Daily Shaarli

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April 4, 2021

A Single Vaccine Dose Appears To Protect Against COVID-19. So Why Are We Giving Two? | CommonHealth

But Dr. Chris Gill, an infectious disease specialist at Boston University, points out that a single injection of Pfizer's vaccine may be even more effective than this estimate suggests. Looking at data from a smaller window between the time the first injection should have started working and before the second injection kicked in, Gill says the Pfizer-BioNTech vaccine may have an efficacy rate as high as 80 or 90% with just a single dose.

Moderna actually collected data from people who only received one dose of its vaccine, Gill says. Some 2,000 participants in Moderna’s phase three clinical trial received just a single injection of either a placebo or the vaccine. In that population, the efficacy of the single vaccine dose was roughly 80 to 90%.

“[Moderna] was not shy about showing that a single dose was so effective, and they do the math right," Gill says. “After 14 days, the [single dose] vaccine is remarkably effective.” //

Dr. Benjamin Linas, an epidemiologist also at Boston University, is still mulling over the question. There’s still a lot of information that is yet to be revealed, he says. For example, is it less effective to receive the second dose of the vaccine a few months later than recommended schedule?

“Probably not, but no one knows,” Linas says.

And nobody knows how long the protection from a single dose will last. Of course, nobody knows how long the protection from two doses of the vaccines will last, either. Beyond the roughly two-month period of the clinical trials, those studies haven't been done yet.

There is another concern throwing its shadow over the proposal to vaccinate more people now with a single dose: How to convince millions of people to show up for a second dose at an unspecified point in the future. It's hard enough to get people to arrive at pre-scheduled appointments for a second shot a month later, Linas says, let alone an unknown date based on an unknown supply of vaccines.

“If we gave all the vaccine now and back fill the second doses later, do we really have the logistical support to do that without entering chaos?” Linas says. “It makes me a little nervous.”

The Engine That Powers The Ever Given Is Bigger Than Your House

Buried deep inside the Ever Given is a Mitsui–MAN B&W 11G95ME-C9 two-stroke diesel engine. This engine reportedly makes 79,500 horsepower at a slow 79 rpm and is fed by heavy fuel oil or diesel. The engine drives a single propeller hanging off of the back of the ship that propels it to a speed of about 22.8 knots, or 26 mph. //

A selling point for the MAN B&W ME-C series is a compact size and electronic control. It can also run on other fuels like propane, natural gas, methanol or ethane. //

The most surprising part to me is piston diameter. It comes in at 95 cm, or 3.1 feet. For comparison, the largest engine in the world, the Wärtsilä RT-flex96C, has a piston diameter of 3.15 feet. //

We might criticise two stroke marine diesels, but they’re the most efficient non-hybridised engines around.

Yep! While researching this, I found that they’re good for 50 percent efficiency, which is pretty awesome.

Single Pfizer, Moderna vaccine dose nearly as effective as two

Single doses of the Pfizer and Moderna vaccines are more than 92 percent effective in preventing COVID-19 illness after two weeks, Canadian researchers are saying.

The FDA’s own data show that a single shot of the BioNTech-Pfizer vaccine is 92.6 percent effective after two weeks, and a single Moderna jab is 92.1 percent effective, the researchers note in the New England Journal of Medicine. //

“There may be uncertainty about the duration of protection with a single dose,” the researchers said.

How effective is a single vaccine dose against Covid-19? - BBC Future

Pretend it didn't happen – expert advice on how to behave after receiving a single dose of any of the Covid-19 vaccines. //

When the immune system first encounters a vaccine, it activates two important types of white blood cell. First up are the plasma B cells, which primarily focus on making antibodies. Unfortunately, this cell type is short-lived, so although your body might be swimming in antibodies within just a few weeks, without the second shot this is often followed by a rapid decline.

Then there are the T cells, each of which is specifically tailored to identify a particular pathogen and kill it. Some of these, memory T cells, are able to linger in the body for decades until they stumble upon their target – meaning immunity from vaccines or infections can sometimes last a lifetime. But crucially, you usually won't have many of this cell type until the second meeting.

The booster dose is a way of re-exposing the body to the antigens – the molecules on pathogens that trigger the immune system – to initiate part two of the response. "You've kicked in all this fancy stuff," says Altmann. "So, once you've had your boost you'll have a higher frequency of memory T cells and ditto to some extent for the size of the pool of memory B cells you'll have. They'll also be making higher quality antibodies."

On second exposure to the same vaccine or pathogen, the B cells that remain from before are able to rapidly divide and create a menacing throng of descendants, leading to a second spike in the amount of antibodies circulating.

The second dose also initiates the process of "B cell maturation", which involves selecting the immature ones with the best receptors for binding to a particular pathogen. This happens while they're still in the bone marrow – where white blood cells are made – and afterwards they travel to the spleen to finish developing. This means B cells are not only more numerous afterwards, but the antibodies they produce are better targeted.

We Already Have the Technology to Decarbonize U.S. Electricity

It’ll take a lot to transition the U.S. off fossil-based energy: money, political will, labor. But a new report shows it won’t take new technological innovation. The study, published in the journal Joule last week, shows U.S. electricity demand can be met with currently available carbon-free tech, like solar panels and wind turbines. And we can do it in just seven years.

https://www.cell.com/joule/pdf/S2542-4351(20)30557-2.pdf

Simple Flying - Aviation News & Insight

A Skybus Air Cargo Douglas DC-8 was flying from Miami, Florida, to Georgetown, Guyana yesterday when it had to return to its departing airport due to flap issues. Notably, the aircraft in this incident is over five decades old. //

It is a unique experience to spot a DC-8 presently. The plane was produced between 1958 and 1972 and was a favorite among several veteran airlines.

