FDA Approves First Covid-19 Vaccine(fda.gov) |
FDA Approves First Covid-19 Vaccine(fda.gov) |
I'm just interested in how common this is after vaccination, and perhaps when may this end, so I again spent a few hours yesterday to try to find some significant (N > 5000, preferably more) independent prospective studies of "mild" side effects like these of this vaccine.
So much vaccination going on, so why not just give every 5th person vaccinated in some large center a link and a code to enter observed side effects after 1 day, 3 days, week, and a month, and then maybe 3 months after into some website. Maybe ask for a phone number and call them to ask, if they don't fill the form in time. Even such a stupid study design would satisfy me.
No such thing on google scholar.
There are barely any studies that track side effects over time. It's almost all just binary X,Y,Z side effects after vaccine - yes/no. All studies I could find are < 1000 people or in that range.
The small amount of studies that actually tracked side effects over time, just track for 7 days and end with 4% people still having side effects after a week. One Czech study I found tracked side effects for a month! With 2% having still issues after a month. Well, good! No, not really, N<1000 again, and a biased survey style study.
Also the fucking irony of search returning about 5-10x more so called "hesitancy" studies per a side effect survey, despite me not search for it.
I'm fully vaccinated, and there's no shortage of studies about efficacy, so no problem there. But people that proclaim how well the side effects are studied, because of how many millions of people were already vaccinated just sound ridiculous to me now. Where are all the actual studies?
From what can be found it just seems that very little fuck is given about serious study of so called "mild" side effects, and some guidance given on how to mitigate them, based on results.
("no compensation for from anyone" is because my country actually passed a law that allows for compensation for covid vaccine gone wrong; but with no proof of some statistical relationship, this was just another bullshit anti-hesitancy stunt from the government, and will be of no real help to the affected)
However one problem we have is that for mere side effects ("My arm aches a bit", "My period was a week late", "I feel kinda sleepy in the morning") we don't have good baseline data to compare with. I'd quite like to see someone study, e.g. if we change the Facebook blue colour slightly, and ask a study cohort, what medical "side effects" do they report for that? Clearly someone in a large survey population will report that their right thumb hurts now, and we can reason (but not prove) that's not going to be a direct result of the CSS change, but measuring what this noise looks like would provide a baseline for low risk vaccinations.
That means that at the moment there's just no reasonable way to decide whether it's safe to get a second dose or not. If there were studies that would show that almost nobody has a lasting head pain post vaccination, then one could conclude it's probably just a super weird coincidence, and take a risk with a second dose, to at least get the full protection against covid-19.
Without data the most prudent thing is to do no further harm to oneself, and live with increased risk of infection and all the restrictions and increased costs that are put on unvaccinated.
Maybe add a self-reported intensity scale for the symptoms.
Anyway, I can see why studies like these can be hard.
Can we create an open-source tool that supplements the much-criticized VAERS, which is at least government (i.e. taxpayer) funded, regulated and provides open data for developers? Use standard analytics to extract the most common side effects, then start collecting crowdsourced data not only on side effects, but most importantly, on TREATMENTS and MITIGATIONS for those, especially the mild-but-life-affecting ones that don't justify R&D with future billion-dollar revenue streams.
If you go to the gp/doctor and you tell them you are suffering issues after a vaccine they have to (by law) pass that on to the regulator and to the vaccine manufacturer. In Israel and in the UK reports to doctors about longer term side effects of the vaccine are within and below the expected ranges.
Reports on twitter may be high, reports to doctors remain low. You can draw your own conclusions.
https://ourworldindata.org/covid-vaccinations?country=OWID_W...
The CDC ran such a study. IDK about results, or how many people participated.
Would be nice to see the results.
From societal perspective, why would you do it if you can transmit it in the same amount as if you are not vaccinated?
Doesn't makes sense to me, but well..
I do think that it's a good thing for people that have disease that can complicate covid recovery and older generations.
The graph shows about a .1% chance of death at age 50 if you catch COVID-19. The chance of hospitalization and potential long-term symptoms is a multiple of that.
Vaccinated folks have a lower chance of catching COVID, so as a whole, they have a lower chance of spreading it.
1. https://pubmed.ncbi.nlm.nih.gov/33289900/#&gid=article-figur...
So age and associated diseases should be deciding factor for every person. Or are you proposing something else?:)
That's one of the topics in this video, https://rumble.com/vkopys-a-pathologist-summary-of-what-thes...
[Posted in case it provides a data point for your friend to discuss with a local doctor, not to debate this doctor's affiliation, credentials or motivation. Would love to see more presentations of physical evidence from autopsies and lab tests, to complement statistical studies.]
Question, do you personally know anyone with long term health issues that they believe we're caused by the vaccine?
Here is hoping that somehow your friends symptoms pass soon and are mild.
After seeing what long covid can do to a healthy 40yo woman with no preexisting conditions, where no one understands them at first, I can imagine the stress.
ER neurologist she saw was not very surprised/dismissive, because she apparently went through a nasty reaction to the vaccine herself. And GP was also accepting, did run some diagnostics, but ultimately it's all back to hoping it will resolve by itself (+ as always, some analgesics).
https://news.ycombinator.com/item?id=28275509&p=2
https://news.ycombinator.com/item?id=28275509&p=3
(Comments like this will eventually go away. Sorry for the annoyance.)
Basically it is manufacturing, funding and red tape being the difference, nothing about safety or clinical trials differs.
In software terms, EUA is parallel tracked sprints for clinical trials and manufacturing at same time vs. regular approval is Waterfall where manufacturing occurs after approval.
[0] https://healthtalk.unchealthcare.org/whats-the-difference-be...
> The EUA process is different than an FDA approval or clearance. Under an EUA, in an emergency, the FDA makes a product available to the public based on the best available evidence, without waiting for all the evidence that would be needed for FDA approval or clearance.
I don't post this to spread doubt about the EUA and am fully confident in the safety and efficacy of these vaccines. But as written, this website would seem to suggest that the only difference is when production happens - which is not accurate.
[0] https://www.fda.gov/consumers/consumer-updates/understanding...
I think the major talking point is covered by this info, which is meant for the general public. I'll make an assumption that the general public is also less educated on average than the users on HN on average. A flowchart that would satisfy a bunch of nerdy engineers (us HN users) with all possible paths would confuse the heck out of everyone else.
https://www.cnbc.com/2020/12/16/covid-vaccine-side-effects-c...
Claims can only go by "vaccine court" (yes that's a thing according to Wikipedia)...
https://en.wikipedia.org/wiki/National_Vaccine_Injury_Compen...
> "NCLA is pleased that GMU granted Professor Zywicki’s medical exemption, which we believe it only did because he filed this lawsuit. According to GMU, with the medical exemption, Prof. Zywicki may continue serving the GMU community, as he has for more than two decades, without receiving a medically unnecessary vaccine and without undue burden. Nevertheless, NCLA remains dismayed by GMU’s refusal—along with many other public and private universities and other employers—to recognize that the science establishes beyond any doubt that natural immunity is as robust or more so than vaccine immunity.”
https://www.federalregister.gov/documents/2020/03/17/2020-05...
The Secretary must also state that liability protections available under the PREP Act are in effect with respect to the Recommended Activities. These liability protections provide that, “[s]ubject to other provisions of [the PREP Act], a covered person shall be immune from suit and liability under federal and state law with respect to all claims for loss caused by, arising out of, relating to, or resulting from the administration to or use by an individual of a covered countermeasure if a Declaration has been issued with respect to such countermeasure.”
...
The PREP Act states that a “Covered Countermeasure” must be a “qualified pandemic or epidemic product,” or a “security countermeasure,” as described immediately below; or a drug, biological product or device authorized for emergency use in accordance with Sections 564, 564A, or 564B of the FD&C Act.
Edit: also why is there such a large lag between EUA and full FDA approval? That flow chart seems misleading.
The EUA rules for each category is different in how they differ from the categories baseline. For vaccines the gulf between EUA and full process was relatively small - the clinical dataset was basically equivalent.
I found this article to be a better summary of the differences between EUA and BLA (https://blog.petrieflom.law.harvard.edu/2021/06/15/whats-the...). I think you are right - the diagram from the OP is somewhat misleading.
There is absolutely nothing stopping a company from manufacturing whatever they want before they get a BLA - they just can't market it.
In real terms, it looks like the two big time savers was reducing long-term effects follow up from 6 months to 2 months, and well as probably an abbreviated review of manufacturing processes.
https://en.wikipedia.org/wiki/National_Childhood_Vaccine_Inj...
https://www.govinfo.gov/content/pkg/FR-2020-03-17/pdf/2020-0...
Without this, all we really have to go on is the public information that was release a year ago.
That means that it may be prescribed to individuals <18 in some circumstances, and that it's legal to do so (explicit emergency authorization notwithstanding).
They would say “it’s not FDA approved!” not as the core of their hesitancy, but because they were trying to be appeal to pro-vax peoples decision making framework.
I don’t think we should be able to require them to.
To many of you here: imagine the Trump admin trying to require you to take the vaccine in November of last year. Cities would have burned over it.
And honestly: I was one of the first to take it, but the desire to almost force me to take a booster, and the weird, Orwellian ways that the government talks about it, has turned me against the booster.
It ends up feeling less like the decisions are guided by science and more like they’re guided by petty tyrants wanting to control what others do.
Anybody who has ever lived under an HOA will recognize this.
Seriously: what's the hold-up? Why is the US still blocking this vaccine?
Other countries are entirely free to approve it for their citizens.
Which is really strange. Unclear why they would do that.
https://www.hindustantimes.com/india-news/why-was-bharat-bio...
Nobody knows when under 12 will get an EUA: they need more data before they can apply. Rumor is they will have the data soon and so the EUA will happen by the end of September. This is just a rumor: it seems likely, but could be wishful thinking.
DTaP-IPV-Hib: Diphtheria, Tetanus, Pertussis (Whooping Cough), Polio, Haemophilus Influenzae type B (Hib)
Pneu-C-13: Pneumococcal
Rota: Rotavirus
So, I guess at 2 months if it's warranted and safe.People are so strange about this vaccine...
I don't know what to make of it. Is this a rhetorical strategy that really works? A tic of people experiencing cognitive dissonance?
The most common presentation is mild anxiety, but in more serious instances, a needle phobic person may pass out or be genuinely convinced they are having a cardiac arrest.
There are alternative delivery methods being tested, such as by Pharmajet.
I suspect that when needle phobia is addressed in a less hostile light, you may find an increase in uptake.
Can we talk about natural immunity and the path forward?
> Please don't post comments saying that HN is turning into Reddit. It's a semi-noob illusion, as old as the hills.
What does that even mean?
Do marketing people just play Flappy Bird all day?
Honestly, one of my life goals is to somehow tap into creating a plausibly excusable place for companies to dump their marketing dollars, I feel like that's one of the secrets to an easy life.
"While many were hopeful that FDA approval would assuage the large amount of vaccine skepticism, it did not seem to change the narrative."
I will continue laughing at their pathetic graves and funerals while being frustrated at their impact on me.
Like... what the hell? Do we not see a problem here?
I think a huge factor will be how many employers, colleges, etc. are now willing and legally able to require vaccination. It’s one thing to say you trust something you read on Facebook more than your doctor and quite another to walk away from a job because of it.
So with that in mind, I'm much more keen on seeing how employers will decide on vaccination mandates now that at least one vaccine is fully approved. Any news yet on whether any more employers are likely implementing mandates (if they haven't already this morning) based on the news? Guessing a few probably had their policies and news pre-written in anticipation.
There is one example of this actually happening. Have a look at what happened with the pandermix vaccine:
narcolepsy.org.uk/blog/important-ruling-pandemrix-case
https://www.theguardian.com/world/2019/nov/20/swine-flu-vacc...
Said another way, what was the extra steps that needed to happen between EUA & full approval?
That's plausible. Thanks!
Current Covid vaccines are non-sterilizing. They do not provide immunity that is equivalent to the MMR vaccine.
A future (nasal) Covid vaccine may offer long-term mucosal and blood/serum immunity.
https://twitter.com/ksorbs/status/1417538663018344448
Remember to get vaccinated or a vaccinated person might get sick from the virus that they were vaccinated against because you’re not vaccinated.
I'm really interested a rebuttal to this.
The statement is true. If you're not vaccinated, and you get COVID, there's a non-zero chance that you'll be the source of someone else's breakthrough case.
This statement is also true: If you're vaccinated, and you get COVID, there's a non-zero chance that you'll be the source of someone else's breakthrough case.
So, the quote is kind of useless. The unvaccinated probably do spread COVID faster and with more frequency. So, the directionality of the quote is fine. But it reads like a boolean statement, which is incorrect. COVID is almost certainly endemic at this point. Vaccines clearly help, but it's incorrect to blame all of the mutations and spread on the unvaccinated.
I'm pro vaccine, but even if everyone in the US got vaccinated in the next month we would still have to worry about vaccine-resistant variants coming in via other places.
Additionally, some people can't get vaccinated, or vaccines only work more weakly for them.
Also also, pandemics have knock on effects beyond just the people who get sick, in terms of economic impact, as well as societal rules and restrictions, e.g. schools closing down because of too many sick people, medical procedures getting delayed because the ICU is overwhelmed, etc.
No person is an island; even someone who hypothetically somehow had magical superimmunity from the start of the pandemic would still be facing its effects.
The goal is to reduce the load on the healthcare system. Expanding ICU capacity to always support COVID peak would be expensive, both from the infrastructure and staffing perspectives.
Since the Delta variant is making kids sick, and we don't have a vaccine for kids who are 12 and under yet, we're going to see more kids end up in the ICU.
Also, the Delta variant is 2-3x as transmissible as the COVID strains we've seen before.
The claims that vaccines put evolutionary pressure on the virus to create more virulent strains don't seem that credible when you consider India is seeing new strains develop with a 6% vaccination rate.
A rebuttal would be that we should get vaccinated so we don't die while taking up scarce resources for no real reason.
Covid has an animal host vector. Unless we start vaccinating deer, it's here to stay regardless.
Public schools, colleges, and the military have been requiring vaccines for decades.
>It ends up feeling less like the decisions are guided by science and more like they’re guided by petty tyrants wanting to control what others do.
This sounds like a result of reading about what health care and government officials are saying instead of actually reading what they are saying.
"The voluntary phase is over" - Bill de Blasio
https://www.forbes.com/sites/jackkelly/2021/08/03/new-york-c...
NBC News: https://www.youtube.com/watch?v=sBMCXkjaMxQ&t=778s
I'm under the impression that the vast majority of mandates have exceptions for existing immunity, no?
My HOA telling me to take Christmas decorations down in January doesn't really equate to the government trying to keep me and my community alive and out of the hospital. Don't like the HOA covenants? Move. Don't want the vaccine? Stay away from places that will now be allowed to require vaccination.
We have made up a huge number of arbitrary rules, some at a very broad scale (for instance, that you must shoes and shirts to go into most businesses), others idiosyncratic and basically between one person and another (no cats in this apartment). They all restrict our choices and our freedom and our actions.
We have also set specific limits on what sort of rules we can make up. You can say "no cats" in an apartment, fine, but you can't say "no pregnant women". You can fire someone for showing up at work one day with a face tattoo but not for changing their religion.
"Not wanting to get a vaccine" or "not wanting to wear a face mask" is not currently a recognized protected class (although not being able to because of a medical condition probably is, but hey, of the many many things I am not, I am not a lawyer). There's nothing saying it couldn't be -- we didn't used to have a concept of "protected class", we just had to make it up at some point -- but that's one way to frame this discussion.
The power to exclude is the power to coerce.
Society is coercing people into taking the vaccine by requiring it for any activities outside the home. Want to go to the grocery store? Get a vaccine or wear a mask. Want to go to Disneyland? Get a vaccine or wear a mask. Want to attend a conference? Get a vaccine or take a test and wear a mask. The mask and testing mandates are an effort to wear down anti-vaccine people instead of letting them be.
Compare: "You can murder someone, but then freedoms will be taken from you, because you could hurt someone with these freedoms. You won't get brainwashed out of it, but if you do commit murder, your freedoms are taken away."
Not arguing against the policy, but it in practice, it _is_ the same.
It's not your personal choice when it can harm other people (e.g. immunocompromised people who can't get the vaccine themselves, other people who need ICU beds).
You don't get to dictate the health choices of others. And if we're going down that road (which you seem to embrace) a vaccine against a disease with such a low death rate hardly seems a logical place to start. But that's presuming logic is the starting point, a conclusion lacking evidence.
Also: I did take the vaccine.
I don't like "Imagine x doing y" arguments because it makes us insert our own biases on a hypothetical scenario that isn't the current reality.
It's very political. There's a bunch of screenshots and videos floating around of left-wing people who didn't trust the vaccine because they perceived it as coming from the Trump administration when it was in place. Now that we've swapped presidents, the side of that have flipped - now a bunch of right-wing people don't trust it because they don't trust the Biden administration.
Oddly, it doesn't seem to bother anyone in either of these camps that it was both developed and pushed through initial testing under the Trump administration, and ramped up to full production and usage and edging towards mandates under the Biden administration.
You can probably find exceptions, but the widely spread examples I am aware of all then went on to talk about believing it when it came from the CDC and other authorities.
I would argue that there has been little flipping. Those who were not going to get the vaccine under President Trump are also not going to get it under President Biden. The recent "boo"ing of former President Trump at his recent rally when he recommended people get vaccines is just the latest evidence of that.
You desperately need to take a step back and look at yourself and how you evaluate things.
You decided to go against the booster because of your feelings, not because of science. You want government decisions to be guided by science, and yet you are very clearly anti-science with your decision making.
> To many of you here: imagine the Trump admin trying to require you to take the vaccine in November of last year.
What vaccine? There wasn't a vaccine available until Dec 14th 2020.
Are you trying to say if Trump actually cut corners and made the vaccine available earlier than we should have, then people would be mad? Well... duh. The difference is that the left generally follows what the leaders in the scientific community have to say, not the POTUS. The scientific community would have been against cutting corners.
For the unaware, there are multitudes of highly acclaimed scientists and academics around the world from top institutions including Nobel prize winners that are advising caution against the vaccine. You don't just get to choose which "science" you listen to. These voices are massively censored so the public doesn't really get to hear both sides of the argument. The whole "don't talk bad about the vaccine lest `vaccine hesitancy`" is evil and plain anti-science.
https://www.youtube.com/watch?v=-dAjCeMuXR0
The same thing was broadly expressed on twitter at the time too, she was far from alone in that sentiment.
Commentator: If the Trump administration approves a vaccine before or after the election should Americans take it? And would you take it?
Harris: If the public health professionals, if Dr. Fauci, if the Doctors, tell us we should take it, I'll be the first in line to take it, absolutely. But if Donald Trump tells us that we should take it I'm not taking it.
Harris is alluding to the fact that we should listen to people who actually have medical experience and know what they're talking about. You have to remember this was only a few months after Trump had tried to play doctor on TV by saying:
"So I asked Bill a question some of you are thinking of if you're into that world, which I find to be pretty interesting. So, supposing we hit the body with a tremendous, whether its ultraviolet or just very powerful light, and I think you said, that hasn't been checked but you're gonna test it. And then I said, supposing it brought the light inside the body, which you can either do either through the skin or some other way, and I think you said you're gonna test that too, sounds interesting. And I then I see the disinfectant, where it knocks it out in one minute, and is there a way you can do something like that by injection inside, or almost a cleaning. Because you see it gets in the lungs, and it does a tremendous number on the lungs. So it'd be interesting to check that. So you're going to have to use medical doctors, but it sounds interesting to me, so we'll see. But the whole concept of the light, the way it goes in one minute, that's pretty powerful."
I think this is a reasonable message of caution when talking about someone pushing HCQ and drinking bleach on the daily.
Kamala was saying that if the only person telling her she should get vaccinated was Donald Trump, then no, she would not take it.
The (very clear) implication is that she would prefer that people who actually know what they are talking about (i.e. virologists, doctors, nurses, scientists, the FDA, the CDC, NIH...etc) recommends getting the vaccine, then she would get it enthusiastically.
Is this really too hard to understand or are you really trying to use this extremely flimsy argument to accuse her of hypocrisy?
You have to remember at the time trump was recommending hydroxychloroquine as a preventative and miracle treatment for COVID-19. Sadly some of his followers still believe it (and now are looking at ivermectin as well).
Based on Israel's vaccine data, we would need to see 2/100k 20-29 year olds or 6/100k 30-39 year olds die or experience side affects worse than severe covid for it to make sense to avoid the vaccine.
[1]: though 'include' carries a _lot_ of potential interpretations there :)
Political matter: What is the extent to which we want to allow people to make their own decisions when these decisions have an impact on the well-being of others?
Whatever your answer to the second question is (an exercise which I leave to the reader) is going to have an impact on the degree of inclusion and on the degree of accommodation that should be extended to people who choose not to vaccinate. Respect and love is possible and encouraged in all cases.
As a bonus, for further consideration...
Ethical matter: What is the moral value of an ill-informed decision, and is the moral value of an ill-informed decision sufficient to support the principle of individual autonomy?
Discussion has devolved into two camps largely villainizing each other, so it is an appeal to address the content of their posts opposed to some claim of the 5G/ microchip/ reptilian crowd
No doubt this will be the case for some. So, you've found a logical flaw in people's stated reasons for not wanting a vaccine. How does that help anything? In these kinds of debates, the actual goals or beliefs of both sides often differ from what they say.
For example, the government being able to tell you what to do, vs. it not.
People end up locking in to trivialities like approval or some study, but they just obscure the real debate. Doing more to get the tradeoffs we are making into the open, and talk plainly about what people are being asked to do, why, and what their rights and options are, is much more valuable IMO than trying to find clever flaws in the reasoning of either side. Flaws are there, and obvious, but generally not central to anyone's core thesis, and almost certainly not going to sway anybody. They just let people score cheap shots against their opponents and pump up their own supporters.
Not that this is a silver bullet that automatically leads to peace and harmony, but it's a step in the right direction.
This line of thought leads to the sentence immediately following the one you quoted: if there are a large percentage of people who were hesitant due to sincere safety concerns, the mountain of data showing that the vaccines are low-risk will translate into more of them getting vaccinated but if they're motivated by factors which are not affected by scientific data then the primary mechanism for ending the pandemic will be the kinds of requirements which are made possible by full approval. That either gets people vaccinated or removes them from many contexts where they pose risk to everyone else.
Right now there are a lot of concerns raised about vaccine safety on political and social media. Some of those are devout anti-vaccination activists but I believe that they are still a relatively small fraction of the hesitant. When not being vaccinated comes with a direct personal cost we'll see how sincere those beliefs are.
This. One hundred times, this. I realize in many regards they already tell us what to do, and that does not make the next time more palatable.
Is government regulatory authority really the "real debate"? That too seems like an projected excuse, trivially proven by the fact that the same people who are most invested in the libertarian framing are the ones who believe a secret government agent has been working for the last four and a half years to extrajudiciously round up pedophiles and liberals.
I'm not saying that's what you think. Maybe you're a pure libertarian. But a whole ton of people on "your side" of this debate are quite clearly not serious about regulatory overreach.
Obviously there are exceptions. Some people can objectively look at the situation and come to the conclusion that there are good reasons to start on both sides, and it really depends on your priorities. But those people are not part of the noise, it is the people who are desperate to feel part of a group who are the loudest.
For me the major issue with the vaccine is the extremely fast track from inventing it to getting it out the door.
An FDA approval will not change my mind on the safety of the vaccine, only time can do that.
By that i mean that we need more time to assess the long-term effects, something that many pro-vaccine people seem unwilling to accept. That is unfortunate.
