Prime Only Members-Only Article

Are We Thinking the Right Way About What Constitutes Infection?

|
August 10, 2021 4:40 p.m.

One of the most interesting and clarifying discussions I’ve read in recent weeks is Dr. Monica Gandhi’s discussion of the difference between ‘colonization’ and ‘infection’ in thinking about what counts as a case of COVID. It’s conceptually interesting but also highly relevant both for the choices we make balancing risk as individuals as well as how we approach the vaccine phase of the pandemic in policy terms.

As Gandhi tells it, in many cases a vaccinated individual will be exposed to COVID and have the pathogen briefly colonize their nasal passages. But vaccine-induced immunity will fight and defeat the virus there. Is that an infection or a case? If you take a PCR test, you’ll test positive. But Gandhi says we’re confusing things by treating it as one.

Gandhi is an infectious disease specialist and we spoke with her this morning in an Inside Briefing about this and related topics.

If you’re a TPM member you can watch our full interview after the jump.

Real Independence
Made Possible By Members

FREE community-supported memberships are available to students and those experiencing financial hardship

Special Offer
Prime
$60/yr
$60/yr
30% off!
Access to Member-Exclusives and Fewer Ads
Get Prime

    Also Includes:

  • The Hive Member Forum
  • Members-Only Newsletter
  • RSS Feeds
  • Commenting
Prime
$5.99/mo
Access to Member-Exclusives and Fewer Ads
Get Prime

    Also Includes:

  • The Hive Member Forum
  • Members-Only Newsletter
  • RSS Feeds
  • Commenting
Prime Ad Free
$100/yr
Access to Member-Exclusives and NO Ads
Get Prime AF

    Also Includes:

  • The Hive Member Forum
  • Members-Only Newsletter
  • RSS Feeds
  • Commenting
Prime Ad Free
$9.99/mo
Access to Member-Exclusives and NO Ads
Get Prime AF

    Also Includes:

  • The Hive Member Forum
  • Members-Only Newsletter
  • RSS Feeds
  • Commenting
See MonthlyAnnual Pricing Plans

More Membership Options

Student (free all-access membership) APPLY NOW Community-Supported (free all-access membership) APPLY NOW TPM Inside LEARN MORE
CONTACT FAQ
Masthead Masthead
Founder & Editor-in-Chief:
Executive Editor:
Managing Editor:
Associate Editor:
Editor at Large:
General Counsel:
Publisher:
Head of Product:
Director of Technology:
Associate Publisher:
Front End Developer:
Senior Designer: