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If you would like John’s text books, (it is free to download the PDFs) Link to free download of my 2 textbooks http://159.69.48.3/ Real-time Assessment of Community Transmission findings, Round 17 REACT-1 study Funded by the Department of Health and Social Care in England 65% of the infected said they had already previously tested positive for Covid https://www.imperial.ac.uk/medicine/research-and-impact/groups/react-study/real-time-assessment-of-community-transmission-findings/ https://www.imperial.ac.uk/media/imperial-college/institute-of-global-health-innovation/R17_final.pdf https://www.imperial.ac.uk/news/233381/fall-coronavirus-infections-england-have-stalled/ Rapid transmission of the SARS-CoV-2 Omicron variant has led to the highest ever recorded case incidence levels in many countries around the world. RT-PCR test results, self-administered throat and nose swabs Randomly-selected participants in England, n = 100,607 Ages 5 years and over Data were collected between 5 and 20 January 2022 Temporal, socio-demographic and geographical spread of the virus Viral loads and viral genome sequence data for positive swabs. Results Swab positivity was 4.41% Three-fold higher than in December 2021 in England 1,406 sequenced positive swabs to 16 January 2022 1392 (99.0%) were Omicron Including 6 (0.43%) cases of BA.2 sub-lineage 14 (1.0%) were Delta Within round 17 Prevalence was decreasing overall, but increasing in children aged 5 to 17 years Swab-positivity prevalence 75 years and older, 2.43% 6+ household, OR 1.66 Urban vs rural areas OR 1.24 Most vs least deprived areas OR 1.33 In adults who received three vs two vaccine doses Higher Ct values (lower viral load) in rounds 15 and 16 but not in round 17 The distributions of Ct values were similar in unvaccinated and vaccinated children aged 17 years and below in round 15, round 16 and round 17. Prevalence in those shielding 3.43% In those not shielding to 4.61% Conclusions Unprecedented levels of infection with SARS-CoV-2 in England in January 2022 Almost complete replacement of Delta by Omicron Vaccination (including the booster campaign) remains the mainstay of the defence given the high levels of protection against hospitalisations. However, further measures beyond vaccination may be required if the very high rates of Omicron infection persist, Dr. Hans Kluge, WHO, Europe https://www.nytimes.com/live/2022/01/24/world/omicron-covid-vaccine-tests Between vaccination and natural immunity through infection, Omicron offers plausible hope for stabilization and normalization Dr. Tedros But it’s dangerous to assume that Omicron will be the last variant or that we are in the endgame. On the contrary, globally, the conditions are ideal for more variants to emerge. It’s true that we will be living with Covid for the foreseeable future a preventable and treatable disease

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