Analysis: COVID breakthrough hospitalizations concentrated among the most vulnerable

Breakthrough cases of Covid-19 are hitting older people and those with underlying health conditions particularly hard, according to a new review of data by The Wall Street Journal that sharpens the picture of who remains at risk despite vaccinations.

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State reporting is inconsistent but collectively shows there have been more than 1.89 million cases and at least 72,000 hospitalizations and 20,000 deaths among fully vaccinated people in the U.S. this year, the Journal found.

State and federal data broadly show unvaccinated people are primarily driving pandemic numbers. Breakthrough infections, however, are making up a growing portion because of rising numbers of vaccinated people and waning immunity among people who got their shots early on, some states show…

These people are often vulnerable. Recent data from South Carolina show 79% of people hospitalized with breakthrough infections there had at least one existing health condition, such as diabetes. In the intensive-care unit, where hospitals treat the most severely ill patients, the percentage increased to 88%.

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