- Phase 3 trials for Pfizer not complete until May 2023: (https://clinicaltrials.gov/ct2/show/NCT04368728) - Control group(s) were given vaccines after 14 days: (https://www.npr.org/sections/health-shots/2021/02/19/9691430...) - Pfizer generates 1.9bn in revenue off of 100m doses, just in the USA alone, creating a massive revenue loop for them that governments cannot get out of due to predatory contracts (https://www.fiercepharma.com/pharma/pfizer-eyes-higher-covid...) - Pfizer's incredibly predatory, leaked, contract (https://www.documentcloud.org/documents/20616251-albanian-pf...)
It has been clear for a while now that the Pfizer vaccine works and is safe. Just because Pfizer has chosen to keep collecting data doesn't make that there is any doubt about that. This is also why control groups have been given the option to get vaccinated too. It would be highly questionable to prevent them from getting vaccinated when we know that some of them might die without the vaccine.
And Pfizer doesn't "make" 1.9b of 100m doses. They might have 1.9b in revenue but producing the vaccines isn't free. And 1.9b is a tiny drop in the bucket compared to the savings we have already seen thanks to the vaccine.
Moderna was approved on December 18, 2020.[0]
Moderna phase 3 trial started on July 27, 2020.[1]
IE, the control group was offered the vaccine more than five months after the trial began. This is before completion of the trial (Oct 2022 for Moderna, IIRC), which is an issue, but this "14 day" as written seems to be suggesting that it was 14 days after the trial began, when it's actually five month.
Additionally, when a treatment proves to be highly effective, it's normal and appropriate to start providing that treatment to the control group early, because leaving them to die or otherwise suffer an illness is considered unethical. This isn't something unique to the COVID vaccines.
[0] https://www.fda.gov/coronavirus-disease-2019-covid-19/modern...
[1] https://www.cidrap.umn.edu/news-perspective/2020/07/phase-3-...
20 bucks? Cheep! Hopefully this drives up vaccine investment.
The biggest reason is: J&J's biggest advantage early on was how much cheaper it is. One shot, simpler manufacturing process (which they've screwed up several times anyway, granted), it would be the one to get widely distributed because the cost-per-fully-vaccinated individual is far lower.
The issue is, the government is paying for all this, and they write blank checks. CVS administers a Pfizer/Moderna; insurance or the government refunds (I'm told) $50. They administer a J&J, they get (again, hearsay) $10. Vaccination clinics are actively incentivized to stock the most expensive vaccines, because the profit per vaccine is higher. So, some have stopped stocking J&J (which, coincidentally, is the one vaccine I've heard many anti-vax people say they'd actually consider, as its kinda-sorta-not-really-but-good-enough more traditional. at least one person i've talked to has said 'well, i'd get the J&J, but the closest clinic that has it is 30 minutes away, so i just haven't gotten around to it').
May I ask why? I've had two shots without much hesitation but this whole booster thing came out of nowhere and gives me "fool me twice" vibes. I understand getting a flu shot every year to target new strains but this would be the exact same shot as 8 months ago.
Second, Pfizer’s vaccines in terms of value produced are worth trillions. Even making $10 billion is completely worth it.
In terms of what we as a society should value and pay for, I would rather us pay a lot of money to Pfizer to develop life saving vaccines than 100’s of billions for ads or weapons.
I actually would like for Pfizer to have made even more money than they are making now.
I saw some conspiracy theory that said this weeks ago and just shook my head at how ridiculous that would be. At least it seemed like a conspiracy theory because my view of control group was apparently something else.
Emergency use authorization, for a vaccine that was never tested on humans, and both Pfizer and Moderna eliminated the control groups?
What the hell!? There must be… other or new control groups right? You can’t really have phase3 trials and reference nothing for control can you? What will they reference?
We have all known people who will double down on their arguments after being proven wrong because they've gone too far. This could give them an out.
https://blogs.sciencemag.org/pipeline/archives/2021/06/08/th...
I think it was a big mistake not to keep that as some kind of trial but my primary reason for that is because it encourages faulty conflations like yours. The message we should take from this is that the problem was NOT following the standard process rather than drawing any conclusions about the process which wasn’t followed.
That story was all over the headlines not because it was normal. It was in headlines, and in the front of your mind, because it was the exception that proves the rule. That’s not typical.
Regardless, the FDA approval was mostly about assessing safety of the drug in controlled trials and follow-ups. Likewise, the vaccine studies were rigorous examinations of safety and an in-depth search for warning signs that might indicate problems in small populations. The correct interpretation of this approval is to see that it has been thoroughly examined for safety in the field.
Finally, we already have mountains of evidence that the vaccine is effective. That much is not in question after administering an incredible number of doses globally and observing the outcomes. Proving efficacy was the least of the FDA’s concerns at this point.
Looks like NYC Public Schools are going to mandate all staff be vaccinated (https://www.nytimes.com/2021/08/23/nyregion/nyc-schools-empl...). I would expect most hospitals/health care organizations to pretty quickly mandate it as well.
There is very little incentive for a large organization to take on the added costs of allowing a large percent of their staff/members to remain unvaccinated now.
And despite all the stories/articles about the desperate, angry anti-vax people, they are really just a small minority who are good at being noisy, and the rest of us are becoming increasingly impatient with them.
There is of course also the issue that mandates come with legal liability for consequences that manufacturers are seemingly not liable for. However, when you mandate or pressure your employees, you are violating several laws, let alone fundamental human rights, and you are also not just taking responsibility for the effects/impacts but you are unnecessarily grabbing hold of that liability when it is not at all necessary. It is kind of mind boggling that we are facing a situation where people, companies, and organizations are increasing their legal risks by purposefully taking on legal liabilities they would not have by doing nothing.
I know someone with a totally inexplicable, debilitating, possibly neurological issue (but no one can tell her after ~5 months) that started with the injection. She chose to submit herself to the experimental treatment and is therefore personally liable even if it kills her. The manufacturers have been given immunity, but that liability will be taken on by employers that choose to mandated/coerce the injections.
I don't think people, organizations, and corporations are taking that into account adequately and are rather mindlessly rushing to grab the legal liability bag that the manufacturers were exempt from.
It's rather irrational and actually quite insane. I cannot make sense of why it is happening. One guess is that it is the effects of moral hazard after decades of nearly zero consequences for the administrative and ruling class. There are never consequences, so why not jump in head long that has never produced meaningful consequences and also in most casts has been quite profitable. Of course you would sycophantically rush to be the most obsequious to the system.
Nothing else makes any sober sense to me.
This is not new: only the most libertarian fringes reject the idea that living in a society comes with obligations. We avoided millions of life-altering diseases with vaccination and politicizing medical care is going to go down in history as the worst move since the CIA decided to use public health workers as a cover story.
There are a lot of assumptions in that counterargument that people will hope you don't examine, for example, the assumption that the probability of a covid transmission ending in harm crosses the same probability threshold if, say, drunk driving ending in harm. I say it doesn't. And since the stakes are so high with what we're talking about allowing the government to do, the burden of proof is on needing to prove the individual's likelihood for serious harm being high.
See for example https://fivethirtyeight.com/features/unvaccinated-america-in...
There’s a pretty stable “never” population at 14%, and you see that as time goes on the hesitants have been gradually been getting won over.
I’m sure some in the “never” camp are using “it’s not been approved” as their current first-line given reason. But I think you need to break down the groups a bit more. There are genuinely people who are not fundamentally anti-vax that are just nervous about how fast the vaccines were developed or scared about what having “RNA” in the vaccine means (I don’t share these concerns but I understand where they come from). Some of these people will at the margin be persuaded by things like full approval.
What is it, day 600 something of "just two weeks" to stop the spread? Oh wait, that's just the _other side's_ fault for not following the rules as well as you did.
From where I sit, it seems like a lot of people are having a hard time admitting that shutting down the world's economy may have been the wrong choice, hindsight.
> Some experts have estimated that full approval might convince just five percent of those who are unvaccinated to get shots.
And there's zero evidence supporting that premise. The US has historically been superior to Europe when it comes to vaccinations for example (look at Europe's long history of bad measles outbreaks). It's the difference between garbage propaganda slung at the US and reality. In reality the US has a tremendous long-term track record of making and utilizing vaccines, which is also why the US didn't disregard developing and distributing vaccines for this pandemic, and in fact was one of the world leaders in both categories.
I don't think this is a decision they made lightly.
Several small startups I’ve talked to are already requiring proof of vaccination. But it’s legal and insurance demanding it, not their team. And these are for _fully remote_ positions. I suspect FAANG is finding itself in a similar position.
Tin foil hat: I’m starting to suspect someone (gov? Pharma?) is leaning on insurance companies to in turn pressure the industry to mandate vaccination.
> Walk away from a job because of it
It’s starting to seem like you’ll be free to not vaccinate in the U.S., but it’s more than walking away from a job. If insurance requires it, you’ll have to find a company that has an insurance company willing to float you an exemption for non-protected class reasons; it’s not clear how much the market is going to allow for that.
BTW: I’m vaccinated. I left my job not to avoid vaccination, but because they thought they could remove my agency.
I want to know when insurance companies will start adjusting rates.
Note that they're NOT mandating/requiring vaccination (which may turn out to violate constitutional rights here) -- it's still the customer's choice -- but you're gonna pay more, just like if you smoke tobacco.
As mandates increase, I anticipate a wave of fake vax cards, as the ones in the USA are simple and trivially easy to forge.
Regarding your comment. I know several people who have already quit, many looking for new jobs and many who have shored up their finances. Many who have had the vaccine have explicitly stated they would never get their kids vaccinated. So there's also that...
I also know probably 10 families who have up and moved to Texas and Florida in 2021.
Here's follow up studies in specified in the letter:
4. Study C4591009, entitled “A Non-Interventional Post-Approval Safety Study of the Pfizer-BioNTech COVID-19 mRNA Vaccine in the United States,” to evaluate the occurrence of myocarditis and pericarditis following administration of COMIRNATY. We acknowledge the timetable you submitted on August 21, 2021, which states that you will conduct this study according to the following schedule:
- Final Protocol Submission: August 31, 2021
- Monitoring Report Submission: October 31, 2022
- Interim Report Submission: October 31, 2023
- Study Completion: June 30, 2025
- Final Report Submission: October 31, 2025
5. Study C4591021, entitled “Post Conditional Approval Active Surveillance Study Among Individuals in Europe Receiving the Pfizer-BioNTech Coronavirus Disease 2019 (COVID-19) Vaccine,” to evaluate the occurrence of myocarditis and pericarditis following administration of COMIRNATY. We acknowledge the timetable you submitted on August 21, 2021, which states that you will conduct this study according to the following schedule:
- Final Protocol Submission: August 11, 2021
- Progress Report Submission: September 30, 2021
- Interim Report 1 Submission: March 31, 2022
- Interim Report 2 Submission: September 30, 2022
- Interim Report 3 Submission: March 31, 2023
- Interim Report 4 Submission: September 30, 2023
- Interim Report 5 Submission: March 31, 2024
- Study Completion: March 31, 2024
- Final Report Submission: September 30, 2024
6. Study C4591021 substudy to describe the natural history of myocarditis and pericarditis following administration of COMIRNATY. We acknowledge the timetable you submitted on August 21, 2021, which states that you will conduct this study according to the following schedule:
- Final Protocol Submission: January 31, 2022
- Study Completion: March 31, 2024
- Final Report Submission: September 30, 2024
7. Study C4591036, a prospective cohort study with at least 5 years of follow-up for potential long-term sequelae of myocarditis after vaccination (in collaboration with Pediatric Heart Network). We acknowledge the timetable you submitted on August 21, 2021, which states that you will conduct this study according to the following schedule:
- Final Protocol Submission: November 30, 2021
- Study Completion: December 31, 2026
- Final Report Submission: May 31, 2027
8. Study C4591007 substudy to prospectively assess the incidence of subclinical myocarditis following administration of the second dose of COMIRNATY in a subset of participants 5 through 15 years of age. We acknowledge the timetable you submitted on August 21, 2021, which states that you will conduct this assessment according to the following schedule:
- Final Protocol Submission: September 30, 2021
- Study Completion: November 30, 2023
- Final Report Submission: May 31, 2024
9. Study C4591031 substudy to prospectively assess the incidence of subclinical myocarditis following administration of a third dose of COMIRNATY in a subset of participants 16 to 30 years of age. We acknowledge the timetable you submitted on August 21, 2021, which states that you will conduct this study according to the following schedule:
- Final Protocol Submission: November 30, 2021
- Study Completion: June 30, 2022
- Final Report Submission: December 31, 2022
10. Study C4591022, entitled “Pfizer-BioNTech COVID-19 Vaccine Exposure during Pregnancy: A Non-Interventional Post-Approval Safety Study of Pregnancy and Infant Outcomes in the Organization of Teratology Information Specialists (OTIS)/MotherToBaby Pregnancy Registry.”
- Final Protocol Submission: July 1, 2021
- Study Completion: June 30, 2025
- Final Report Submission: December 31, 2025
11. Study C4591007 substudy to evaluate the immunogenicity and safety of lower dose levels of COMIRNATY in individuals 12 through <30 years of age.
- Final Protocol Submission: September 30, 2021
- Study Completion: November 30, 2023
- Final Report Submission: May 31, 2024
12. Study C4591012, entitled “Post-emergency Use Authorization Active Safety Surveillance Study Among Individuals in the Veteran’s Affairs Health System Receiving Pfizer-BioNTech Coronavirus Disease 2019 (COVID-19) Vaccine.”
- Final Protocol Submission: January 29, 2021
- Study Completion: June 30, 2023
- Final Report Submission: December 31, 2023
13. Study C4591014, entitled “Pfizer-BioNTech COVID-19 BNT162b2 Vaccine Effectiveness Study - Kaiser Permanente Southern California.”
- Final Protocol Submission: March 22, 2021
- Study Completion: December 31, 2022
- Final Report Submission: June 30, 2023
https://www.fda.gov/drugs/postmarket-drug-safety-information...
Or point out that the 737 MAX had approval from another federal agency.
We simple can't be sure, it is personal risk management. Requiring the vaccine is silly because vaccinated people can still spread it (especially Delta), perhaps even spread it more since their symptoms aren't as severe and they are far more willing to mix with large crowds.
"In addition, a growing body of evidence suggests that mRNA COVID-19 vaccines also reduce asymptomatic infection and transmission."
https://www.cdc.gov/coronavirus/2019-ncov/science/science-br...
"FDA set to grant full approval to Pfizer vaccine without public discussion of data": https://www.bmj.com/content/374/bmj.n2086?s=09
Expecting the public to have confidence in these vaccines is demanding a level of subservience and blind faith that most reasonable people are unwilling to provide.
>Interested persons may present data, information, or views, orally or in writing, on issues pending before the committee.
https://www.fda.gov/advisory-committees/advisory-committee-c...
Or maybe just stick with the fact that it isn't very effective. [1]
[1] https://www.medrxiv.org/content/10.1101/2021.08.06.21261707v...
> Both vaccines were highly effective during this study period against SARS-CoV-2 infection (mRNA-1273: 86%, 95%CI: 81-90.6%; BNT162b2: 76%, 95%CI: 69-81%) and COVID-19 associated hospitalization (mRNA-1273: 91.6%, 95% CI: 81-97%; BNT162b2: 85%, 95% CI: 73-93%). However, in July, the effectiveness against infection was considerably lower for mRNA-1273 (76%, 95% CI: 58-87%) with an even more pronounced reduction in effectiveness for BNT162b2 (42%, 95% CI: 13-62%). Notably, the Delta variant prevalence in Minnesota increased from 0.7% in May to over 70% in July whereas the Alpha variant prevalence decreased from 85% to 13% over the same time period.
2. You linked to an old version that says "However, in July, the effectiveness against infection was considerably lower", in the current version the same sentence reads "In July, vaccine effectiveness against hospitalization has remained high"
It also does seem like the approval process may be influenced by political pressure to remove barriers to hesitancy or to support vaccine mandates. My understanding is that the approval timeline here is faster than any previous one. Did the FDA really review the over 300,000 pages submitted for this approval and scrutinize it to the extent necessary? Maybe. But from the outside it seems suspiciously quick based on relative terms.
By looking at other vaccines historically and seeing that side effects tend to happen in the first few weeks.
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/expect/af...
> Vaccine monitoring has historically shown that side effects generally happen within six weeks of receiving a vaccine dose.
People who avoid the vaccine are akin to people who don't wear seat belts because they might drown if their car falls into the water.
Because of e and f, I think the risk of a vaccine is much lower. By now, we see very small risks for serious short and mid term effects. We know how long the mRNA survives in the body (I don't think we know that from the COVID virus, that could potentially hide for a very long time, as other viruses demonstrate), virtually eliminating direct long-term effects. What remains are the unkown unknowns. Can it trigger something? Sure, we have observed that in other vaccines. But it is very, very rare, not only that vaccine can cause it, but also that if the vaccine can cause it, one is affected. Additionally: It is very likely that a COVID infected person would have a similar risk -- much of the immuno-response is the similar to a vaccination (but maybe broader). Since I assume a close to 100% prob to get infected at some point if unvaccinated, it's not an additional risk.
To explain the last point a little: A way you can construct a long term effect goes like this: If the presented spike protein is close enough to a natural,i.e. normally expressed, protein, the antibodies could affect both, and potentially destroy an important body function. That risk, I think, is actually higher with a full infection, since the antibodies learn not only the spike protein, but potentially more of the virus, so there is more chance of similarity with something else. In any case, as far as we know, the chance for something is remote.
RE approval process: What calms my mind there is that all countries for which I normally trust the approval process gave their OK, including those which went with a different strategy, or where it was less of a political issue. While it's possible that they all got corrupted by political pressure, that's less likely.
If a doctor is recommending you don't take it based on their experience and expertise, it carries a bit more weight than "something you read on facebook". And if you can't trust doctors now, who may even be your own doctor, why would you trust anyone else, or "some other doctor"?
This is not something that can be resolved by bullying or mandates. It can only be resolved by open dialogue and debate between the two sides, which thus far, has been prevented.
Censorship and stifling of debate only hardens the opinions of either side.
It also makes no sense - many areas have massive resistance, no matter what has been thrown at them - proving the fear of "if we let them talk freely they'll influence others and go off and do whatever they want!" isn't founded. Basic human psychology, along with experience, shows the reverse has proven true.
If you stop people who are suspicious of something from being able to talk about what they're suspicious of, they get even more suspicious of it.
Certainly, there is no other time in history widespread censorship has resulted in anything other than widespread division, suspicion and ultimately, violence.
If employers mandate based on this approval, it will likely just result in mass walk-outs.
Minds are not won by force.
Your second claim is massively untrue: all of the information is public and actual medical doctors overwhelmingly support vaccination and bend over backwards trying to help patients understand it (note that most of the high profile objectors either aren't real MDs and/or are speaking far outside of their area of expertise). The problem is that many people are defining “open dialogue” as meaning that untrue statements they make need to be taken as seriously as the consensus of the scientific community.
The first is rather debatable: mandates have been highly effective everywhere they've been tried because they shift the cost calculation to “do I feel strongly enough about this that I'm willing to give up something I like?”.
I highly doubt it.
"Minds are not won by force."
How is it by force? They still have agency in their decision: Job or jab.
Or continue an existing reason:
"Information is not yet available about potential long-term health outcomes."
There is uncertainty about long-term effects of both. There is no uncertainty about the short-term effects of COVID, which are magnitudes worse than the short-term effects of a vaccine. COVID for me was a multi-week flu that scared the shit out of me because I didn't know how bad it would get or if I'd live through it. I took months to get my smell/taste back, three months to get back to previous fitness levels, hair loss, and significant mental fog and memory problems. The jab was one day of tiredness and I ran a marathon two days after no problem.
I really can't fathom how anyone could put themselves and those around them at such great risk, rather than taking a vaccine.
It's like worrying about the long-term impact of breathing fire extinguisher powder while being engulfed by flames.
1) Risk of potential negative long-term health outcomes from COVID-19 vaccine.
2) Risk of potential negative health outcomes (long and short term) from COVID-19 infection.
As well as
3) Risk of potential negative non-health outcomes from COVID-19 infection (social and economic, risk of infecting others, risk of overrunning ICUs)
With a proper risk analysis vaccine 100% wins for the vast majority of people and it's not even close.
(Referenced studies are linked in the article).
Why should people who already have antibodies take marginal unnecessary risk for no gain?
https://www.cdc.gov/mmwr/volumes/70/wr/mm7032e1.htm
“Among Kentucky residents infected with SARS-CoV-2 in 2020, vaccination status of those reinfected during May–June 2021 was compared with that of residents who were not reinfected. In this case-control study, being unvaccinated was associated with 2.34 times the odds of reinfection compared with being fully vaccinated.”
> Prof. Zywicki’s immunologist, Dr. Hooman Noorchashm, has advised him that, based on his personal health and immunity status, it is medically unnecessary to get a Covid-19 vaccine — and that it violates medical ethics to order unnecessary procedures.
> the Policy is unmistakably coercive and cannot reasonably be considered anything other than an unlawful mandate. And even if the Policy is not deemed coercive, it still represents an unconstitutional condition being applied to Professor Zywicki’s constitutional rights to bodily integrity and informed medical choice, respectively.
> GMU’s Policy infringes upon Professor Zywicki’s rights under the Ninth and Fourteenth Amendments to the United States Constitution
I think the focus on a small minority of people who don't want to take a vaccine is unhealthy.
It's not this simple. Not taking a vaccine during a pandemic has negative externalities, since you're increasing the risk of infection and death of those you interact with, you increase the likelihood of consuming scarce resources (such as ICU beds), etc.
I largely agree with you, but framing it as a simple "individual choice" issue is reductive at best.
Israel would like a word with you.
https://www.npr.org/sections/goatsandsoda/2021/08/20/1029628...
The focus is just, these folks are robbing everyone else of their freedom and happiness.
They can just pass on the cost onto the consumer and raise their profits.
Sorry for not wanting to inject myself with unproven technology with unknown long term effects. Why politicians and certain pharma companies keep pushing these vaccines instead offering conventional inactivated virus vaccines? Heck maybe I'd go even for protein based one (Novavax).
As healthy non-obese non-smoking relatively young person I'm not afraid of COVID, but I'd be willing to take safe vaccine with technology proven by decades of track record to make some people happy (though ideally everyone should have same rights vaxxed or unvaxxed and this should be entirely voluntary same as influenza, hepatitis and other vaccines nobody requires when you travel to neighboring country or visit restaurant).
For instance these are currently my options in EU, if I want conventional vaccine against COVID approved by EMA or any COVID vaccine using any technology approved more than 2 years ago:
EDIT: I wonder if all those people defending these new technoloy vaccines also use all their software running Alpha/Beta versions and don't wait for Stable version. But it seems when it comes to one's own health it's less important than software for most.
You're refusing the "beta" (installed by billions of users) version of something that can save your life because you (mistakenly) believe the choice is between that, and staying as you were before.
It's not. That's no longer true with the Delta variant. Now it's really a choice between "carefully designed, just officially declared stable" vaccine with billions of users vs getting the "totally unstable, totally doesn't care about your health, completely unknown long term effects" SARS-CoV-2 virus forcefully installed on you.
You will get antibodies one way or another, and there is orders of magnitude more risk and uncertainty associated with getting them through infection rather than controlled vaccination.
Furthermore, there has never been in history any vaccine side effect that occurred later than a few weeks after administration at most.
There is just no theoretical basis for why anything wrong would happen here.
