Belmullet’s relatively low Covid rate is likely due to natural immunity, expert says

Immunologist says high prevalence of virus earlier this year may be behind trend in area

Belmullet in Co Mayo going from being one of the most Covid-infected places in the State to the least is likely due to significant immunity gained from natural infections, an immunologist has said.

The latest statistics on infections by local electoral area show Belmullet had the lowest rate of Covid-19 infection in the country, with 119 cases per 100,000 people.

This compares with 2,111 cases per 100,000 people in January during the third wave of the disease, when the area was a Covid-19 hotspot with one in every 17 people infected.

Hospital Report

Paul Moynagh, professor of immunology at Maynooth University, said the high prevalence of Covid-19 in Belmullet in January generated "significant levels of immunity from natural infection", and that this was likely even an underestimate given that not all infections are detected.

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He said immunity from natural infection reduces virus transmission since the immune response generates neutralising antibodies stopping the virus infecting cells in the respiratory system.

“This may at least partly account for the present lower rates of transmission in this locality,” he said.

Residual immunity

While such immunity can wane over time, and vaccine-induced immunity can decline after five to six months, leading to more breakthrough infections, high infection rates from the start of the year are likely to reduce the spread of the virus now, said Prof Moynagh.

“It is likely that there is still significant residual immunity in regions that experienced high prevalence at the start of the year and will limit transmission to a certain extent,” he said.

The infection rate in Belmullet is well below the national average of 587 cases per 100,000 people, according to figures published by the Health Protection Surveillance Centre last week.

One local healthcare source said the current rate of infections in Belmullet may be artificially low because of people's overreliance on antigen home tests and because the two-hour return trip to the nearest swabbing centre in Castlebar was deterring some from travelling for PCR tests.

Simon Carswell

Simon Carswell

Simon Carswell is News Editor of The Irish Times