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Older Adults Are More at Risk for Catching the Coronavirus Again

Repeat infections are rare, but study finds people 65 and over are significantly more susceptible

Medical worker wearing personal protective equipment testing an older woman for COVID.

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En español | Adults age 65 and older who have been infected with the coronavirus are more likely than younger people to be reinfected, a large-scale study published in The Lancet reveals.

The study, which looked at reinfection rates among approximately 4 million people in Denmark, found that the vast majority of those who had tested positive for the coronavirus were protected from the virus for at least six months, and that reinfection was rare.

However, adults ages 65 and older who had been previously infected had only about 47.1 percent protection against a repeat infection, compared to a protection rate of 80.5 percent among younger people, the study showed.

The difference can likely be explained by natural changes that weaken your immune system as you age, the study's authors said.

"We know that as we get older, the robustness of our immune systems wanes,” explains C. Buddy Creech, M.D., an infectious disease specialist and director of the Vanderbilt Vaccine Research Program in Nashville, Tennessee. “It's the reason why we give older adults shingles boosters and high-dose influenza vaccine, or influenza vaccine that has a special immune stimulant in it called an adjuvant."

Natural immunity is not enough

The study underscores the importance of face masks, social distancing and getting the COVID-19 vaccine, even for those who have already had the coronavirus, especially if they're older. “Natural protection, especially among older people, cannot be relied on,” the study's authors wrote.

The coronavirus vaccines that have been authorized in the U.S. offer significantly better protection than natural immunity, Creech says. “If you take 100 individuals who have all had COVID, their immune response might be all over the map,” he says. “It often correlates with a variety of factors, including severity of their initial disease. But when you look at immune response [to the vaccines], they are far stronger and more consistent.”

In a piece of good news, the study found “no evidence” that a person's immunity declines within a six-month period of testing positive for the virus.

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The authors noted that their study analyzed coronavirus test data from spring and fall 2020, before the identification and emergence of new, more contagious strains of the virus called variants. Some of the most concerning variants contain a mutation that may allow the virus to elude some of the antibodies produced through natural immunity or the current vaccines.

"These data are all confirmation, if it were needed, that for SARS-CoV-2, the hope of protective immunity through natural infections might not be within our reach, and a global vaccination programme with high efficacy vaccines is the enduring solution,” The Lancet said in a commentary released with the study.

Michelle Crouch is a contributing writer who has covered health and personal finance for some of the nation's top consumer publications. Her work has appeared in Reader's Digest, Real Simple, Prevention, The Washington Post and The New York Times.