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Published on: Apr 19, 2020
3 minute read
By: Dr Rajan Choudhary

What Is Herd Immunity With Respect To Covid19 ?

Herd immunity: the basics

Many countries have been in lockdown for over a month, and some have tried to begin the discussion of an exit strategy. We know that remaining in lockdown continuously is not a feasible strategy, as many people have been suffering economic consequences from the stringent lockdown measures, and many countries have been providing significant monetary and fiscal support for people and businesses at risk. But leaving lockdown too early has its own consequences.

Almost all public health professionals will agree that the lockdown has been able to significantly reduce infection rates and reduce the pressure on our healthcare systems. By taking this early victory and prematurely ending lockdown we risk another wave of infections, reintroducing lockdown, and having an overall negative effect on the general health of the populous.

So what can we do? One exit strategy that has been touted recently is herd immunity. To understand how to may work for COVID we must understand what epidemiologists mean by herd immunity.

IMMUNITY

Our body’s immune system fights against invading organisms such as bacteria and viruses. For a more in-depth discussion you can have a look at previous blogs on Vaccines and Boosting the Immune system. The immune system is very competent and has mechanisms to theoretically recognise any protein tags that do not belong to that person’s cells, even protein tags that do not currently exist in nature. This gives the immune system the ability to theoretically recognise nearly any invading organism that has existed or will ever exist.

The immune system goes beyond this as well and produces “memory cells”. These remain in the blood after an infection for a long time; in some cases, it can even be lifelong. When a second infection occurs from the same organism the immune system jumps into action and is able to produce antibodies against the invader almost immediately. This can neutralise the invader before it has a chance to replicate, cause severe symptoms and harm the body. Sometimes we never realise we have been infected as the infection never gets a chance to cause any damage.

Importantly, if the invader cannot replicate in our body, then its ability to spread to other people is also reduced. For example, respiratory viruses can rapidly replicate in our lungs and be transmitted when we cough or sneeze. By eliminating the virus before it can replicate extensively the number of viral particles in each cough and sneeze is reduced, reducing the chances of another person catching the infection.

This is the basis of how vaccines work and is covered in depth in the two part blog.

HERD IMMUNITY

If our immune system is so competent, why do we need to worry about infections at all? Surely we can all get infected and gain immunity. In an ideal world where everyone was healthy this may be true. But there are many people who do not have fully functioning immune systems. These people are immunocompromised and can be for many reasons.

Chemotherapy and radiotherapy for cancer destroys rapidly dividing cells such as cancer cells. Unfortunately, it also hits other dividing cells, such as hair follicles, gut lining and the bone marrow, which produce the white blood cells that give us immunity. Chemotherapy patients are very susceptible to even the mildest of infections. Even if a mild infection is suspected, they are treated aggressively with antibiotics, as their lowered immune systems can become overwhelmed very quickly.
Sometimes doctors advise patients to take medication that purposefully dampens the immune system. This is necessary for transplant patients, where the host immune system attacks the donor organ as it does not belong to the host, or in autoimmune disorders, where the immune system attacks the host by mistakenly recognising it as an “invader”.
Taking steroids long term has a similar effect, and is used quite commonly for skin disorders, asthma, COPD, and other inflammatory conditions.
People with various chronic illnesses can have reduced immunity as a result of the illness. High sugar levels associated with poorly controlled diabetes can cause worsening organ function, including the immune system. These patients are more susceptible to infections.
Finally, some people do not have fully functioning or welldeveloped immune systems for a variety of reasons, inherited or acquired. As we get older, the immune system function decreases, and simple infections can be devastating.

In all of these cases the ability to recognise invading organisms, destroy them and form immunity is hampered. Vaccination, one way of inducing immunity without causing the person to suffer from a full-blown infection, can also be ineffective in these patients, and some vaccines can be dangerous if used incorrectly. So how do we protect these vulnerable patients?

HERD IMMUNITY

This is where we go back to the earlier point. Immunity in healthy people can reduce or even prevent the spread of infection from one person to another. The number of healthy people outnumber the number of vulnerable, immunocompromised ones. Therefore, if we induce immunity in most people, the infection will simply not spread to the vulnerable ones. We don’t have to immunise everyone, just enough to prevent transmission. This is called herd immunity. This is why we immunise everyone with flu vaccines even those that are healthy and will survive a full blown infection. Because by preventing these people from inadvertently spreading the flu, they will protect those that we cannot immunise.

