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  • Real-world COVID-19 vaccine...
    Lau, Jonathan J; Cheng, Samuel M S; Leung, Kathy; Lee, Cheuk Kwong; Hachim, Asmaa; Tsang, Leo C H; Yam, Kenny W H; Chaothai, Sara; Kwan, Kelvin K H; Chai, Zacary Y H; Lo, Tiffany H K; Mori, Masashi; Wu, Chao; Valkenburg, Sophie A; Amarasinghe, Gaya K; Lau, Eric H Y; Hui, David S C; Leung, Gabriel M; Peiris, Malik; Wu, Joseph T

    Nature medicine, 02/2023, Letnik: 29, Številka: 2
    Journal Article

    The SARS-CoV-2 Omicron variant has demonstrated enhanced transmissibility and escape of vaccine-derived immunity. Although first-generation vaccines remain effective against severe disease and death, robust evidence on vaccine effectiveness (VE) against all Omicron infections, irrespective of symptoms, remains sparse. We used a community-wide serosurvey with 5,310 subjects to estimate how vaccination histories modulated risk of infection in infection-naive Hong Kong during a large wave of Omicron BA.2 epidemic in January-July 2022. We estimated that Omicron infected 45% (41-48%) of the local population. Three and four doses of BNT162b2 or CoronaVac were effective against Omicron infection 7 days after vaccination (VE of 48% (95% credible interval 34-64%) and 69% (46-98%) for three and four doses of BNT162b2, respectively; VE of 30% (1-66%) and 56% (6-97%) for three and four doses of CoronaVac, respectively). At 100 days after immunization, VE waned to 26% (7-41%) and 35% (10-71%) for three and four doses of BNT162b2, and to 6% (0-29%) and 11% (0-54%) for three and four doses of CoronaVac. The rapid waning of VE against infection conferred by first-generation vaccines and an increasingly complex viral evolutionary landscape highlight the necessity for rapidly deploying updated vaccines followed by vigilant monitoring of VE.