POLITICS

Fact-check: Biden said vaccinated people can't spread COVID-19. Is that right?

Louis Jacobson
PolitiFact.com

Joe Biden: People who are vaccinated for the coronavirus “cannot spread it to you."

PolitiFact ruling: Half True

Here's why: During a visit to a construction site near Chicago, President Joe Biden promoted his policies to increase vaccination rates, arguing that beating back the coronavirus is the best way to boost the nation’s economy.

"My administration is now requiring federal workers to be vaccinated," Biden said on Oct. 7. "We’ve also required federal contractors to be vaccinated. ... We’re requiring active duty military to be vaccinated."

Biden then addressed vaccine requirements for medical workers: "We’re making sure health care workers are vaccinated, because if you seek care at a health care facility, you should have the certainty that the people providing that care are protected from COVID and cannot spread it to you."

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Some critics of Biden suggested that he had left an inaccurate impression — that if you're vaccinated, you can't spread the virus.

Those critics had a point: Biden did overstate the degree to which vaccination curbs an individual’s ability to spread the virus to someone else. (The White House did not respond to inquiries for this article.)

In fact, this is the stated position of the Centers for Disease Control and Prevention. In a discussion of the more readily transmissible delta variant of the coronavirus published on Aug. 26, the CDC wrote that "fully vaccinated people with delta variant breakthrough infections can spread the virus to others." 

Experts contacted by PolitiFact agreed. 

Biden "should not be so firm" in his phrasing, said Tara C. Smith, a Kent State University epidemiologist. "Vaccination does significantly reduce transmission from vaccinated breakthrough cases but does not completely eliminate it."

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Babak Javid, a professor of medicine at the University of California-San Francisco, said there are "many examples of onward transmission from vaccines," even beyond the most well-known example, an outbreak this summer that included many vaccinated people in Provincetown, Mass.

So Biden is wrong to suggest that someone who is vaccinated "cannot spread" the virus. But scientists agree that vaccination does cut transmission of the coronavirus significantly, even for the delta variant.

For starters, vaccination makes it less likely that someone will be infected with the virus in the first place. But even beyond that, vaccinated people who do contract the virus have been found to be infectious for a shorter time than those who aren’t vaccinated. For instance, a study from Singapore found that virus levels dropped quickly after infection among people who had been vaccinated.

"This makes sense, since the immune response from the vaccination is coming in to fight the virus," said Monica Gandhi, a professor of medicine at the University of California-San Francisco.

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And the shorter someone is at peak infectiousness, the less likely they are to transmit the virus to others.

Here are some studies that show a reduction in transmission by vaccinated individuals:

• An Oxford University study of contract-tracing data from 100,000 initial cases in the United Kingdom found that vaccination reduced transmission of the delta variant, despite similar viral loads between vaccinated and unvaccinated subjects. Contacts who had received the Pfizer vaccine, which also is used in the United States, were 65% less likely to test positive than people who had not been vaccinated. The AstraZeneca vaccine, which is not approved for use in the United States, reduced positive tests by 36%. (The study did find that the effectiveness in preventing transmission waned with time.)

• A study from Umeå University in Sweden found that people without immunity were at a significantly reduced risk of being infected if family members were vaccinated or had experienced a previous coronavirus infection. This reduction ranged from 45% to 97%, depending on how many other family members were infected. 

• A study from the Netherlands looked at infections among more than 24,000 health care workers. It found that infectious virus shedding was lower among vaccinated individuals who had been infected than it was among those who were unvaccinated.

Our ruling

Biden said that people who are vaccinated for the coronavirus "cannot spread it to you."

That’s overstating the case. Multiple studies show that a vaccinated person is significantly less likely to pass the coronavirus to someone else than an unvaccinated person is, but the transmission risk is not reduced to zero.

We rate the statement Half True.

Sources

White House, "Remarks by President Biden on the Importance of COVID-⁠19 Vaccine Requirements," Oct. 7, 2021

The Blaze, "'That’s a lie': Biden falsely claims that vaccinated people 'cannot spread' COVID-19," Oct. 8, 2021

Centers for Disease Control and Prevention, "Delta Variant: What We Know About the Science," Aug. 26, 2021

Centers for Disease Control and Prevention, "Outbreak of SARS-CoV-2 Infections, Including COVID-19 Vaccine Breakthrough Infections, Associated with Large Public Gatherings — Barnstable County, Massachusetts, July 2021," Aug. 6, 2021

Po Ying Chia, et al., "Virological and serological kinetics of SARS-CoV-2 Delta variant vaccine-breakthrough infections: a multi-center cohort study," July 31, 2021

Brechje de Gier, et al., "Vaccine effectiveness against SARS-CoV-2 transmission and infections among household and other close contacts of confirmed cases, the Netherlands, February to May 2021," Aug. 5, 2021

Min Kang, et al., "Transmission dynamics and epidemiological characteristics of Delta variant infections in China," Aug. 13, 2021

Marc C. Shamier, et al., "Virological characteristics of SARS-CoV-2 vaccine breakthrough infections in health care workers," Aug. 21, 2021

Paul Elliott, et al., "REACT-1 round 13 final report: exponential growth, high prevalence of SARS-CoV-2 and vaccine effectiveness associated with Delta variant in England during May to July 2021," Sept. 10, 2021

David W. Eyre, et al., "The impact of SARS-CoV-2 vaccination on Alpha & Delta variant transmission," Sept. 29, 2021

Peter Nordstrom, et al., "Association Between Risk of COVID-19 Infection in Nonimmune Individuals and COVID-19 Immunity in Their Family Members," Oct. 11, 2021

Nature, "COVID vaccines slash viral spread – but Delta is an unknown," July 27, 2021

Nature, "How do vaccinated people spread Delta? What the science says," Aug. 12, 2021

Science Daily, "Link between COVID vaccination and reduced household transmission, Swedish study finds," Oct. 11, 2021

NBC News, "Vaccinated people are less likely to spread Covid, new research finds," Oct. 1, 2021

Al Jazeera, "Do COVID vaccines prevent transmission of the virus?" Oct. 13, 2021

Email interview with Tara C. Smith, Kent State University epidemiologist, Oct. 14, 2021

Email interview with Babak Javid, professor of medicine at the University of California-San Francisco, Oct. 14, 2021

Email interview with Monica Gandhi, professor of medicine at the University of California-San Francisco, Oct. 14, 2021

Email interview with Nicole Gatto, associate professor in the School of Community and Global Health at Claremont Graduate University, Oct. 14, 2021