Quote (thesnipa @ 6 Aug 2021 17:26)
so to get this straight, the vaccine literally sold as 90+% effective was also sold as 100% effective. OK
You still dont seem to get the distinction between efficacy against infection and efficacy against transmission. No expert ever expected either of these numbers to be 100%, but the expectation was that efficacy against transmission would be significantly higher than
0%.
Something like the following was what experts were hoping for:
"Vaccine reduces risk of infection by a factor of 6 (~85% efficacy against infection), and by a factor of 5-10 against transmission in case of a breakthrough infection"
In that case, a fully vaccinated person would have had a 30 to 60 times lower risk of becoming a link in an infection chain than an unvaccinated person. For practical purposes, the fully vaccinated would play no significant role in the spread of the disease.
What we got instead, as per the CDC, is the following:
"Vaccine reduces risk of infection by a factor as small as 3, and not at all against transmission by breakthrough cases."
In this case, the risk of a fully vaccinated person to continue an infection chain is roughly one third of that of an unvaccinted. So while infections will still be driven more by the unvaccinated, the contribution of the fully vaccinated to the infection dynamics is significant and can no longer be ignored.
As long as the vaccines hold up in terms of preventing hospitalization and death, this is no drama - but if true, this would put the goal of stopping the spread out of reach.