Does herd immunity work? For most other diseases, yes. It depends on how the disease is spread, and how infective it is. For measles, you need to immunise 19 out of 20 people to achieve herd immunity, because it is so infective. But once herd immunity was achieved death rates were drastically reduced. With the advent of anti-vaccine campaigns, particularly against MMR, this herd immunity has been lost, and many vulnerable children (and adults) who do not have fully functioning immune systems are now contracting this virus and dying from a preventable disease.

It can be achieved for pandemics as well. Norway was able to achieve partial herd immunity to H1N1 (swine flu) through a vaccination program and natural immunity. Vaccines are the best method for achieving herd immunity without extremely high death rates. We have already covered the issues with making a vaccine, and why it takes such a long time, in our previous blog

From reading this blog you should now have an understanding of what herd immunity is, and why it is important in protecting those that are vulnerable to infections. In our next blog we will look at why herd immunity may not be the solution for COVID-19.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

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Does Skipping Meals Slow Your Metabolism?

Many people skip meals hoping to lose weight or save time. But what happens inside your body when you do that? One of the most common concerns is:
Does skipping meals slow your metabolism?
Let’s explore the facts, myths, and what science really says.

What Is Metabolism?

Metabolism is the process your body uses to convert the food and drinks you consume into energy. Even when you're sleeping, your body is burning calories for basic functions like breathing and circulating blood. This is called your basal metabolic rate (BMR).

The faster your metabolism, the more calories you burn—naturally.

What Happens When You Skip a Meal?

When you skip a meal, your body starts looking for alternate energy sources. First, it uses stored glucose. If that runs out, it may break down fat or even muscle.

You may feel:

Tired or sluggish
Lightheaded or irritable
Crave sugary or high-carb foods later

If this becomes a regular pattern, it can impact your overall health and metabolism.

Does Skipping Meals Actually Slow Down Metabolism?

Short answer: Yes, it can—especially if done frequently.

Here’s how:

Your body goes into conservation mode.
To protect itself, your body may burn fewer calories if it senses food is not coming regularly.
You may lose muscle.
Skipping meals, especially without enough protein, can lead to muscle loss. Muscle burns more calories than fat—even at rest.
Hormonal imbalance.
Skipping meals can increase cortisol (the stress hormone), which is linked to fat storage, especially around the belly.
Energy dips.
Less fuel = less energy = less movement = fewer calories burned.

So yes, skipping meals may slow down your metabolism over time, making it harder to lose or maintain weight.

Is Intermittent Fasting the Same?

Not exactly. Intermittent fasting (IF) is a planned eating pattern, like eating between 12 PM and 8 PM.

It gives your body time to digest and repair, and when done right, does not necessarily slow metabolism.

The problem is randomly skipping meals without planning or nutrition tracking. That’s when metabolism can suffer.

Skipping Meals and Overeating

Another big issue is compensation. People who skip meals often overeat later in the day.

You may:

Binge on snacks
Choose unhealthy options due to cravings
Eat faster and beyond fullness

This can lead to weight gain, blood sugar spikes, and digestive discomfort.

Impact on Brain and Mood

Food fuels your brain. Skipping meals can cause:

Low focus and memory issues
Irritability and mood swings
Poor decision-making (especially with food choices)

It can also affect sleep and increase fatigue.

Healthy Alternatives to Skipping Meals

If you’re trying to lose weight or manage calories, here are smarter strategies:

1. Try time-restricted eating

Eat within a 10–12 hour window daily. This gives the benefits of fasting without shocking your system.

2. Eat smaller portions, not fewer meals

Balance your plate with carbs, protein, and healthy fats. Even 200–300 calorie meals can keep metabolism stable.

3. Stay hydrated

Sometimes thirst feels like hunger. Drink enough water throughout the day.

4. Focus on protein and fiber

They keep you full longer and help preserve muscle.

When to Worry

If you skip meals often and notice:

Constant fatigue
Weight gain despite eating less
Cold hands and feet
Hair thinning or dry skin

…these may be signs your metabolism has slowed down. Consult a doctor and consider tests like:

Thyroid function test
Vitamin B12/D3 levels
Fasting blood sugar

You can book these via SecondMedic.com, with home sample collection powered by Thyrocare.

Conclusion

Skipping meals once in a while won’t ruin your metabolism. But making it a habit can lead to slower calorie burning, muscle loss, and overeating.

If your goal is better health, focus on balanced eating, meal planning, and mindful food habits.

So, the next time you ask, “Does skipping meals slow your metabolism?”, remember—yes, it can, especially without strategy or support. Eat smart, not less.

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