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What does this mean?
Our vaccine rates are exponentially growing.
I’m not arguing that there is a supply issue, but logically if we have an exponential expansion in 1st dose and an additional requirement to vaccinate the second dose, how does our ramp up manage and at which point is there a slow down in first dose.
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how does our ramp up manage and at which point is there a slow down in first dose.
I'd argue there is already a slow down in first dose. If we had continued at the previous 1st dose roll out we would have started to vaccinate over 45s a couple of weeks and over 40s about now. We got stuck at 50 for a while.
What does this mean? The number of vaccines available - by all reports - will continue to increase over the coming months (and years). Additionally, what does "effectively" mean?
The reality, I suppose, is no one knows where we are. You have insights I don't so I'm certainly not going to dismiss your experiences or knowledge. However, there are other people with other specialities saying very different. Tim Spector reported last week that we're likely approaching herd immunity. https://www.youtube.com/watch?v=pD7V26exJuE
I'm sure you know this, but no one has claimed this isn't the case. The question is who gets those infections, how widely they are able to spread, and what sort of strain they do (or don't) put on to the NHS. The evidence shows that, as things have opened up, cases have plateaued and/or gone up in some groups (younger people), but continued to drop in at risk groups. The likely (and reportedly statistically significant) cause of this is the vaccine. Hopefully this trend continues as the easing of restrictions continues.