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Forget ‘zero Covid’, vaccinate the most vulnerable and learn to live with coronavirus, Hong Kong doctor says

  • A 75-year-old is 230 times more likely to die from Covid-19 or its complications than a 20-year-old, and an 85-year-old 600 times more likely, David Owens says
  • While ‘zero Covid’ was the best strategy initially, we have to learn to live with Covid-19 and vaccinate those who most need it, as Singapore is doing, he says

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People queue up for the Sinovac vaccine at Kowloon Bay Sports Centre. We need to vaccinate the most vulnerable in the city and learn to live with Covid-19 in our midst, says a Hong Kong doctor. Photo: Edmond So
Kate Whitehead

Herd immunity from the coronavirus has been widely touted as the holy grail – if we reach a 70 per cent vaccination rate then all will be saved and we can hope for life to return to some degree of normality. It’s a message that makes family doctor Dr David Owens recoil.

“By focusing on the herd immunity argument, the 70 per cent, we are potentially harming our long-term interests. In an attempt to get high vaccine uptake – which is a good thing – we’ve lost sight of the fact that who we vaccinate really makes the biggest difference,” says Owens, a specialist in family medicine and a founding partner at OT&P Healthcare in Hong Kong’s Central district on Hong Kong Island.

The people we should be vaccinating, he says, are the elderly and the most vulnerable in our communities. He cites Hong Kong government statistics: at present, only 5 per cent of residents in elderly-care homes are vaccinated – and they are the ones most likely to die if they get Covid-19.

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A 75-year-old is nine times more likely to end up in intensive care and 230 times more likely to die than a 20-year-old. At 85 years of age, intensive care admission is 15 times more likely and death 600 times more likely.

Dr David Owens is a specialist in family medicine and a founding partner at OT&P Healthcare. Photo: Dr David Owens
Dr David Owens is a specialist in family medicine and a founding partner at OT&P Healthcare. Photo: Dr David Owens

“It’s incredibly important to get the right message across, but there are cultural issues, belief issues, politics. Across that whole thing, there is a relatively simple message that needs to get out there to encourage and educate people on the need for vaccines,” says Owens.

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