6 ms·
This statement was the source of widespread criticism and I in fact criticized it myself in the writeup. I considered going for a deeper debunking but held off
by ryankemper 6y ago
This statement was the source of widespread criticism and I in fact criticized it myself in the writeup.
I considered going for a deeper debunking but held off for the initial draft. I might circle back if people feel it's valuable. Let me take a quick stab though:
When we talk about immunity we need to realize the term is used imprecisely by laypeople (btw I'm totally a layman if it's not already clear).
I think of it simplistically as two components:
(1) The presence of actively circulating antibodies in the bloodstream. This is what the (oddly controversial) serology studies are measuring. It is thought that having a significant quantity of these antibodies prevents infection - i.e., what most people envision when they talk about immunity.
(2) Even after the antibodies have faded, there are still Memory B Cells, which lay dormant up to decades, waiting for exposure to the characteristic antigen (in this case, an antigen telling them that they have encountered SARS-CoV-2), at which point they resume and rapidly scale up production of antibodies.
The thinking here is that reinfection is likely possible after a sufficient length of time - whether that's a couple months or a couple years isn't yet known - but when you do get infected, your immune system will respond sooner, more strongly, and thus you will achieve a far lower peak viral load meaning a less serious infection with reduced transmisibility.
This is a robust mechanism that we see across tons of disease, including common cold coronaviruses. In my completely uncredentialed opinion, this effect is so common and well-supported that we should essentially assume it happens until we really have proof that it doesn't. I know that might sound backwards, but it really is such an enduring mechanism.
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Here's another argument you might prefer. We know that at least hundreds of thousands of people have successfully recovered from COVID-19. Loosely, we can divide the immune system into the "non-specific" and the "adaptive" subsystems. Given that we have seen extensive recovery from this illness and that those who have recovered have detectable levels of antibodies, and furthermore that there is a case of a women who could not manufacture antibodies due to a rare auto-immune disorder who failed to recover, it stands to reason that the same mechanism that provides medium-term immunity is the mechanism responsible for recovery.
That is to say, that it's very farfetched to think that people are recovering purely from non-specific immune responses and that the detectable presence of circulating antibodies is just a red herring. But I suppose you could try arguing that if you wished.
- mrfusion 6y agoGreat write up. It’s so strange the WHO would release a statement like that.
- ryankemper 6y agoVery strange. If you haven't seen it, they did say why they did it here: https://www.who.int/news-room/commentaries/detail/immunity-passports-in-the-context-of-covid-19 https://www.who.int/news-room/commentaries/detail/immunity-p... Specifically this part: > People who assume that they are immune to a second infection because they have received a positive test result may ignore public health advice. So, first of all, I think the concern is on its face totally unwarranted because people likely do have immunity to reinfection for several months, but regardless the presence of the immunological memory (provided they avoid getting infected with Measles which causes immunological amnesia) means that the second infection will be really not very bad and unlikely to transmit easily. But more importantly: Our public health organizations (and the media) have adopted the following belief: It is worth it to either mislead the public or to outright lie in order to achieve compliance. If it's not clear from the article, I find such a position detestable, not only on ideological grounds but also because functionally it causes people to endanger their health by engaging in superstition. This is my theory on why we've seen so many articles from previously-respectable organizations like CNN that seem to focus on the narrative that young people are dropping like flies from this. Why? Because they believe that if young people are not scared shitless for their personal health, that they will not comply with the lockdown measures. So, the WHO is really not trying to hide their motivation here. Now the irony is I oppose immunity passports on ideological grounds, at least when used _within_ a society. As far as being used as a literal passport, that's fine by me. If the rest of the world wants to practice containment, it's welcome to do so, but I think from an evidence-based perspective, containment seems like an incredibly dangerous proposition.
- mrfusion 6y agoYeah that makes total sense. I can’t believe how few people buy the media’s stuff so easily. I have relatives forwarding me the corana causes strokes in young people articles. Normally intelligent people. This whole thing has really shaken my understanding of people.