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> There's no excuse for bad testing demographics There never is a "bad testing demographic". The testing demographic can only be "good" or "bad" in relation to
by IMTDb 6y ago
> There's no excuse for bad testing demographics
There never is a "bad testing demographic". The testing demographic can only be "good" or "bad" in relation to the population the vaccine is going to be certified for.
> If only whites are tested then we'd only find out in the wild if it works on non-whites or has adverse effects on non-whites, which is obviously hideous.
That's absolutely correct, if a vaccine is tested on a specific demographic, it should only be certified for that demographic, and only be given to other people after additional tests. In this context, if the FDA notices that there are not enough non-white people in the testing group, the FDA should not certify the vaccine for non-white people. White people can already start being vaccinated, and additional tests need to be performed on non-white groups. The role of the FDA is precisely to notice these stuff, react accordingly, and keep phrama companies in check.
It's already what we are doing for people suffering for immunodeficiency. We develop a vaccine explicitly without including them in the trials - because it's harder to make a vaccine considering them. We certify the vaccine for the non immunodeficient people - as fast as possible. Then we will start looking for a vaccine for immunodeficient people at a later stage. First by testing the already developed vaccine - or by looking in another way if that does no work.
What Pfizer exec decided to do, is put speed above all. And they were absolutely right to do so. They published they trial sampling details and it's up to the FDA to certify the vaccine for the part of the population the FDA think the sample was good enough for. And require additional tests for the others.
- CydeWeys 6y ago> In this context, if the FDA notices that there are not enough non-white people in the testing group, the FDA should not certify the vaccine for non-white people. The FDA does not certify vaccines as being safe for particular races, for one simple fact -- races are a social construct, not a biological reality. What we call "races" are actually mishmashes of a large variety of different ethnic groups, many of which have little to nothing in common with each other genetically. Vaccines are certified by age and by gender and that's it. There will never be a "whites-only" vaccine and the very idea is morally repugnant and biologically ridiculous.
- IMTDb 6y ago> races are a social construct, not a biological reality I do agree with you, but then what should anyone care about the distribution of ethnic groups in a medical trial if those ethnic groups have absolutely no impact on the result of the trial. Either it makes sense to differentiate the vaccine according to $variable and testing groups as well as certifications need to reflect that. Or it makes no biological sense to care about $variable, then we should have no requirements about making sure that $variable is correctly sampled in the test groups. In this case, ethnicity probably has 0 impact on the effectiveness of the vaccine, therefore why does anyone care about the distribution of ethnic groups in the sample ?