Perry Lang, CEO
Woodstock Hospital


Dear Mr. Lang,

I am writing this letter to publicly express my concerns regarding Covid-19 vaccine1 policies you introduced to Woodstock Hospital, and ask some questions that I find deeply troubling, and that I do not believe have ever been given a full, intelligent and articulated answer.

Being vaccinated is not evidence that one is not infectious! It seemed to be the case with Delta variant (see Appendix 1), and - to a much greater extent - with Omicron. And yet, you have decided to divide people based on Covid vaccine status.

If it was known that the vaccine does not prevent infection, there is little difference in transmission between vaccinated and unvaccinated, and vaccinated hospital staff can become infected with Covid and transmit the virus to patients and coworkers:

I hope you could put some light on your decision process, because, so far, based on available information regarding virus transmission, there doesn’t seem to be adequate logic or science behind your decision.

The underlying argument (that your mandate would somehow make the hospital a safer place) seems to be based on three premises:

The problem is that none of these conditions is true.2

In fact, using that logic, one might argue that all staff not vaccinated against seasonal flu are infected at all times, and are carrying and spreading the disease. So, if you were to be consistent - it would be reasonable to mandate flu vaccines, assume they are effective in preventing transmission and terminate unvaccinated staff. Are there any plans to implement such a policy?

To conclude:

I am looking forward to hearing from you.

Best Regards,

Concerned Citizen

NOTES:

(1) The common (as per CDC) definition of a “vaccine” and “vaccination” does not anymore reflect what the majority of people understand by the term. After the definition has been changed (Sept 2021), vaccination means now: "The act of introducing a vaccine into the body to produce protection from a specific disease", as compared to previous definition (2015-2021): "The act of introducing a vaccine into the body to produce immunity to a specific disease" and to pre-2015 one: "Injection of a killed or weakened infectious organism in order to prevent the disease". If the older (pre-2021) definition was used, the discussed products would not be called "vaccines" at all.

(2) Premise 1: One can be unvaccinated and healthy (can't spread the virus without having a virus. Being unvaccinated does not mean at all that a person is sick or infectious). One can also be unvaccinated, but naturally immune (possibly with much stronger immunity than vaccine induced).

Premise 2: Appendix 1 seems to completely contradict the second premise, that mandating vaccines is going to prevent Covid-19 spread.

Premise 3: It seems undeniable that you have already caused a very real harm (to employees you forced out of the hospital, to their kids and families, but also to a significant number of employees you coerced into a medical procedure against their will) to prevent a hypothetical harm that - as evidence seems to suggest - will not be prevented by your action anyway.

Please note, that all quotes and references listed below (unless stated otherwise), are regarding the Delta variant

dr. Anthony Fauci, M.D. NIAID Director

When you look at the level of virus in the nasal pharynx of people who are vaccinated who get breakthrough infections, it’s really quite high and equivalent to the level of virus in the nasal pharynx of unvaccinated people who get infected.

So, we know now that vaccinated people who get breakthrough infections can spread the virus to other people

Rochelle P. Walensky CDC Director

Delta infection resulted in similarly high SARS-CoV-2 viral loads in vaccinated and unvaccinated people. High viral loads suggest an increased risk of transmission and raised concern that, unlike with other variants, vaccinated people infected with Delta can transmit the virus.

Rochelle P. Walensky CDC Director

Our vaccines are working exceptionally well," she said. "They continue to work well with delta with regard to severe illness and death, but what they can't do anymore is prevent transmission

dr. Theresa Tam Chief Public Health Officer of Canada

But we also have learnt that the vaccines are not perfect in terms of reducing infections (...) and that vaccinated individuals, although they are at reduced risk of getting infection, could get infected and when they do get infected, they could actually have similar viral load to those who are unvaccinated

Joseph A. Ladapo, MD, PhD State Surgeon General, Florida, US

As we now know, these vaccines are not preventing transmission. They reduce the likelihood of transmission, and even that is sort of questionable, depending on how far out you go, but they are not preventing it

Dr Tony Holohan The Chief Medical Officer, Ireland

In truth they are probably not performing as well as we might have hoped in terms of preventing transmission

It is possible for people who are infected, and who were vaccinated, to be infected and to transmit that infection

Jefferson Jones, MD, MPH, FAAP Medical Officer Epidemiology Task Force, CDC

Vaccines have been quite effective at preventing cases of COVID-19 that led to severe illness and death, but none has proved reliable at blocking transmission of the virus

Recent evidence has also made clear that the immunity provided by vaccines can wane in a matter of months

The result is that even if vaccination were universal, the coronavirus would probably continue to spread

prof. Jay Bhattacharya Professor of Medicine and Health Policy, Stanford University

... the Covid vax does not stop infection. The vax provides a private benefit (protection vs. severe disease), but limited public benefit (protection vs. disease spread)

