Vaccinations by age

Still on health matters, I’ve been intrigued for a while at what was happening to vaccination rates stratified by age. For all that politicians and the media burble on, emote even, about differences by ethnicity, the data on Covid itself seem crystal clear: by far the biggest demographic risk factor for getting seriously ill or dying of Covid (and thus of resulting in pressure on the health system) is age. The Hendy et al modelling used this data (from this 2020 paper).

age factor covid death

I’ve seen people suggest these absolute numbers may be out of date, and epidemiologists can argue about that, but my point simply is that no one seems to dispute the significance of age. It isn’t just a linearly increasing risk: the risks for (say) the over-80s are far far higher than those for even people in their 50s.

The government of course recognised this initially in allowing old people to get vaccinated before (progressively) most of the rest of us. If you are my age, it is only about six weeks since one could get a first dose, and so many (like me) will be getting second doses only in the next few weeks. But the very elderly have had a lot of time to have had both doses of the vaccine. And, so you would think, people in that age range would generally have a strong personal incentive to get vaccinated – and their children to encourage them to do so. Public spirit might be necessary to help encourage the young, but for the very old death from Covid is a non-trivial risk (and thus the strict rules one hears rest homes have in place). The rest of us have a strong interest in these old people getting vaccinated because pressure on the health system is one of the key perceived constraints on opening up.

And so I’ve been a bit surprised that the vaccination rates among the elderly have not been higher. The Ministry has come and gone a bit on how much information it makes available, but for now it seems to have settled on promoting this chart.

moh vaccine by age

None of the elderly age bands have yet got to a 90 per cent second dose vaccination rate, and only one (the 80-84 group) has got to 95 per cent for even a first dose. And these people have had months.

But the real situation seems to be even less good than the Ministry of Health portrays it. The denominator they use in all their charts and tables is not the population in that age group as estimated by our official statistics agency, SNZ, but something called the “Health Service User population” (HSU), which is defined thus

The Health Service User population estimate counts the number of people who received health services in a given year. Someone is counted in the population if their associated National Health Index (NHI) number received public health services; or was enrolled with a primary health organisation (PHO). 

I suppose they must have their reasons, but using this HSU measure seems to assume away part of the problem – people unknown to the health system seem, all else equal, less likely to be turning up (to the health system) for a vaccine. Of course, it is a hard count (administrative data) and the SNZ population numbers are only (informed) estimates. But some people just don’t go to the doctor very often (I know in my 20s I prided myself on not having been for a decade).

Anyway, here is the difference it makes

hsu popn

There are some anomalies. I’m not sure how there can be so many more 90+ health service users than SNZ think there are in the country (and they keep track of deaths, and there can’t be that much migration among the over 90s), and the 80-84 band is a bit of a surprise too, but the key point is that both for older ages (65+) and the the 12+ population as a whole, the HSU appears to undercount the population by 3.5 per cent. All else equal then, vaccination rates are a bit overstated.

Here is how the two measures look for first doses for the older age groups

vaccination rates hsu vs snz

Using the SNZ population numbers, not quite 90 per cent of the elderly have yet had a first dose. And yet we hear almost nothing about this from our government, our health bureaucrats (who seem to champion the messaging of politicians) or even – so far as I could see – in the perspectives provided by the opposition political parties.

Here is the same chart for second doses.

2nd dose vacc rates by age

Not much more than 80 per cent of even the 75+ population have had two doses, many months into the programme. And this is the demographic most exposed to serious illness death, and the demographic that thus poses the greatest threat to the health system if/when Covid gets more established here.

Using the SNZ population estimates here are the vaccination rates for each age-band.

vacc rates by SNZ age

Can better be managed? Well, it would appear so from the experiences of other countries. At an aggregate level, for example, Portugal has about 85 per cent of the population with two doses (about 95 per cent of the 12+ population). I’ve been keeping an eye for some time on NHS data for England (and remember that a lot of people in England have already had the virus itself), and they appear to be showing close on 100 per cent of those 70-74 having had two doses (albeit rates tail off somewhat above that age band).

