Infection rates and hospitalization rates are increasing in many states
This week, the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) did not make recommendations for the Johnson & Johnson vaccine, which means that the CDC’s initial decision to suspend vaccination may still be effective until at least the next time it takes effect. On Friday, the Washington Post reported.
As a result, because thousands of Americans are infected with COVID-19, 10 million doses of the vaccine will not be available in the refrigerator. Govind Persad and William F.
The US Food and Drug Administration (FDA) and CDC believe that the necessary initial pause is necessary to help healthcare providers identify and correctly treat rare post-vaccination syndromes that involve not only blood clots, but also Involves low platelets. They were right to share this information, but the urgent reason for the brief interruption no longer exists. There is no evidence that this vaccine has universal or even typical consequences in preventing pandemic diseases. Its risks far outweigh its benefits, and its consequences are unknown. The agency must end the interruption, continue to share information, and let the patient make a decision.
At their meeting, ACIP analyzed the side effects of the vaccine, and it was very transparent. However, there is no rigorous analysis of the risk of not being vaccinated. On the contrary, ACIP insists that this trade-off is irrelevant because “alternative covid-19 vaccines (mRNA vaccines) can be used”. This shows a great disconnect from the reality faced by many Americans.
When the rift started, millions of Americans were still not eligible for the vaccine. Obtaining universal membership status on April 19 does not mean that you can use it immediately. Obstacles to vaccination will continue to exist, especially for people who cannot travel long distances. This undermines the optimistic claim that unlimited supply of other vaccines will make the pause irrelevant. In addition, Johnson & Johnson vaccines only need to make an appointment once instead of twice, and can be vaccinated in an environment that is unacceptable to others. Interruptions have hindered necessary work, for example, the risk of COVID-19 is much higher than contact with elderly people in vaccinated families.
Checking the ACIP list can help diagnose your errors. Almost all its voting members are doctors, and they are more familiar with the rare side effects of vaccines than the public health capabilities of poor response to infection waves. The committee lacks effective experts or health economists who are not familiar with weighing inevitable compromises on population size.
The estimate that ACIP should provide (but may never provide) is how many of the thousands of Americans infected with COVID-19 might be protected if there is a Johnson & Johnson vaccine in the next few days. The resulting hospitalizations and deaths, which are likely to be concentrated in disadvantaged communities, will occur within a few weeks, and may be ignored by the media. The news will highlight blood clots after vaccination, but will not consider whether a single dose of the vaccine can protect the homeless who came to the emergency room due to the deadly Covid-19 disease or prevent outbreaks in their camps. If there is no comparison between the hazards of the hole and the side effects of the vaccine, we have every reason to worry that ACIP will fiddle loudly while Rome is silently burning.