Are you demanding 100% certainty ? Sure, you won't get it here but you also didn't get it with anything else you ever did in medicine and you can live with that.
With Delta, ICUs (and even more so long covid clinics) are full of unvaccinated "healthy non obese non smoking relatively young" guys like you.
If you're not afraid of Covid, rationally you should be even less afraid of getting a vaccine.
To put things in perspective, here are the odds in young males for the most talked about vaccine side effect (myocarditis, which usually resolves in a few days), vs the odds of getting severe Covid at your age :
I can't figure out what these vaccines do that could even have long term effects beyond getting your immune system to recognize the protein.
So what you need is not longer trials, but trials with more people. Which is what is done in so called phase 4 trials after approval.
I'm in a low-risk group and see no use in getting vaccinated, especially since herd immunity is off the table and nearby ICUs are not overflowing. The media/pharma/politicians/bigtech are all passing out the same message: get the vaccine. Non of them highlight that there are good reasons not to. So much for informed consent?
Why all the hate against people being cautious?
My wife is a pediatric ER doctor (but because the adult ER is so swamped with COVID patients they're now seeing all patients up to 25), during the first few waves of COVID, she saw almost no severe cases in children and young adults. There were plenty of kids who came in with COVID, but she didn't admit a single otherwise healthy kid or young adult because of COVID.
In the last week, she's admitted 3 17 year olds to the PICU, and they've admitted many more than that to the floor for treatment.
>It's stories like this --gov't makes out of court settlements and vaccine retracted-- that give a lot of credibility to those against/ hesitant towards vaccination.
We have now administered billions of doses of MRNA vaccines. The safety profiles are more well known than a large percentage of drugs on the market that most people would take without a moment's hesitation.
Historically vaccines have been taken off the market b/c of issues that were too uncommon to show up in trials, which consist of only a few thousand or tens of thousands of people. The side effects were so rare that they only showed up once millions of people started taking them.
There has never been a vaccine that was pulled off the market for a side effect that took a year to show up.
I also think you underestimate how ANGRY people are that they spent 18 months in lockdown, only to have some anti-vaxers mess things up at the end. By this point, we shouldn't be talking about which areas do/don't have overflowing ICUs, we should be talking about which areas have hit milestones for number of days without a positive case!
If Trump succeeded at gutting the FDA and installing people like Scott Atlas in order to override the career officials and experts at the FDA, or something similar, then yes my answer would likely be different.
Again, the POTUS at the time has nothing to do with the decision making.
"I took it, but here's a bunch of reasons to not to" is THE best argument for equanimity and individual decision making; its Informed Consent. You should try to learn everything you can; the stuff the media tells you, the stuff the government tells you, the stuff doctors tell you, and even the stuff on the hard anti-vax it'll give you autism side says. Take all of it with a grain of salt, but different amounts of salt depending on the credentials and biases of the source. Sieve it through your own personal belief system. Then act to your beliefs. You'll probably be wrong, but you were already wrong before; the goal isn't to always be right, but to continually improve your ability to recognize when you're wrong.
There is no one truth to any aspect of our reality. You may actually find some compelling arguments against a belief system you once had. For example, one soft anti-vax argument I've heard recently stuck with me: that these vaccines are effectively the "kills 99.9% of germs" equivalent of ultra-fast evolving viruses, imperfect vaccines which allow both the host to live and the virus to evolve, thus creating even more vaccine resistant strains of COVID. And, maybe, at a global public health level, these vaccines are a REALLY bad idea long-term, and our efforts to save a few million people today will kill millions more in the future. Maybe. Its hard to say, but its an interesting thought.
You won't hear that from the CDC. Their bias in PR right now is: everyone get vaccinated, downplay anything negative about the vaccine, don't allow for nuance because we can't trust the public with nuance, we just need them vaccinated. That's fine! Its a legitimate goal that will almost definitely result in a lot of good. But that doesn't mean the whole truth is everything they say.
As for mine. I got my first shot in December. Probably one of the first in my area. Got second 2 weeks after. I think everyone should get it as soon as they are comfortable with doing so. There is such a thing as being unreasonably suspicious and antivaxxers fall into that pretty easily but there is nothing inherently wrong with wanting more than emergency approval. Furthermore, private companies can definitely make it a term of employment but I am strongly against the government requiring it. I am a firm believer that everyone has the right to be a dumbass.
"Through the remainder of 2021, racially- or ethnically-motivated violent extremists (RMVEs) and anti-government/anti-authority violent extremists will remain a national threat priority for the United States. These extremists may seek to exploit the emergence of COVID-19 variants by viewing the potential re-establishment of public health restrictions across the United States as a rationale to conduct attacks. Pandemic-related stressors have contributed to increased societal strains and tensions, driving several plots by domestic violent extremists, and they may contribute to more violence this year.
Foreign and domestic threat actors, to include foreign intelligence services, international terrorist groups and domestic violent extremists, continue to introduce, amplify, and disseminate narratives online that promote violence, and have called for violence against elected officials, political representatives, government facilities, law enforcement, religious communities or commercial facilities, and perceived ideologically-opposed individuals. There are also continued, non-specific calls for violence on multiple online platforms associated with DVE ideologies or conspiracy theories on perceived election fraud and alleged reinstatement, and responses to anticipated restrictions relating to the increasing COVID cases."
https://www.dhs.gov/ntas/advisory/national-terrorism-advisor...
Doesn't sound Orwellian to me at all.
Is that happening? I cannot find any federal law of any kind (let alone stemming from the oval office) requiring individuals to get the vaccine.
Does it need to be a law to be compulsory? How many Americans, including employees of numerous branches of the federal government that have said mandates, have the luxury of walking away from their jobs? Things like...
https://www.usnews.com/news/health-news/articles/2021-07-29/...
“If the public health professionals, if Dr. Fauci, if the Doctors, tell us we should take it, I'll be the first in line to take it, absolutely. But if Donald Trump tells us that we should take it I'm not taking it.“
Note “But if…”. That programmers aren’t able to parse this if else statement is concerning.
[0]https://www.cms.gov/medicare/covid-19/medicare-covid-19-vacc...
It was in the headlines because it is normal, and some people were trying to improve the system but they failed. There are tons of existing drugs that have been approved based on surrogate endpoints, e.g. iirc the entire class of statin drugs.
Moderna was not "approved" on December 18. Your own source says it was "authorized for emergency use".
I'm vaccinated and everyone I know is, but I cringe a bit at the tolerance of what seems authoritarian to me. If I were to wager, things get better once antiviral treatments improve and when data analysis gets better, not when "full compliance" happens. To me it's clear that there is a seasonal nature, but it varies based on latitude/climate/time of year. For whatever reason it seems taboo to mention this. Anyone wanting to prove a point about masks/vaccines working or not working often compares one region/climate to another.
nice use of the oxford comma btw.
According to what I've heard, you can just walk into any Walgreens/pharmacy to get it, without paying or getting an ID check.
Not sure how legal that is though. I understand that those should be for tax-paying citizens.
I wouldn't want to spend so much money flying there without a guarantee. Anyways, I will probably be able to get something (looking for a 3rd Pfizer shot), I just don't like to depend on getting lucky.
For the "vaccine court" you're just presenting a claim that vaccine X could cause condition Y, that you developed condition Y after taking vaccine X, and that there's no other reason you'd suffer from condition Y. If the court finds it plausible, you (and your lawyers) get paid, and everyone goes about their business the same as before.
I have a friend in this group. There was no logical reason to not get vaccinated, her parents just kept regurgitating all the blatantly false conspiracy theories they were reading on the internet. The amount of times I heard "I'd get it if Bill Gates weren't involved, he's trying to track us" made my head spin.
Now work is requiring it to stay employed, so she's getting it. I'm both sad that's what it took, and happy that it was enough to overcome irrational fear mongering on the world wide web.
Telling someone you'll fire them if they don't get a shot isn't quite holding them down and jabbing them but it's not really a free personal choice either. Many people aren't in a position to just hop down the street into a new job.
Nearly every decision one makes has an impact on the well-being of others. On the one end, you can't shoot someone just because you feel like it. On the other end, a teenage boy asks a girl out, the girl Decides to reject him, and he is so devastated he commits suicide. Somewhere in the middle, I decide to drive to work today, my wheel goes flying off, I careen into oncoming traffic killing myself and another; if only I had Decided to take the bus today.
Obviously we, as a society, draw a line somewhere. I don't know if where we draw that line today is actually the correct place, or if there even is a "correct" place to draw it.
My opinion on vaccine mandates, right now, is: They're probably bad. Not because of personal liberty, though that may be a valid argument; I'm just not sure (I'm not sure I'll ever be sure; I'm willing to admit that decision is above my pay grade). But because the vaccines we have right now are actually not great at stopping the spread of the virus. They do save lives and keep people out of the hospital, but that's separate from the argument that they keep your coworkers safe. We're definitely sacrificing personal liberty, which may be bad, for tenuous benefit.
There's another similar argument: Keeping preventable cases out of the Hospital is a public good, because medical care is a limited resource that is VERY stressed right now. This, actually, resonates more with me. I think this is a stronger argument for vaccine mandates. Your personal liberties may have to end when you call 911 and expect someone else to answer and save your life, and I think demanding wide vaccination is morally superior to refusing care to a dying man because he chose not to get vaccinated.
But the bigger issue with this argument is determining why the medical system is so close to the brink of collapse; I suspect it has less to do with COVID, and more to do with doctors and nurses being treated like shit, which significantly pre-dates COVID, leading to burnout and people leaving the industry. I have a vivid memory from 20 years ago, being 10 or something, sitting in the car with my mom after her nurse shift, she's near tears and asks me if I think its fair that Brittany Spears can make millions but nurses make almost nothing. I still feel guilt today, making so much money in tech, while our nurses (and teachers, and many other insanely important industries) make so little; it isn't right. If we, as a society, were significantly better at supporting our healthcare providers, its possible we could support personal liberty and manage the consequences of that liberty, at least in this domain. (and, to be clear, that support isn't just paying more; its also mental health, and time off, and streamlining management, and training more people to join the industry. its a big problem)
There's also one argument against mandates which resonates very well with me: That the systems we have in place to validate vaccinations rarely take into account natural immunity. If this were intentional, e.g. natural immunity sucks so we need you to get a vaccine, then that's one thing. But it seems like this is a discussion we simply haven't had, in the US. Natural immunity seems to be a thing, so we should be inclusive and give people that path. But we aren't; we demand the Record Card. This seems to be a net bad; either policymakers need to say "natural immunity isn't effective at stopping infection" or mandates need to allow for a positive test result, at any point in the past (e.g.) year, to be sufficient as a replacement for a vaccine.
One local company has taken on the policy "vaccination or get tested twice a week". This is utter insanity, and its a big reason why so much of America, on both sides of the political spectrum but especially the right, has lost faith in the system. These policies essentially, to many people, say "sacrifice your personal liberty, or significantly inconvenience both you and our health care system by getting tested a ton." Private companies should not have the ability to put that kind of stress on our already stressed health care system in the dumb pursuit of utilizing their expensive office real estate. At the very least, the government needs to step in and say that companies cannot demand ongoing testing; that I 100% support. If a company decides to mandate only vaccination after that, I think that's far more gray, and while I am fully vaccinated, it still doesn't sit right with me. But, maybe its the right decision for them and their workers.
The naturally immunity thing is fraught. Accepting for argument that naturally immunity is exactly as good as the best vaccine, it's reasonable to equate vaccinated and recovered at a point in time. Covid has done all the damage it's going to do to the recovered group, and both are as protected as the other going forward (per assumption).
However, offering 'vaccine or recovery' as an option going forward is more harmful if there are any remaining unvaccinated/uninfected people. Some _will_ choose the 'recovery' option, at immense personal (illness, possible long-term damage, possible death) and societal (health-care over-burden, transmission effects, etc.) expense. Splitting the currently-recovered from uninfected/unvaccinated for policy-making purposes would require either faith in self-reporting or significant invasion into health records. Neither seem tenable in the US, for obvious reasons of culture and law. IIRC other countries are taking that route.
Which leaves you, I think, where your comment started. Are the external costs of assuming the risk large enough that policy should proscribe that option and mandate vaccines?
That's generally how the media describes the papers that respectively go against, or with the narrative they're trying to push.
I don't believe that attending public school while unvaccinated is an essential Liberty.
In addition like previous precedents, public schools would not allow the unvaccinated in the future. These things all combined would mean individuals would be having to change their lifestyle since they’re choosing not to participate in a way that’s safe for others.
The problem is New York will fine any businesses not checking vaccine passes and are forcing them to turn away unvaccinated.
Ok - so can the unvaccinated start their own restaurants of only unvaccinated? Can we open up our own hospitals with the nurses that were fired from mandates? Can we setup our own public transportation? Why not?
Is it because of the scare mongering about variants? Well people who took the vaccine are also causing variants, actually their supposedly super-high levels of vaccine antibodies are not stopping breakthroughs that much - so they are putting evolutionary pressure on the virus to mutate and evade those antibodies. It makes no sense to blame the unvaccinated for that. So why take away unvaccinated freedoms to setup their own restaurants, services etc? That's not liberty for a business or anyone really, that's fascism.
All those field hospitals that were stood up in 2021 across the US have been torn down because they were not needed.
I don't know about you, but it looks more to me like all we are seeing is the breakdown of crony-capitalism. It's not a coincidence that the vaccines are some of the most profitable medical products ever produced.
While it might be fair to challenge the credibility of WSJ, you should know that the CDC study you cited had a relatively small sample size and was limited to a small geographic area over a 2 month period. Recent large scale multicentre studies with ~100x more participants have provided strong counter evidence that natural infection confers highly effective protection [3].
> A previous history of SARS-CoV-2 infection was associated with an 84% lower risk of infection, with median protective effect observed 7 months following primary infection. This time period is the minimum probable effect because seroconversions were not included. This study shows that previous infection with SARS-CoV-2 induces effective immunity to future infections in most individuals. [3]
For reference here's high quality publications supporting GP's claim that natural infection provides robust and durable immunity that is at least as protective as vaccination [1][2][3][4].
[1] SARS-CoV-2 infection induces long-lived bone marrow plasma cells in humans https://www.nature.com/articles/s41586-021-03647-4.pdf
[2] Longitudinal analysis shows durable and broad immune memory after SARS-CoV-2 infection with persisting antibody responses and memory B and T cells https://www.cell.com/cell-reports-medicine/fulltext/S2666-37...
[3] SARS-CoV-2 infection rates of antibody-positive compared with antibody-negative health-care workers in England: a large, multicentre, prospective cohort study (SIREN) https://pubmed.ncbi.nlm.nih.gov/33844963/
[4] Necessity of COVID-19 vaccination in previously infected individuals https://www.medrxiv.org/content/10.1101/2021.06.01.21258176v...
Secondly, children have a very low risk, the flu is more dangerous to them than Covid.
Thirdly, assume that the growing body of evidence is correct . The vaccinated coworker who has a new Tinder date every week and mixes with large crowds in clubs will still be a higher risk than a reclusive, un-vaccinated, masked individual.
The overlap between antivaxers and masks does not work that way.
"In general (and I don't mean you), parents have had zero regard for others being infected with the flu for as long as I can remember. I've gotten the worst flu of my life (coughing for months) from a visiting parent with an infected child (the parent knew it and did not tell)."
So this is about revenge? I really have no clue what you point is.
"Secondly, children have a very low risk, the flu is more dangerous to them than Covid."
The number of children with severe symptoms is growing.
https://www.wsj.com/articles/more-kids-are-hospitalized-with...
It's not possible to have anything remotely resembling a "debate" in such a climate.
Mandates have not been effective. Nothing that's been done can be said to have been "effective". We are apparently in an even worse place now, even with vaccines, than we were last year.
In reality though, we aren't.
The pathology of the virus is well-understood, as are the mechanisms to defeat it. But we're not allowed to talk about it.
It'd all be over in weeks if we were - as we saw in India recently, in all provinces but the one that stuck with the dogma.
And since you're here, why aren't you doing more to [flag/demote/whatever] content where people are saying that Covid booster shots and their requirements are nothing more than "petty tyrants wanting to control what others do."? Surely that's worse than a small attack on the person saying it?
Referring to authorities as "petty tyrants" or whatever probably doesn't count a personal attack unless the "petty tyrant" is personally present. I don't think those comments are very high quality, but this is the internet. Trying to raise comment quality is like trying to lift a tsunami. We do what we can.
I don't agree that personal attacks are "small". I think they are particularly poisonous to community.
I also think that if vaccine misinformation (which includes that vaccine requirements are just petty tyrants controlling people and not based in science, which is the root post here if you couldn't find it) isn't currently against the current guidelines, then that's an issue.
Just like reducing cholesterol does not lower heart attacks.
Read more about that here: https://medium.com/@petilon/cholesterol-and-statins-e7d9d8ee...
I like Gary, but on the issue of cholesterol is more complex than he portrays.
It is absolutely the case that LDL-C is correlated with heart disease at the population level. It is absolutely the case that LDL-P is correlated with heart disease at the individual level. Beyond the correlation, there is considerable mechanism of action evidence that small particle lipoproteins are the driver of atherosclerosis.
The primary issue with statins / LDL is that they are prescribed based on LDL-C, which is not appropriate at the individual level and are thus considerably over proscribed. LDL-C only matters at the population level, not individual. When lowering LDL-C for the population, you will only see small benefits since most people get little to no benefit from the drug.
However, people with high LDL-P will absolutely see a benefit from statins. You need only look at the FH groups to see this.
This should be posted to the front page of the site. I get so tired of seeing comments pointing out some flaw in an institution and concluding that the institution is therefore useless. It really is lazy thinking.
So it’s not 20%. It’s a third.
Hospitalizations from Covid19 among the fully vaccinated stands at "thirty six per million fully vaccinated" and steadily increasing.
Since both outcomes come at the end of a process (get vaccinated -> get exposed to the virus -> get an infection -> require a hospital visit -> die from illness), there is naturally at least five or weeks lags between someone completing the full vaccination schedule and the hospitalization/death outcome occurring.
Given that about half the full vaccinations in the U.S. happened since April and given that the consensus seems to be that vaccine conferred protection lasts about 6-8 months, I would not expect the "deaths from Covid19 per million fully vaccinated against Covid19" to stabilize until October.
In the mean time, the unvaccinated will either have to submit or driven into the shadows with the current policies. Pretty soon, it will be a miracle to find anyone whose natural immune response without vaccination can be measured/tested at all.
[1]: Current version: https://www.cdc.gov/vaccines/covid-19/health-departments/bre...
[2]: Snapshots since April: https://archive.ph/https://www.cdc.gov/vaccines/covid-19/hea...
Maybe some. But, while I don't really like governments and big employers wielding sticks in this case, you'll probably see even more people decide that they're not hesitant enough about vaccines to lose their jobs or be excluded from a lot of activities.
And while those sort of requirements could be implemented before full approval, a lot of organizations apparently wanted the additional air cover.
For 20 year-olds, kind of the opposite currently. Costs very little to use this choice as a political signaling gesture. But if the cost increases, as you say, behaviors will change and people will change their position. Talk is cheap, it’s easy to say “never” when it costs you ~nothing to do so.
But in short, I do strongly agree that mandates will be more persuasive than just approval alone. But I think full approval will still be beneficial in places that won’t make mandates.
https://www.cidrap.umn.edu/news-perspective/2003/12/judge-or...
But I'd rather be injected with a litre of smallpox than go vegan.
This is why people who take immunosuppressants typically avoid going out in public, and when they do they wear serious masks intended to protect them from others.
Many vaccine-resistant folks will throw this population away from the entire risk analysis equation, treating them as a mere error term. At least, this has been my observation. In my opinion they should just admit they don't care about the fate of others beyond the 'thoughts and prayers' passive level.
No, it's the other way around. Transmission is correlated with viral load. In the unvaccinated, high viral load leads to early self-observable symptoms. The vaccines are designed to suppress symptoms, so a vaccinated person can be infected and transmitting, without knowing they should be isolating. That's why the CDC recommends testing of vaccinated people after exposure, https://www.webmd.com/lung/news/20210729/cdc-reverses-guidan... (July 29, 2021)
> Even if they’re not showing symptoms, fully vaccinated people should “get tested 3-5 days after exposure to someone with suspected or confirmed COVID-19 and wear a mask in public indoor settings for 14 days after exposure or until they receive a negative test result,” ... “Our updated guidance recommends vaccinated people get tested upon exposure regardless of symptoms,” CDC Director Rochelle Walensky, MD, told The New York Times
In dense urban areas, many of the remaining "unvaccinated" are likely to be Covid survivors with natural immunity, which offers nasal/mucosal immunity in upper respiratory tract, which is not possible with intramuscular (arm deltoid injection) vaccines. A future nasal vaccine may offer such protection.
So many people talk about "vaccinated versus unvaccinated", but this dualistic framing is not conducive to scientifically accurate discussion. There are at least three groups of people to acknowledge:
A) vaccinated
B) immune via natural infection
C) immunologically naive (have never been exposed to the virus)
The A & B groups will have very similar characteristics in terms of individual risks and risks to others. Group C is what many people mean to refer to when they say "unvaccinated people spread COVID faster and with more frequency".
You're saying, confidently, that vaccinated people spread more COVID than un-vaccinated people? A bold strategy!
It's probably correct that lots of spread is happening because people feel OK, but that's because (especially with Delta) viral load typically peaks before symptoms show up[1]. That is, the most infectious period is probably before anyone feels symptoms, vaccinated or not. But of course the vaccines significantly reduce the chance of getting infected in the first place, and when you directly measure the secondary attack rate, instead of looking at a proxy like RT-PCR Ct, vaccination also seems to significantly lower that[2].
1. "Delta’s rise is fuelled by rampant spread from people who feel fine" https://www.nature.com/articles/d41586-021-02259-2
2. "Vaccine effectiveness against SARS-CoV-2 transmission and infections among household and other close contacts of confirmed cases, the Netherlands, February to May 2021" https://www.eurosurveillance.org/content/10.2807/1560-7917.E...
In practice, do they really? If you're vaccinated and catch COVID, you're probably fine, so you go about your life. If you're unvaccinated, you're more likely to get sick and thus stay home. You're also more likely to build up natural immunity. Seems to me like now that we know being vaccinated doesn't prevent transmission, we should want the anti-vaxxers to not get vaxxed, as we'll all reach herd immunity faster and they're less likely to get us sick.
Now we're onto the next step: using the vaccine to reach herd immunity so we can be done with this pandemic once and for all. And what do you know? Turns out the same psychopaths that wouldn't follow guidelines before also won't accept the smallest sacrifice of getting the vaccine either
Society is going through a mass psychosis event and people need to seriously prepare to see (or be a victim of) the next major genocide in world history.
Recommended: https://www.amazon.com/Affirming-Psychosis-Appeal-Adolf-Hitl...
Seems to be sponsored by academyofideas.com. Good luck finding who actually runs that site.
> The Mayor will also be initiating a “Key to NYC Pass,” which is like the Covid-19 passport talked about a few months ago. It's a carrot-and-stick approach, as people will be required to show that they are vaccinated if they want to go to restaurants, gyms and other events. No vaccinations, no entrance. “If you want to participate in society fully, you’ve got to get vaccinated,” de Blasio proclaimed. “If we’re going to stop the Delta variant, the time is now,” said the mayor. “This is going to make clear, you want to enjoy everything great in this summer of New York City? Go get vaccinated.”
