sayyestonepotism wrote:
How do you know this? The benefit can be measured but the risk cant. There are no Longterm studies so how do you know what the risk in 10 years will be? So you are just lying
What a response.
The term "lying" implies I somehow know the truth and am withholding it from you. Of course no one can know the long term effects of something that has only existed for the last year. In the same vein, do we know the long term effects of CoVID (to some degree, we do)? That is important when we are comparing competing risks.
Despite not being able to look ten years into the future, we can make a pretty informed decision. I'll use my province as an example:
Right now we have 26 people in the out of 1725 "active" CoVID cases (implying a 1.5% risk of winding up in ICU with CoVID). Detected cases have been estimated around 30% during "waves" (
https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-020-05737-6) , so our total case numbers are likely more like 5750. Given the above, I think it's reasonable to estimate a 0.5% risk of landing in the ICU if you contract CoVID.
Now, that risk will vary depending on whether you are younger, healthier, etc. But it is important to note that we (Canada) do not admit frail individuals "on death's door" to the ICU. The people admitted to ICU are reasonable functional with reasonable life expectancy.
Given the overall case numbers and our total population, this means that folks have about a 0.07% absolute risk of landing in the ICU over the past two years. Pretty low, for sure. Right now, only one of the 26 cases in our ICU is fully vaccinated. We have an active ICU rate of 8.7/100K for unvaccinated and 0.1/100K for fully vaccinated. That's an 87 x relative risk reduction with vaccination. This would imply vaccines offer around a 0.069% absolute risk reduction from a very bad CoVID outcome (ICU admission). Now, the real risk reduction is probably a bit lower since vaccinated individuals are probably doing other things which reduce risk of contracting CoVID.
If we take the Pfizer vaccine, we know the risk of adverse effects (in the relative short-term post vaccine) are fairly low. There is around a 0.005% risk of anaphylaxis. Recent surveillance data (
https://jamanetwork.com/journals/jama/fullarticle/2784015) really only shows a signal for myocarditis in the younger male category at a rate of around 0.004%. No other reported serious adverse outcome was identified at a higher rate for the Pfizer vaccine. This puts our risk of a serous adverse outcome at 0.009%.
So, to summarize, in my province we have a benefit of 0.069% while getting the vaccination, and a risk of 0.007%. Now, we KNOW being in the ICU has terrible sequelae longterm. Myocarditis and anaphylaxis may have bad sequelae. We have no reason to expect folks who get the vaccine without having an obvious adverse reactions will have bad sequelae (given we have no examples of established vaccines leading to new problems ten years down the line).
Those above numbers are astronomically small (on both sides), so it makes no sense to me why people get so enraged/upset about the topic. When we apply those numbers to a huge population they start to matter. But for you? For me? We take similar risks all the time. Not getting vaccinated is mathematically the worse decision (even if the numbers are small) and it makes your life way more difficult. Why not just go ahead and do it?