“The international literature confirms with growing evidence that natural immunity” developed by those recovered from Covid-19 “is better and longer lasting than vaccine-induced immunity.” So “solid” that it “protected from the severe effects of Omicron variant infection even better than vaccines did.” On this basis, then, “perhaps the time has come to correct some distortions that cause damage to patients and doctors”. The invitation to “re-appropriate clinical-scientific reasoning, instead of going ahead with edicts and abuses”, comes with strong words from Nino Mazzone, one of the Italian doctors infected during the second wave of Covid.
“The experience gained by assisting in the department that I manage over 7 thousand Covid patients, and having published over 20 papers in peer reviewed journals – declares to Adnkronos Health the expert, head of the Department of Medical Area, Chronicity and Continuity of care of the ‘Asst Ovest Milanese – makes me argue that good medicine should correct errors and take a new position on the many millions of Italians “who, strengthened by the’ immune shield ‘gained by overcoming the Sars-CoV-2 infection,” deserve a differentiated treatment compared to the others. Both on vaccination indications and on the Green pass “.
In November 2020 Mazzone was hospitalized for Covid in his own ward at the Legnano hospital. And since then – although regularly immunized as required by the law on compulsory vaccination for health professionals, pro-vax and pro-pass without ambiguity – the specialist has been fighting “a battle that dates back” precisely “to the pre-vaccination period: already in December 2020 I had highlighted the opportunity to wait to vaccinate those recovered from Covid-19, this being a new infection whose immune mechanisms had to be fully understood “. Several times he said he was “unheard and laughed at”. And now, faced with certain “distortions”, he confesses to be “thrilled”.
Mazzone summarizes her anger in “two episodes. The first: a 22-year-old girl suffering from Covid in 2020 has both the first vaccination and the second – he says – They call her for the third dose, she performs a serological test that highlights anti Sars-CoV-2 higher than 48 thousand, I draw up a certificate in which for medical reasons and as a clinical immunologist I say that it is better to wait to vaccinate her, but the patient is vaccinated. it is also known and well defined by a recent debate “. In summary, “over-treatment is the old-fashioned and neglected concept of inappropriateness”: that is, it occurs “when the hypothesized benefits of an intervention do not offset its risks”.
Second episode: “A medical executive becomes ill with Covid-19, performs the first and second dose of vaccine regularly, but does not read a Pec that requires him to immediately communicate his situation, which is also regular. And without being called, before the The pec ultimatum of 20 days is suspended by the Order with a complaint to the ministry and the public prosecutor’s office. A real barbarism “, protests the head physician.
Since always, from the day after the recovery, “my reasoning as a clinician and clinical immunologist – explains Mazzone – is based first of all on the fact that in medicine a patient who has had a viral infection has never been treated. way of a person who did not have the disease. Second aspect, “when it began to do so”, there was no scientific evidence that vaccinating the cured was useful. Third aspect, there is serology, the test that by measuring antibodies can be useful to understand if and when it is necessary to get vaccinated because the immunity of the recovered person is lost “.
“There are those who insist – continues Mazzone – that antibodies are not useful for evaluating the recovered, to decide if and when to give them a vaccine”, but then “on October 2 I attend a magisterial reading of Fauci”, ‘White House immunologist, one of the most accredited scientific voices in the fight against the pandemic, “and listen, he projects slides showing that the booster increases the antibody response by 42 times. Then, however, I have a doubt: antibodies are useful always or when do they agree? “.
From that November 2020, from the days of the “yogurt that one morning suddenly tastes like lime and you understand that Covid has arrived”, little by little the data accumulate and “important works begin to emerge – the expert recalls – such as our published at the end of May in ‘Jama Internal Medicine’ to say that, after a year, the reinfection rates in the healed are less than 1%. Then the reports from various parts of the world begin, according to which those who have had Covid are protected even better against Omicron. Until February 16, when the ‘New England Journal of Medicine’ publishes papers according to which those who have had Covid-19 are further protected with a single dose of vaccine “.
In the face of all this, Mazzone considers “disconcerting that in Italy antibodies are not considered, they do not have a weight as they do in other countries where the vaccine is given to those who lose the antibody response. As I have already had the opportunity to say. to point out, if at the immunology exam I had said that antibodies were not needed, they would have rejected me “. Antibodies do count, the specialist repeats also underlining how “from the ISS data, compared to over 12.4 million Italians who have had Covid, it emerges that about 219 thousand have been reinfected since the end of August”. In short, concludes the recovered doctor, “continuing with edicts and abuses without considering diversity is not an expression of a civilized country. When one proceeds by edicts, stifling the debate – Mazzone explains – it means that we are at the end of the line”.
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