> In an interview with MSNBC, de Blasio dialed up his frustration over the unvaccinated. “We’ve got to shake people at this point and say, ‘Come on now.’ We tried voluntary. We could not have been more kind and compassionate. Free testing, everywhere you turn, incentives, friendly, warm embrace. The voluntary phase is over,” de Blasio said last week. “It’s time for mandates, because it’s the only way to protect our people.”
De Blasio is talking about restricting access to entirely optional events and locations based on vaccine status, not mandating anyone get it or else.
You also have to double check beyond headlines. For example, I saw people talking about how the FDA EUA panel wasn't a consensus for Pfizer 16+ back in the day. Turns out, most of the people who were hesitant just wanted to start with 18+, not 16+. That's a huge difference from what some of the headlines were saying.
[1] https://www.ama-assn.org/press-center/press-releases/ama-sur...
That said, there is general consensus in the literature that the vaccines are mostly safe for adults in the short term. However for certain sub-populations (eg pediatrics and pregnant women) there isn't enough evidence yet from clinical trials and longitudinal studies to conclude with certainty that the benefits of compulsory mass vaccination outweigh the risks.
[1] Risk of rapid evolutionary escape from biomedical interventions targeting SARS-CoV-2 spike protein https://pubmed.ncbi.nlm.nih.gov/33909660/
[2] Can we predict the limits of SARS-CoV-2 variants and their phenotypic consequences? https://www.gov.uk/government/publications/long-term-evoluti...
[3] Why does drug resistance readily evolve but vaccine resistance does not? https://royalsocietypublishing.org/doi/pdf/10.1098/rspb.2016...
[4] The adaptive evolution of virulence: a review of theoretical predictions and empirical tests https://pubmed.ncbi.nlm.nih.gov/26302775/
[5] Imperfect Vaccination Can Enhance the Transmission of Highly Virulent Pathogens https://journals.plos.org/plosbiology/article?id=10.1371%2Fj...
[6] Necessity of COVID-19 vaccination in previously infected individuals https://www.medrxiv.org/content/10.1101/2021.06.01.21258176v...
Putting lives of other people at risk is not your "health choice".
Preventing obesity is *very* hard, or we wouldn't have obese people. Who actually WANTS to be obese?
Preventing your ICU trip due to covid is as easy as driving to the pharmacy once or twice and spending 20minutes there.
It's easier than grocery shopping.
https://apnews.com/article/fact-checking-644288348135
> CLAIM: The newest Israeli data on COVID-19 infections indicate a complete vaccine failure on every level. The data from Israel shows that nearly all serious cases and deaths are among the vaccinated.
> AP’S ASSESSMENT: Missing context. The claim ignores the fact that Israel has only a fraction of the COVID-19 cases that it had in January, before vaccines were widespread. Furthermore, the majority of adults in Israel are now vaccinated with two Pfizer shots. No vaccine is perfect at preventing breakthrough cases, but the data shows vaccines are reducing the number of people who are severely ill, hospitalized or die from the virus.
https://www.covid-datascience.com/post/israeli-data-how-can-...
This is false. The "leaked" internal discussion document has been repudiated by its author, and the group of hospitals discussing it.
FWIW, that's not even close to true among the Libertarians I know. And as a Libertarian myself, I know quite a few. The set of people who "believe a secret government agent has been working for the last four and a half years to extrajudiciously round up pedophiles and liberals" may include a few actual Libertarians, but I would posit that most of the so-called "Libertarians" in that group have only the thinnest grasp on what the Libertarian perspective is about, probably haven't read/studied Libertarian ideology extensively (or anything else for that matter), and are merely repeating a few superficial talking points they heard somewhere that may - by happenstance - align with Libertarian perspectives.
But a whole ton of people on "your side" of this debate are quite clearly not serious about regulatory overreach.
Those people sound more like the fringe of the "Tea Party" movement... populist, anti-establishment and perhaps "anti government" only in the sense that they don't like the current government. But these aren't, by and large, people who have rational, well-reasoned, comprehensive arguments for the need to reduce the size and scope of government across the board.
YMMV, of course.
Yes, but obviously that's not a representative sample. My point was that the population of genuine libertarians for whom this seems like a first principles argument is dwarfed by the general population of Q-adjacent social conservatives who are happy to adopt libertarian framing but really just want the government to do what they want.
Gotcha. Yes, agreed. Which is unfortunate. :-(
Do you have a source for this? I’d like to read more about it. Also, what about people who have antibodies from prior infection with covid?
It's kind of hard to give you one single source, simply because it's hard to demonstrate the absence of something. What usually happens instead is that somebody with specific concerns raises them and explains the plausible mechanism they see as problematic, then it's either debunked immediately as BS or if the theory has legs, it's supported by other scientists and put the test.
None of that has happened with mRNA vaccines. This is a great read about the Pfizer one : https://berthub.eu/articles/posts/reverse-engineering-source...
I mean, you can't technically rule out somebody coming up with a revolutionary theory that changes our understanding of immunity like Einstein did for physics, but there is no sign of that, no theoretical basis for trouble, and the vaccine is saving lives in the meantime
>Also, what about people who have antibodies from prior infection with covid?
Research is moving fast on this, but AFAIK the consensus is that prior symptomatic infection gives longer lasting but also less broad (against different variants) immunity compared to an mRNA vaccine.
The best protection seems to be in people with prior infection + 1 shot of mRNA vaccine (of course, that does not imply one should try to get infected then vaccinated, because the risk of damage from that first infection vastly outweighs the benefit of a slightly better immunity if you pulled through unscathed, then got vaccinated)
Maybe you are not talking about "me" but I guess I couldn't tell from your comment.
The best argument for treating COVID more seriously is that we have a better understanding of influenza’s long-term effects. In both cases, however, I’d argue that it makes sense to require vaccination simply to reduce the impact on childcare and education: even if dying from the flu is relatively low-risk, it’s stressful and disruptive when it rips through a class and vaccination is quite cheap in comparison.
A more apt comparison is Covid to Influenza. You don't need flu shots to attend school.
You mean other than that?
So they're not even all that good at providing the one thing companies may argue is necessary to go back-to-work; stopping spread. Similar with cruise lines and airplanes requiring it. Yes, the vaccines are very good at saving peoples' lives, but industry doesn't care about that, and it alone is not a good enough reason to mandate it.
You say everyone needs to get vaccinated so we can protect the people who can't get the vaccine or for whom it doesn't work. I have very bad news for you; the vaccine won't help. You can still get COVID, and you can still spread it to your four year old. I can still get it and spread it to my immunocompromised sister. It sucks. That's the reality we live in.
I'm talking about the mRNA vaccines. Others are more complex. They are also more studied though so your objection seems to be to the mRAN ones.
Media fearmongering about Delta doesn't change anything. The reality is that places which have very high vaccination rates have been able to return much more to normal. And all evidence points to the more people get vaccinated, the sooner things will return entirely to normal
Now where we are: long lockdowns, talks of vax passports everywhere, no herd immunity, covid is here to stay with us (due to animal reservoirs), no overflowing ICUs but still gov'ts reigning with wartime-like superpowers.
The fearful/obedient have their vaccine, those who did not will not. Some died, most live. This is no spanish flu. So what was the problem again?
Covid is a disease that overwhelmingly targets the obese.
But you can't go to a gym.
Do you consider working out an "optional" endeavor?
Not only is it essential to beating covid, but, working out keeps people sane. More young people have died from increased alcohol abuse, suicide, and drug overdoses than Covid. This all coincides with the insane push to de-humanize humans. We are social creatures. We are active creatures. For the past year and a half we have been denied these human needs. What is optional to you, is essential to others.
Personally, I don't care too much about losing the prospect of eating out, or hanging out in a bar. For others, especially young people seeing their entire social prospects evaporate before their eyes- this is life ending. For me, working out keeps me sane and not suicidal. I don't have the luxury of a home gym.
I chose to continue working out during the pandemic, training at "secret" gyms. For my health and my sanity.
All my other friends in my age group have put on weight and are more unhealthy than they've ever been. How does this help fight the pandemic?
Beyond that, I agree that mental health services are essential and should be provided at no cost to anyone who needs it, especially when precautions against a pandemic have a negative affect on mental health.
In Australia you can see the next step already where it’s being applied to grocery stores. You have to start pushing back before it gets to that.
also, I can't find anything like what you're talking about with Australia, just more sensible precautions like this: https://www.theguardian.com/business/2021/jul/31/from-social...
In fact, trying to do so for most on this forum would probably result in inaccurate views due to misunderstanding the articles and papers.
So people probably downvoted because you have a view on the subject, but no one is qualified to back or oppose it. And we don't know who you are, so how are we supposed to vet your view, or even begin to have a conversation about it?
I didn't downvote (or upvote), but that's my guess.
Given that both Pfizer and Moderna have virtually no side effects why wouldn’t you get it at these efficacy rates, even if lower?
This is not limited to the medical field, I was once downvoted on an HN comment until I edited it to state that I wasn't supporting Trump, because people were reading it that way.
It's funny you mentioned this because my original comment was something along the lines of:
"""
2016-2020: "I hate Trump, but..."
2021: "I got the vaccine, but..."
"""
But I erased that and wrote my comment above because I thought it had a lower chance of being downvoted.
I think his goal was to make it clear that he was not an anti-science or conspirationist himself.
The existing mRNA vaccines were pretty close to having a sterilizing effect (unexpected and very good surprise) on the previous variants.
There is still hope that the Delta-specific updates (Moderna is already testing theirs) will restore that level of efficacy, and there's also ongoing research on intranasal vaccines which should work even better for that.
https://www.who.int/news-room/feature-stories/detail/the-eff...
>The same people that don't understand vaccines are also likely to think masks don't work
I don't see how this is relevant. It just seems like a strawman argument to dismiss people who might have legitimate reasons for not having the vaccine or otherwise just want to exercise their right not to have it.
Who are they killing? Others that didn't get the vaccine?
If you keep a tab on the news you might have seen antibody level from covid vaccines drops significantly over time. Actually same is true for people already have covid; natural protection wanes off within few months.
https://www.nationalgeographic.com/science/article/flu-survi...
You are correct the flu shot targets different strains, but the H1N1 strain has been part of the annual flu shot since 2009 simply because it has continued to circulate. So just like you get an H1N1 shot every year (to boost your antibody levels), you will likely get a COVID shot every year to boost those antibodies.
For others, it seems that with Pfizer the antibody level drops over time.
It also shows vaccination is effective, but we don’t know the half life of it.
So the CDCs stance is to vaccinate even if you have a natural immunity, because the vaccine _might_ do better. But that doesn’t seem to naturally follow.
It wouldn’t bother me if companies weren’t considering forcing you to vaccinate to keep your job, even if you have a natural immunity. These stances have real world consequences. You are asking people to trigger their immune system, something complex and not fully understood. Companies are taking these recommendations and using them as policy, forcing the recommendations as corporate laws. If you are going to force this on people, the way you are communicating isn’t how you do it.
What makes you think I have the power to force anyone to anything?! I honestly don't care how I communicate or what you think of what corporations should do. I am personally tired of all these lazy ignorant rants while society is suffering and the medical community is doing their best.
Vaccine or not, you can still get covid and suffer the consequences depending on your body. So I dont see the point in getting a vaccine and suffer its long term consequences when it basically does nothing.
If you are saying it prevents covid death - you are wrong. Check England's data. More unvaccinated people are getting covid but they are dying less. Vaccinated people are getting covid less but the ones who died after getting covid are more. The math isn't adding up for the vaccines.
If only there was a way to objectively assess these things... Oh wait there is, it's called "doing a randomized controlled trial on more than 3 people" and "numerous observational studies from real world data"
And guess what ? From this data, you're 90% less likely to get severely ill and 95% less likely to die if you've been vaccinated, even with Delta.
> If you are saying it prevents covid death - you are wrong. Check England's data.
No he's right. Still about 95% protection against death from Delta.
> More unvaccinated people are getting covid but they are dying less.
Wrong.
> Vaccinated people are getting covid less but the ones who died after getting covid are more.
Still wrong. Unless you've been comparing vaccinated 80 year olds with unvaccinated 20 year olds maybe ?
Being vaccinated makes you 20-30 years younger in terms of your risk to die from Covid (source : https://www.ft.com/content/0f11b219-0f1b-420e-8188-6651d1e74...)
> The math isn't adding up for the vaccines.
Thanks for the brilliant demonstration.
Right
>the vaccine does nothing
Right
>there's zero reason to think there's any(side effects) from vaccines
Wrong
>More unvaccinated people are getting covid but they are dying less.
Right
>Being vaccinated makes you 20-30 years younger in terms of your risk to die from Covid (source : https://www.ft.com/content/0f11b219-0f1b-420e-8188-6651d1e74...)
Wrong(Lol medical advice from a Financial blog)
> Thanks for the brilliant demonstration.
Your welcome :*
As a 30-odd year old knowledge worker (vaccinated), that's the thing that affects my personal risk assessment the most right now.
I have a lot of trouble arguing with these people (friends, family) because I read daily about how bad covid is and they are simply ignorant. For some of them it's basically "he said, she said" (so like: who should I trust?) as if anti-vaxxers and science are on the same level of trustworthiness. And also when you talk about data they say something like "I don't trust the data" and rather trust some stupid people in their social circle. Also it appears like they feel like "vaccination can be bad", "covid can be bad (but not necessarily, my daughter had it and it was like the flu!)", so they rather try to avoid both. Yeah, logic...
2. Some vaccinated people have been found to carry the same levels of the virus as unvaccinated people, so stating that unvaccinated people could be increasing risk to others is also a moot point
3. Once the so called "R" rate is below one, the virus is on a path to fizzling out
It's not as though unvaccinated people will be dying in their thousands for centuries to come. Herd immunity just needs to kick in which many countries have already achieved.
Some is in this case a small minority. In general you have the same level up to about day 5, then vaccinated drops down to zero over the next few days while vaccinated levels keep raising for several more days.
Are you saying it would be legal to ban cars for those reasons?
The three original videos he produced on the topic are a better example than the cartoonified version:
https://www.youtube.com/watch?v=fdzW-S8MwbI&ab_channel=Acade...
https://www.youtube.com/watch?v=QFie-UCFV_s
https://www.youtube.com/watch?v=ojPcF-oLABE
I've listened to/followed the guy who runs that site for years now. He makes every video himself. I also pay for his members-only subscription.
Regarding the comments -- that's YT for you. The comments section is always weird.
OK, fine, it's not just mRNA. It's novel tech vs. well known tech like attenuated/inactivated virus.
Beyond that, Covaxin is the only that I'm aware of that is performing well under delta.
https://www.covid-datascience.com/post/israeli-data-how-can-...
Enough reason to be cautious, wait out the hidden/late-onset side effect, and not give it to those not too vulnerable to covid.
But authorities claim it's totally safe for all ages, while they have no data to back this up (that'd need a long trial, and those taking it ARE the long trial).
No drug approval process works like what you are proposing.
Hundreds of millions of people have had nearly a year to develop side effects—-the safety profile is very well known at this point.
https://www.cdc.gov/vaccinesafety/concerns/concerns-history....
None of the side effects in that list took more than a few weeks to occur, and the majority them happened within a few days.
>HN is different than the comments section of a news site.
Tell me again how hacker news isn't reddit O user of 3 months.
You do realize that drunk driving is illegal, right? Do you think drunk driving should be legal because it's "unlikely" to cause harm to others?
> I say it doesn't.
628k confirmed deaths in the US from COVID. 37.8M confirmed infections. That's a death rate of 1.66%.
In 2016, 10,497 people died from drunk driving. 1 million people were arrested in 2016 for drunk driving. That's a rate of 1.0497%. So COVID is literally more dangerous than drunk driving.
Drunk driving stats: https://www.cdc.gov/transportationsafety/impaired_driving/im...
Traditional flu jabs apparently [0] cost the NHS £5-8 (<$11) per dose; the Astrazeneca Covid-19 vaccine seems in-line with that charging $2-5 non-profit for the duration of the pandemic [1]. But I don't know how comparable that is to Pfizer's given that the latter's different, newer (mRNA) tech AIUI? (Perhaps that's a disservice to the researchers at AZ/Oxford, I don't know.)
[0] - https://www.telegraph.co.uk/news/2018/01/17/nhs-attempts-sav...
[1] - https://www.theguardian.com/world/2021/aug/11/covid-19-vacci...
Pfizer has also been strong arming small, Latin American countries, to the tune of trying to get military assets as "collateral" (https://www.pharmaceutical-technology.com/news/company-news/...)
But I do not believe that this is valid at all, being that this is the very first mRNA vaccine.
>By looking at other vaccines historically and seeing that side effects tend to happen in the first few weeks.
I feel like what you are saying is basically like someone asking "How do we know that self driving cars will be safe on the road" and you responding with, "well obviously by looking at the history of cars, we have been doing them for a century!"
"Other vaccines historically" work on fundamentally different principles. We can not use that data to assume that mRNA vaccines are going to work the same way.
From a quick Google, it seems that Phase III trials are about comparing a new treatment to existing alternatives, rather than monitoring side-effects. Perhaps the testing simply can't be complete before 2023, since it involves checking long-term immunity? In this case, the FDA may have approved the vaccine because they are confident that the risk of negative side-effects is sufficiently small, and that the vaccine gives some benefit - even if testing hasn't established exactly how much.
[0]: https://www.theguardian.com/commentisfree/2021/jun/28/alzhei...
Also to be fair it's not like they just rushed it out the door. There are probably very few things on the market (short of fully approved pharmaceuticals) that have been through more testing than these "rushed" vaccines.
edit: https://www.fda.gov/vaccines-blood-biologics/vaccines/emerge...
Imagine we're bottling soda in plastic bottles. There's an X% chance that a bottle explodes during the process. We also know if we over-fill a plastic bottle with CO2 the start it makes it slightly more elastic, and empirically it reduces that rate by Y%. We're not really sure why they were exploding, but we know that stretching them works.
Do you care about the other parts of the bottling process?
* Millions of COVID cases were never counted in those statistics; people who never got tested, due to being asymptomatic, low-symptomatic, having poor access to testing due to a vulnerable socioeconomic status, catching it before tests were widely available, and the natural rate of false-negatives due to self-swabs. It is very likely that, actually, the official statistics don't capture the majority of total COVID cases. This isn't a clerical rounding error; the real denominator in that death rate is somewhere 2x-10x lower than published, and we'll never know exactly where. [1] [2]
* This situation has not improved since the beginning of the pandemic. While testing is far more widely available now, the secondary issue of non-sterilizing vaccine immunity is now in play; the vaccines are by-and-large "leaky", but tend to result in far less severe, oftentimes even asymptomatic, infection. Many of these people are not getting tested, but are still getting COVID, and thus the count is underreported. Or, maybe they do get tested, and it comes back positive, but should that test actually be included in the overall COVID death rate? After-all, because the vaccines are good at reducing the chance of death, the COVID they have isn't quite the same as the COVID an unvaccinated individual would have. I don't know, but its a valid question which the broad statistics do not care about; its COVID, its included in the aggregates.
* Here's an interesting fact most people don't know about: testing sites, of course, gather data about the patient before a test. One of those pieces of information is: are you vaccinated, when were you vaccinated, which vaccine. Pretty basic stuff. Except, the systems CVS and Walgreens (two of the largest testing providers in the US) used to gather this data, for many months early in the vaccination cycle, did not ask this, or did not ask for all three pieces of information. It was only within the last month that Walgreens started asking for all three.
* Let's continue down this path of "fun reporting": I had COVID four weeks ago. The first question everyone asks is: Oh, you got a positive test, which variant was it? I've been asked this dozens of times, which makes me think many people don't generally realize: the nasal swabs cannot determine the variant. In fact, states do not run variant tests on every swab! Generally, they run variant tests in aggregate on a statistically significant subset of swabs, then report the data in a range of once a week, to once a month.
* Many state reporting agencies are actually really bad at differentiating between "positive tests" and "positive individuals". In other words, the most "responsible" citizens, those who get tested at the start, then once or even twice at the end of the 10 days, are in many jurisdictions actually screwing up the statistics.
* Many deaths were counted in those statistics. Oftentimes, over-counted, at least in the context you're using those statistics in (what is COVID's death rate?). First world hospitals, having pretty excellent access to these tests as the pandemic entered its teenage stage, entered a pattern of testing every admittance, even for symptoms unrelated to COVID. If they were positive, and they died for any reason, COVID was, of course, listed on their chart; it then got counted as a comorbidity, not the true cause of death. State reporting agencies still count it as a COVID death; they don't discriminate.
* But, of course, many deaths were undercounted; especially those who died before seeking medical care, or before testing was widely available.
* And that's not taking into consideration tertiary deaths caused by the state pandemic response, not COVID itself; millions of people delayed seeking regular and even urgent medical care due to fear of the virus. Many of these cases were not even at the behest of the patient, but rather due to medical offices delaying appointments or moving to virtual appointments, which offer a far lower standard of care. The impact to generalized mental health, social development of children, adolescents, and young adults, socioeconomic development of young adults, and many other facets of our society, will continue to be studied for the rest of our lives. Let's say it turns out that a broad, authoritarian lockdown saved a million lives, but it is also directly or indirectly traced to 20 million new cases of clinical depression; is a lockdown a good idea? Even with hard numbers like that its actually not obviously clear one-way or the other, and the worst part is: the people making these decisions never have the numbers. They're always acting on intuition; it takes years to even realize that this possibility even exists, at any magnitude, and we never know the true numbers. Did you know suicide is the 10th leading cause of death? Did you know that social isolation increases rates of clinical depression, which is positively correlated with suicide? Quarantine saved lives; how many did it cost? How many will it cost? But we're super duper sure it was the right call... right?
* Drunk driving is far, far, far more common than the arrest rates would suggest. Like, its actually insane how common drunk driving is. Cops are not gods. They do not catch everyone. One million people were arrested in 2016 for drunk driving; its likely that 50 million+ people drove above the legal limit in that same year, multiple times each.
This is just me, outlining the uncertainty of our world. Because here's the kicker, here's the Topic Of Choice: We should mandate vaccinations. You sure? Are you absolutely certain, beyond any doubt, knowing how much we don't know, that its actually the right call for our society?
You've thought through the medical consequences. There probably won't be any en mass, sure. What about social ones? We've got a nation of tens of millions of people who don't want to be vaccinated, where personal freedoms run deep for all its pros and cons, and you so strongly believe that our society will be Better if we force these people to undergo a medical treatment they don't want. Do you actually think this is such an easy decision? That there wouldn't be social consequences? That the mandate would go out, and everyone will forget that the government just shit all over their perceived freedoms (whether or not those freedoms are legitimate is irrelevant; they believe they have them, we live in a democracy, and there are 500 million+ guns in America).
The world is very, very complicated. You're making broad, authoritarian suggestions based on an unbelievably erroneous analysis of data, yet you were totally convinced you're right. The people in charge are totally convinced they're right. No one is right. No one has access to all the information. We live in a very complex, very scary world where even the most equipped, powerful, rich states cannot have even 2% of the information they need to make the right decisions.
[1] https://www.nature.com/articles/s41467-020-18272-4
[2] https://www.sciencedirect.com/science/article/pii/S221137972...
Yeah, so I went with the stats we did have data for. I didn't speculate since I'm not omniscient and that's ignorant at best, disingenuous at worst. Both COVID cases and deaths are under-reported.
> Drunk driving is far, far, far more common than the arrest rates would suggest. Like, its actually insane how common drunk driving is. Cops are not gods. They do not catch everyone. One million people were arrested in 2016 for drunk driving; its likely that 50 million+ people drove above the legal limit in that same year, multiple times each.
The link I gave called out that 111M people self-reported drunk driving. That's an unreliable stat, so I went with the arrest rate which is a known quantity.
