RE: hard to understand his motivations.28 Mar 2021 13:52
pedantic, perhaps, but he is also very oddly selective.
he likes to comment & amplify any kind of concern or question about
AZN as one of the first generation vaccines ( - and very seldom seems to
comment on any difficulties with other first generation vaccines) but much
more importantly fails to acknowledge the severe, widespread devastation
and risk that covid19 is causing right now, and the consequent importance
of cracking on at good pace with those vaccines which are already available.
also, he prefers to focus very narrowly on efficacy rather than *effectiveness*.
when considering global health outcomes in context of widespread, deadly,
highly contagious pandemic, clinical effectiveness matters way more than
narrow efficacy measures. (effectiveness includes factors such as ease of use,
effects of cost, storage and logistics on availability & roll-out, administration
in ‘perfect’ clinic conditions versus administration in ‘ordinary’ field settings
by non-specialists, etc.). — sadly, an important aspect of clinic effectiveness
concerns acceptability & up-take by the target population. so the amazingly
stupid comments made by macron (e.g. re “quasi-effectiveness”) & his fellow
travellers, e.g. TR64’s mis-representation of frequency of serious side-effects,
could potentially cause extra deaths by undermining acceptability, and hence
reducing the clinical effectiveness of global covid-19 vaccination programmes.
... waiting without vaccination for a ‘perfect’ vaccine would be a
remarkably stupid strategy for any country in these circumstances.
if you needed to get a dangerously ill relative to hospital as an emergency,
it would not make sense to refuse to use a peugeot, nissan or volvo car to
get them there because you would prefer to wait for a rolls-royce or bentley.
all vaccine makers acknowledge that all vaccines have some side-effect profile.
no vaccine maker claims that any vaccine will be
100% effective at preventing all cases of any disease.
everyone making vaccines against covid19 agree that it will be
necessary to monitor the evolution of new mutations and new
variants, and seek to update / develop vaccine versions that can
tackle new variants (& if possible anticipate likely future variants).
many governments trying to follow a sensible procurement policy,
taking into account the numbers of doses required, supply chain
complexity, cost & logistics, etc, already understand that it is probably
sensible to have several different vaccines available now, and in future.