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Waning immunity and Covid-19 vaccines: How worried should we be?

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RESEARCH has found a significant fall in levels of antibodies against SARS-CoV-2, the virus that causes Covid-19, 6 months after the second dose of the Pfizer-BioNTech vaccine.

Clinical evidence also suggests that the risk of getting a “breakthrough” infection gradually increases in the months after vaccination.

Despite declines in antibody levels, other branches of the adaptive immune system appear to provide strong protection against severe infection and death.

However, booster shots could protect the most vulnerable individuals, reduce transmission, and help suppress the emergence of new strains.

In the United States, the Food and Drug Administration (FDA)Trusted Source has approved third doses, or “boosters,” of the Pfizer-BioNTech Covid-19 vaccine for people over the age of 65 years.

It also approved boosters for people with health conditions that put them at risk of severe Covid-19 and for people whose jobs expose them to a high risk of infection, including healthcare workers and teachers.

The agency had already givenTrusted Source the green light to boosters for individuals with severely weakened immune systems, such as organ transplant patients.

But is there any evidence to justify a more widespread rollout of booster shots in the general population?

A recent study found that serum levels of antibodies against the spike protein of the virus, which it uses to gain entry to cells, start to wane around 12 weeks after the second dose of the Pfizer vaccine.

The researchers discovered that by 6 months after the second dose, median levels of these antibodies had fallen to around 7% of their peak level, with a range of 2–25%. The researchers say that this decline is expected.

Other workTrusted Source has shown that after having an mRNA-based vaccine against SARS-CoV-2, antibodies may not be circulating, but they are at peak activity within the lymph nodes by 12 weeks.

Stay informed with live updates on the current Covid-19 outbreak and visit our coronavirus hub for more advice on prevention and treatment.

At first glance, this appears to represent a worrying loss of immunity, but antibodies are only one branch of the body’s adaptive immune system.

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