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COVID-19: stigmatising the unvaccinated is not justified
In the USA and Germany, high-level officials have used the term pandemic of the unvaccinated, suggesting that people who have been vaccinated are not relevant in the epidemiology of COVID-19. Officials’ use of this phrase might have encouraged one scientist to claim that “the unvaccinated...
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COVID-19: stigmatising the unvaccinated is not justified
信函| 第 398 卷，第 10314 期, P1871,2021 年 11 月 20 日
COVID-19：对未接种疫苗的人进行污名化是没有道理的
发布时间：2021 年 11 月 20 日DOI：https : //doi.org/10.1016/S0140-6736(21)02243-1上一篇莫蒂默·米什金
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在美国和德国，高级官员使用了未接种疫苗的大流行一词，这表明已接种疫苗的人与 COVID-19 的流行病学无关。官员使用这句话可能会鼓励一位科学家声称“未接种疫苗的人威胁已接种 COVID-19 疫苗的人”。
1
但这种观点太简单了。
越来越多的证据表明，接种疫苗的个体在传播中继续发挥相关作用。在美国马萨诸塞州，在 2021 年 7 月的各种事件中共检测到 469 例新的 COVID-19 病例，其中 346 例（74％）是完全或部分接种疫苗的人，其中 274 例（79％）有症状。完全接种疫苗的人（中位数 22·8）与未接种疫苗、未完全接种疫苗或疫苗接种状态未知的人（中位数 21·5）之间的循环阈值同样低，这表明即使在接种疫苗的人群中病毒载量也很高已完全接种疫苗。
2
在美国，截至 2021 年 4 月 30 日，共报告了 10262 例 COVID-19 疫苗接种病例，其中 2725 例（26·6%）无症状，995 例（9·7%）住院，160 例（1 ·6%) 死亡。
3
在德国，60 岁或以上的患者中有 55·4% 的有症状的 COVID-19 病例是完全接种疫苗的个体，
4
而且这个比例每周都在增加。在德国明斯特，在 380 名完全接种疫苗或从 COVID-19 中康复并参加夜总会的人中，至少有 85 人（22%）发生了 COVID-19 新病例。
5
接种疫苗的人患严重疾病的风险较低，但仍是大流行的相关部分。因此，谈论未接种疫苗的流行病是错误和危险的。从历史上看，美国和德国都通过对部分人口的肤色或宗教进行污名化，从而产生负面体验。我呼吁高级官员和科学家停止对未接种疫苗的人（包括我们的患者、同事和其他同胞）的不当污名化，并为使社会团结起来付出额外的努力。
Published:November 20, 2021DOI:Redirecting
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In the USA and Germany, high-level officials have used the term pandemic of the unvaccinated, suggesting that people who have been vaccinated are not relevant in the epidemiology of COVID-19. Officials’ use of this phrase might have encouraged one scientist to claim that “the unvaccinated threaten the vaccinated for COVID-19”.
1
But this view is far too simple.
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.
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I declare no competing interests.
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