I wasn't "convinced" of anything. I chose the closest stats that we can get, which are definitely NOT perfect. What real-world data is "perfect"? Only when systems are self-reporting is data even close (e.g. latency, HTTP status counts, etc) and even those can be wrong due to log loss, servers failing, networks failing, etc.
You work with the data you have, and try to make informed decisions, instead of wildly guessing.
Also vaccine requirements aren’t anything new, so is the concern here that they’re mandating vaccines or this specific vaccine due to how new it is? If the latter, then what’s your bar for acceptance?
You've introduced a new assumption though: that a unvaccinated person has and transmits covid. You must apply the probabilities to that initial assumption as well. Probability of having covid * probability of transmitting covid * probability that the person you transmit to has series harm done.
>Also vaccine requirements aren’t anything new
This is an argument that I've also seen but think appeals to "well we've been doing something similar already." I don't think that justification holds much water, especially in this time period where we are questioning a lot of foundational social assumptions.
To your direct question about bar for acceptance, I think people can generally establish a good bar, but they have to be given accurate probabilities, and those have been hidden from us in favor of vague fear mongering.
Weren't extremely generous provisions like that offered by the US government last year in order to jumpstart vaccine development and production ASAP?
Wouldn't this be standard language in any contract? If I buy a widget and they ship it to me, if it gets damaged in transit, or lost in transit I still have to pay the producer, I then go after the delivery company (and/or their insurance) for compensation.
If something arrives (late, if I care) damaged, or not at all, from Amazon or whatever, I tell them and they refund me or ship a replacement.
What conspiracy theory?
StatNews[1]:
> Pfizer and BioNTech speed up timeline for offering Covid-19 vaccine to placebo volunteers
> Pfizer and its partner BioNTech plan to offer their Covid-19 vaccine to any clinical trial volunteer who received placebo by March 1, several months earlier than initially planned.
and NPR[2]:
> Long-Term Studies Of COVID-19 Vaccines Hurt By Placebo Recipients Getting Immunized
> Tens of thousands of people who volunteered to be in studies of the Pfizer-BioNTech and Moderna COVID-19 vaccines are still participating in follow-up research. But some key questions won't be easily answered, because many people who had been in the placebo group have now opted to take the vaccine.
[1]: https://www.statnews.com/2021/01/01/pfizer-and-biontech-spee...
[2]: https://www.npr.org/sections/health-shots/2021/02/19/9691430...
Imagine you volunteered for a very experimental trial for the greater good and then were told that you were given a placebo and now cannot receive a vaccine for several years and will have to be more cautious. You can see in the article that a volunteer from the trial is strongly advocating for giving the participants access to vaccines.
Obviously this complicates the statistical analysis (you can try to use a double-blind crossover study to get some statistical power out of this, but clearly the messaging gets more complicated), but I'm not seeing anything about a "14 day" timeline.
It's also worth noting that any study participant can just freely choose to break the study and go in and get vaccinated (lowering the measured efficacy of the vaccine)_whenever they want. Giving them a concrete date is a good alternative to that.
In this specific situation, they would have been condemning through a choice to not treat, a fraction of the control group to die.
At the time they dissolved the control group, the fatality rate in control and placebo were the same. By their very own data they did not have a strong case that they would be "condemning...a fraction of the control group to die.". One would have to make a leap. A plausible leap, but a leap nonetheless.
Let's assume though that the fatality rate across the population for COVID was 1%, a very high number, to be conservative. So in that case you'd expect ~150 preventable fatalities in the control group. We now have ~that many fatalities, in a single state (Massachusetts), from COVID-19, in people who were "fully vaccinated".
You can do the math and extrapolate that there are now orders of magnitude more deaths from "breakthrough infections" than might have been in the placebo control group. If we had known that the efficacy of these vaccines was going to fall significantly, might some of those deaths have been prevented? I think there's an argument to be made there.
Now we have statisticians scrambling over themselves with complex methods to figure out what the hell is going on, when we could have had the gold standard which would be quite simple to interpret, if we had kept those control groups.
Now some argue it would have been completely impractical to maintain that control group amidst a mass vax campaign (I think we should have tried, regardless). I think there's room to debate that. But in that case I think we need a vast upgrade to our data infra, because giving up the placebo control group was a huge loss (for truth and science, at least).
That doesn’t actually seem right though. You have control groups at least through all phases of trials to make sure “the treatment works”. That’s literally the point of the control.
Especially now that we know the vaccines don’t completely work to stop infection or prevent symptoms or spread.
I’m all for the vaccines, but it seems crazy that they didn’t even wait until phase3 was over for a new type that has never been tested on humans before.
If the argument is “the control petiole were at risk”, they should have been told their vaccine was placebo and ask for volunteers to remain in control, seems like flat out offering them real shot defeats the point, doesn’t it?
It seems you can force people to get a vaccine in the middle of a pandemic. France is dealing with massive unrest [0] and are hemorrhaging medical staff [1] because they mandated vaccines for medical professionals (which doesn't make sense, the vaccine doesn't prevent a person from spreading the virus [2]).
[0] https://spectator.org/french-health-pass-riots/
[1] https://www.reuters.com/world/europe/we-have-rights-french-h...
[2] https://www.realclearpolitics.com/video/2021/08/06/cdc_direc...!
In either case, while non-mRNA vaccines may incentive the 'vaccine hesitant' to get poked, no amount of modification or scientific advance will get anti-vaxxers to get immunized edit: with a vaccine (I'm assuming an FDA-approved small molecule therapeutic would be OK with some of them).
Regardless of interpretation too, this doesn't support the claim the commenter made - there has never been a vaccine recalled within a year.
Typically the dialogue is more...dialogue than just cynicism.
What's your reasoning it is Reddit?
There are also sufficient rates of infection of even healthy subjects to warrant concern considering that Covid cases are far more serious than most Flu cases - another illness that affects the healthy far less but can still lead to hospitalisation or even death. Also, before you mention it, the fact that there are more deaths caused by the Flu than Covid statistically per year is due to the greater proliferation of the Flu virus and it's variants over Covid.
On an individual basis, you are far more likely to develop complications from Covid than Flu, even for healthy subjects.
You're misquoting me. What I said was "negative selection". My belief is, we need to let the immune systems of humans do what they're designed to do, and stop artificially selecting all humans to live for as long as possible, without regard for the quality of that life. Effectively, we need to live, die, and decay in a much more natural way, just like the plants and animals under my care do. Nothing healthy or positive, from a long-term genetic-health perspective, has ever come from me rescuing a feeble lamb, and bottle feeding it, medicating it, throughout most of its life. In fact, only the opposite happens. But I understand, most humans tend to only value today instead of 30-40 years down the road.
>Superbugs have nothing at all to do with vaccinations. You're getting tunnel vision'ed. Superbugs have been created by chemicals being sprayed onto fields, for no longer than 30-40 years. Superbugs have been created or emboldened by broad spectrum sanitization.
>On an individual basis, you are far more likely to develop complications from Covid than Flu, even for healthy subjects.
Maybe; though this seems largely a function of time at this point seeing how its been such a short time since Covid's been around. However, the likelihood of "complications" due to Covid is slim to none, on an individual basis, especially for healthy folks (according to the CDC.gov data, assuming our census numbers are correct'ish).
"mRNA vaccines have been tested in humans since 2011"
So barely 10 years. A study on a dozen or so participants, all white, college aged men with largely identical diets. I guarantee you that not one participant in the 2011 study was pregnant. (Btw, I looked at your reference. A Bush era press release was less manipulative. There wasn't a single peer-reviewed reference. All press releases and from interested parties)
Compare that with other vaccine technologies for which we have centuries of data, and inoculation in general for which we might have a thousand years worth of safety data.
Or did we forget about all the inconvenient facts about drug testing? We appear to have forgotten all the research done about regulatory capture and all the ineffective and unsafe pharmaceuticals the FDA approves.
But, nvm. #BelieveTheScience and de-platform anyone who asks inconvenient questions. And let's compartmentalize away the replication crisis modern science is going through.
Also, for some of us 10 years is not very impressive at all. "It's not new, nRNA has been around since the 90s!" is a massive value judgement for the word "new". Not all of us work developing webpages with 3 month old technology stacks!
A drug should be approved once it is very likely causing more good than harm. But obviously that doesn't mean you should stop researching that drug.
What's happening here makes perfect sense. We have more than enough information to conclude that it is extremely likely that the vaccine helps a lot and causes little harm. However if there are any rare side effects then we'd still like to know that, therefore it is a good thing that the patients in the trials are still being observed for anything unusual.
Err, that sounds really scary and wrong to me. Seems to me that a drug should be approved when all the side effects are known, results are well characterized among a large sample set over a sufficiently long time frame, and it is determined that the drug is "safe" in the absolute sense.
It may be the case that we are better off taking a vaccine in a pandemic _even though we are not 100% sure it is safe_ due to the opportunity cost, and that's what emergency authorizations are for.
Even if the FDA really did their due diligence here, it will not convince anyone who was not already convinced; it is obvious that they were going to approve it no matter what, because the political fallout of not approving it after so many people have taken it would permanently destroy what trust remains in the US public health system.
How long is sufficient? How large of a test group is sufficient?
In the "absolute" sense, there is no known drug that is safe. That is extremist thinking that only serves to muddy the waters of the actual debate, which should be: "how safe is safe enough?"
> we are not 100% sure it is safe
Note that "100% sure" does not mean "100%" safe. So how much safety do you need a 100% assurance for? How do you quantify the safety?
> that sounds really scary
How does this not just describe life in general? And how does that help policymaking? I don't think our species would have made it to the agricultural revolution if that was the overriding force for anything.
> it will not convince anyone who was not already convinced
This also strikes me as a poor consideration for any policymaker, as they likely know that at the onset to any such policymaking. This adds nothing new or interesting to the debate.
I hope you didn't know it or didn't think it through, otherwise mention of Fox News seems to me a blatant hypocrisy. Either way it was an unnecessary ad hominem attack.
This is categorically false, sorry : https://twitter.com/apsmunro/status/1429449468261322759
> Ct-values decreased throughout the first 3 days of illness.
Days of illness are those 3 days "when immune system kicks in and defeats the virus", as I wrote. When host is ill, it is obvious and things like masks and social distancing are being used. But not for those 4-6 days of asymptomatic virus replication, when most transmissions are taking part.
What about people with immune dysfunction? Are you going to dismiss them as Fox News viewers too because aren't having the vaccine?
Marjorie Taylor-Greene, a congresswoman from Georgia, is a huge rising conservative star in the style of Trump. She's downright anti-vaccine. "These vaccines are failing and do not reduce the spread of the virus and neither do masks".
But please don't lump people like me concerned about infringement on rights and bodily autonomy with people who deny facts and cannot understand what a mitigation measure is.
And more importantly, please don't make vaccination a political issue. Because you will be dividing everyone over this much more dramatically.
But the local fire department isn't doing anything about it. Nobody around here is installing sprinklers as a precaution. They act like there is no fire at all.
Covid is a serious thing. But "engulfed by flames" is the exact overstatement that causes people to question the motivation of fear-mongers.
I'm vaccinated. I wear a mask. I think too many people are whipping up a frenzy for profit. Why don't we lockdown our highways when there are 600,000 deaths from auto accidents? Why not lockdown breweries when there are 2 million drunk-driving incidents? Why isn't there a frenzy over influenza?
Covid frenzy has a better marketing campaign. It's the kind of thing that has people claiming we are "engulfed by flames" when things get smoky.
We mandate seat belts, air bags, guard rails, road construction standards, backup cameras, crumple zones, and quite a few other elements involved in road safety. Per-mile road deaths have been on a precipitous decline for decades due to ongoing increases in safety mandates.
https://en.wikipedia.org/wiki/Motor_vehicle_fatality_rate_in...
500000 hospitalizations (influenza)?
What deserves such incredible non-stop daily attention? Answer: whatever makes the most money.
GPs point is: compared to other drama, covid's hype seems out of proportion. I agree.
She's never had to do that because of a bad flu season. More than 90% of the adults in the hospital for COVID and 100% of the kids are unvaccinated.
People wouldn't even be discussing shutting down schools and businesses to get this under control if we had a 90% vaccination rate.
In nearly all other aspects of life, inflicting harm on others results in some sort of liability. Unsafe activities are regulated. However, in this time of massive death, massive hospitalization, massive long term health complications, basic safety is being thrown out the window to appease political tribalism.
Depending on where you live and who your political alignment is, the government is absolutely compelling you to get COVID.
Not to mention your article was about infection not hospitalization. If you do that it makes even less sense.
It makes perfect evolutionary sense. Loads of variations appear in every infected individual. The most effective version takes over and is most likely to be passed on to others.
Most vaccines are so effective that the virus never gains a foothold. With the mRNA vaccines, people still get sick. You get tons of mutations and the original strain is no longer the most efficient because of the vaccine. so now there's tons of room for variants to form which work around the vaccine. Once an effective bypass happens, it takes off and you instantly get a new strain, but more resistant.
At the current rate, we're only a few short jumps away from a completely ineffective vaccine.
I don't think a society can be as "advanced" as Star Trek. Societies are hard. To abuse CS terminology, they're NP-hard (or harder?). Star Trek seems to have only external threats, all internal problems are solved. The most boring problem a real society has is that of production and it is definitely NP-hard (see Hayek?). Star Trek has not only solved that at galactic scales, but has solved much hard problems than production.
Nor I don't think Star Trek is advanced in the sense that I would consider it "progress" vs. just change. I view Star Trek as the propaganda reel of (not for, of) a techo-distopia. Vulkans and that Data android fellow freak me out more than the Klingons whose society, while brutal, I can understand. I see more humanity in a Klingon because I can see a human society degenerating into the Klingons'. I don't see any humanity in Vulcans.
Btw, their technology bores me. Their tech is either impossible (warp drives). Surpassed (communicators). Or fraught with angels-dancing-on-pins philosophical questions (the "beam me up scotty" machines)
So, with the caveat that you used ST as an example and I'm definitely not a Trekkie, let me address your question:
No, I don't.
Biological systems are far more complicated than any system mankind has made. Every "cure" or therapy is really a very good whack-a-mole with hopefully lots of statistical information to back it up.
Take blood. It has hundreds, if not thousands, of components. Some are in pg/dL level of concentrations (that's 10^-12g / 100ml). See this chart [1]. How can we every really understand all the interactions among those various components?
That is not to say that I'm a bio-luddite (I am, but that's besides the point). Take penecillin. It's brutal on the body, but is one of the most important discoveries in human history. It has saved millions, if not billions, of lives. Im very grateful for penicillin, and yet, what an illustrative example! We gave too much penicillin with too much abandonment. So now, we have anti-biotic resistant bacteria. And, almost 90 years after it's first discovery we're finally starting to understand it's role in the havoc in our gut flora.
Btw, gut flora is another, fascinating, example of how complicated bio-systems are. We're evolved to depend on a symbiotic relationship with a gut flora that we've destroyed over the last 70 years of anti-biotics and cheap sugar.
So, while I think ab-initio methods (what Star Trek does) can inform and accelerate drug discovery (I worked on that briefly in my PhD), ultimately, no, I don't think we can ab-initio drugs through the whole pipeline (need-->development-->safety_evals-->approval).
[1] https://upload.wikimedia.org/wikipedia/commons/7/7c/Referenc...
We can do better than guilt by association. It's a very weak argument, and turns more people away from potential vaccination. In fact insulting the remaining audience is worse than preaching to the choir, because it even turns away people who were previously 100% on one's side.
Also, according to [2], "The majority of people with diabetes have type 2 diabetes." So the majority of deaths are possibly preventable, which sounds familiar to the debate around COVID.
Finally, to suggest diabetes and coronaviruses are at all the same is an ignorant statement. It's not like _nobody_ cares about diabetes. It just happens to be its own tough nut to crack. What have you contributed to the body of knowledge about it?
> What deserves such incredible non-stop daily attention? Answer: whatever makes the most money.
Indeed. This is why I strictly limit my news consumption, but it's not completely useless. I scan for trends and dig into sources and details. The stuff I linked in this comment took me all of 5 minutes to find with Internet searches.
[1]: https://report.nih.gov/funding/categorical-spending#/
[2]: https://www.who.int/news-room/fact-sheets/detail/diabetes
I think initially the correct answer in the case of COVID-19 was more specifically: whatever endangers existing profits most. The whole situation spelled uncertainty at the beginning, and that's bad for everything where "business as usual" is highly profitable. The rushed response and large scale mismanagement this caused is what brought into existence the "never let a crisis go to waste" part that came after.
The idea of conflating other causes of death with COVID is just perfection over progress. Sure there are other systems that aren't perfect but that doesn't mean COVID isn't worth addressing.
mRNA's short half-life - on the matter of a few dozens of minutes - and pre-existence in our bodies helps us not worry too much about the differences in delivery mechanism.
"We think based on biochemistry that mRNA acts like this, and we hope it does that, and we think it probably does the other" doesn't carry much weight here. The probability of any element of that chain of logic being wrong is too high.
I'm not saying that testing wasn't done. I'm saying "eh, it's probably OK, mRNA looks pretty safe" is not a useful contribution to this sort of discussion.
Barring a time machine, the "is it safe ten years from now" cannot be answered conclusively today. We're left to use other available evidence to make a risk analysis, like "mucking with the immune system tends to have effects that show up fast" and "what do we know about mRNA in the body, especially when delivered by viruses?". There's a risk to inaction, too.
We don't look at evolution and go "welp, can't test evolving humans from microbes, so we must avoid drawing any conclusions".
You seem to be saying that the only issue is a question of time. Be specific: how much time? Will you say a specific number? “I will accept an mRNA-based vaccine if it has been around, and proven safe, for x years.”
Until it makes it into Debian stable repositories.
I think the part that seem hypocritical is that people that I know don't apply the same rigor in other parts of their life. They use recreational drugs that are sourced from who knows where with no clinical trials and a high percentage of adverse reactions even amongst our small community.
What's the alternative?
We are way past the time frame for long-term effects to manifest themselves for a corona-like vaccine.
Your priors have to be absolutely outrageous if based on the currently available data you think the risks are even within an order of magnitude.
https://www.uab.edu/reporter/resources/be-healthy/item/9544-...
"This is particularly true of the mRNA vaccines. mRNA degrades incredibly rapidly. You wouldn't expect any of these vaccines to have any long-term side effects. And in fact, this has never occurred with any vaccine."
I wouldn't really call that "soon after it is administered".
And the same is also true for covid's long term effects. I'm still reading new articles/conclusions about those effects.
The median delay between vaccination and the onset of narcolepsy in that case was 42 days. Not nearly the four years magic number that sharken was waiting for. I would call that soon after it is administered. Far more people are well beyond that period after the Pfizer-Biontech vaccination than were ever administered Pandemrix.
> And the same is also true for covid's long term effects
Those long term effects are visible soon after infection. Both of your examples seem to be in support of my point.
You could argue that the same could be happening with COVID vaccines, but I think that is unlikely given the unprecedented level of worldwide scrutiny on these.
So go get vaccinated! If you trust the vaccine that it works, and that it's safe, go get it. I certainly have urged people I know who are high-at-risk and don't share my ethical concerns about them to get the vaccine.
If they're safe and effective, get vaccinated!
If they're safe and not effective, or lossy effective, we have very big problems and vaccinating the hold outs will not change anything
If you want to take part in exchange, you must do it in terms acceptable to both parties. You are not entitled to take from society on whatever terms you dictate on your own.
NYC is notable for requiring it for indoor dining, gyms, and a few others. https://www.nytimes.com/2021/08/03/nyregion/nyc-vaccine-mand...
Apart from facing one's cognitive dissonance, fears and ignorance, there is none. Just overwhelming benefits. It's perfectly okay for society to require it.
Make "vroom vroom" noises while you wait, if it makes you feel better.
In this context it is not as relevant how long the median time is for side-effects to show, but rather how long it takes before the vaccine is no longer used.
When you said "visible" I assumed you mean visible to the OP - but you meant visible in general. So you are not wrong, but as we can see from the case of Pandremix, a median of 42 made it take two years before the usage of the vaccine was stopped.
There are a lot of reasons why it would probably be different in the case of covid (e.g. more media presence from the beginning) but in general, you cannot directly compare thus number (like the 42 days) with the 4 years of the OP.
Yes, except there is an established process for quantifying "clear for a while now" and it involves sufficient time and control groups. That process isn't being followed and it is concerning for a number of reasons, including the effect of political pressure on expedited drug approvals in the future now that this precedent is being set. The elected leaders capable of bringing such political pressure to bear are invested in the very companies which stand so much to gain by relaxing the time-tested regulatory approval process. This is bad science and bad governance.
Many drug and vaccine approvals in the past have been done before the trial has run its full course. Many drug and vaccine trials have given the placebo group the real drug once safety and efficacy is clear - before the end of the trial.
This is not new, and frankly I’m a little surprised to see such conspiracy theories on HN.
Note the date on this article - this was back in February of this year: https://www.npr.org/sections/health-shots/2021/02/19/9691430...
Don't denigrate a perfectly valid criticism of deviations from historical norms of drug validation and approval by calling it a "conspiracy theory".
[0] https://apnews.com/article/coronavirus-pandemic-health-941fc...
I feel like people keep forgetting the definition of "public health crisis."
Time is lives. And economic dollars.
The standard process is designed around limiting harm. Not rapid delivery. Not maximizing good.
In times of business as usual, that's fine. In times of public health crises, it's not.
If we'd rapid approved HIV / AIDS treatments in the 1980s, the world as a whole would have been better.
1. The FDA requires six months of clinical data to establish safety before FDA approval. The normal requirements for FDA approval absolutely were followed
2. With longer-term studied it's not like we don't know anything about them until it's complete. Data is released on a rolling basis so we know how the results of the studies so far, and (surprise!) data so far say it's safe.
Evidence?
> Transparency advocates have criticised the ... (FDA) decision not to hold a formal advisory committee meeting to discuss Pfizer’s application for full approval of its covid-19 vaccine ... Kim Witczak ... a consumer representative on the FDA’s Psychopharmacologic Drugs Advisory Committee, said the decision removed an important mechanism for scrutinising the data ... "The public deserves a transparent process, especially as the call for boosters and mandates are rapidly increasing. These meetings offer a platform where questions can be raised, problems tackled, and data scrutinised in advance of an approval" ... She warned that without a meeting “we have no idea what the data looks like.”
“It is already concerning that full approval is being based on 6 months’ worth of data despite the clinical trials designed for two years,” she said. “There is no control group after Pfizer offered the product to placebo participants before the trials were completed. “Full approval of covid-19 vaccines must be done in an open public forum for all to see. It could set a precedent of lowered standards for future vaccine approvals.”
... Joshua Sharfstein ... former FDA deputy commissioner during the Obama administration, said that advisory committee meetings were more than just a way of receiving scientific input from outside experts. “It’s also an opportunity to educate the public about the important work that the FDA has done reviewing an enormous amount of data about a product,” he told The BMJ. “It’s a chance for questions to be asked and answered, building public confidence."
Yes the vaccine has been proven to be safe for most adults in the short-term. But blanket statements like this over-simplify the reality of the situation.
People need to be aware that for certain sub-populations (eg pediatrics & pregnant women), there is insufficient scientific evidence - in terms of clinical trials and longitudinal studies - to conclude that the benefits of vaccination always and universally outweigh the risks.
Until consensus has been established in the scientific literature - and even after that - everyone should be making their own decisions based on personal risk evaluation with the consultation of doctors and other medical professionals.
