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'Breakthrough' infections increasing in NC, but vaccinated people much less likely to be hospitalized, die

Nearly one-fifth of the coronavirus infections reported in North Carolina during the first half of August were in people already fully vaccinated, according to the state Department of Health and Human Services.

Posted Updated

By
Ali Ingersoll
, WRAL investigative data journalist, & Matthew Burns, WRAL.com senior producer/politics editor
RALEIGH, N.C. — Nearly one-fifth of the coronavirus infections reported in North Carolina during the first half of August were in people already fully vaccinated, according to the state Department of Health and Human Services.
A weekly report DHHS issued last Thursday states that 18 percent of virus cases reported in the weeks ending Aug. 7 and Aug. 14 were so-called "breakthrough" cases. The report doesn't include any raw numbers, other than to note 22,555 vaccinated North Carolinians have tested positive for coronavirus since Jan. 1.

A bar graph in the report clearly shows a dramatic jump in breakthrough infections since early July, but it's impossible to determine the magnitude of the increase without the underlying numbers.

But the 22,555 breakthrough cases this year represents only 4 percent of the state's total caseload since the beginning of January. DHHS spokeswoman Bailey Pennington also said in a recent email to WRAL News that only 12 percent of cases between May 6 – when half of adults statewide had at least one vaccine dose – and Aug. 13 were in people who were fully vaccinated.

"Although we continue to see stable and highly effective protection against hospitalizations and severe outcomes for people who are fully vaccinated, we are seeing a decrease in vaccine effectiveness against infection with the Delta variant," the DHHS report states.

"The vaccine isn’t a force field," agrees Dr. David Wohl, an infectious disease expert with UNC Health, adding that it does lessen the symptoms for anyone who does contract COVID-19.

"Vaccination protects people from getting infected in the first place," Wohl said Tuesday. "If they do get infected, it gets it out of their system faster than unvaccinated people, so therefore, they do not get as sick."

The DHHS report states that unvaccinated individuals were 3.5 times more likely to get COVID-19 and 4.6 times more likely to die of the illness as vaccinated individuals.

"The vaccinated people, they’re like A students at getting rid of the virus," Wohl said. "Their immune systems have been trained and primed to do it. They're armed and ready."

Between Jan. 1 and Aug. 14, 109 North Carolinians who were vaccinated died of COVID-19, which is just over 1 percent of all virus-related deaths in the state during that time. Focusing on the period of May 6 to Aug. 5, 11 percent of virus-related deaths were in vaccinated patients, Pennington said in her email.

Overall, North Carolina is averaging 37 deaths per day from the virus. Also, more than 3,300 people were hospitalized with COVID-19 statewide on Tuesday, the highest total in seven months.

As of Aug. 5, a total of 523 vaccinated people had been hospitalized with COVID-19, Pennington said in her email. No updated figures were available Tuesday.

Fifty-nine percent of people age 18 or older in North Carolina are fully vaccinated, while another 5 percent have had one dose of the vaccine, according to DHHS data.

Despite receiving the Pfizer vaccine in January, Lindsey Patterson is currently on her sixth day of battling the virus.

"It's been a really big wake up call for me," she said.

Patterson said she believes she was infected with the virus at a housewarming party she attended.

"When you're with your friends and you're like, 'Yeah, we've been safe,' you do loosen up with those types of boundaries," she said. "We still need to be careful, [and] we still need to be cognizant of our surroundings."

Without vaccines, Wohl said he feels the state would be in a worse position, but given the state’s low vaccination rate, he is calling the latest surge a crisis.
"I am really, unfortunately, pessimistic about the next couple of months, and I think we’re in for a lot of trouble, and I think we’re going to see a lot of people die," he said. "We’re in the place now – a place of surge, pain, chaos – because we have so many people who are unvaccinated. If we didn't have this many people unvaccinated, our ICUs wouldn't be filled."

In addition to getting vaccinated, he also is urging people to wear masks indoors again, not only to protect themselves but others as well, especially children under 12 who aren’t able to get vaccinated.

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