The first principle of medicine is Do No Harm. This is often considered a main component of the Hippocratic Oath, which of course are recited at most medical school graduations. Well, sort of. An actual translation of what is written in the Oath would be more like: “I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous.”In our submission we want to point out that by ignoring the Medical Knowledge established for last 100 years, and biased by western data and practice, the vaccination drive started in India is doing more harm than any good for the people of India.We present before you the scientific facts about SARS COV2 related immunity and vaccination.1.There is enough and robust evidence available now that those who have recovered from Covid 19 develop robust and long-lasting immunity against SARS CoV2, even after mild or asymptomatic infections, and those chances of reinfection among these people, even from the emerging variants of the same virus, are extremely rare or non-existent. The WHO in its interim guidance released on July 2, 2021 has also recognized the fact of acquired immunity in all those who have had previous infection with SARS-CoV-2. [1-11]2.There is no evidence to show that those who have recovered from the infection will get any additional benefit from vaccination. There is an elegant study from the Cleveland Health System which has conclusively reported that those infected do not get reinfected, whether vaccinated or not. [12-15]3.The epidemiology of Covid 19 in India is very different from other countries of the world and even within India; there are differences between urban and rural communities and between socioeconomic strata. Therefore, we need to have our own policies regarding prevention of covid19 here, including the policy on vaccination. According to available reports, the percentage of population infected in the US, UK, and such other countries is at 1-23%. In India, recent sero-surveys at Delhi and Mumbai have reported a positivity of 50-70%, indicating that a significant proportion of our people have already been infected, reaching the levels of herd immunity, and will not need the vaccine. https://www.hindustantimes.com/india-news/kids-adults-have-similar-antibodies-sero-survey-101623953000262.htmlAnd many reports of India achieving herd immunity have already appeared. The mathematical models have explained how what percentage of population is required to be infected is also different for different population and with mixing rates fitted to social activity; the disease-induced herd immunity level can be ~43%. [19-22]4.Case Fatality Rate is the rate that is usually reported by the government, which is the number of deaths per 100 confirmed cases as detected by antigen or rt-PCR test. But as renowned Epidemiologist Dr John Ioannidis, whose paper (Attached along with) on WHO site (https://www.who.int/bulletin/online_first/BLT.20.265892.pdf) shows proper way of counting death rate in diseases with CFR less than 5 is Infection Mortality Rate. That is from serosurveys the actual prevalence of the infection in community is found and death rate counted from that is Infection Fatality Rate. The IFR is less than 0.1% world over and is shown to be so in India from various serosurveys done by ICMR.5.Covid19 is now proven to be asymptomatic or mild disease with infection fatality rate of 0.001-0.01% or lower, and particularly in the population younger than 30 years, it is mostly asymptomatic and harmless. [23-26] Therefore, considering the fact of high level of infections in India, near herd immunity, and very low levels of Infection Fatality Rates, vaccinating the entire population will not serve any purpose. Looking at the negligible risk to the children from Covid-19, trial of the vaccines for them or even consideration approval is highly unethical.6. A very important development that has taken place because of 4 latest studies that proves that almost 99.9% population has the memory from previous corona infection and that whether to the actual corona infection or to vaccine it is our same immune memory gets activated and vaccines in fact are more harmful in an already immune population. Based on that Doctors for Covid Ethics have written letter to tens of thousands of doctors in Europe. “Four recent scientific discoveries are herewith brought to your urgent attention. They alter the entire landscape of the COVID-19 pandemic, and they force us to reassess the merits of vaccination against SARS-CoV-2.Keywords- India, Immunity, Infection, Covid-19, herd immunity, serosurveys, natural immunity,
Downward trend in the indices of death rate in the Covid-19 pandemic: Evaluating alternative hypotheses