But when it comes to Covid, Australia still appears to be the country most similar to us, including in that they were slow to get their vaccination programme going. This is the latest set of charts

aus vacc rates

Of course, Australian states and territories have a quite diverse range of experiences with Covid (ACT, NSW, and Victoria with ongoing outbreaks) but their record in getting the elderly vaccinated seems to be consistently (NT aside perhaps) better than New Zealand’s, with particularly impressive numbers in ACT (where all but one age-band over 40 have 95 per cent first dose rates, and most second doses done).

Perhaps there are denominator issues in those other countries too, but even if so the bottom line remains one in which the New Zealand elderly vaccination rates are just not that good, given the risks (to their own health, and – indirectly – to the wider freedoms and opportunity of the community more generally).

And there is no sign our politicians are taking this very seriously.

On a final note re age, the Hendy et al modelling released last week (and touted by the government) assumes the same vaccination rate for all eligible age bands. That seems somewhat unrealistic, even if at some point in the middle distance all age bands were to eventually converge to very similar vaccination rates. It seems unfortunate that model estimates using a range of different assumptions about the age pattern of vaccination rates have not been published. Superficially, it would seem that very high vaccination rates among the very old might be more valuable – in reducing death and serious illness, and facilitating opening up – than very high rates among some of the younger cohorts. In a brief exchange on Twitter last week with one of Hendy’s co-authors, he indicated that (a) they had done some such modelling, and (b) that sometimes one could get counter-intuitive results. Which is fine, but it would be helpful for the public to be able to see this sort of material, especially when the government itself if touting the modelling of these particular researchers. In its absence, it looks as though the government should be putting a lot more emphasis on getting elderly vaccination rates well up than is evident at present.

11 thoughts on “Vaccinations by age

  1. Thank you for a really enlightening set of data and analysis. It has to be seen as a measure of effectiveness, competence and public good benefit for a government determined to be the sole provider.

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  2. One answer maybe to have some 60, 70,80 and a ninety year old or two at the media conferences instead of a group of 30 year olds asking questions that are of interest to 30 year olds and younger.

    Liked by 1 person

  3. Michael

    As someone in the 65+ age bracket who is historically well vaccinated but ‘Pfizer mRNA resistant’ I suspect we are approaching saturation in this demographic. There are many reasons for this, some relating to the risk profile of the mRNA vaccines, with 60 deaths following vaccination reported so far to Medsafe in New Zealand, which is more than double the number that have died from or with Covid-19.

    There are also over 600 serious adverse events from the Pfizer injection including stroke, heart attack, blood clotting and many other undesirable and life threatening symptoms.

    Then there is the unexplained increase in hospitalisation and deaths amongst those who are double vaccinated, even triple vaccinated in Israel. It appears at first glance that there may be an adverse ADE effect upon the vaccinated if they are exposed to the virus in the wild within a few weeks of having the ‘jab’. This has been predicted by many scientists who have concerns about the technology.

    If you consider the global adverse event statistics the mRNA vaccines, they have been the most deadly and debilitating ever introduced to the world by at least an order of magnitude. All of this to reduce, rather than prevent, an infection from which there is a generally accepted 99%+ recovery rate, and where the average age of death from Covid-19 is greater than the average age of death for each respective country. It’s worth noting that in our recent ‘delta’ outbreak where there have been well over 1,000 infections, the only death reported is that of a 93 year old.

    I note that the PM recently invited feedback on adverse reactions in her Facebook profile, and has had over 22,000 responses, the overwhelming majority reporting or commenting on serious adverse reactions they had experienced, or from family members or friends.

    Then there is the political coercion and vaccine mandates which have no place in a free society. These are a contravention of our rights under the New Zealand Bill of Rights, yet the Government whose responsibility is to uphold these statutes, has seen fit to ignore them. Front line workers, port workers and others have lost their jobs simply because they refused a medical procedure.

    Doctors have been instructed by the Medical Council in New Zealand that they are able to have private opinions about the ‘vaccine’ but must publicly endorse it. No other narrative is permitted with those Doctors who raise concerns facing de-registration, and the loss of their livelyhood. This is an amazing level of coercion in support of a pharmaceutical company that sought and obtained from our Government an exemption from financial liability resulting from death or injury from the use of their product.

