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Are people vaccinated against covid more protected from road accidents .... or not. COVID Vaccine Hesitancy and Risk of a Traffic Crash https://www.amjmed.com/article/S0002-9343(22)00822-1/fulltext Background Coronavirus disease (COVID) vaccine hesitancy, is a reflection of psychology that might also contribute to traffic safety. So People that take covid vaccines are the sort of people who have less traffic accidents People who do not take covid vaccines are the sort of people who have more traffic accidents Methods Population-based longitudinal cohort analysis of adults Determined COVID vaccination status from electronic medical records Traffic crashes requiring emergency medical care Subsequently identified accidents from all (178) hospitals One month follow-up Results, (2021) N = 11,270,763 Total traffic accidents, 6,682 Unvaccinated, 16% Vaccinated, 84% Unvaccinated individuals 1,682 traffic crashes (25%) Equal to a 72% increased relative Confidence interval, (95%) 63% to 82% (P less than 0.001) What about Socioeconomic status Alcohol Sleep apnea Diabetes Depression Dementia Hypertension Cancer Covid infection Equal to a 48% increase after adjustment Confidence interval, (95%) 40% to 57% (P less than 0.001) The increased risks extended across the spectrum of crash severity Results similar for Pfizer, Moderna, or other vaccines Conclusions These data suggest that COVID vaccine hesitancy is associated with significant increased risks of a traffic crash. An awareness of these risks might help to encourage more COVID vaccination. Factors Distrust of government Belief in freedom Misconceptions of everyday risks Faith in natural protection Antipathy toward regulation Chronic poverty Exposure to misinformation Political identity Negative past experiences Limited health literacy Social networks, misgivings around public health guidelines Primary care physicians who wish to help patients avoid becoming traffic statistics, could take the opportunity to stress standard safety reminders such as wearing a seatbelt, obeying speed limits, and never driving drunk Paramedics, should be aware that unvaccinated patients are overrepresented in the aftermath of a traffic crash. Driver insurance policies in the future Together, the findings suggest that unvaccinated adults need to be careful indoors with other people and outside with surrounding traffic. https://www.youtube.com/watch?v=_iryCrHaozU&t=174s But Unvaccinated in Canada could not use, planes, trains, buses https://www.forbes.com/sites/sandramacgregor/2021/08/18/canada-to-make-proof-of-vaccination-mandatory-for-air-and-train-travel/?sh=6569fb1fd465 Also https://covid19-sciencetable.ca/wp-content/uploads/2021/04/Science-Brief_Vaccines-in-Essential-Workers_20210423_published2.pdf Vaccinated more likely to work remotely in Ontario in 2021 ‘Essential workers’ had lower vaccination rates (several pile ups in ice and bad weather) Over 65s do not commute So Staying at home reduces the chances of being in an accident Invalid title Patient in emergency department as a driver, passenger, or pedestrian (codes V00-V69) Total = 6,682 Drivers, 2,856 Passengers, 1,189 Pedestrians, 2,637 (Table 3 of the study) (Therefore, unvaccinated pedestrians more likely to be in an accidents that vaccinated pedestrians) People were considered unvaccinated for the first 14 days after vaccination Given the study only lasted a month, this is half of the time. So how many casualties were misclassified? If 602 of the 6,682 were misclassified, Any difference between the two groups would vanish (Igor Chudov) https://igorchudov.substack.com/p/the-unvaccinated-had-more-car-crashes Deaths at Scene Excluded 42 deaths at scene 8 deaths were included (550 people were actually admitted to hospital) Therefore 84% of death outcomes ignored This also excluded all sudden deaths that resulted in an accident What about people not in the system Dr Clare Craig https://twitter.com/ClareCraigPath/status/1602650802186772481 Unvaccinated typically underestimated Therefore Rate of incidence of anything overestimated in the unvaccinated Rate of incidence of anything underestimated in the vaccinated E.g. Covid cases, hospitalisations, deaths, car accidents Or indeed, anything else Forest plot In all subgroups the risk is increased by the same amount (possible systematic bias) Source data not available to public The study dataset is held securely in coded form at the Institute for Clinical Evaluative Sciences (ICES).

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