Two doses of the Pfizer-BioNTech Covid-19 vaccine are highly effective at preventing illness severe enough to require hospital admission, even against the Delta variant, researchers have found.
The scientists say the two-dose vaccine is 90 per cent effective against Covid-19 hospital admission for all variants, for at least six months.
But its effectiveness against infection fell over the study period, dropping from 88 per cent within one month after receiving both vaccine doses to 47 per cent after six months.
Looking at specific variants, researchers found the reduction in vaccine effectiveness against infection over time was probably caused by waning immunity rather than the Delta variant’s ability to evade the protection offered by the shot.
The researchers say the new US study highlights the importance of continued vaccination worldwide and monitoring vaccine effectiveness to determine who should be prioritised for a booster dose.
“Our variant-specific analysis clearly shows that the BNT162b2 vaccine is effective against all current variants of concern, including Delta,” said Dr Luis Jodar, senior vice president and chief medical officer at Pfizer Vaccines.
“Covid-19 infections in people who have received two vaccine doses are most likely due to waning and not caused by Delta or other variants escaping vaccine protection.”
Young people receiving Pfizer-BioNTech Covid-19 vaccination - in pictures
Researchers analysed 3,436,957 electronic health records from the Kaiser Permanente Southern California health system between December 4 last year and August 8 this year.
During the study period, 5.4 per cent of people contracted the coronavirus.
Among those who were infected, 6.6 per cent were admitted to hospital. On average, three to four months passed between being fully immunised and catching the virus.
An analysis of 8,911 positive tests found the Delta variant made up 28 per cent of the overall proportion of positive tests.
According to the study, the Pfizer-BioNTech shot was 93 per cent effective against Delta variant infections one month after the second dose was administered but fell to 53 per cent after four months.
Effectiveness against non-Delta variants was 97 per cent one month after receiving two doses, and fell to 67 per cent after four months.
Meanwhile, effectiveness against Delta-related hospital admissions remained high (93 per cent) for the duration of the study period.
The researchers did not see a difference in waning between different variants.
The study was conducted by Kaiser Permanente and Pfizer, and its findings were published in The Lancet.
Ten tax points to be aware of in 2026
1. Domestic VAT refund amendments: request your refund within five years
If a business does not apply for the refund on time, they lose their credit.
2. E-invoicing in the UAE
Businesses should continue preparing for the implementation of e-invoicing in the UAE, with 2026 a preparation and transition period ahead of phased mandatory adoption.
3. More tax audits
Tax authorities are increasingly using data already available across multiple filings to identify audit risks.
4. More beneficial VAT and excise tax penalty regime
Tax disputes are expected to become more frequent and more structured, with clearer administrative objection and appeal processes. The UAE has adopted a new penalty regime for VAT and excise disputes, which now mirrors the penalty regime for corporate tax.
5. Greater emphasis on statutory audit
There is a greater need for the accuracy of financial statements. The International Financial Reporting Standards standards need to be strictly adhered to and, as a result, the quality of the audits will need to increase.
6. Further transfer pricing enforcement
Transfer pricing enforcement, which refers to the practice of establishing prices for internal transactions between related entities, is expected to broaden in scope. The UAE will shortly open the possibility to negotiate advance pricing agreements, or essentially rulings for transfer pricing purposes.
7. Limited time periods for audits
Recent amendments also introduce a default five-year limitation period for tax audits and assessments, subject to specific statutory exceptions. While the standard audit and assessment period is five years, this may be extended to up to 15 years in cases involving fraud or tax evasion.
8. Pillar 2 implementation
Many multinational groups will begin to feel the practical effect of the Domestic Minimum Top-Up Tax (DMTT), the UAE's implementation of the OECD’s global minimum tax under Pillar 2. While the rules apply for financial years starting on or after January 1, 2025, it is 2026 that marks the transition to an operational phase.
9. Reduced compliance obligations for imported goods and services
Businesses that apply the reverse-charge mechanism for VAT purposes in the UAE may benefit from reduced compliance obligations.
10. Substance and CbC reporting focus
Tax authorities are expected to continue strengthening the enforcement of economic substance and Country-by-Country (CbC) reporting frameworks. In the UAE, these regimes are increasingly being used as risk-assessment tools, providing tax authorities with a comprehensive view of multinational groups’ global footprints and enabling them to assess whether profits are aligned with real economic activity.
Contributed by Thomas Vanhee and Hend Rashwan, Aurifer
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