Dr. Cillian De Gascun Chair of the NPHET Coronavirus Expert Advisory Group,Ireland

Whilst vaccination reduces the risk of Delta infection, fully vaccinated individuals have viral loads similar to unvaccinated & can efficiently transmit infection in household settings, including to fully vaccinated contacts

Dr Colman O'Loughlin President of the Intensive Care Society of Ireland

What doesn't seem to have happened to the same level is reduction in transmission. So we seem to be able to protect people, this vaccine doesn't seem to have the same level of effectiveness in reducing virus transmission into community. So therefore, it is circulating (the virus), much higher than we thought it would be with such a high level of vaccination. A lot of things have changed (since March 2020), but the problem with transmission hasn't changed

Dr Colman O'Loughlin President of the Intensive Care Society of Ireland

Yes, you are able to get the virus into your system, into your upper airway tract and the virus can replicate and it can transmit if you cough or sneeze. And that's becoming more evident" (...) it appears that is the major downside to the vaccination program, that we are not seeing that reduction in transmission we would hope to see

dr. Peter McCullough Internist, cardiologist, epidemiologist, professor at Texas A&M University

The vaccinated are carrying and spreading the virus just as readily as unvaccinated. The vaccines don't stop the virus in the nose and mouth of those who are fully vaccinated.

The vaccinated were equally as infectious as unvaccinated, so the vaccines don't protect the schools or the employers one bit

Dr Aseem Malhotra FRCP NHS Consultant Cardiologist, UK

We now know, it's very clear, that the vaccine does not have any significant effect on preventing transmission.

I had the vaccine … under the belief, which has now been proven FALSE, that I was going to protect patients from getting the virus from me

Dr. Neil Rau Infectious Diseases / Medical Microbiologist, University of Toronto

The problem we have with these vaccines, is that you get a good stopping of transmission for the first 1-3 months after you get the vaccine, and then the immunity starts to wane

Carl Heneghan, MD director of the Centre for Evidence-Based Medicine, UK

The evidence is becoming clear, that the viral load of the vaccinated and unvaccinated is very similar, you can still transmit when you are vaccinated

medRxiv The Preprint Server for Health Sciences

Protection against onward transmission waned within 3 months... for Delta this eroded much of the protection against onward transmission... no evidence of difference in transmission compared to that seen in unvaccinated individuals

medRxiv The Preprint Server for Health Sciences

While vaccination still lowers the risk of infection, similar viral loads in vaccinated and unvaccinated individuals infected with Delta question how much vaccination prevents transmission

medRxiv The Preprint Server for Health Sciences

Vaccines are beneficial, but the high NNEs suggest that excluding unvaccinated people has negligible benefits for reducing transmissions in many jurisdictions across the globe. This is because unvaccinated people are likely not at significant risk – in absolute terms – of transmitting SARS-CoV-2 to others in most types of settings since current baseline transmission risks are negligible. Consideration of the harms of exclusion is urgently needed, including staffing shortages from losing unvaccinated healthcare workers, unemployment/unemployability, financial hardship for unvaccinated people, and the creation of a class of citizens who are not allowed to fully participate in many areas of society

medRxiv The Preprint Server for Health Sciences

Differences in viral loads were non-significant between unvaccinated and fully vaccinated personsoverall (p = 0.99

medRxiv The Preprint Server for Health Sciences

Transmission reductions declined over time post-second vaccination, for Delta reaching similar levels to unvaccinated individuals by 12 weeks for ChAdOx1 and attenuating substantially for BNT162b2. Protection in contacts also declined in the 3 months post-second vaccination

medRxiv The Preprint Server for Health Sciences

We found no significant difference in cycle threshold values between vaccinated and unvaccinated, asymptomatic and symptomatic groups infected with SARS-CoV-2 Delta.

In our study, mean viral loads as measured by Ct-value were similar for large numbers of asymptomatic and symptomatic individuals infected with SARS-Cov-2 during the Delta surge, regardless of vaccine status, age, or gender.

Our study is consistent with other recent reports showing similar viral loads among vaccinated and unvaccinated individuals in settings with transmission of the Delta variant.

A substantial proportion of asymptomatic, fully vaccinated individuals in our study had low Ct-values, indicative of high viral loads. Given that low Ct-values are indicative of high levels of virus, culture positivity, and increased transmission, our detection of low Ct-values in asymptomatic, fully vaccinated individuals is consistent with the potential for transmission from breakthrough infections prior to any emergence of symptoms

medRxiv The Preprint Server for Health Sciences

We observed low Ct values (<25) in 212 of 310 fully vaccinated (68%) and 246 of 389 (63%) unvaccinated individuals. Testing a subset of these low-Ct samples revealed infectious SARS-CoV-2 in 15 of 17 specimens (88%) from unvaccinated individuals and 37 of 39 (95%) from vaccinated people.

