(CNN) – Data obtained by CNN from New York’s largest healthcare provider shows that if you are under the age of 60, you are very unlikely to become seriously ill with Covid-19 via your Covid-19 vaccines on the are current and not. They have no underlying health problems, which supports a government plan expected to be announced this week Relax corona restrictions.
If you’re young, healthy, and vaccinated, “you’re going to be in a pretty good place,” said Dr. William Schaffner, a vaccine advisor for the US Centers for Disease Control and Prevention. “You will be well protected.”
Northwell Health data shows that of the nearly 2,000 people hospitalized there for Covid-19 in May, June and July, about 80% were over the age of 60. Almost 90% had an underlying health condition such as high blood pressure or diabetes.
The vaccination status was also of crucial importance. The vast majority of hospitalized patients were not up to date on their Covid-19 vaccinations. Those who were up to date and still ended up in the hospital were mostly over 65.
This summer, the highly transmissible Omicron BA.5 variant has led to a spike in infections, but with Omicron causing milder diseases and much of the country being vaccinated, previously infected, or both, hospitalizations across the country are needed lower than at many earlier points in the pandemic.
dr Northwell Chief Medical Officer Jill Kalman noted that when Covid patients end up in hospital they are doing much better than they used to.
“The fatality rate is very low now: it’s around 2% and during delta it’s around 10-12%,” she said. “And when they get into ICU, they don’t stay that long. In the first wave we treated patients 15, 20, 30 days in ICU and now it’s just a fraction of that.”
CNN shared the data with CDC Director Dr. Rochelle Walensky, who said they agreed with her recent statements that “we’re in a much better place than we were.”
She added that national data from April through June showed hospital admissions were about four times higher among people over 50 compared to younger adults.
CDC to tailor messages to specific groups
Based on CDC documents obtained from CNN, the agency is expected to announce this week that it will scrap the 6-foot social distancing guideline for the general population and end existing quarantine measures for those who have been exposed to the virus. People who have tested positive for Covid-19 should isolate themselves for at least five more days and then continue to take precautions, including wearing a well-fitting mask for a further five days.
For other measures, the CDC is expected to tailor guidelines to high-risk groups more than earlier in the pandemic.
For example, the new guidelines are expected to suggest that older people, those with compromised immune systems and others may high risk People severely ill with Covid-19 should wear masks indoors in about 80% of US counties, while the General Population Agency currently recommends mask wearing indoors for only about half of US counties.
Advice on Covid-19 screening tests also varies by group. The CDC document, obtained by CNN, indicates that the agency will not recommend it for most facilities, but will advise that it can be used in high-risk facilities, such as hospitals. B. nursing homes, could be helpful.
Schaffner, a member of the CDC’s Advisory Committee on Immunization Practices, says that at this point in the pandemic it makes sense to tailor the messages more.
“When a patient or anyone in the community asks me for advice on Covid, the first thing I always say is, ‘Who are you? What is your vaccination history? How old are you? What are your underlying comorbidities? Are you caring for someone from a high-risk group?’” he said.
Age and vaccination status predict your chance of being hospitalized with Covid-19
The Northwell data looks at 1,961 patients at its 21 hospitals from May 1 to July 31. The data includes people who were admitted because they had Covid and excludes patients who were admitted for other reasons and then tested positive for the virus.
Of these hospitalized patients, 66% were in their 70s, 15% in their 60s, and 8% in their 50s.
Across all age groups, 89% of patients had an underlying health condition such as high blood pressure, diabetes, or coronary artery disease.
Of all patients hospitalized for Covid, 47% had not received a single Covid vaccination, 21% had received only one or two vaccinations and 32% were fully vaccinated and boosted. In this last group, 78% were 65 years or older.
Schaffner noted that for the group who ended up in hospital with Covid-19, even though they were up to date on their vaccines, it would be important to know how much time had elapsed since their last booster shot because the effectiveness of the mRNA Vaccines wear off time.
“This data shows that older people with underlying comorbidities need to be very vigilant about their vaccination status and should keep their masks on when going indoors or participating in group activities,” he said.
people aged 5 to 50 up to date if they have had two doses of Pfizer or Moderna vaccine plus one booster dose. For people over 50, up-to-date means two shots and two boosters.
Although young, healthy, vaccinated and up-to-date people are generally spared hospitalization, some end up in hospital and others become so ill that they are unable to work or attend school for long periods of time.
CDC has “challenging” data issues
The Northwell data is in some ways more useful than the CDC’s national data because it can link hospitalized patients to their vaccination status.
“Northwell’s statistics can give us a more accurate view of data, some of which we can’t necessarily cross with the national data that we have access to at CDC,” Walensky told CNN.
Walensky has called for improvements in the data states send to the CDC.
“We really needed to bring our data into the 21st century and get to a place where our systems would talk to each other,” she said. “These data issues are really challenging.”
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