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 itโs 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 theyโre trying to say and bring it down to a level and say, โOkay, hereโs what the real thing that has happened at this point in time.โ And hereโs 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 donโt know exactly how quick it goes down because the vaccine is new. But as Iโm 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, donโt 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 donโt 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 theyโre 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 theyโre saying is many people after six-to-eight months, antibodies go down, so we want to potentially boost them before that happens. And thereโs no side effects to getting a booster if you donโt need it. But thereโs a side effect if you donโt get the booster and need it. So, theyโre rolling that out right now.
WHO SHOULD DEFINITELY GET THE BOOSTER?
Theyโre saying people that are immunocompromised. I donโt even know what that means. I can make the argument that itโs picking us off more than anyone else. All Black people are immunocompromised because it looks like thatโs whatโs up in the hospital right now. So, Iโm encouraging people right now based on the information, if itโs been over eight months, to get a booster shot, maybe no matter what. And if youโve 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 donโt have enough antibodies. So, the J&J people need a booster, for sure. If youโre eight months from your last shot, especially if you have risk factors for COVID, African American, Latino/a diabetes, hypertension, frontline workโIโm a policeman, Iโm sacking groceries down at Kroger right now and Iโm around a lot of people. Iโve got my mask on, but sometimes it slips, somebodyโs coughingโthose 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, thatโs sort of where we are. Thatโs where I am on this issue.