To determine whether infectious virus titers differed in vaccinated and unvaccinated persons, we performed plaque assays on an additional set of 48 samples with Ct <25, finding no difference in infectious virus titer between groups.

medRxiv The Preprint Server for Health Sciences

As this field continues to develop, clinicians and public health practitioners should consider vaccinated persons who become infected with SARS-CoV-2 to be no less infectious than unvaccinated persons. These findings are critically important, especially in congregate settings where viral transmission can lead to large outbreaks.

European Journal of Epidemiology Volume 36

At the country-level, there appears to be no discernable relationship between percentage of population fully vaccinated and new COVID-19 cases in the last 7 days. In fact, the trend line suggests a marginally positive association such that countries with higher percentage of population fully vaccinated have higher COVID-19 cases per 1 million people.

The lack of a meaningful association between percentage population fully vaccinated and new COVID-19 cases is further exemplified, for instance, by comparison of Iceland and Portugal. Both countries have over 75% of their population fully vaccinated and have more COVID-19 cases per 1 million people than countries such as Vietnam and South Africa that have around 10% of their population fully vaccinated

The Lancet A Swedish Total Population Cohort Study

Effectiveness peaked at day 15-30 (92%; 95% CI, 91-93, P<0·001) and declined marginally at day 31-60 (89%; 95% CI, 88-89, P<0·001). From thereon, the waning became more pronounced, and from day 211 days onwards, there was no remaining detectable effectiveness (23%; 95% CI, -2-41, P=0·07)

This study showed a progressive waning in vaccine effectiveness against symptomatic Covid- 19 through 9 months of follow-up. Following the peak during the first month after vaccination, effectiveness of BNT162b2 and mRNA-1273 declined to about 30% and 60% respectively, after 6 months. From 7 months and onwards, no effectiveness of BNT162b2 could be detected

The Lancet UK Cohort Study

Nonetheless, fully vaccinated individuals with breakthrough infections have peak viral load similar to unvaccinated cases and can efficiently transmit infection in household settings, including to fully vaccinated contacts

The Lancet Epidemiological relevance of the vaccinated population

Peak viral load did not differ by vaccination status or variant type

The US Centres for Disease Control and Prevention (CDC) identifies four of the top five counties with the highest percentage of fully vaccinated population (99.9–84.3%) as “high” transmission counties

It appears to be grossly negligent to ignore the vaccinated population as a possible and relevant source of transmission when deciding about public health control measure

The Lancet What is the vaccine effect on reducing transmission

However, this study unfortunately also highlights that the vaccine effect on reducing transmission is minimal in the context of delta variant circulation

The New England Journal of Medicine What is the vaccine effect on reducing transmission

Published work about many vaccines, such as those against measles, mumps, and rubella, has shown a small decrease each year of 5 to 10% in the neutralizing antibody levels. We found that a significant and rapid decrease in humoral response to the BNT162b2 vaccine was observed within months after vaccination.

Our study was conducted in a cohort of health care workers, who were mostly healthy persons and therefore may not represent the general population.

bioRxiv The Preprint Server for Biology

data demonstrate a substantial waning of antibody responses and T cell immunity to SARS-CoV-2 and its variants, at 6 months following the second immunization with the BNT162b2 vaccine.

Nature Medicine Original peer-reviewed research

By analyzing viral loads of over 16,000 infections during the current, Delta-variant-dominated pandemic wave in Israel, we found that BTIs in recently fully vaccinated individuals have lower viral loads than infections in unvaccinated individuals However, this effect starts to decline 2 months after vaccination and ultimately vanishes 6 months or longer after vaccination

Outbreak, Vaccinated Malaga, Spain

More than 50 hospital workers in Spain have tested positive for COVID-19 after attending a Christmas meal, according to local media reports.

All of the professionals had been fully vaccinated—including with booster shots. Most of the workers who tested positive are asymptomatic although in a few cases they have reported mild symptoms.

Outbreak, Vaccinated Israel

Of the infected, 23 were patients and 19 staff. The staff all recovered quickly. But five patients died and another nine had severe or critical cases. All were vaccinated. The two unvaccinated infected patients both had mild cases

...challenges the assumption that high universal vaccination rates will lead to herd immunity and prevent COVID-19 outbreaks… In the outbreak described here, 96.2% of the exposed population was vaccinated. Infection advanced rapidly (many cases became symptomatic within 2 days of exposure), and viral load was high

Outbreak, Vaccinated Finland

In conclusion, this outbreak demonstrated that, despite full vaccination and universal masking of HCW, breakthrough infections by the Delta variant via symptomatic and asymptomatic HCW occurred, causing nosocomial infections…secondary transmission occurred from those with symptomatic infections despite use of personal protective equipment (PPE).

