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Two issues with your argument. First, what time point are you talking about though? Covid has been Jan 2020 to present and the variants arguably represent diff
by haldujai 4y ago
Two issues with your argument.
First, what time point are you talking about though? Covid has been Jan 2020 to present and the variants arguably represent different diseases. Certainly they have different morbidity and mortality supported by science and evidence (e.g. at some point around omicron it became an upper airway infection).
Two, what’s the clinical outcome you’re referring to? How is attributable death determined? I’m not aware of any evidence to say the most COVID deaths since July 2022 are due to COVID. Particularly as we are not seeing the same clinical signs/changes with the newer variants as we were before.
What is the overwhelming data? There are a lot of observational studies reporting relative risk reduction. What’s the absolute risk of someone < 40 dying or being hospitalized due to omicron? Medical coding is horrendous and these questions are hard to answer with accuracy. I would be cautious with the strength of your statement, this is an ongoing field of study.
As I stated, the initial vaccination recommendation made sense, but when those recommendations were made they were not supported by strong evidence (largely because you can’t obtain evidence in an active pandemic).
I’m not anti-vax, and I support the initial recommendations, particularly given the context in which they were made. There is probably equal quality evidence on whether the booster was actually effective vs triggering temporary immune response boosting short term outcomes when I last updated myself on the literature in the fall (most of the studies measure out to 3 months, which is what we would expect from temporary immune boosting due to exposure). What are the long term risk reductions and is there lasting immunity to support the booster?
Is it sensible to divert human resources to boosters if the effect only lasts a few month and the ARR is minimal? Keeping in mind that diverting nurses to vaccination resulted in cancellation of elective ORs. These are important questions.
Now is the time to do more careful and objective analyses, not to shame or critique Dr. Fauci and co but to inform future decision making.