    Then there is the threat of vaccine passports, and creating a two tier society, restricting economic and social participation for those who choose to refuse the mRNA product. This goes well beyond anything we have ever witnessed in New Zealand, and risks establishing an unwelcome precedent.

    We appear to have lost all sense of perspective.

    Liked by 2 people

    • Interesting. I’m sympathetic re the coercion and risks of a two-class society, but still a bit puzzled why our vacc rates for the elderly are materially lower than in some other culturally similar countries.

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      • One explanation for our comparative ‘vaccination’ rates being lower than other countries is that we have experienced significant delays in the roll out, which has given us more time to observe the experience of the ‘vaccinated’ elsewhere.

        The ‘safe and effective’ narrative has been widely discredited. I doubt it is believed anymore by those who continue to parrot it daily. We are in the midst of a 21st century Lysenkoism.

        Liked by 1 person

    • Well said Brendan
      My 80-something father experienced a variety of symptoms following the first dose, including facial palsy (wrong side for a stroke), significant heart issues and a general malaise including spacing out mentally for periods of time.
      His GP referred him immediately to the hospital, who did numerous tests and expressed extreme puzzlement. They also reduced his blood thinning medication (which he’s been on without issue since a heart attack several years ago).
      It was only when I sent him a video of a Canadian whistleblower who mentioned *precisely* these symptoms that he made the connection. The GP and the hospital were apparently incapable of joining the dots.
      Must be a conspiracy theory I guess since we’re reassured without evidence that the jab is it’s “completely safe”.
      Point being, it can hardly be recommended for otherwise healthy 80 yo (demographic risk nowithstanding) if the goddam medical professional is MIA around monitoring the outcomes..

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  4. For intelligent people doing their own research on vaccines it is pretty clear that they reduce your risk of bad outcomes more the older you are, but have minimal benefit for young, as well as some as yet unknown long term risks that make the risk benefit less compelling for young adults and particularly children. So expect uptake to be higher amongst older folks. It is also clear now that waiting up to 3 months between doses is optimal, and efficacy drops quickly over time the older you are, so rationally the best time to get 2nd dose is a couple of weeks before exposure becomes likely – ie just before NZ is opened up and virus starts spreading rapidly. I think announcing an opening up date in 4-8weeks time would quickly get vaccine numbers amongst a wide swathe of community, particularly the better informed, but also amongst those who have been generally ignoring the risk due to elimination strategy.

    Liked by 1 person

    • It’s also clear and admitted by Phizer that the jabs are spreading the virus.
      Virtuous circle.
      Natural immunity is 77% better than the jab.

      what is lost in all this is the jab does not treat a patient.
      It allegedly stops you from getting the virus. (it doesn’t) and it allegedly stops you from passing it on. (it doesn’t0

      But it’s not a treatment for a sick person.
      The contract which was signed with Phizer stops our medico’s from using any other treatment. Hence the no ivermectin.
      That’s outrageous and the people who send that oppressive contract should be outed and held responsible for the deaths that are happening.

      They know they are wrong but are still determined to oppress the people.

      https://www.bassettbrashandhide.com/post/sliding-in-the-polls?postId=61556204566f8c0017f55743

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  5. A 82 year old lady of my acquaintance had her second vac on Monday. was dead by Wednesday.
    Why would you do that to yourself?

    There is a new report out that the CDC are considering anyone that is less than 2 weeks fromhaving hier vax as unvaccinated. so quick deaths are fudged off to other causes.

    and why.
    Well read this carefully and you will see.
    https://www.dailyveracity.com/2021/08/01/alleged-leaked-pfizer-contract-shows-why-countries-are-aggressively-pushing-vaccination/?__cf_chl_jschl_tk__=pmd_TpN4vLElIgSZ_2rPbaj_DoJCB2kGT9xiJqXeoJhLsp8-1633111953-0-gqNtZGzNAlCjcnBszQkR

    From the Bassett, Brash & Hide blog.
    https://www.bassettbrashandhide.com/post/sliding-in-the-polls?postId=61556204566f8c0017f55743

    Liked by 1 person

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