it s the most dominant variant in our country. you do get breakthrough infections of vaccinated people where in general they are mild infections. but the breakthrough rate will be higher than with delta. dr. anthony fauci warning americans to expect more of those breakthrough infections, but his biggest concern? the millions of americans who choose to still be unvaccinated. and i want you to look at this image right now. see that? that is not from the worst of the pandemic last year. that right there is from today. long testing lines in miami, miami, florida, the state which has a governor who has been fighting against the vaccine and mask mandates. back with us now to discuss, dr. vin gupta. he s a critical care pulmonologist and he s also at the institute for health merics and evaluation.
as we call them, are going to be very, very mild but the breakthrough rate will be higher than with delta. if you are a family sitting around the table planning your holiday trip and you are watching this right now, what should you be re-thinking what would you advise people not even in an official capacity but simply just good old common sense. again, vaccination is going to make the difference, lester if i m - if i m a family member, i m vaccinated, i m boosted, my wife is vaccinated, she s boosted, my children are coming in by plane from all different parts of the country, they are vaccinated and boosted, so we can feel very comfortable in having our plans to be together as a family in our home with some friends who are also boostered and vaccinated and i feel we can be we can feel safe nothing is 100% risk-free. and if you were someone who has not received a single vaccination shot, what is a potential
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we will have the supply, because we ve been planning for this. so a new study shows pfizer s efficacy drops to 42% across the united states at the end of july. interestingly, moderna s was very different. it was nearly double that at 76%. but pfizer at 42%. do you do you think that s valid or are you seeing things that contradict that? yeah, it s a good question, erin. i know the study you re talking about. i think in this environment, we have to be cautious about interpreting a single study as being indicative of what may be happening across the board. there are data sets that we have seen which show that the efficacy and breakthrough rate is quite low. others like the mayo clinic, which may be a bit different. but we have to look at the totality of the evidence and decide when to act. here s a key thing, you saw this in the mayo study. hospitalizations and deaths, those are still very, very low in people who are vaccinated.
he says there s a 13% test-positivity rate. that s high. and he said, 90% of hospitalizations are unvaccinated people. but that means 10% of covid hospitalizations are among the vaccinated. he thinks that comorbidities are a factor, here. but that s got to worry you, no? sure, absolutely. you know, the breakthrough rate for most vaccinations, when you have the flu every year, it s not uncommon for people to to come into the hospital after vax after they have been vaccinated. a lot of it has to do with age and comorbidities. but that number of of admissions, you know, 80 to 90% of unvaccinated patients. that s really astounding. there s not much in medicine that s 80 and 90% and that s telling us something. this fourth wave has told us what we need to know about the pandemic. um, the first couple of waves, maybe, we could get away with not paying attention to this. this is a serious statistic. anything above 80% is is very telling.