Those of us who got that vaccine first were encouraged to remain in, though, which I did. Though that may change depending on mandate/passport stuff, since for official purposes, I'm still considered unvaccinated. There have been a number of other issues like this that have come up, for example:
https://www.thestar.com/news/canada/2021/08/13/vaccine-passp...
https://www.cbc.ca/news/canada/newfoundland-labrador/covid-1...
It really depends on what your definition of “safe” is. The vaccines have stated side effects, some of which can severe. The side effects are relatively rare, but non-zero.
The other component is time. We’ve proven that the vaccine is mostly safe…for at least a year out. After that, we have no data.
You don’t have to look that far back to find things that were deemed safe at one time have disastrous consequences years down the line. Cigarettes, asbestos, etc.
True.
> Pfizer's COVID-19 vaccine generated $7.8 billion in revenue in the second quarter[1].
Note that with Pharma, there is a fixed cost up front. After that, the marginal cost is relatively small and every extra dose prints money.
Also, there are people in other countries who are being called back for a fourth dose right now.
[1]: https://www.marketwatch.com/story/pfizers-covid-19-vaccine-g...
There are going to be some people and even large swathes of some countries that are never going to get vaccinated. If everyone took safety and science seriously, there probably would still be a control group in place. There were probably numerous people in the control group that had little to no risk of death nor complications even if they caught the virus and had to be quarantined. Ultimately, the vaccines will never meet the "gold standard" that Fauci and others applied to all other potential treatments.
Also, if vaccines become mandatory, the systems in place to address vaccine damage and liability need to be reformed. The excuse about scary yet isolated incidents having a disproportionate impact on vaccine adoption rates would no longer be valid.
There is, of course, an INCREDIBLE amount of EVIDENCE for all of these things being safe (including the vaccine). There has simply never been a 100% complete full evaluation of safety to the rigorous standards of an academic paper.
But it's really important to understand that we know TONS of things without having that rigor, and we don't hold the vast majority of our life to that standard.
Heck, we outright know that driving IS dangerous, ridiculously so compared to taking a vaccine, but we still allow that.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC300808/
:D
Somewhere between our two points is an optimal middle ground. The holy grail of exclusively evidence based interventions is lofty no doubt, and we'll have to do the best with what we know right now, but to aim for anything less is quite difficult to defend.
2. New data shows that the vaccine is indeed safe for pregnant women and it's not recommended that everyone 12 and older get a vaccine.
https://www.cdc.gov/media/releases/2021/s0811-vaccine-safe-p...
For pregnant women the current data is that vaccination is conclusively necessary because they cannot possibly hope to avoid COVID-19 infection when giving birth and while pregnant are much more likely to be severely impacted by COVID-19.[1]
[1] https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/spec...
Yes just about any symptomatic illness is going to lead to hospitalization and complications during pregnancy.
I understand how the language on the CDC page you cited may lead you to believe that vaccines are conclusively recommended, but take a look at this page from the CDC [1] (updated August 11th) for a more balance appraisal. They say that evidence about the safety is "limited" but "early data" is reassuring. Almost all of the links on the page you cited are to ongoing trials. It's a misrepresentation of science to say that the recommendation to vaccinate pregnant women is conclusive.
And if we're trading anecdotes, my wife's OBGYN advised her not to get vaccinated yet, because it's unclear what the long-term risks are for mother and baby, and because it's unclear if vaccination provides any additional benefits for mothers who have acquired immunity through natural infection.
If you can provide any citations to primary sources supporting your claim that vaccination is conclusively recommended I would appreciate it - I'm keeping an open mind here.
[1] https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommend...
Cigarettes and asbestos are not vaccines and are thus evaluated totally differently (and at a totally different point in time). In past vaccines monitoring, bad things happen right away versus long term:
“Serious side effects that could cause a long-term health problem are extremely unlikely following any vaccination, including COVID-19 vaccination. Vaccine monitoring has historically shown that side effects generally happen within six weeks of receiving a vaccine dose. For this reason, the FDA required each of the authorized COVID-19 vaccines to be studied for at least two months (eight weeks) after the final dose. Millions of people have received COVID-19 vaccines, and no long-term side effects have been detected.” [1]
[1] https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/sa...
Re: things like Tylenol, the difference is we have a ton of long term data on that, and the interactions with things like alcohol or other drugs are well known.
The fact that the FDA made a point to say that the vaccine was studied for eight whole weeks is worrisome, for something that most of the population will be forced or at least coerced into taking.
> Five years after Vioxx's launch, Merck withdrew the drug from the market. By that time, Merck had sold billions of dollars of the drug worldwide.
[1]: https://www.npr.org/2007/11/10/5470430/timeline-the-rise-and...
Great example.
The government is not forcing me to get a security clearance.
In this world, people with jobs are being fired for not getting vaccinated. It's not a small cohort either; it's the government and giant corporate entities.
There are a few notable exceptions, though, of employers that are not mandating vaccination. Pfizer, for one. The White House, for another. When the pharma that makes the thing, and the POTUS, who is making vaccination priority #1, don't require it, that is some laughably awful PR.
https://www.politico.com/newsletters/west-wing-playbook/2021... says the White House has as well.
> The White House didn’t even establish a vaccine mandate for its own staffers until last month, despite the shot being available to them early in the year.
Source? Are you saying unvaccinated people are out there murdering others? Do people no longer have functional immune systems?
People who argue against vaccines don't seem to think enough about that aspect.
No need to double up on the unknown risks of you already have immunity.
Garasdil was approved by the FDA in 2006 and, as this press release shows [0], continued running studies into it as a condition of the approval. They conceded that full results could not be available before approval; “While the study period was not long enough for cervical cancer to develop, the prevention of these cervical precancerous lesions is believed highly likely to result in the prevention of those cancers.”
From what I can gather, the Phase III study participants continued to receive follow-up checks for at least a decade.
[0]https://web.archive.org/web/20091019080918/https://www.fda.g...
[0] https://www.fda.gov/news-events/press-announcements/fda-appr...
[1] https://www.wsj.com/articles/fast-track-drug-approval-design...
The completion date was changed multiple times since April 2020 and they clearly appended booster trials to the existing trials and pushed back the dates.
It truly is that simple.
Nothing here is an indictment of vaccines per se. However, it is legitimate to have concerns over a process the rules stated at the outset were thrown out, possibly for personal profit and political motivations.
Also, see https://news.ycombinator.com/item?id=28280087 for a link to an articulate consideration of a number of concerns regarding this approval.
In the case of Pandremix, the vaccine was continued to be used for 2 years or so after the first cases of narcolepsy became visible.
While we are not QUITE as clearcut as parachutes, this is still an area where we can reasonably conclude that the vaccine is vastly safer than being unvaccinated.
Of course, but it's a lot worse when a cure causes issues. The point of medicine is to "first, do no harm".
https://www.npr.org/sections/goatsandsoda/2021/08/20/1029628...
b) Isn't that "per 100,000 inhabitants", not "per 100,000 who catch the disease"?
Your proposition is "a virus many times deadlier then the flu in a target group who have more serious outcomes from anything, what could go wrong?"
And your evidence is: "well for someone who currently has effective natural immunity.."
[1] https://www.health.gov.au/sites/default/files/documents/2021...
But that’s not what’s being communicated.
I don't need an academic, peer-reviewed study to tell me that using this site is safe. I don't need one to tell me that masks are safe. It's NICE to have such things, and I'm NOT opposed to them, but they are also NOT necessary for day-to-day reasoning.
I do think we should continue vaccine trials, because we might uncover subtle risks. But until we do, we are in fact at a point where we can conclude that the vaccine is significantly safer than going unvaccinated. What we expect to find going forward is small refinements like "X group should prioritize Y vaccine", not "Y vaccine is in fact more dangerous than Covid"
> we are in fact at a point where we can conclude that the vaccine is significantly safer than going unvaccinated
You keep coming back to "vaccinated versus unvaccinated" rhetoric and using irrelevant logical reasoning to argue that we should hastily generalize safety results to these sub-populations without citing any scientific literature supporting your claim.
The reality of the situation is a lot more complex, and it's obvious you're neglecting these nuances because for example, you fail to acknowledge how immunity acquired through natural infection is a major factor in the tradeoffs of vaccinating these understudied sub-populations.
I'm open to further debate, but I won't continue responding if you continue to raise the same unsupported arguments.
I never argued for "hasty" or "generalization."
Simple question: which sub-population are you talking about? Please exclude any sub-population where a statistically significant sample of vaccinated individuals already exists, unless your concern is limited solely to long-term side effects.
If you are concerned about long-term side effects, please cite at least one scientific study explaining why you are concerned about that PARTICULAR sub-group being vulnerable to that PARTICULAR side effect - we wouldn't want to waste time if you can't cite any scientific literature supporting your claim
(P.S. I've only made a single comment about vaccinated -vs- unvaccinated, so you might have me confused with someone else in this thread)
https://www.npr.org/sections/goatsandsoda/2021/08/20/1029628...
> and the rate of serious cases among unvaccinated people in <<the under-60 crowd>> (3.2 per 100,000)
So .18% for the most at-risk portion of the unvaccinated. This is the latest data on Delta from the most vaccinated country in the world.
And at the same time not forcing everyone to take the vaccine.
As an example Denmark will reach about 75% vaccinated without any mandates, though a Corona passport will be in effect until October 2021.
That is one of the better ways of handling it in my opinion.
And on top of that, countries like Denmark have much higher levels of social trust than countries like the US.
The fact that some people don't recognize that gift as what it is because they've been misinformed is irrelevant because, well, whatever they believe is simply not true.
Continued assignment of subjects to placebo is unethical, once there is good evidence to support the efficacy of the trial therapy.
Unfortunately (or fortunately) since there was such strong evidence to prove the efficacy, it became unethical for the continued assignment of placebo.
https://www.ahajournals.org/doi/10.1161/CIRCHEARTFAILURE.111...
Here's an article on the ethics of a placebo-controlled trial in the first place. It's complicated.
https://acrpnet.org/2018/12/06/ethical-deliberations-on-usin...
Anyway none of your comments actually address the science involved. A few factoids without any context is not useful.
Besides that, just their overall fatality rate beats your numbers, let alone serious cases.
> Given that COVID-19 disease is far milder in the majority of children than in adults, the risk–benefit of a pediatric SARS-CoV-2 vaccine must be carefully weighed [0]
> The prognostic significance, long-term implications and mechanism of this myocardial injury needs to be studied further, especially as vaccination efforts are rolled out to younger children. [1]
> While the safety, immunogenicity, and efficacy data for the 4 authorized vaccines are reassuring so far, none of these vaccines has been systematically studied in pregnant and breastfeeding people [2]
> it is important to remain transparent about the lack of information, acknowledge concerns, and support those who decide to defer vaccination until more data are available [2]
[0] SARS-CoV-2 vaccine testing and trials in the pediatric population: biologic, ethical, research, and implementation challenges (Feb 2021) https://www.nature.com/articles/s41390-021-01402-z
[1] COVID-19 Vaccination-Associated Myocarditis in Adolescents (August 2021) https://pediatrics.aappublications.org/content/pediatrics/ea...
[2] SARS-CoV-2 Vaccination During Pregnancy: A Complex Decision (April 2021) https://academic.oup.com/ofid/article/8/5/ofab180/6220034
What are you advocating for? Your own Source Two backs me up here - we have plenty of reason to conclude that Covid is the bigger risk despite the lack of studies. It's right there in the "Conclusion" section.
Emphasis on "likely" - the authors do not conclude with any certainty, they're speculating based on the available evidence, just like you.
I guess your personal threshold for "plenty of reason to conclude" is lower than mine, and that's okay - to each their own.
But it's very clearly spelled out in the sources I cited: currently there is limited evidence demonstrating the safety and benefit profiles needed to conclude that every child and every pregnant woman should be vaccinated.
BTW, if you /don't/ get the vaccine, you'll still almost-certainly get covid antibodies eventually, via contracting the virus. As a reminder, the virus itself has not been FDA approved, and is known to have both short and long-term harmful side effects. The vaccine is many orders of magnitude safer than the virus.
However, I think most of us would agree that literally vaccinating people by force would be wrong. So I also don't think it's unreasonable to be at least a bit discomfited when some combination of government at multiple levels and employers make it harder for unvaccinated people to earn a living and participate in society. Even if at the end of the day I approve of many of those requirements--for example I need to prove vaccination status to go to a planned industry event next month which seems very reasonable--I certainly take no joy in such coercion and recognize that it is further polarizing.
Sure it's just "consequences" but those consequences are such that it's also not really a choice.
I am sick and tired of people believing that their "rights" are more important than public health. I would very much wish that people would recognize this for themselves, but I don't see anything inherently wrong with forcing people to comply if they don't. We've done this for decades already; for example, many/most/(all?) school districts in the US require certain vaccinations[0] for children, else they are not permitted to go to school (and in many places, not sending your children to school, without other arrangements, is illegal, so they are de-facto forced to comply, absent allowed religious/medical exemptions).
Sure, you might say that the scope of some of these new and proposed vaccination rules around COVID go much further, but I don't see a material difference. If we haven't been up in arms about requirements around childhood vaccinations, I don't think we can reasonably be upset about businesses requiring their employees to be vaccinated against COVID.
At this point my patience with the vaccine "hesitant" is gone. Unless you have a valid medical reason, if you are refusing to get vaccinated, you are actively inviting great harm on the health of your community, and that needs to stop. I do agree that literal vaccination by force would be going too far. But I am absolutely thrilled that my city requires vaccination for many indoor activities right now, and requires employees at those indoor businesses to be vaccinated, and that many private businesses are implementing their own vaccination requirements. It's the right thing to do, full stop.
[0] https://www.cdc.gov/vaccines/imz-managers/laws/state-reqs.ht...
I wouldn't be surprised to see that Denmark does the same, and more, if vaccinations number don't reach the thresholds needed to prevent healthcare systems from collapsing.
And you should know that Denmark is far from as "laissez faire" as many Americans imagine. For example even before Covid they were enforcing some very harsh social measures targeting self-isolating communities, in order to maintain social cohesion, for example.
I see your point that more research is better, but given the current uncertainty you still have to decide whether Covid or Vaccine is the bigger risk, and all the science says that Covid is the bigger risk.
I'm honestly not sure where we disagree.
"Information is not yet available about potential long-term health outcomes."
For example, one could question the potential for autoimmune conditions due to the way the mRNA vaccine works and how the immune system typically targets multiple proteins on the cell. There's no data or studies our there about this longterm possibility or even the incidence of autoimmune antibodies produced by vaccination. This likely isn't a problem for the elderly since it can take years or decades to present/progress, and their value proposition is different than for younger people. It starts to get more questionable as the value proposition changes dramatically in the youngest age groups. The question of vaccinating one's child for covid is certainly a topic with a diverse set of opinions and very little data to perform a thorough longterm cost/benefit analysis.
Some chance of high probability of damages, vs full chance of low probability of damages.
This is why numbers are important... Fuzzy equation members like 'some', 'high' and 'low' are inadequate for this decision making.
I know I wouldn’t want to work in person at any place that didn’t have a vaccine mandate. Once vaccines are approved for children, I think people’s options should be to either vaccinate their child or homeschool them, since if I had children I wouldn’t want them exposed to the unvaccinated. The federal and state governments forcing everyone to get the shot would be a step too far for me, but I’m very much in support of it being hard to be a part of society if you refuse to take one of the most basic steps to protect other people in it.
>it being hard to be a part of society if you refuse to take one of the most basic steps to protect other people in it.
there are a huge number of diseases you can knowingly spread with far more severe long term consequences while still being 'part of society'. frankly i do not think free and democratic societies can survive while trying to also fulfill the moral compunction not to let anyone die ever from transmittable illness, it is simply at odds with our biology. we, like all mammals are walking bags of filth and disease and no amount of indefinite containment will ever change that reality.
Flu vaccine? Smoking cessation? Hand washing? Race/gender/religion sensitivity training?
These seem like pretty basic steps. Should we bar entrance to society based on these?
Alternative perspective, why should the unvaxed kids be forced into homeschooling? Maybe the parents of vaxed kids should be given the option of putting their vaxed kid in a school that has a mix of vaxed and unvaxed kids, or to homeschool? Given the general demographics of the unvaxed I'd say that's far more likely to happen then a school vax mandate. They would never get away with turning away a bunch of African-American kids going to some of the strapped inner city schools. Food for thought.
An alternative that could happen is vaxed / unvaxed kids in separate classes or schools. Though that wouldn't be possible everywhere.
While I'm a big fan of people having a choice, due to the large amount of misinformation out there people are dying. We have people in my country that could have gotten the vaccine but didn't because of Facebook conspiracies and are now refusing oxygen in hospitals because they're afraid their lungs will explode - due to Facebook conspiracies.
There's no good reason for the majority * of people to avoid the COVID vaccines. They're making a dumb decision.
* Of course there are exceptions, but it's a small percent
Is this still true if unvaccinated takes a hospital bed away from someone else or increases insurance costs to everyone else due to more expensive care?
For those of us who got the vaccine, we’re still having to take precautions because of the delta variant spikes, largely from people who didn’t get a vaccine. Where is our choice?
But not smoking in your car or at home. There are tons of American parents who hotbox their kids with cigarette or marijuana smoke on a daily basis which not only harms them with second hand smoke but increases their chances of smoking themselves by an astronomical factor.
Parents legally harm their children constantly by setting bad diet patterns (child obesity), or substance abuse patterns just to name a few ways. Should we make that illegal and have the state raise those kids?
Comparing choosing to drive drunk with not choosing to take a particular action that has an infinitesimally small probability of directly causing tragedy are not remotely comparable.
Smelly analogy is smelly. You're talking about the difference between very specific behaviors being prohibited versus blacklisting half of the population from participating in society with vaccine mandates (many of whom are black, by the way). It's not even close to a valid comparison.
I get the sense that the overlap of people who are pro-mandatory-vaccine and pro-choice is pretty high, being that they are both liberal positions. "My body, my choice" is just fine for women's reproductive rights, even if it meant taking away a baby's chance to live. All of a sudden "my body, my choice" doesn't sound so good?
I got both of my shots but I am so tired of people blaming anti-vaxxers. Give me a vaccine good enough that I don't have to worry about it. Today, I'm literally going to get a COVID test despite having both my vaccine doses. Why? Apparently my government isn't capable of providing useful guidance to keep me safe. We keep hearing about masks, but the mandate got dropped and there was never any talk about mandating the clearly superior KN95 or N95 masks.
Anti-vaxxers have been consistent from the beginning that they're not getting vaccinated. You know whose position keeps changing? FDA & CDC. Whether it's how effective the vaccine is, what the side effects are, do we need to wear masks, how much social distancing is required, whether or not a booster is useful...
You and everyone else blaming anti-vaxxers are letting the government redirect blame for its own failures.
that’s a very different comparison to something like going to a private business
what about driving drunk on your own land away from anyone
You're welcome to choose not to get vaccinated, and not to go to any such employers, colleges, etc.
Regardless, your argument doesn't make any sense. If anyone -- vaccinated or not -- has COVID, they should be required to stay home. If an unvaccinated person does not yet have COVID, we should push them to get vaccinated, because then they will be much less likely to get the disease, and if they do get it, serious illness or hospitalization will be vanishingly unlikely.
Vaccination also reduces the "breeding ground" for mutations. At this point it's critical that we slow down the creation and spread of new variants that might do a better job of getting around our existing vaccines.
2 Shots of vaccine to end covid -> Most Americans will have to take booster shots -> Booster shots may not be one time thing
This is why getting spread under control is so important: each time the virus replicates there’s a chance of a new advantageous mutation making the problem harder. Wearing masks and vaccination are how we break that cycle.
The vaccine hesitant's tendency to move the goalposts when their reason du jour for refusing vaccination is invalidated is based on misinformation and unfounded fear. The exact opposite of good reasons to change your mind about something.
It would have been entirely possible for Fauci et. al to say "The vaccine data appears to show 95%+ efficacy, but we will be waiting to lift lockdown mandates be sure". That kind of messaging shows both a respect for science and a commitment to everyone's health. However, it was an unpopular political decision, so mandates were lifted.
This isn't the first time they've changed their course after making a decision prematurely. To the vaccine hesitant, why is this FDA approval any different? There's massive political pressure to approve these vaccines.
Meanwhile in Japan: people living freely their lives with no lockdowns, no forced vaccination, no vaccine pass. Another model is possible but the Western governments are addicted to their power trip.
I care because humanity has been screwed over by this virus for a year and a half now, and the virus could be completely controlled by now in any country with a sufficient vaccine supply. But it's not, because people refuse to do their part in helping to take care of their community. That's disgusting and unforgivable to me. The blame for any COVID-related death that occurs in the US now falls squarely on the shoulders of the unvaccinated.
Other people are much more leaning towards frowning upon the partytime people "let us hug and stay together and forget about it all". Those other people believe that if people had been careful, the damages would have been minimal. Using some of your words,
«the virus could be [...] controlled by now in any country with a sufficient» carefulness in the population.
Demonizing unvaccinated people is the language of an abuser: "Look what you're making me do to you." The way out of abuse isn't ever to comply with the abuser's demands.
See how silly that sounds?
Also, the comparison is nonsense. If someone drinks and drives, they did intake something into their system which made them a risk to others. What you want is the reverse. Everyone is by default a risk to the society, and only if the get a biannual shot from the latest and greatest experimental medicine, you deem them no danger to society. You are trying to outlaw the human condition. There are people who think this is a big deal and needs to be opposed. I agree.
70% is enough for the original Covid. Covid moved the goalposts to Delta which needs different numbers. This is not experts moving the goalposts, this is Covid changing on us - as was always expected to happen and why experts said we don't know what % is required until Israel showed 70% was enough for the original Covid strain.
Herd immunity happens when a disease can't spread because all people surrounding the infected person have enough immediate immunity to stifle its progress. Delta seems to be able to spread to people in the gap before the immune system recognises it, so it may be something that can't be stopped by herd immunity.
Other models are certainly possible, but only work in places where people have higher trust in their government, and think about collective welfare over their own individual selfishness. Unfortunately, people in the US (and much of the West) care too much about "mah lib-ur-tee" than doing their part to help keep their neighbors healthy.
Also I think your focus on Japan is a little weird; they went through their own bad time with COVID, and even consider the recent case of the large flare-ups surrounding the Olympics.
You're quite underestimating how quickly sweeping away humans' rights for "the greater good" turns bad. I'm sure China is justifying the Uyghur camps with your exact sentence.
Here's some history... Basically, the US Supreme Court has repeatedly affirmed that states can take strong measures under the 10th Amendment, and the Commerce Clause can be used for federal interventions.
https://www.americanbar.org/news/abanews/publications/yourab...
[on edit: ALSO, wtf: vaccine refusal isn't a human right... In fact, ensuring vaccination helps satisfy Article 25 of the UN Declaration.]
In this case what is coercion or "consequences" of choosing to say no to the vaccine, will turn into something entirely different.
Here is one example on the subject of contact tracing for Covid and how it can be abused:
https://www.haaretz.com/israel-news/.premium-israel-seeks-to...
Let me ask you this one thing: if I have antibodies already, do you consider that a valid medical reason?
To be honest, if not, then I feel like you are not arguing in good faith.
Those under the FDA do not have that social constraint (free healthcare), to others it is a reality (with responsibilities etc.). And in a way, like in the context of insurance, different personal histories are relevant. Job related health consequences? Unforeseeable consequences? Jamesdean consequences? Not the same.
What reasonable limits are, and above that at what point the government should step in and say your actions are too dangerous to your fellow man (or if government should have that power at all) are of course very hard lines to draw.
As for the poor schools, you're right - we have to leave those open.
