An article in the New York Times considers why the Covid Delta variant is hospitalizing more young people than the beginning-of-the-alphabet variants did. The answers are still a bit iffy, since the numbers involved haven’t had the time or money to hold a convention yet, but the phrase front-line doctors are whispering to each other, at least in the US, is younger, sicker, quicker: The patients are younger and sicker and they’re deteriorating faster. Or quicker. Or more quickly. Or possibly in a greater hurry.
The article’s talking about patients in their twenties and thirties. And these aren’t people with risk factors like diabetes or obesity. What they are is unvaccinated.
Some doctors think the Delta variant is what’s making the difference. It’s suspected of causing more severe disease, although that’s still educated guesswork. See above about the numbers. It may also be hitting an age group that was thought to have a Get out of Covid Free card. But as the Times puts it, “There is no definitive data showing that the new variant is somehow worse for young adults.”
I don’t often get to correct the Times, but technically that should be “definitive data…are.” It sounds awful, but it’s right.
So we don’t have solid data. It could be that the high percentage of younger patients is a result of older people being vaccinated in higher numbers than younger people. Take, say, 90% of old people out of your hospital emergency rooms and your patients’ average age falls dramatically.
It’s also possible that the numbers are a result of people mixing more just when a more contagious variant is circulating, a significant pool of people remain unvaccinated, and many people aren’t wearing masks.
According to an internal Centers for Disease Control document that somehow wandered into the Times newsroom with a sign saying, “Read me,” the Delta variant is as contagious as chicken pox and “may cause more severe disease than Alpha or ancestral strains.” If that turns out to be true, it would account for those hospitalized patients who are sicker and deteriorating more quickly.
According to Dr. Catherine O’Neal, of Our Lady of the Lake Regional Medical Center in Baton Rouge, “Something about this virus is different in this age group. We always saw some people who we just said, ‘Why the heck did this get them?’ But that was rare. Now we’re seeing it more commonly.
“I think it is a new Covid.”
Dr. Cam Patterson, chancellor of the University of Arkansas for Medical Sciences, said, “Our sense is that younger, healthier people are more susceptible to the Delta variant than those that were circulating earlier. . . .
“The transition we saw toward younger patients and toward people getting sick more quickly coincided almost precisely with the emergence of Delta here in Arkansas. This to us feels like an entirely different disease.”
Meanwhile back in Downing Street
Boris Johnson, Britain’s alleged prime minister, was exposed to Covid last week. Or else he wasn’t exposed. Either way, he’s not going to go into isolation because, basically, he doesn’t want to. He went into isolation before (under protest) and he’s bored with it.
Besides, what’s the point of being the prime minister if you have to follow the same rules as everyone else?
The exposure happened when one of his aides tested positive on a political visit to Scotland. The aide dutifully went into isolation. A Downing Street spokesperson informed us, with a straight face, that he and Johnson weren’t in close contact. Yes, they were in a plane together, but Johnson didn’t inhale. And neither did anyone else on the plane.
The rules on isolation are set to change on August 16. After that, vaccinated people will be exempt. Before Johnson was exposed himself, he’d resisted calls to move the date forward, saying it was important that everyone follow the rules.
Unless they happen to be him.
Of the 100 Covid vaccines now in development, 7 of them are nasal sprays, and nasal sprays have advantages and disadvantages.
On the plus side, they act more quickly and if you’re twitchy about needles they won’t make you twitch. Since Covid tends to enter the body through the nose, nasal sprays deliver the vaccine to the site of the infection. They act faster than injected vaccines. And “ they can elicit mucosal immunity in the lungs.”
You might want to notice that, for fear of screwing it up, I’m not rewording that. I think I understand it but I don’t want to find out I’m wrong. You’re on your own.
On the down side, the immunity created by nasal spray vaccines doesn’t last as long. And they use live viruses that have had the hell kicked out of them so that they won’t make most people sick, but with a very, very few they will.
Using both forms of vaccine isn’t out of the question–one for its fast action, the other for its long life.
One trial gave infected animals the AstraZeneca vaccine as a nasal spray, and it decreased their viral load, which doesn’t prove–but does suggest–that it decreases the amount of virus they shed.
To translate that, they might be less likely to infect anyone else.
Let’s end on a hopeful note. Scientists are working on a vaccine that targets a huge category of coronaviruses known for jumping from animals to humans. They’re called sarbecoviruses, and Covid’s one of them. The idea is that this would work not just against whatever variant Covid can cook up but against whatever coronavirus the world might throw at us next.
So far, the vaccine’s been effective in mice. The hope is that after more animal testing it’ll be tried in humans next year.