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Hannah E. Davis et al.
Summary: Long COVID is a common and debilitating illness that affects at least 10% of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections, with a wide range of symptoms and impacts on multiple organ systems. There are an estimated 65 million individuals worldwide with long COVID, and the number of cases is increasing daily. Current diagnostic and treatment options are insufficient, and there is a need for clinical trials to address leading hypotheses. Future research should account for biases and testing issues, build on viral-onset research, include marginalized populations, and meaningfully engage patients.
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Lamprini Veneti et al.
Summary: A study found that the Omicron variant of COVID-19 has a 73% reduced risk of hospitalization compared to the Delta variant. Omicron cases who had received two doses of the vaccine 7-179 days before diagnosis had a lower risk compared to Delta (66% vs 93%), while those who received three doses had a similar risk reduction (86% vs 88%).
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Kevin B. Spicer et al.
Summary: This study shows that natural infection provides substantial and persistent immunologic protection for several months for most individuals, although certain subpopulations may be at higher risk of reinfection. These subgroups include individuals aged >60 years, residents and staff of long-term care facilities, and those who have mild or asymptomatic illness with initial infection.
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Summary: The Omicron variant of SARS-CoV-2 has a higher affinity for ACE2 and can evade neutralizing antibodies more effectively compared to the Delta variant. A third dose of mRNA vaccine can provide enhanced protection. Omicron has lower replication in lung and gut cells and less efficiently cleaves its spike protein compared to Delta.
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Prerna Arora et al.
Summary: The Omicron sublineages show comparable cell entry and fusion efficiency and are dependent on ACE2. BA.2 exhibits lower neutralization efficiency by most antibodies used for COVID-19 therapy, while Cilgavimab can effectively neutralize BA.2 and BA.3, potentially serving as a treatment option. Furthermore, all sublineages are similarly neutralized by antibodies induced by the BNT162b2 vaccine.
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Peter Bager et al.
Summary: This study aimed to estimate the risk of hospitalization after infection with the SARS-CoV-2 omicron variant compared with the delta variant in Denmark. The results showed that vaccination was associated with a lower risk of hospitalization, and Omicron infection was associated with a lower risk of hospitalization compared to Delta infection.
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Juliet R. C. Pulliam et al.
Summary: This study provides two methods for monitoring reinfection trends in routine surveillance data. The results suggest immune evasion by the Omicron variant in previously infected individuals in South Africa, and there has been an increase in the risk of having a third infection since mid-November 2021.
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Marit J. van Gils et al.
Summary: This study compares the neutralization ability of different vaccines against various SARS-CoV-2 variants and finds that mRNA vaccines are superior to adenovirus vector-based vaccines in inducing neutralizing antibodies, both after initial vaccination and booster vaccination.
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Summary: The Omicron BA.1 breakthrough infection in BNT162b2-vaccinated individuals showed strong neutralizing activity against Omicron BA.1, BA.2, and previous SARS-CoV-2 variants. The memory B cells induced by the breakthrough infection targeted epitopes shared broadly among variants. The vaccination-imprinted memory B cell pool was capable of remodeling in response to heterologous SARS-CoV-2 spike glycoprotein exposure. However, variants that acquire alterations at conserved sites may have increased susceptibility to immune escape.
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Qian Wang et al.
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Nicole P. Hachmann et al.
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Sherrie L. Kelly et al.
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Summary: As of January 31, 2022, SARS-CoV-2 reinfections were uncommon until the end of 2021 but became common with the advent of the Omicron variant. Most reinfections were mild. Boosters may modestly reduce reinfection risk.
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Heba N. Altarawneh et al.
Summary: Prevention of Omicron can be achieved to some extent by previous SARS-CoV-2 infection, with an effectiveness of 35% for preventing reinfection with BA.4 and BA.5 subvariants and 76% for previous omicron infection.
NEW ENGLAND JOURNAL OF MEDICINE
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Daniela Michlmayr et al.
Summary: Based on Danish register data, this study finds that SARS-CoV-2 infection offers a high level of sustained protection against reinfection, comparable to that offered by vaccines, but the protection decreases with the introduction of new virus variants. The level of protection is lower among the elderly and more pronounced following symptomatic infections compared to asymptomatic infections.
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Pablo Garcia-Valtanen et al.
Summary: This study evaluated the immune response of COVID-19 convalescents to five variants of concern and found that increased antigen variability in these variants impairs humoral and spike-specific T cell immunity. This indicates that COVID-19 convalescents are vulnerable to infection with variants, highlighting the importance of vaccination programs.
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Summary: This study simulated coronaviral reinfection using rat experiments and used the data to predict the endemic state of the SARS-CoV-2 pandemic. The results showed that natural infection alone could achieve endemic stability, but it took longer to reach endemic stability after vaccination and the risk of reinfection was lower. Additionally, the introduction of new variants altered transmission states, but vaccination combined with natural immunity reduced the prevalence of infection and provided greater resilience against transmissible variants.
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Summary: The SARS-CoV-2 Omicron variant is less pathogenic in Syrian golden hamsters compared to previous SARS-CoV-2 variants.
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Daniel R. Feikin et al.
Summary: This study systematically reviewed the duration of protection provided by COVID-19 vaccines against various clinical outcomes. The findings indicate that the effectiveness or efficacy of the vaccines decreased from 1 to 6 months after full vaccination, but remained high against severe disease. Evaluating the effectiveness or efficacy of vaccines beyond 6 months is crucial for updating vaccine policies.
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Hiam Chemaitelly et al.
Summary: In a study conducted in Qatar involving over 900,000 participants, vaccine effectiveness peaked at 77.5% in the first month after the second dose. However, it declined afterwards to as low as 20% in months 5 through 7 after vaccination, while protection against severe Covid-19 remained above 90% for at least 6 months.
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Galit Alter et al.
Summary: The Ad26.COV2.S vaccine has shown clinical efficacy against symptomatic COVID-19, including the B.1.351 variant, but there is uncertainty regarding its immunogenicity against SARS-CoV-2 variants. The study found that neutralizing antibody responses were reduced against the B.1.351 and P.1 variants, while non-neutralizing antibody responses and T cell responses were largely preserved against SARS-CoV-2 variants.
Review
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Petra Zimmermann et al.
Summary: Distinguishing long-term SARS-CoV-2 infection-associated symptoms from pandemic-associated symptoms presents challenges in research findings.
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Edward S. Knock et al.
Summary: The study found that national lockdown was a key measure in reducing the transmission rate of SARS-CoV-2. The infection fatality ratio decreased, but was significantly higher in elderly residents in care homes. England is still far from herd immunity, emphasizing the need for high coverage and protection in vaccination campaigns to prevent a resurgence of transmission.
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Harry Crook et al.
Summary: The long-term effects of covid-19 can affect multiple systems in the body, leading to persistent symptoms that impact patients of varying severity. These symptoms include fatigue, dyspnea, and cognitive impairment, among others. Studies discuss risk factors for acute and long covid, as well as potential therapeutic options.
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Roy M. Anderson et al.
Summary: Despite significant progress in understanding SARS-CoV-2 over the past 18 months, uncertainties remain in areas such as factors predisposing to asymptomatic infection and the duration of immunity post infection and vaccination. The emergence of viral variants globally and the challenges in achieving herd immunity are also key concerns.
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