It was probably updated once we found out more about Covid-19 Alpha, and later for Delta.
Making it a stance about personal freedoms is often used but it detracts discussion about facts of approved vaccinations, positive or negative they may be.
Natural immunity is a thing, just like it always has been. I've heard all of the arguments about why nobody wants to widely acknowledge it, but I just can't agree with them.
Governments regulate comings and goings of people to and from private businesses all the time. We don't allow people under 21 to go to bars or people under 18 to go to strip clubs, for example.
>what about driving drunk on your own land away from anyone
If you wanna walk around on your own land away from anyone without getting vaccinated and/or while having covid? Have at it.
A lot of things, but just the top two would be enough:
1) Being able to sue. If you can sue J&J for baby powder, should be able to sue Pfizer for vaccines if anything goes wrong.
2) Falsifiability in government actions. Many rights have been taken away (some permanently) by saying "we just need to do this and then it will all be over" like "a few weeks to flatten the curve", "the last lockdown", and "x% vaccinated and we'll be back to normal".
But when they don't work, the people are blamed, more rights are taken and more restrictions imposed. It's never that the actions were wrong.
I expect something like if "70% of people are vaccinated then we expect no more than 5000 cases per day" and if the statement turns out to be false there will be no more vaccine impositions because it clearly will have turned out to be wrong.
If something doesn't work you shouldn't double down.
You cannot, with 100% accuracy, model a virus that is mutating in a population that includes the entire planet. We have things we know worked in the past, we try them, and we then modify our next move based on the results. We don't say "well we got that one wrong so now we're just not going to try anything". If every scientist took the approach you're suggesting we'd still be eating raw meat and living in caves.
Why is suing vital? What's insufficient about the existing National Vaccine Injury Compensation Program? https://www.hrsa.gov/vaccine-compensation/index.html (I'm genuinely unfamiliar with any flaws it might have)
> Many rights have been taken away (some permanently)
What rights have been permanently removed? For that matter, what RIGHTS have been even temporarily suspended?
I could say I have a right to breathe air and someone would probably come around and tell me I'm wrong, but most people have some intuition for what a "natural" right is, and bristle when something encroaches on those.
Max compensation is $250k. Life insurance values my life far more. Documents are under seal. Payouts are paid by the tax payer, not the manufacturers. Cases are heard by HHS and defended by DOJ (more taxes footing the bill). HHS has repeatedly refused to add certain injuries to their compensation tables even after CDC directed research indicates that such injuries have been proven to be causal (eg: motor tics in those that received thimerosol containing vaccines). Most cases now go years before any decision is made when the original stated purpose of the program was speedy settlements (6 months or less). The only expert witnesses that might be allowed to speak in secret vaccine court will likely be the scientists that were paid to design the vaccine in question by industry. Doctors that have testified against industry in this court (and others like it in other nations) have had their careers destroyed by retaliatory tactics.
I find it quite funny and sad that you need to ask “what’s wrong with this special, secret court?” What’s NOT wrong with a special, secret court designed to protect a massive industry? NO PRODUCT CLASS should be protected in this manner.
Sounds like you should take a look at Street Epistemology. It is a modern version of the Socratic method that asks questions similar to that. The goal is not to make your interlocutor change their mind necessarily, but instead to explore the reasons for the beliefs they hold and whether they may be sufficently justified or not.
I hope that this latest change sways some people but I don't think it will be a lot.
Unless you’re dealing with an extraordinary individual or the issue is relatively trivial then you won’t be told sufficient reasons. A lot of what motivates us is deep down and dumb and we rarely want to admit it even if we’re aware of it which is even rarer. I find that examining reasons to change my own mind is much more fruitful because it’s harder to lie to myself albeit still far too easy.
These are too sophisticated reasons. More realistic renditions might be “that other tribe gets vaccinated loudly therefore I won’t” and “I’m strong, only the weak get vaccinated.” Of course the same in-group dynamics etc motivate the vaccinated and we’d be lying to ourselves if we thought our actions are purely rational and charitable.
For me number one would be: if the CDC starts tracking re-infection rate in the non-vaccinated, and puts that data front and center as key KPIs on all their releases.
Yes, so we can deduce remaining susceptible.
The basic model in a pandemic is SIR. Susceptible, Infected, Recovered. Vaxed is a secondary factor.
We live in crazy land when I have to explain why we should be tracking Susceptible (computable when you know number infected and reinfection rate). (not to pick on you, just speaking about general trends I'm seeing)
Imagine if in computing someone asked, "why should we measure RAM usage?"
It's like, the very very basics.
Without that, you cannot accurately model and forecast the pandemic. And you can see for yourself how poorly the CDC is still modeling this when they said "vax work great! no masks!" and then "shit! vax don't work as great as we said, masks back on!" It's like they are pretending that natural immunity without a vax does not exist. One of the very basics in epi, both theoretically and empirically from mountains of data. It's crazy town, I tell you.
At the individual level you should know this to make the proper conditional decisions. There is scant benefit to be had from the vax if you were infected and recovered naturally (and yes, I've read the Kentucky study, and if that's someone's main argument they're a moron).
The moment you start talking about techniques you've already objectified the person across you to something to be finessed over, and as such less than a full person.
So many of our recent social-media extremized public debates escalate to the point of denying or diminishing the other side's personhood. They are an "obstacle" to overcome for some greater purpose, and thus we "must" manipulate, coerce or the very least impress conclusions down their throats.
The meta-context is that today we are all more psychologically fragile and the breadth of data points we have to reconcile gets wider (in no small part thanks to engagement metrics optimizations). We all turn into fanatics of some sort or other, fueled by this anxiety, including that of self-doubt. At no point we are incentivized to participate in the process of rationality together, we're only incentivized to willfully assert our own conclusions.
I see most of the "resistance" as an acting out as a protest for having been left out of this process, including having been honored in anxieties. Notice I have said nothing about the truth value of conclusions, nor am trying to draw a false equivalency of "all-sides-ism", because the sense of participation, or lack thereof, is orthogonal to the truth of content, but hurts just as much when neglected.
We've forgot how to be a fellowship of people who share similar fates and see each other as such, we've turned into mere proposition debating machines.
I agree, engaging people is a good way to go. I don't know any anti-vaxxers personally, so I have to actively work to remind myself they might not all have the same reasons as the ones I know impersonally (who all happen to be full of misinfo, like Eric Clapton, et al.).
There are no silver bullets that lead to peace and harmony, obviously, but a greater understanding of each other is good for many reasons.
A vaccine that (1) did not use cell lines from aborted fetuses at any point in its discovery, development, testing, or production, and that (2) has been studied for 10 years to determine long-term safety and efficacy like we would do with any other vaccine.
What would it take to change your mind?
In general terms, I would need the society at large to get off the moral high horse and engage in an honest cost/benefit analysis of all covid measures.
Isn't it hypocritical that people accuse the young not taking the vaccine of being selfish, while hoarding the vaccines away from vulnerable people in poorer parts of the world?
It can only hypocritical if it is the same people making both arguments.
That said, I'm absolutely getting _my_ booster as soon as I'm eligible. That isn't hypocritical; at that point the decision was made and if I don't take the booster it won't be sent to sub-Saharan Africa.
For the vaccines we do have, public schools in most states already require vaccination. Almost every state already requires that children in public schools have the DTaP, IPV, MMR, Varicella, and HepB vaccines to enter Kindergarten. And I would personally have no problems spreading those and the flu shot as a requirement in the same vein as I stated above either.
We are indeed mammals that are walking bags of filth, but we also have minds that we can use to help deal with that fact. We can’t indefinitely contain, and we can’t completely stop transmittable illness. But coronavirus is one of the handful of diseases we now have a tool to deal with, and not taking advantage of that tool to stop needless death and waste is a massive dereliction of duty to one’s fellow man. This isn’t about “not letting anyone die ever from transmittable illness,” this is about a specific dangerous disease that we have invented a tool to help stop.
On an individual level, maybe sure, but on a population level, enough people are getting sick to cause medical systems to collapse. I live in a G7 country where people are dying at home since they can't get a hospital bed.
Now it's true that chance is probably somewhere around 0.3% assuming you don't live in an area where hospitals are out of ICU beds and vents. But it's your _life_ at risk.
(I'm going from memory and may be a little off on the age ranges, but covid is heavily weighted towards the elderly while influenza is not)
Understanding that base fear will help bridge the divide between groups.
- Fear, hesitancy about potential long term risks.
- Resistance to government mandating a vaccine (freedom, low trust in government, other options not being considered)
- Resistance to the cultural paradigm of "un-vaccinated = bad/deplorable person"
- Belief that the risk of COVID is already low (at least for them)
By the time group 2 catches up (because years have gone by of the vaccine not causing widespread problems) the threat is gone. Meanwhile the animosity has not truly been diminished because the first group will feel the second is responsible for insert issue pertaining to millions of people willingly not getting vaccinated that caused them pain/suffering.
It's almost like many people are "worried" about "long term effects" as just a smoke-screen to run out the clock on the issue...
When it comes to the vaccine, I got the first shot (Moderna) and had such a terrible week following it that my doctor was fairly convinced I probably already had COVID. Everyone I know had a much stronger reaction to the second shot than to the first, so I've opted to remain partially vaccinated.
With Delta in full swing, I'm now reconsidering that, but am making arrangements in advance to be out of work for another week or two, as that's my expectation going in.
All of that said, the folks I know who are unvaccinated have either already had COVID, so they're just trusting their immune system, or they are in a relatively low-risk group, and are concerned about long-term vaccine side-effects. All of them are fully vaccinated in all other regards, just not with COVID. Make of that what you will, but very few of them fall into the caricatures I see bandied about in the comments here.
Incidentally, I'm also concerned about long-term side effects, but I figure at this point, we'll have to solve that problem as a society, if they ever show up enmasse.
Counter-anecdata: everyone I know (in the UK[1]) had a much milder reaction to the second than the first - first one knocked most people out for a day or two; second one was half a day in the worst cases, couple of hours in the main.
[1] Which means AZ or J&J, I think, not Moderna. But it's anecdata, it's never going to be 100% helpful.
What the question your parent poses can do is get to the root of the objection your conversation partner has. "What would make you change your mind" forces the conversation in the direction of uncovering the true source of the disagreement. It helps to avoid talking about "symptoms" or issues that you might find important but are not important to your partner. It helps avoid talking past each other. It helps identify what issues are important to the other person.
If there is nothing that will change one's position, it's not worth engaging because the outcome is set.
There's nothing about any sort of technique that is inherent to objects and not people. Techniques are something used to achieve a goal, and if a person is involved in that goal, there's nothing wrong with using that sort of verbiage.
>thus we "must" manipulate, coerce or the very least impress conclusions down their throats.
You've made any attempt to change someone's mind out to automatically be something that's naturally evil. Ridiculous.
That’s what turning a person to an object is; to reduce them to something to achieve your goal over/with/through.
> You've made any attempt to change someone's mind out to automatically be something that's naturally evil. Ridiculous.
Ridiculousness is originating from your misframing which ignores the condition of participation vs instrumentalization I’ve laid out.
To give an example to non-objectifying persuasion; people pay money to get their own minds changed through therapy and it still takes years with no guaranteed success. This is obviously not “evil” (at least not inherently) because it is participatory and comes from a place of love and growth and alleviation of suffering.
Because it's not like they live in a representative democracy, right?
It boils down to a really muddy mix of small things that all sum up to a decision against it.
For instance, I'm not the risk group and, due to being super medically conservative for _everything_ (to a fault!), I tend to not take medical interventions I don't strictly require.
I think that the vaccines are overwhelmingly safe from an absolute risk perspective, but among the least safe things we've deployed into wide usage from a relative risk perspective. It's tough for me to convince myself to take an intervention I don't need. Stack onto this things like the PREP act, guaranteed orders, big pharma's history, this being the first mRna vaccine to get through Phase III, and more hesitancy gets added on my side. As data from other countries rolls in, the efficacy side is also interesting, but that's a different topic.
Finally, there's just general disposition. Whether lockdowns, restrictions, or vaccinations, people seem to fall into one of two groups: those who favor public heath above all else, and those who favor personal liberty above all else. Due to some wrongthink, I fall into the latter camp. The behavior of those in the former camp pushes me away from my medically hesitant "wait and see" position, into one of, frankly, staunch dismissal out of pure curiosity to see how willing society is to marginalize those who made a 'wrong' medical decision.
Also, do keep in mind the premise here is that if enough of us get vaccinated as fast as possible, we can, among possibly other things, stop the spread of the disease, stop variants from forming and also lighten the load of hospitals so they can treat more people, including those without COVID. I'm all for curiosity, but is it worth it in this case? Also, you can still observe other peoples' behaviors if you get the vaccine. Even if you want to just observe the people you're close with interact with you directly, you can get it and not tell them.
Eric Clapton took both doses. He suffered some severe adverse reactions. What’s the misinfo?
I haven't had the second jab. I've had nothing but pressure from almost everyone I know to get the second shot, and am still on the fence.
Instead, they are treated as if they are a threat. As if they are the ones who are overstressing the health care systems. When often instead they are the frontline workers these systems depend on. Many give care in nursing homes and at hospitals (in the case of nurses, a large percentage of whom still refuse the vax).
How many health care resources does the average unvaxxed healthy 26 year old consume? A lot less than the chronic smoker, the morbidly obese, the elderly, etc.
I'm sorry that people in your family are being treated like a threat. Can you elaborate on that? I also feel for those if there are issues at work, and I really think US should mandate paid leave to take the vaccine (at a minimum), but that's another discussion. :)
This report details the findings of a case-control evaluation of the association between vaccination and SARS-CoV-2 reinfection in Kentucky during May–June 2021 among persons previously infected with SARS-CoV-2 in 2020. Kentucky residents who were not vaccinated had 2.34 times the odds of reinfection compared with those who were fully vaccinated
I've been living normally without lockdowns or masks for about 18 months now. So has the rest of my country Sweden. So excuse me if I'm not running around fearing for my life anymore. I'm pretty much convinced we all have natural antibodies by now.
What convinced you? Because the upward trend of new cases worldwide (including Sweden) doesn't convince me.
Chances of infection given behavioural patterns, to be defined, × probability of damages post-infection, given demographics etc., to be defined¹
vs
100% for the chance of vaccination, × probability of damages post-vaccine (post 1 week, post 1 month, post 3 months etc.), given demographics etc., to be defined.
Probably you meant that according to available data, the probability of damages post-vaccine seem very low. Some people are concerned because those numbers do not seem to match the anecdotal they have around, so they would like to have better data - because some possible consequences are much more than nuisances. I say, if some entity kept an active monitoring ongoing, of the adverse side effects, much stronger reassurances - or less hesitance owing to confusion - could be given. I could only find passive monitoring around - USA, Europe, Australia, Canada etc.
¹The vagueness is such that in the context of this line, the last article I read mentioned values between 2.3% and 40%.
https://www.nejm.org/doi/full/10.1056/nejmoa2034577
Now you can debate the meaning of "safe". And you can make decisions based on anecdotes. And you can say it would be nice to have better data. But that is true for most things in life. Most people go to restaurants and drive their cars on roads with reviewing far less evidence that their car and restaurant they are going to are truly safe.
It is a firable offense to not wash your hands if you work in a restaurant.
It is a mandate at most companies to take sensitivity training.
Restaurants can reject you for not wearing covered shoes and a suitable jacket.
The recent NYC mandate for example is specifically about attending indoor venues on Manhattan island - restaurants and theatres and such.
Im sure it’s involved to some degree but I don’t think anyone has sufficient data to know by how much. It could be insinuated that the demonization of the unvaccinated and the call for the use of force against them is an expression of narcissism by the vaccinated who are frustrated that their “genius” is being ignored. Both accusations have equal plausibility and lack of data.
We already know Covid can cause autoimmune issues in some patients, so are you saying the effect you describe is just a subset of these, or different?
So all I'm saying is that the value proposition for an individual is based on the risks associated with vaccination or infection, and that the decision for people in age groups with the lowest known (short term) risks associated with infection have lower known benefits putting more emphasis on the unknown (longer term) risks or benefits. So for someone over 70 with about a 5% IFR, it's easy to say there is more benefit than risk because it's easy to see if a serious side effect is happening at a 5% rate or higher and the time horizon for longterm issues developing is limited by natural lifespan. With the quality of the VAERS data and the much longer time horizon, it's more difficult to discern a benefit for someone with an IFR of .002%. Of course we can't even look at the rates of many of the side effects to compare something other than IFR because the data data quality doesn't allow for that level of sensitivity.
Edit: why downvote?
Other coronaviruses have, but mRNA vaccine technology is about 15 years old - that's how long it's been in development and studied. Long term effects are in fact, known. But if you were concerned about that, you could take J&J or Astrazeneca, both of which are based on adenovirus vector technology and has existed since the 1980s - the clotting side effect is both rare and treatable.
re: Graves disease - [1] is literally a risk of getting COVID-19.
You are engaging in some both-sideism FUD and misrepresenting the technology of vaccines while pretending a brand new novel disease is some well-understood thing.
[1] https://www.healio.com/news/endocrinology/20210519/covid19-m...
I don't fully understand what you mean by "the data quality doesn't allow for that level of sensitivity" - we have already had two instances where very rare side effects of Covid vaccines were recognised - blood clotting for AZ and myocarditis for Biontech.
You wrote, and that's what my question was hinting at:
> "one could question the potential for autoimmune conditions due to the way the mRNA vaccine works"
What do you mean by that? What is specific about the mRNA mechanism that could lead to autoimmune issues?
What changed was whether the surrounding people were receptive to infection and capable of spreading it.
You are also strawmanning to assume that laws that punish bad parenting would immediately skip to the state raising the kids.
All laws restrict freedoms to protect the wider society. This isn't a novel concept. Not being able to murder is a freedom deprived of you. The question of "should any freedom that could possibly be abused to harm others be eventually outlawed" is obviously "No". Law is not the only tool to encourage better behavior.
But passing laws to outlaw any of your examples doesn't mean we're saying "Yes" anymore than outlawing murder does. Those are just specific laws. The question is "which freedoms should be restricted to prevent individuals from harming others". Your original framing of the question makes it an all or nothing case, but its not.
The state does deprive people of rights to raise their kids if they're really awful parents. That does not mean that making smoking in a car with kids illegal guarantees that this would be the associated punishment.
> Anti-vaxxers have been consistent from the beginning that they're not getting vaccinated. You know whose position keeps changing? FDA & CDC. Whether it's how effective the vaccine is, what the side effects are, do we need to wear masks, how much social distancing is required, whether or not a booster is useful...
> You and everyone else blaming anti-vaxxers are letting the government redirect blame for its own failures.
Science adapts and adjusts based on new information.
The lack of willingness to adapt when confronted with new evidence has an unfortunate name.
Lifting the mask mandate was a political move, and it was a poor one. Not pushing KN95/N95 when it was basically guaranteed to be increased protection was a poor move. Taking us out of lockdown, and failing to reinstate the lockdown, was a political move. Also a poor choice.
You're over here talking about science. Half of these decisions are being made based on politics. Wouldn't surprise me if the vaccine approval were also.
Not every government out there is super abusive.
The alternative is that they're all crazy (and/or malicious), and that's a <<very>> difficult thing to prove. So difficult that the simpler explanation is that they are following scientific processes, slightly mixed with politics and also... full of mistakes because we're all human.
If you experience severe enough side-effects from the vaccine to warrant a lawsuit, then you are still entitled to sue for compensation. The only thing that has changes is the entity who you are suing.
The Countermeasures Injury Compensation Program makes this process much easier than a traditional lawsuit, as you merely have to convince a judge that your symptoms were likely caused by the vaccine. If they agree, you get paid.
If you sued Pfizer, then you'd probably be in a class action, going up against some of the best lawyers in the world, in a case that would drag out for a decade or more, likely have no real say in the case strategy, and would just have to accept whatever agreement the class representative agrees to.
I know not everyone has the same set of restrictions on them, so I'm genuinely trying to understand if I'm missing something about how other areas are behaving. I know Australia is at the "papers, please" curfew stage, and that definitely bothers me a lot, but I haven't heard of anything like that in the USA.
Maybe the slope into authoritarianism is actually slippery.
"You are arguing "we don't know what'll happen with vaccines" as though you do know the long term risks of COVID-19."
I'm saying that the longterm effects are not known for either.
"Other coronaviruses have, but mRNA vaccine technology is about 15 years old - that's how long it's been in development and studied."
Do you have some links for this? The mRNA technology was used a little differently in the past from what I saw. Most of the research I saw were attempts to correct genetic issues, not trigger immune responses against the proteins created. Not to mention, the OP article even has the FDA stating that they don't know the longterm effects of vaccination, so it seems my statement is consistent with the expert opinion.
"But if you were concerned about that, you could take J&J or Astrazeneca, both of which are based on adenovirus vector technology and has existed since the 1980s - the clotting side effect is both rare and treatable."
It's a similar mechanism, right? You're just using a virus to carry the genetic material, which also involves an extra transcription step in the cell (what is theorized as causing mutations in the spike and thus the stroke/clotting issues). Still quite different from the traditional inactive or protein based ones.
Have either technologies been used in a wide scale way (1M+ people) on the timeframes you mention?
"You are engaging in some both-sideism FUD and misrepresenting the technology of vaccines while pretending a brand new novel disease is some well-understood thing."
First off, it's not FUD. I'm not fear mongering. There's no doubt expressed about known things. Sure, there is uncertainty about both sides, but even the experts acknowledge this in a similarly objective way (ie I lack the motive behind FUD). My statements have been objective about how one may be approaching the decision. Where have I misrepresented vaccine technology? I am not saying covid is well known - in fact, your statement contradicts your other statement about "both-sidism FUD" since I can't possibly be claiming it's well understood and simultaneously claim fear, uncertainty, and doubt about it.
If you read it, you can see the discussion is about how people might be approaching a decision with a mix of fairly well known short term data and relatively little known long term data, and how the value proposition changes.
https://www.euronews.com/next/2021/05/27/why-are-aztrazeneca...
https://www.europeanpharmaceuticalreview.com/news/155536/bre...
People are bad at optimizing for low and long term risks, but doing something knowing it's bad for you is different than being anxious about what unknown effects a treatment might have.
I do think that given my own evaluation of the risks and rewards, the NVICP is perfectly sufficient for my own needs, but I can certainly see how one would be opposed to this on a systemic level, or if you believe the risk-reward ratio skews differently
How do you reach this conclusion?
At a max $250k per life, paid through a secret court with the deck stacked against the plaintiff, it doesn't appear to be sufficient for anyone's needs.
Yeah, there's a tiny risk that I'll end up in a situation where I get screwed over, but I'm significantly more likely to suffer harm from Covid.
Your own calculations will vary, of course - this is just the math given my own risk factors.
> The alternative is that they're all crazy (and/or malicious), and that's a <<very>> difficult thing to prove.
You don't have to assume the government is crazy or malicious. People are tired of lockdowns, they're tired of COVID, they're tired of wearing masks. Businesses, like restaurants, have been put in a tough spot. I get all that. So do our government officials.
That doesn't mean that there isn't room to criticize government for its mistakes. We already knew there were anti-vaxxers before the pandemic started.
> So difficult that the simpler explanation is that they are following scientific processes
They are _trying_ to. They're not. Lifting the lockdown just because things got better for a bit was a fucking stupid idea, and we're paying the price for that.
You would have been much better off maintaining the lockdown for some period and letting restaurants and other struggling businesses figure out how to pivot.
And for gods sake, the stupid shit like OSHA suspending vaccine side effect reporting requirements is just playing into the hands of anti-vaxxers (https://www.osha.gov/coronavirus/faqs#vaccine).
