I wrote about something that's been bugging me: the argument for vaccinating the world because of variants that would emerge *over there* posing a grave threat to us *over here*. I think that argument fails morally, practically and scientifically. https://zeynep.substack.com/p/ill-take-the-hippie-dippy-wishful …pic.twitter.com/BhBJKgm3Wy
Brilliant piece. Thank you. “Perhaps we can and we should argue that the many billions of people in the world are worth vaccinating simply because they are fellow human-beings whose lives are as worthy as anyone else’s—including ours.”
Of course we should. But in a country where we have to justify giving hungry children breakfast on the basis that it helps them get better grades, I'm not sure that will be an effective argument for a good chunk of the population.
Yes! I've been saying this for months! Not only that, but the order is odd to me. Ppl make the argument that we need to vaccinate at risk ppl everywhere first in a constrained supply situation bc of variants. But = number of ppl get it, so variant risk is the same...
The remdesivir & antibody cocktail examples sound a lot like development of antibiotic resistant bacteria. An incomplete course ("I felt fine after two days...") or insufficiently strong antibiotic selects for stronger bacteria that replicate and evolve further.
Yep. Do we need special protocols to monitor patients getting experimental treatments, as well as increased protection/surveillance when treating immunosuppressed? It's hard to miss the irony that the source of new viral dangers could be the most privileged rather than 3rd world
There is also the issue of animal reservoirs. Known to be significant in influenza, and probably significant in SARS.
This also doesn’t really jive with the fact that the vaccine isn’t approved in children yet...no matter what, there is always going to be reservoirs of possible mutation.
I don't think this is given as a primary reason, more as a selfish reason. And I'm not sure the 'booster for every variant that arrives in rich countries' takes full account of the time taken for the end to end process from a variant arising to a booster being fully rolled out.
Also, lingering, chronic infections described as being one source of variants are, surely, more likely the more cases there are, wherever those cases might be.