One shot enough for Covid survivors: AIG study

One shot enough for Covid survivors: AIG study
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Dr D Nageshwar Reddy, chairman, AIG Hospitals

Highlights

  • single dose of vaccine after recovery from Covid-19 may be considered at par with two doses
  • Over 3 crore vaccine doses can be saved and utilized to increase the coverage
  • People recovered can develop robust antibody and memory cell responsewith a single dose

Hyderabad: During the Covid second wave when cases were growing exponentially, unfortunately, the vaccination rate took a downturn. As of April 27 when the growth rate of active infection was 5 per cent and the growth of vaccinated people was just 1.4 per cent. We need to modify vaccination strategy based on scientific evidence and with the objective that a larger set of the population can be covered in the shortest duration.

AIG Hospitals, Hyderabad recently published a study conducted on 260 healthcare workers who got vaccinated between Jan 16 and Feb 5 in the International Journal of Infectious Diseases (a peer-reviewed journal). The study was designed to assess the immunological memory response in all those patients. All patients were given the Covishield vaccine.

The two significant observations that came out of the study are; (1) The previously infected group of people who got infected with Covid-19 showed a greater antibody response to a single dose of vaccine compared with those who had no prior infection.(2) Memory T-cell responses elicited by a single dose of vaccine were significantly higher in the previously infected group compared with those who had no prior infection.

It was concluded that higher memory T and B-cell responses in addition to higher antibody response with a single dose of vaccine given at 3-6 months after recovery from Covid-19 may be considered at par with two doses of vaccine for individuals already infected with the virus.

Commenting on the impact that this study can explain the overall vaccine administration strategy, Dr D Nageshwar Reddy, chairman, AIG Hospitals, and one of the co-authors in the AIG study said, "The results show that people who got infected with Covid-19 need not take two doses of vaccine as the single dose can develop robust antibody and memory cell response at par with two-doses for those who didn't get the infection. This will significantly help at a time when there's a shortage of vaccines in the country and more people can be covered using the saved doses."

Dr Nageshwar further added that once we attain the requisite number of people vaccinated for achieving herd immunity, these patients who got infected and received only one dose can take the second dose of the vaccine. At this point, all our strategies should be directed at the widespread distribution of available vaccines and to include the maximum number of people at least with a single dose.

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