There is increasing evidence that vaccinated individuals continue to have a relevant role in transmission. In Massachusetts, USA, a total of 469 new COVID-19 cases were detected during various events in July, 2021, and 346 (74%) of these cases were in people who were fully or partly vaccinated, 274 (79%) of whom were symptomatic. Cycle threshold values were similarly low between people who were fully vaccinated (median 22·8) and people who were unvaccinated, not fully vaccinated, or whose vaccination status was unknown (median 21·5), indicating a high viral load even among people who were fully vaccinated.[2]
In the USA, a total of 10 262 COVID-19 cases were reported in vaccinated people by April 30, 2021, of whom 2725 (26·6%) were asymptomatic, 995 (9·7%) were hospitalised, and 160 (1·6%) died.[3]
In Germany, 55·4% of symptomatic COVID-19 cases in patients aged 60 years or older were in fully vaccinated individuals,[4] and this proportion is increasing each week. In Münster, Germany, new cases of COVID-19 occurred in at least 85 (22%) of 380 people who were fully vaccinated or who had recovered from COVID-19 and who attended a nightclub.[5] People who are vaccinated have a lower risk of severe disease but are still a relevant part of the pandemic.
It is therefore wrong and dangerous to speak of a pandemic of the unvaccinated. Historically, both the USA and Germany have engendered negative experiences by stigmatising parts of the population for their skin colour or religion. I call on high-level officials and scientists to stop the inappropriate stigmatisation of unvaccinated people, who include our patients, colleagues, and other fellow citizens, and to put extra effort into bringing society together.
2. Brown CM Vostok J Johnson H et al.
Outbreak of SARS-CoV-2 infections, including COVID-19 vaccine breakthrough infections, associated with large public gatherings—Barnstable County, Massachusetts, July 2021.
MMWR Morb Mortal Wkly Rep. 2021; 70: 1059-1062
3. US Centers for Disease Control and Prevention COVID-19 Vaccine Breakthrough Case Investigations Team
COVID-19 vaccine breakthrough infections reported to CDC—United States, January 1–April 30, 2021.
MMWR Morb Mortal Wkly Rep. 2021; 70: 792-793
4. Robert Koch Institut
Wöchentlicher Lagebericht des RKI zur Coronavirus-Krankheit-2019 (COVID-19)—14·10·2021—aktualisierter Stand für Deutschland.
https://www.rki.de/DE/Content/InfAZ...bericht_2021-10-14.pdf?__blob=publicationFile
Date: Oct 14, 2021
Date accessed: October 18, 2021
5. Von Dolle F
Münster: Inzwischen 85 Infizierte nach 2G-Party im Club.
https://www1.wdr.de/nachrichten/westfalen-lippe/corona-infektionen-clubbesuch-muenster-100.html
Date: Sept 20, 2021
Date accessed: September 23, 2021