:-))
What I'm saying is that if large groups of people, of different dispositions, intentions, cultures, etc. all over the world are doing mostly the same thing, then that means that there are some forces in play that they all can't really control. In this case those forces are social.
It is literally a carrot/stick routine. Do what I want? Get a carrot. Don't do what I want? I'll beat you with the stick of public shaming.
This site is the only public forum I've seen reasoned debate on. Everywhere else and debate/dissent are actively shut down. Any information that conflicts with the seeming narrative is made to disappear.
For example, major hospital/health orgs that have stated in the past that masks don't slow viral spread have removed that data in the complete absence of randomized, controlled trials showing that masks actually work. In fact, meta studies have routinely shown that masks don't work to prevent viral spread [0].
[0]https://www.city-journal.org/do-masks-work-a-review-of-the-e...
I posted in an /r/NFL thread saying that asking every single QB if they are vaccinated, and then frothing at the mouth when they decline to answer, is mostly nothing but a witch hunt.
I received a permanent ban with the message from the mod "anti-vaxx moron". I'm not anti-vaxx, and I'm not a moron, but this is generally concerning behavior about the state of discussion surrounding Covid and the censorship taking place online. You aren't allowed to have an opinion that isn't "Vaxx up and mask up and harass anyone who doesn't".
You can verify that they and a few other websites changed the definition by checking archive.org
I'm not sure I'd feel more comfortable with the mRNA stuff being called something different, though.
I'm low risk, I wear a.mask everywhere, always, I rarely leave the house, my "city" has less than 500 people in it, and I have disinfectant and UV lights for deliveries. I go out in the very early morning or very late night, once a month to go shopping. I "work from home". My wife cannot be vaccinated at this time, either. Just a couple more data points.
This is a good example of what I was talking about. You don’t trust big pharma? Most people who say that will still pop some ibuprofen etc when they get a headache so really they do trust big pharma when it suits them. The real reason is deeper down.
On the other hand, any time I see a pharmaceutical ad for some new wonder drug, my incientive-caused-bias hackles are immediately raised.
Clearly Ibuprofen is a product of big pharma, therefore if it were merely distrust of big pharma then using it and all other ordinary drugs like it would be out of the question. Additionally, there are big lobby interests for products and services we all use all the time. Why make exceptions for them? Not trusting big pharma is post-facto rationalization as reasonable caution evaporated sometime before the first 500 million people got vaccinated. No, there are simpler underlying reasons like being disproportionately afraid of the vaccine vs the virus or not feeling any risk and not caring about the risk of others etc.
A recent study (last week) came out showing after three months it starts wearing and you need to get another vaccine. You will have different people at various levels of vaccines shots (1 to 3 and by Jan you could need a fourth). What being vaccinated means based on the number of shots and where you are in the wearoff cycle makes the vac vs unvac divided not based on reality. If you had one shot got a side effect and decided not to get the next shot where does that person fit?
The two groups(Those opposed to vaccination due to potential long term effects and those in favor of vaccination immediately) cannot come to a meeting of the minds. Both sides see a potential existential threat that they're prioritizing that makes them diametrically opposed to the other point of view ("if you don't get the vaccine today you're actively spreading the plague" vs "if I get the shot, my blood will clot and I'll be sterile"). The truth is somewhere in the middle.
The whole issue with vaccination is that of threat perception. Everyone is building hypothetical models for the future based, mostly, on personal feeling and enough data points from experts to justify that feeling.
Again: There are a number of people who feel that the threat of the virus is less than the threat of the vaccine and are thus using whatever means presently available to them to justify to others why they believe that, just as there are people who feel that the virus is a greater threat than the cure.
I think that statement captures the divide. The belief that the experts have been shutdown in favour of topdown policies means trusting a select few experts who have used top down politices to shutting down discussion and threaten careers for those who do not tow the line. How do you get past that one side has total faith in the current crop of acceptable experts and the other sees them acting in favour of someone else's agenda thus has little faith in those experts.
I understand that you believe that unvaxxed are where the mutations happen. Do you have any peer reviewed studies showing this to be the case? We know from experience with antibiotics that the opposite is true. Humans devise a treatment, the pathogen encounters that treatment, then mutates to circumvent it. Of course I'm a layman so if anyone knows why the opposite would be the case for COVID-19 or viruses in general, I'm happy to be educated on the matter.
I do believe the carrot works better than the stick, but I don't think this goes as far as being "treated like a threat".
I understand that you believe that unvaxxed are where the mutations happen.
I didn't say this and this is not my full belief :( . Mutations can happen at any new infection (including breakthrough infections, yes). So, the premise is to reduce new infections as much and as fast as possible. I think we're on the same page that vaccination greatly reduces your chance of infection (even more than having previously been infected before). Getting the most people vaccinated, as fast as possible, is the most efficient way to achieve that.
Overall, though, you've gotten pretty far away from the original question, "Well, what would it take for you to change your mind [to get the vaccine]?"
I will continue to disagree with your one size fits all prescription. It would be trivial to allow an antibody test in lieu of vaccination.
Responding to your edit: I already answered the original question. Allow an antibody test to prove immunity. Stop demanding vax as if it's the only way to acquire immunity.
It's quite funny to me how presumptuous covid vaxx advocates are. They seem to be saying, "you're going to have to relent eventually. What do I need to say to speed that up?". As if there aren't people who will listen to what they have to say yet continue to refuse and have perfectly valid reasons to do so.
Sure. So those two issues are not only rare in relation to the vaccine, but also rare in the general population. In fact the clotting issue is occurring at the same rate as in the general population - 5 per 1M people. The types of stuff that will slip through the cracks will be things that are similarly rare in vaccines, yet more common in the general population and tend to be dismissed as unrelated without concrete evidence of that. For an example, take strokes in patients under 30. You have a general occurrence of about 5K per 1M. In order to show a significant difference, you would need a much higher number of cases reported. I believe there's some research being done about some covid vaccines potentially increasing stroke risk, just as covid has been suggested as doing this. I actually know someone who was hospitalized with a stroke between their first and second dose, and it wasn't reported.
This can be especially hard if even the fairly rare adverse events that have previously known relation to vaccines are being reported as little as 12% of the time. Keep in mind that these two events are listed in the packet inserts and are required by law to be reported by the medical professional and are still being massively under reported. What chance do we have of actually catching the rare events that have statistical "cover" of a large bed of naturally occurring incidents in the general population?
https://gnigh-66270.medium.com/vaers-underreporting-and-the-...
https://pubmed.ncbi.nlm.nih.gov/33039207/
"What is specific about the mRNA mechanism that could lead to autoimmune issues?"
This is just a theory. The immune system generally codes off of multiple proteins. If we are exposing a spike protein on a cell wall, then there's a possibility that the immune system may code off of the proteins normally found on our cell in addition to the intended partial spike protein. There's no data that I could find on pre vs post vaccination autoimmune antibody levels. So it seems nobody is looking at this. Even then, little is known about the relation of those antibodies and actual development of autoimmune conditions.
No, blood clotting occurred at roughly 1.5-2x the rate, so ~1 per 100k. Look at the data from the UK, Germany or Norway, which raised the rare side effects independently with the EMA [1].
No doubt that underreporting is a real issue, but how is it different to Covid or any other drug/disease? Wouldn't you agree that underreporting is lowest in a pandemic?
> "This is just a theory."
How likely do you think your theory is? Have you spoken to a medical professional or an immunologist about your theory?
[1] https://en.wikipedia.org/wiki/Embolic_and_thrombotic_events_...
https://www.bbc.com/news/health-56594189
"No doubt that underreporting is a real issue, but how is it different to Covid or any other drug/disease? Wouldn't you agree that underreporting is lowest in a pandemic?"
I don't think it's significantly different. The emergency use order did carry additional reporting requirements, but it also opened it up to be administered by people who would not normally administer vaccines and would not likely be familiar with VAERS, and in some cases patients doesn't know who administered it to contact them to file the report. If you couple this with the massive increase in vaccines administered, I think the number of unreported events are higher now, but the rate is likely similar to before. That's just my guess based on the reasons above and my own experiences. Why do you think it would be lowest now?
"How likely do you think your theory is? Have you spoken to a medical professional or an immunologist about your theory?"
I'm not sure how likely it is. I feel like it depends mostly on the individual, like most autoimmune diseases do. I did discuss this with a doctor and they said that it is a reasonable question and theory that appears not to have any studies looking into either side of it. It's possible we won't know for years or decades, especially since we don't even know how autoimmune antibodies levels lead to disease in general.
The whole reality is now completely dystopian. We have people calling for denying healthcare to people who took “my body, my choice” as a right, because they voluntarily chose to not take the vaccine. However, these same people would be completely appalled by the idea of letting a drug addict die on the street from overdose, even though it is also a result of their voluntary choice to take drugs. The very same people who call for denying people things like a right to eat at a restaurant or get groceries without vaccine passport, claim that requiring ID to vote is a violation of civil rights, and all that despite the fact that black Americans are least vaccinated group in US. Total insanity.
I'm not aware of any grocery stores requiring a vaccine passport, but in general, the bar for a private business allowing customers in should be a lot more malleable fluid that voting restrictions.
It's not a contradiction of principles to point this out even if poor black people are among the lowest vaccination groups.
Edit:
Obesity source: 1. https://www.axios.com/bmi-obesity-severe-risk-factors-covid-...
2. https://www.cnbc.com/2021/03/08/covid-cdc-study-finds-roughl...
BaSeLeSs BrO ScIeNcE
You were saying something mate? CDC is bro science?
We’re in a tech forum do I really need to explain this? The probability of an individual hard drive failing is small. If you’re building a gaming rig, you don’t need to worry about it, if you’re building a data center that small probability becomes a problem.
How can you possibly believe those choices aren’t having an effect when we are living the consequences of those actions? The number of cases are going up, younger people are dying, hospitals are filling to capacity.
While I'm all for 'personal choice', I feel like COVID cases should be de-prioritized for ICU access.
Literally hundreds of renowned virologists and epidemiologists, that's who.
The way the discourse has evolved in the past two years is unbelievable. You see people deride fundamental concepts of democracy like freedom, the right to protest, and bodily autonomy.
If the vaccines are effective, then the only people at risk are those that refuse to get it. Everyone is subject to the consequences of their autonomous choice alone.
The same is true for potential long term negative effects of the vaccines. Those that refuse to get it are subject to the potential long term effects of COVID, if they get it. And those that get the vaccine are guaranteed to be subject to the long term effects of having done so.
Either you believe the vaccines work or you don't. The variants dominated highly vaccinated places like the UK and Israel, so don't blame the unvaccinated for bringing it about. The selective pressure applied to the virus by leaky vaccines is far greater than natural immunity.
Vaccines aren't a binary 100% or 0% effective tool, it's somewhere in the middle. If my 10 coworkers all get the vaccine, it reduces the probability of me contracting the virus, even if I got vaccinated myself. There is a communal aspect to the vaccine that you are missing here.
I'm not sure what you mean? I have no control over how another group chooses to discriminate.
>is there someone you trust with a credentialed medical opinion you can talk to about this instead, like your family physician?
There's this presumption that people who are making the 'wrong' choice are simply uninformed or haven't sought 'qualified' medical advice. It's a bit condescending tbh.
To answer the question directly, yep. I've spoken to my doctor about it. We'll probably talk about it again next time I go in for blood work. His recommendation is his recommendation.
You said you were less likely to get the vaccine because of how people in an out group were behaving. That's what I mean.
The issue is that the behavior of this other group isn't benign. It comes with a very real "comply or else", which already affects my ability to participate in society due to a particular transient medical choice. It's a tough sell that medical decisions are best made under threats of harm (legal, livelihood, societal participation, etc..).
I think it's fairly natural when someone tries to coerce you into something to reject it on principle alone. There's big difference from "you should stop eating so much McDonalds because of downstream effects on the medical system" and "you WILL stop eating McDonalds or we will take away your autonomy to do so." I will not be forced into medical decisions by a mob threatening harm. If/when I get the vaccine, it will because my view of the risks/need ticked in favor of it (in theory anyways).
The quantity of money required to support my family in the event of my death is not affected by the odds of my death.
Whether I'm the perfect image of health or an obese, chainsmoking, binge drinker, the mortgage bill is always the same amount.
Well, I feel like the latter is a much better deal, even if it's still not ideal.
Which is why I said that you can't bridge this gap. This is the point where "polite discourse" to try and convince people ends. There's no conversation to be had to convince someone to get the vaccine if they're in this line of thought, you can only mandate it with some sort of penalty in place for non-compliance. They are aware that there is a risk in existing unvaccinated, but they see a larger risk elsewhere in the potential side effects.
How do you convince someone something will or won't happen in the future when it represents an idea completely contrary to their worldview? I don't know, and if I did I'd be too rich to post on HN.
No, that’s very much false. For example, Georgia offers free voter identification card, and yet its new voter ID laws were called “new Jim Crow” by prominent politicians. This is issue purely for partisan reasons, and the eagerness to introduce vaccine IDs while shunning voter ID shows it pretty clearly.
> I'm not aware of any grocery stores requiring a vaccine passport, but in general, the bar for a private business allowing customers in should be a lot more malleable fluid that voting restrictions.
The problem here is that the businesses are not introducing these restrictions out of their own initiative, but they rather are following government regulations. As a result, it is government which is requiring ID to enter a restaurant, but not requiring it for voting, and suggesting it’s actually private businesses enforcing it is just trying to shift the blame.
"(4) The number of these cases after vaccination with COVID-19 AstraZeneca is statistically significantly higher than the number of cerebral venous thromboses that normally occur in the unvaccinated population. For this purpose, an observed-versus-expected analysis was performed, comparing the number of cases expected without vaccination in a 14-day time window with the number of cases reported after approximately 1.6 million AstraZeneca vaccinations in Germany. About one case would have been expected, and seven cases had been reported."
UK vaccine safety report up to 11 Aug 2021 [2]:
"The overall incidence after first or unknown doses was 14.9 per million doses."
German safety report up to 31 Jul 2021 [3, in German], cf. table 7,8:
Women: 1.462 cases per 100k doses Men: 1.305 cases per 100k doses
Can't find the numbers for Norway, they initially reported the highest number per 100k.
> I'm not sure how likely it is.
Do I understand correctly that there is no mechanism specific to how the mRNA vaccines work? The effect you describe ("we are exposing a spike protein on a cell wall") is far more common in Covid due to how the abundance of expression of the spike protein, correct?
[1] https://www.pei.de/SharedDocs/Downloads/EN/newsroom-en/hp-ne...
[2] https://www.gov.uk/government/publications/coronavirus-covid...
[3] https://www.pei.de/SharedDocs/Downloads/DE/newsroom/dossiers...
"Do I understand correctly that there is no mechanism specific to how the mRNA vaccines work?"
No. Covid does not add a spike protein to an existing cell. It replicates an entire covid cell. So you have covid virus with a spike and a bunch of other covid proteins if you have covid. Or you have a human cell with a partial spike and all the normal human cell proteins. The immune system usually codes off of, or attacks, multiple proteins. It's possible the immune system will identify the spike and some of the normal cell proteins. A similar sort of mimicry is theorized to occur when the proteins in a virus are similar enough to a human protein.
https://www.nytimes.com/1996/12/31/science/virus-s-similarit...
That's not an answer to the original question. That's an excuse to not take the vaccine, and I've already addressed how these two things aren't the same.
If 999/1000 of vaccinated people were uninfected while only 998/1000 unvaccinated (but recovered) people were uninfected that would amount to that 2x improvement.
When you look at the error bars on those numbers (due to the ridiculously low statistics of the study) the conclusion becomes even more suspect.
Frankly a study involving less than a thousand participants is pretty poor justification to strip others of their rights.
But diseases don’t work like this. If you get sick, you will get others sick. If you get very sick, you will occupy a hospitable bed. Given current hospital utilization rates, this could well end in a sick person being turned away.
Given the societal costs, it seems fair to me to ask for a stronger justification than “I don’t think the virus will hurt me”
In fact, everything you do outisde of your workhours is your personal risk, so it needs to be banned I guess.
Sounds fine to me. I am blind and can not do most of the fancy recreational activities you sighted people are so fond of. So why should I care. In fact, I should immediately start a petition that makes your lifes more dull and miserable. But guess what, no. Thats not my thing. I am not an asshole.
And yes, of course, with a different situation, my decision might be different. If covid were as harsh as our media and government claimed at the beginning of the first lockdown, I would certainly get a shot. However, it turned out the media and government have overstated the danger, apparently to achieve compliance. This sort of lie (we were told "everyone will know someone who died") was my wakeup call. I was originally mislead and expected a deathrate of 1%. As it turns out, almost only the elderly die, and the deathrate (including the elderly) is around 0.1%. Wrong order of magnitude for real panic on my side.
To be fair, this is what the vaccines do.
If my ability to make a living will be held hostage based on my vaccination status, or if https://www.congress.gov/bill/117th-congress/house-bill/4980 gets passed, I will change my mind and get the vaccine just so I can gtfo of here.
This decision is a referenced legal precedent cited for masking mandates, stay at home mandates, etc etc. The case -stemmed- from someone protesting being fined, but both the decision, and the ramifications, intentionally, are far further reaching than that.
Yes, it is not a precedent for going door to door and forcibly vaccinating people. No one is advocating for that. What people -are- advocating for is withholding the privileges of society from any who choose not to get vaccinated, and there is a lot of precedent allowing for that. There is, as you note, even precedent for -punitive- actions from the state for failing to have it done.
So if you want to get technical, sure, there is no way to force people in the US to get vaccinated, just like there is no way to force people in the US to do anything; there is only carrot and stick measures to try and coax people to do something. If that was the point...um, okay, but that also isn't arguing against anything that was said. The original post was about taking hospital beds away from those who catch COVID who chose to be unvaccinated, and not letting their COVID bills go to insurance; that isn't forcing them to get vaccinated, that's just introducing new punitive measures for not getting vaccinated.
You are misrepresenting the case. The extent of the penalties was implied here, because the case was about upholding or rejecting particular state law, which listed the specific penalties involved.
> This decision is a referenced legal precedent cited for masking mandates, stay at home mandates, etc etc. The case -stemmed- from someone protesting being fined, but both the decision, and the ramifications, intentionally, are far further reaching than that.
Wrongly so. See https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3906452
There's a lovely bit in the Wikipedia article where it cites the decision. While it is not, obviously, the entire case, I feel it stands pretty well to show that the court was setting broader precedent than that one particular law. Certainly, it is very hard to say "this law is okay because (reason)" without also saying "(reason) is a good criteria to make laws from". At that point it's only a question of extent; there are laws and court precedents to prevent them from being arbitrary, oppressive and unreasonable, but, again, this case still clearly allowed for punitive penalties for non-compliance, in exactly this situation.
>> Wrongly so.
Citing an opinion by a single assistant professor of an unheard of law school that says he doesn't believe this case should be used as precedent doesn't do anything to disprove my statement that it HAS been used as precedent (a statement of historical fact that I made), nor does it really strike me as particularly compelling that it SHOULDN'T be used as a precedent (a statement of opinion that maybe you assumed I was implying, but which nevertheless is immaterial to the argument being made).
Leaky vaccines work the same way antibacterial soap did to create MRSA. They leave enough virus present to mutate to evade the mechanism originally intended to fight against it, so only the most robust mutations remain.
Regarding side-effect-free - not sure anyone ever claimed that? I understand that the relative risk is very low when compared to the risks associated with the disease itself - even for those that might expect milder symptoms from covid. I think people (myself included) are just really really bad at assessing these kind of risk/reward equations - I don't think we have the right tools for it, and our assessments are polluted by our personal history/culture/biases (in every direction).
I can't agree with your assessment of overstating the danger - the full hospital wards and large death numbers at the height of the pandemic before vaccines are enough reasons for me to accept that the costs are high enough for the small risk/inconvenience I'd pay personally.
I also know personally people in public health and can vouch for the sincerity of their (very) educated advice. If anything they have been consistently critical of governments being too slow to accept their recommendations (due to political pressures). I'd feel foolish for thinking I would know better than they who have spent their entire career in this area. I know that's an appeal to authority which isn't always warranted - but I'm comfortable with landing on that side of the fence.
Well the main feature of the vaccine over the actual virus is that the vaccine doesn't give you covid. The vaccine doesn't cover all of the multitude of compounds your body might recognize on the virus, but it covers enough for most people to build a better immune response to the actual virus than nothing. There is the issue that the viral strains are mutating and so over time so that a recently-vaccinated person today will probably do worse than a recently-vaccinated person 6 months ago, but there's not really much you can do about that.
And the current vaccines have not ended the pandemic, if they had there wouldn't be a need for a booster shot.
Moreover, is covid the only disease on the planet now? Those overweight people are at higher risk of dying of other diseases too, or do you think its okay for them to die of cancer, heart attack etc but just not okay to die of covid
You stay happy with your biannual booster shots ( and at the same time cry here on HN, twitter etc ) and I'll take care of my health and follow that strategy.
We do outlaw almost every sort of behavior that risks OTHERS safety.
>Almost every sport except chess bears a risk comparable to what you say above.
I'm not aware of any sport which is mandatory, as far as I know everyone participating is doing so willingly.
>And most recreational activities also bear a risk that you might have an accident, which could put some stress on the people working at the hospital.
Again, I'm not aware of any recreational activity that is a required activity. I'm also not aware of any that are participated in by so many people that is simultaneously so risky that we have an issue with ICU beds. Can you name one? We have mountains of data showing that covid outbreaks stress hospital systems and are in fact doing that right now. I'm not aware of any evidence that sports or recreational activities do the same, but I'm open to learning.
>Heck, the helicopter pilot could crash while they bring you to safety, so you implicitly killed them.
The helicopter pilot voluntarily signed up to be a helicopter pilot, nobody forced him to do so.
>Sounds fine to me. I am blind and can not do most of the fancy recreational activities you sighted people are so fond of. So why should I care. In fact, I should immediately start a petition that makes your lifes more dull and miserable. But guess what, no. Thats not my thing. I am not an asshole.
Well, you're comparing recreational activities that carry low risk and have 0 history of causing an issue with ICU beds, to a disease which has an extremely high transmission rate, and is provably causing issues with ICU beds. So it makes your arguments seem rather silly.
Do you claim you receive substantial benefits from not getting a shot? Because I claim society gets substantial benefits from you getting vaccinated.
You’re trying to make this a binary thing, but we live in a society where collectively we try to make small trades in liberty for collective benefit.
I do expect you not to drive 60MPH in front of my house where my children play. I do not expect you to give up tennis.
I am willing to retract my retarded claim if you do the same.
And driving slower almost certainly takes more of your time every year than getting a shot. Both measures save other people’s lives. I don’t think you have a leg to stand on here.
I never said that humanity couldn't survive without a vaccine. Clearly we can. We also can survive with rotten meat and with poor shelter and with rampant war and famine. Sure a larger portion of us would die, but humanity would certainly survive.
Anyway my point was that when you're infected with a virus, your body basically builds up the ability to recognize certain proteins that the virus expresses and uses that to fight it off. It takes time to build up the ability to fight it off. The vaccine exposes you to basically the same proteins so that your body is able to identify and fight off the virus more quickly after infection. So really the vaccines are just priming your immune system so that it can better do its job.
I'm not really sure what your point is. We shouldn't try to help those with weaker immune systems survive? How far should we take this? Should we as a society not make an effort to help the physically disabled, the old, the blind, etc. survive? Looking to the wild, basically no members of those groups survive. Is that what we should aim for?