Today, Skybus holds three units of the type. OB-2059-P, the aircraft involved in the flap incident, first joined Skybus in April 2013. However, its history traces back to July 1968, when it was introduced with Flying Tiger Line. Altogether, according to Planespotters.net, the plane was first produced 52.8 years ago at Long Beach, California. Cargolux, Air India, Evergreen International Airlines, TNT, UPS, DHL, and Peruvian Airlines are some of the other operators that have held the unit.

One Dose of COVID-19 Vaccine: Here's How Much Protection You Get
  • Millions of people worldwide have had one shot of two-dose COVID-19 vaccines.
  • Pfizer and Moderna vaccines are likely 80% effective against symptomatic COVID-19 after one dose.
  • A single AstraZeneca shot is probably at least 70% effective at preventing symptomatic COVID-19. //

Stephen Evans, a professor of medical statistics at the London School of Hygiene & Tropical Medicine and a former drug-safety committee member at the European Medicines Agency, helped Insider break down the data. //

Percentage efficacy for vaccines refers to the proportion of people that get full protection after a vaccine. With 80% efficacy, 80% of people have full protection, and 20% don't.

For those who get full protection the first time around, the second shot improves the quality of the immune response and its durability.

For the people who don't get full protection with the first shot, some will get full protection after the second dose. Some people won't ever get full protection from a vaccine because their immune system doesn't respond at all. //

A UK study found Pfizer or AstraZeneca's vaccine cut COVID-19 infections with symptoms by 72% after one dose, and protection probably held up for 10 weeks. Protection from Pfizer's vaccine rose to 90% after two doses. The study hasn't been peer-reviewed.
A US study of essential workers found that a single dose of Pfizer of Moderna's COVID-19 vaccines were 80% effective against all coronavirus infections from 14 days.
A Scottish study found that a single dose of Pfizer's vaccine was 91% effective against hospitalization at 28 to 34 days following vaccination. One dose of AstraZeneca's vaccine was 88% effective against hospital admissions after the same time period.
A UK study found that a single dose of either Pfizer or AstraZeneca's vaccine cut spread of symptomatic COVID-19 within a household by up to 50%.
A South Korean study found one dose of Pfizer's vaccine was 89.7% effective at preventing COVID-19 in South Koreans aged over 60, at least two weeks after vaccination. AstraZeneca's vaccine was 86% effective at preventing COVID-19 after one dose. The severity of illness that the shots protected against was unclear — generally they're more effective at preventing COVID-19 infections that caused hospitalization or death.
An English study found that a single dose of either Pfizer or AstraZeneca's vaccine was about 80% effective at preventing hospitalization in people over 70-years-old. Protection lasted for at least 6 weeks, including against the Alpha variant first identified in the UK.

Fire Engines Keep Crashing Into This Detroit Gas Station

A Lincoln Navigator crashed into a fire engine on Detroit’s east side on Wednesday, causing the engine to plow into a gas station in spectacular fashion. That’s crazy enough, until you learn that this is the second time that a fire engine has crashed into this particular gas station in the last two years. Even better is how the local news covered it.

The Strange Sinovac Vaccine Phenomenon: Countries Report Increased Cases After Using Vaccine

However, the number of confirmed cases in Chile, Turkey, and Pakistan, which chose to receive the Chinese Sinovac vaccine, has increased.

Chile administered nearly 9 million doses of the Sinovac vaccines in February, with an average of 47 doses per 100 people, making it the country with the highest vaccination rate in South America. However, the number of positive test results recorded in Chile rose instead of fell, and a new high of 7,626 cases was recorded in a single day on March 26, leading to a tight supply of hospital beds and a recent lockdown of the capital city of Santiago.

Turkey started to administer Sinovac vaccines in mid-January and at least eight million people have been injected with the vaccine, accounting for more than 10 percent of the population. But their case numbers also rebounded in late February, with 37,303 new cases recorded on March 30, the highest single-day figure since the outbreak on March 11 last year. President Recep Tayyip Erdogan announced on April 2 that there would be a curfew during the weekends throughout the month of Ramadan.

In addition, Pakistan, which has been using the Chinese vaccine since early February, is now experiencing a third wave of the pandemic, with the national positivity ratio rising to 11 percent, the highest level since the outbreak. More than 20 cities have been “closed” due to the severity of the outbreak. //

Pakistani President Arif Alvi wrote on March 29 that he tested positive after receiving the first dose of a vaccine produced by the Chinese National Pharmaceutical Group Corp on March 15. Prior to that, Pakistani Prime Minister Imran Khan also tested positive for the virus on March 18, two days after receiving his first dose of the vaccine manufactured by the same Chinese company. //

Earlier, former head of the National Institute of Health of Peru, Ernesto Bustamante, said in a local TV program that Sinopharm’s Wuhan strain vaccine had only 33 percent effectiveness, while the Beijing strain vaccine had 11.5 percent. Sinovac was also reported to be only 50.4 percent effective according to Brazil’s data. The frequent outbreaks of defective vaccines and fake vaccines in China over the years are even more common and shocking.