanks
so much um by the way can i just double
check you are going to aspirate the
needle when you do this
and she didn't know what what that meant
um which was a bit worrying and a bit of
a shock
um and so i had to say
okay well can i please have somebody who
will aspirate the needle for me
um
and then she said i'm gonna have to talk
to someone
so she went off to speak to what i
imagine this person in charge or a
matron or somebody there
and this is where it gets really bad
because she looked over at me with a
what is he wanting on his face
called me over like that
so i went over and i said i'm really
sorry to be a pain but i would really
like the needle to be aspirated
um
and then she said why
there's no guidelines for that
um which i was very surprised to hear
and i said well i think it's because
it's good medical practice
and then she went on to say uh well
we don't aspirate because there's a good
chance we might actually lose some of
the vaccine in the process
okay again i'm not a doctor so i'm not
going to argue with this but i just said
well i would really like the needle to
be aspirated is that okay
and then she went on to say
do you have a major artery in your
shoulder
i don't know
but i've had a really bad time with the
first jab and i'd really like this to be
eliminated as a possibility so please
could you just aspirate the needle
so
this was in front of obviously lots of
people they came over there was a big
you know
they could see there was some sort of
discussion going on i didn't lose my
temper or get angry because obviously
i'm really grateful for what everyone's
doing but it was a very
uncomfortable and
challenging
um reaction from this particular nurse
that i don't think was justified
um trying to belittle me and to make me
out to be a problem
eventually when i replied to her comment
about do you have a major artery i said
well we don't know um everybody's
different i'm having
tests to find out what's happened to me
could you please do it and then she just
went
fine i'll do it
big problem
um
and
yeah i watched her do it um i was
hugely grateful and said thank you you
know i really appreciate it sorry to be
a pain to which she went hmm of course
you are
so
i tried
i wanted the aspiration of the needle to
be aspirated
and
it's obviously not being
trained so this first lady i spoke to
bless her you know thank you for
volunteering
um but she obviously has no medical
background she didn't know what it meant
um
so therefore i can absolutely say that
in my local cornish vaccination center
it's not a policy they are absolutely
not aspirating needles um
and it's down to the individual i
suppose
as to whether they know it or not so
there you go i just thought i'd share
that with you a bit scary
the reaction from the nurse was really
not very justified um but still very
happy to have second jab and i'm pleased
to report
second jab zero side effects
so
that is a real bonus and i'm very happy
thanks again for everything that you do
awesome channel thanks to everybody
um who supports you as well um and um
yeah thanks bye
robbie absolutely awesome report thank
you
so much for that that was
brilliant
i am just so
ashamed to be in to be in the same
profession as that lady you patronized
robbie
it is just a complete utter
disgrace
no other word for it it's a disgrace
disgrace to the
profession but on on on the more serious
point uh do you have arteries and veins
in your shoulder let me think
well if you didn't have arthritis and
veins on your shoulder your shoulder
wouldn't have crows it would go black
decompose and fall off the same as feet
do when the arteries block off to your
feet of course you've got arteries and
veins in your shoulder and for any
clinician not to know that is just
outrageous
how can you be a clinician and not know
that muscles need a blood supply and a
blood drainage it just that is just
beyond credulity and why should you want
to use false information to patronize
you just adds insult to injury
i must say robbie i agree completely
i've watched a lot of people being
vaccinated and uh on tv and things in
america all of the ones in america they
just stick it in and whack it in
straight away and i cringe every time
whereas we look we looked at the ones in
thailand and they were sticking in and
drawing back to make sure they were in a
blood vessel
in my view
the side effects from vaccines could be
partly explained by inadvertent
occasional intravascular administration
i've written to the secretary of health
we've talked about it on this channel
um nothing's happened about it what's
the big deal you stick the needle and
you pull back and then you check
injector and it just it's so it what you
do is you go in
in pull back inject
so it's in one second to pull back make
sure there's no blood then inject
as opposed to uh just in and pushing us
so the procedure is probably going to
take about one second longer
and in fact
you know in in my generation of nurses
anyway and all the nurses i taught
and i taught nurses for 27 years full
time nothing but virtually nothing but
we taught every single one to aspirate
every
single time and um
i must say i'm appalled and i don't
understand
why
health departments around the world and
not taking this up getting rid of this
variable that could in my view
reduce vaccine side effects so i'm sorry
you're still having these
problems robbie let's hope that this
resolves
and uh delighted to hear that it's
better this time and i i can only
apologize i mean just embarrassed by the
experience you've had to go through
uh so anyway yeah i think i've expressed
my view on that and uh we really
appreciate people like robbie uh giving
us their information and
being prepared to disclose that too to
me and of course to you
thank you for watching and thank you
very much