Outbreak, Vaccinated HMS Queen Elizabeth

HMS Queen Elizabeth: Covid outbreak on Royal Navy aircraft carrier despite whole crew having two vaccines

Outbreak, Vaccinated Barnstable County, Massachusetts

Approximately three quarters (346; 74%) of cases occurred in fully vaccinated persons (those who had completed a 2-dose course of mRNA vaccine [Pfizer-BioNTech or Moderna] or had received a single dose of Janssen [Johnson & Johnson] vaccine ≥14 days before exposure).

Overall, 274 (79%) vaccinated patients with breakthrough infection were symptomatic. Among five COVID-19 patients who were hospitalized, four were fully vaccinated; no deaths were reported.

Five were hospitalized; as of July 27, no deaths were reported. One hospitalized patient (age range = 50–59 years) was not vaccinated and had multiple underlying medical conditions. Four additional, fully vaccinated patients aged 20–70 years were also hospitalized, two of whom had underlying medical conditions

Outbreak, Vaccinated Federal Prison, Texas, USA

70% (129 of 185) of the vaccinated prisoners in this facility tested positive for SARS-CoV2 in one month alone (July 12th and August 14th)

During a COVID-19 outbreak involving the Delta variant in a highly vaccinated incarcerated population, transmission rates were high, even among vaccinated persons. Although attack rates, hospitalizations, and deaths were higher among unvaccinated than among vaccinated persons, duration of positive serial test results was similar for both groups. Infectious virus was cultured from vaccinated and unvaccinated infected persons

Outbreak, Vaccinated The Ottawa Senators

The Ottawa Senators have a 100% Vaccination Rate, and 40% of the Team has tested positive for Covid

Outbreak, Vaccinated Massachusetts Covid-19 outbreak, USA

About three-fourths of people infected in a Massachusetts Covid-19 outbreak were fully vaccinated, according to new data published Friday by the CDC.

Outbreak, Vaccinated Toronto Police Service

Toronto Police Service dealing with Covid-19 outbreaks among vaccinated cops.

Outbreak, Vaccinated Cornell University

Cornell University reported 903 cases of Covid-19 among students between December 7-13, and a "very high percentage" of them are Omicron variant cases in fully vaccinated individuals, according to university officials.

Ninety-seven percent of people on campus are fully vaccinated, the university says on its website

Omicron Dr. Peter Juni, Ontario’s Science Advisory Table

In reality, there is no way, if it comes to infections, to distinguish anymore between a person who is not vaccinated and a person who has received two doses

People need to understand now that after two (COVID vaccine) doses, their protection against infection is next to zero

Omicron Mark McGowan, Premier, The Western Australian Government

So far, the science shows that people with only two doses of a COVID vaccine have only 4% protection against being infected by the Omicron variant

Delta Boris Johnson, UK Prime Minister

It doesn’t protect you against catching the disease and it doesn’t protect you against passing it on.

Omicron Dr. Kieran Moore, Chief Medical Officer of Health, Ontario

The vaccine isn’t providing significant benefit at two doses against the risk of transmission, as compared to someone unvaccinated,

Omicron Albert Bourla, Pfizer, CEO

we know that two doses of the vaccine offer very limited protection, if any ...

The Lancet Transmissibility of SARS-CoV-2 among fully vaccinated

This study showed that the impact of vaccination on community transmission of circulating variants of SARS-CoV-2 appeared to be not significantly different from the impact among unvaccinated people.

Indeed, there is growing evidence that peak viral titres in the upper airways of the lungs and culturable virus are similar in vaccinated and unvaccinated individuals A recent investigation by the US Centers for Disease Control and Prevention of an outbreak of COVID-19 in a prison in Texas showed the equal presence of infectious virus in the nasopharynx of vaccinated and unvaccinated individuals. Similarly, researchers in California observed no major differences between vaccinated and unvaccinated individuals in terms of SARS-CoV-2 viral loads in the nasopharynx, even in those with proven asymptomatic infection. Thus, the current evidence suggests that current mandatory vaccination policies might need to be reconsidered, and that vaccination status should not replace mitigation practices such as mask wearing, physical distancing, and contact-tracing investigations, even within highly vaccinated populations.

Omicron Doug Ford, Ontario Premier

We also know, that it doesn't matter if you have one shot or ten shots. You can catch Covid. I know hundreds of people with three shots that got Covid.

Omicron Vancouver Coastal Health, Office of the Chief Medical Health Officer

Current scientific evidence, including BC data, indicates that COVID-19 vaccination (2-doses), while effective at preventing severe illness, is not effective at preventing infection or transmission of the Omicron variant of the virus, which now accounts for almost 100% of cases in the province.

Therefore, there is now no material difference in likelihood that a UBC student or staff member who is vaccinated or unvaccinated may be infected and potentially infectious to others.