Opening Up with Adults Unvaccinated.

 I argued here Vaccinate the old fast that the old had such higher Covid fatality rates that it was worth trying to vaccinate as many of them as fast as possible as possible.

But what happens to adults 18-50 if they are unvaccinated. The risk of being hospitalised is about 3% across this age group. 

There are about 1.5 million Irish people in this age group. 3% of this is about 50,000 people who would be hospitalised if we all got it. Though herd immunity might drop this a bit.

The Irish Hospital system went pear shaped in January at '1,846 people with Covid-19 in hospital' which means 50k even if spread out a bit would be really bad for fatality rate of hospitalised cases. Even just for non covid cases if the hospitals are overrun you won't get the other treatment you might need. And we shouldn't traumatise medical workers with the awful conditions that many sick people at once would cause.

All this means I don't think we can have really high rates of covid even in healthy 18-50 years olds without causing so much lack of care that death rates would rise sharply. And we have to make sure we keep the rates low until vaccination rates are much higher in this age group.

Needle Phobia and Covid Vaccinations

Between 10-20% of adults are really scared of needles. Anti Vax people are really hard to persuade. But anti needle people might be easier. And a fair number of people claiming to be vaccine skeptics might just be shy to admit a fear of needles is a big factor.

"Avoidance of influenza vaccination because of needle fear occurred in 16% of adult patients"  Soon we will have enough vaccines for all adults but if 10-20% of them do not get vaccinated due to Trypanophobia thats a lot of unnecessary deaths and it makes reaching community immunity levels impossible.

Trypanophobia is classed as a phobia with a known process of medical treatment. The steps to get over it seem to be three types
1. Cognitive behavioural therapy, hypnotherapy and other psychological techniques 

2. Nice relaxing location. comfy seats etc for where the injections happen.

3. Topical cream to reduce pain on the injection site.

These are described here, here and here.

Tech people think there should be an app for everything. But in this case it might work. A Cognitive Behavioural Therapy (CBT) app that gradually helped people get over their fear of needles might really help increase uptake of the vaccine. There are loads of CBT apps out there. If you know a good one that deals with needle phobia please comment.

There will be vaccinations for covid that do not need needles in the medium term. But for the moment getting people over their fear is needed. 

The needle phobia apps I can find I can find are aimed at kids to explain to injections to them. Rather than steps to get adults over a fear of needles.

The vaccinations created and tested in under a year are amazing. And we are going to get a lot more of them soon. Helping people get over the common fear of needles is an important step if we want to get as many people vaccinated as possible.