I've already argued that we should allow people to make up their own minds about whether to be vaccinated against COVID, because all the vaccines currently available were approved on an emergency basis, without going through the full set of clinical trials and regulatory reviews.
This is different from whether parents should be able to refuse the measles shots for their kids, because the measles shots have a long history and scientists fully understand how they work, how well they work, and what their side effects are.
So I think it is unfair to apply the term "vaccine denialist" to somebody who is hesitant to take the COVID vaccine, and I don't think the government should be rolling out a Coca-Cola sized ad campaign to persuade people to take the COVID vaccine. Offer it to everybody, make sure that people of every location and economic group and ethnic group have a chance to get the shot, but then let people make up their own minds.
Now it turns out the AstraZeneca and Johnson & Johnson vaccines, which use the same technology, are killing people by causing blood clots to form in their brains. This side effect is rare, somewhere on the order of 1 per 100,000 or 1 per 1,000,000 -- but we're not sure exactly how rare yet, we're not sure which subgroups of people are more at risk, and we're not sure whether this fatal side effect can be prevented in some way.
I've already heard from one reader who received the AZ vaccine, and he's fine, and he thinks the risk is worth it. He weighed his personal risk of dying from COVID against this 1 per 100,000 or 1 per 1,000,000 risk and thinks the shot is worth it. But not everybody will agree, especially where there are alternative shots that don't have this fatal side effect.
There is a serious danger that we are undercounting the risk of the AZ/J&J shots because people and their doctors didn't realize that cerebral blood clots were a potential danger. This is why the FDA in the US has pressed the pause button on J&J, to allow time to gather more information and then distribute more information -- so public health officials can make an educated decision on whether to proceed with J&J vaccinations and if so among which subgroups of the population.
Some opinion writers are concerned that the FDA is overreacting and will add to people's hesitancy to get the shots. Well, I think there's nothing wrong with people who feel hesitant to get the shots. COVID doesn't kill everybody, it kills perhaps 0.6% of those who catch it, but this percentage skews very much toward older people. Younger adults have very little risk of dying from COVID, which is why it's become difficult to enforce the Quarantine in many countries, people rationally have no fear of COVID and want to resume their normal lives.
We could've gone the eradication route early on like New Zealand, Australia, Taiwan, Iceland, and other countries have. But we didn't, so COVID is here to stay and now public officials have put all their bets on the vaccines to create herd immunity -- but you can only get to herd immunity if over 90% of your population takes the shots, and you can only get the numbers that high if you make the vaccines mandatory, and we CAN'T make the vaccines mandatory when they've only been approved under emergency conditions.
So, when it turns out a vaccination shot kills people, we need to pause and investigate, and we may need to take those brands off the market. I think the US has been rightfully cautious with respect to the AZ vaccine -- their leadership has lied about the safety and effectiveness of their vaccine, so we haven't approved it yet. And now the US is being rightfully cautious with respect to the J&J vaccine -- pausing its deployment while we investigate how many people are dying from it.
This is different from whether parents should be able to refuse the measles shots for their kids, because the measles shots have a long history and scientists fully understand how they work, how well they work, and what their side effects are.
So I think it is unfair to apply the term "vaccine denialist" to somebody who is hesitant to take the COVID vaccine, and I don't think the government should be rolling out a Coca-Cola sized ad campaign to persuade people to take the COVID vaccine. Offer it to everybody, make sure that people of every location and economic group and ethnic group have a chance to get the shot, but then let people make up their own minds.
Now it turns out the AstraZeneca and Johnson & Johnson vaccines, which use the same technology, are killing people by causing blood clots to form in their brains. This side effect is rare, somewhere on the order of 1 per 100,000 or 1 per 1,000,000 -- but we're not sure exactly how rare yet, we're not sure which subgroups of people are more at risk, and we're not sure whether this fatal side effect can be prevented in some way.
I've already heard from one reader who received the AZ vaccine, and he's fine, and he thinks the risk is worth it. He weighed his personal risk of dying from COVID against this 1 per 100,000 or 1 per 1,000,000 risk and thinks the shot is worth it. But not everybody will agree, especially where there are alternative shots that don't have this fatal side effect.
There is a serious danger that we are undercounting the risk of the AZ/J&J shots because people and their doctors didn't realize that cerebral blood clots were a potential danger. This is why the FDA in the US has pressed the pause button on J&J, to allow time to gather more information and then distribute more information -- so public health officials can make an educated decision on whether to proceed with J&J vaccinations and if so among which subgroups of the population.
Some opinion writers are concerned that the FDA is overreacting and will add to people's hesitancy to get the shots. Well, I think there's nothing wrong with people who feel hesitant to get the shots. COVID doesn't kill everybody, it kills perhaps 0.6% of those who catch it, but this percentage skews very much toward older people. Younger adults have very little risk of dying from COVID, which is why it's become difficult to enforce the Quarantine in many countries, people rationally have no fear of COVID and want to resume their normal lives.
We could've gone the eradication route early on like New Zealand, Australia, Taiwan, Iceland, and other countries have. But we didn't, so COVID is here to stay and now public officials have put all their bets on the vaccines to create herd immunity -- but you can only get to herd immunity if over 90% of your population takes the shots, and you can only get the numbers that high if you make the vaccines mandatory, and we CAN'T make the vaccines mandatory when they've only been approved under emergency conditions.
So, when it turns out a vaccination shot kills people, we need to pause and investigate, and we may need to take those brands off the market. I think the US has been rightfully cautious with respect to the AZ vaccine -- their leadership has lied about the safety and effectiveness of their vaccine, so we haven't approved it yet. And now the US is being rightfully cautious with respect to the J&J vaccine -- pausing its deployment while we investigate how many people are dying from it.