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You're 20 times more likely to die of covid if you are unvaccinated compared to if you're vaccinated and boosted. yes, we know with omicron that has more mutations and able to evade our vaccines better, that we are going to see vaccinated and even boosted people have breakthrough cases. and they will have breakthrough cases with mild disease or perhaps even asymptomatic disease. what i would say is that those are those vaccines working and working well because those vaccines are working to prevent really severe disease and prevent hospitalizations and deaths. as for your second question and ev...

And we know president biden is facing questions about if they should have been more prepared, if they were unprepared for this round. was new york city unprepared for this winter surge? >> well, i think that we have been slow to recognize that vaccination is not enough when you're dealing with a variant like omicron which has such a high number of breakthrough cases. we really have to do much more to push remedies like masking, testing, social distancing. it's not enough just to say get vaccinated and go on with life as normal, not when you're up against omicron. my advice to folks is not that...

The number of cases is exploding. but the most important thing is in vaccines and boosters are working. we have to understand what is going on and what will happen. there will be a lot of breakthrough cases. if you have been vaccinated and boosted, you may get infected. but you will likely have mild symptoms. that is always in biology. there is always exceptions. and vaccinated and not boosted with symptoms, we'll show symptoms. unvaccinated are in the intensive care units today. this variant is going to infect record numbers of people. vaccines and boosters prevent serious complications. >> f...

Colleagues, including a lot of doctors that you and i both know who are having breakthrough cases. the i think the point here are two things. absolutely, the congressman is right. these vaccines were never meant to prevent you from ever getting infected. they were meant to prevent hospitalizations. we're still unpacking how our vaccines in the real world advance to omicron. what you saw last week was some lab-based data and now, we're waiting for uk, south africa, countries who have come before us with omicron cases, we're hearing symptoms are milder but that the vaccines are holding and that'...

Maybe we should have gone back into something like a lockdown? are we reacting and chasing our tail now with this disease? >> that's a good question. over the days ahead many of us will have family members and friends who tell us that they're testing positive for covid. the reason for that is because this is an incredibly transmissible variant. when delta arrived, we talked about how more transmissible that was than alpha but we're seeing with the omicron variant, this is a new level of transmissibility. those breakthrough cases will happen but and here is the key, the most important job of th...