Duke sets new campus restrictions after rise in COVID cases among vaccinated students

In the first week of classes, 304 undergraduates, 45 graduate students and 15 employees tested positive for COVID-19. All but eight of these individuals were vaccinated, and the vast majority of them are asymptomatic. A small number have minor, cold- and flu-like symptoms, and none have been hospitalized, according to the university.

How vaccines work

Protection from Infection or Protection from Disease?

The memory response elicited by most human viral vaccines does not protect against reinfection, but rather against the development of disease. An individual may be exposed repeatedly to viruses and never be aware of it, because the memory response eliminates the virus before signs and symptoms develop. After vaccination with inactivated poliovirus vaccine, virus replication may take place in the intestine, but effectively blocks the development of poliomyelitis. On the other hand, the human papillomavirus vaccine is over 90% effective at blocking infection. Consequently the HPV vaccine induces sterilizing immunity.

Don’t Panic, But Breakthrough Cases May Be a Bigger Problem Than You’ve Been Told

The vaccines were never tested to prevent transmission, only symptomatic disease, and those who knew the science expected, from the outset, that we would see some number of such cases, and that they would be, overwhelmingly, mild. But Delta appears to have changed things […] and during the current surge there does seem to be considerably more “leakage” in the protection that vaccines offer against pandemic spread than has widely been acknowledged.