Dr. Joseph Gathe Jr. on fourth COVID surge, Dan Patrickโ€™s comments and more
Dr. Joseph Gathe Jr.

To say Dr. Joseph Gathe Jr., a Houston-based, nationally revered physician and healthcare leader, is committed to spreading expert, credible information on the COVID-19 pandemic, is an understatement.

The Defender interviewed Gathe asking him about various aspects of the pandemic. His responses are being shared in a series of articles, with insights that push back against COVID misinformation with COVID facts.

This is the second article in the Gathe series focuses on the controversial COVID booster: do we need one or not?

CDC MESSAGING

The information being given out by the CDC, et cetera, has not been as clear as it needs to be. I can listen to it and see itโ€™s not clear sometimes even to me. So, I understand the frustration of our community. The communication is not where it needs to be, which is why I try to decipher what theyโ€™re trying to say and bring it down to a level and say, โ€œOkay, hereโ€™s what the real thing that has happened at this point in time.โ€ And hereโ€™s what the real is. The real is that the antibody reaction that you get from the shots over time begins to go down. And we donโ€™t know exactly how quick it goes down because the vaccine is new. But as Iโ€™m monitoring people, we can now draw antibody levels. And I can say maybe 20% of the people that come by the office and get checked, donโ€™t have enough antibodies in their system to be able to fight off the Delta variant, which means two things. One, wear your mask because we donโ€™t know where you fit with that for the time being. Two, it means that that 20% of people need to probably get a booster.

NO BOOSTER SIDE EFFECTS

What theyโ€™re trying to figure out is how to effectively get the booster out there without necessarily getting a blood test in everybody. Because trying to get a blood test and get a booster and everything else, is going to be hard. So, what theyโ€™re saying is many people after six-to-eight months, antibodies go down, so we want to potentially boost them before that happens. And thereโ€™s no side effects to getting a booster if you donโ€™t need it. But thereโ€™s a side effect if you donโ€™t get the booster and need it. So, theyโ€™re rolling that out right now.

WHO SHOULD DEFINITELY GET THE BOOSTER?

Theyโ€™re saying people that are immunocompromised. I donโ€™t even know what that means. I can make the argument that itโ€™s picking us off more than anyone else. All Black people are immunocompromised because it looks like thatโ€™s whatโ€™s up in the hospital right now. So, Iโ€™m encouraging people right now based on the information, if itโ€™s been over eight months, to get a booster shot, maybe no matter what. And if youโ€™ve gotten the Johnson & Johnson vaccine, it does not appear to be as effective as the MRNA vaccines (Pfizer and Moderna). I think everyone that has Johnson & Johnson vaccine must get a booster shot because most of the people I see with Johnson & Johnson donโ€™t have enough antibodies. So, the J&J people need a booster, for sure. If youโ€™re eight months from your last shot, especially if you have risk factors for COVID, African American, Latino/a diabetes, hypertension, frontline workโ€”Iโ€™m a policeman, Iโ€™m sacking groceries down at Kroger right now and Iโ€™m around a lot of people. Iโ€™ve got my mask on, but sometimes it slips, somebodyโ€™s coughingโ€”those people, in my estimation need to get a booster. The risk of the booster is less than the risk of getting COVID at this point. So, until all of the official things come out, thatโ€™s sort of where we are. Thatโ€™s where I am on this issue.

I'm originally from Cincinnati. I'm a husband and father to six children. I'm an associate pastor for the Shrine of Black Madonna (Houston). I am a lecturer (adjunct professor) in the University of Houston...