The Effectiveness of Ineffective Vaccines

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242 thoughts on “The Effectiveness of Ineffective Vaccines

  1. Hi Allan

    Is there a possibility of a TL;DR. I confess I’m not quite sure if I’ve totally grasped the points you are making. Is it vaccine good, not getting it bad?

  2. Anecdote alert!

    Our little village has a rash of new cases. One guy, Matthieu, who has just tested positive has resisted getting vaccinated. He’s a nice guy in his forties so I hope he doesn’t get really ill but…

    what an idiot!

  3. TL;DR. would be: people buying into Geert Vanden Bossche’s vaccine escape variants scare are clueless.

    Mathew Crawford is a particularly entertaining example — he and Steve Kirsch have never met a covid conspiracy theory they didn’t love — Ivermectin and HCQ work, dammit!
    The idea that the observation that {each variant arose in a geography where vaccines were being trialed} supports GvB’s escape variant evolution argument is hilarious. The math doesn’t work. Also the “no gain of function mutations were observed before they started trialing vaccines” is factually incorrect: we’ve discussed D614G on these very pages.

  4. DNA_Jock,

    Thanks for the info and links. A clean sweep, a trifecta, of names I did not know! I need to get out more! I see Dr (in veterinary medicine) Vanden Bossche has responded to criticisms by his fellow Belgian academics who smeared him thusly:

    The curriculum vitae of Mr. Vanden Bossche (annex) does not indicate any significant or assessable academic, biotechnological or pharmaceutical scientific contribution in the field of human medicine, vaccines, immunology, virology, or public health. The almost total absence of recent publications (< 5 years) listed in PubMed attests to this. These two parameters are sufficient to invalidate his status as an expert. Informed scientists in immunology, virology or vaccines, instantly detect the scientific ineptitude of his written or filmed statements, strewn with untruths, disseminated exclusively on social media or the web pages of his organization, and obviously not benefiting from any critical peer review.

  5. Alan Fox:
    Hi Allan

    Is there a possibility of a TL;DR. I confess I’m not quite sure if I’ve totally grasped the points you are making. Is it vaccine good, not getting it bad?

    It’s that stopping vaccination based on bogus evolutionary arguments bad!

    1) If vaccines select for resistance (kinda true, but not the whole story), then diminishing vaccine efficacy reduces the strength of that selection. You can’t keep saying every new mutant proves the point, if the strength is diminishing all the while. There’s progressively reduced payoff for resisting, but vanden Bosschians act as if it is constantly high.
    2) If vaccinees are at a low frequency, such as in a trial, they don’t offer a strong selective environment – there are too few instances to make significant gains, and any gains made are diluted by lack of any advantage outside of vaccinees.

    Also, a bit in the middle, a grumble about absolutism regarding protection. People who say ‘does not stop you getting it’ in an absolutist sense – if they effectively argue VE is zero – are either displaying a complete inability to grasp nuance, or being misleading (that’s a false dichotomy of course, ironically!).

    The true irony is when people try to argue both the 0% and the 100% cases simultaneously – vaccine has no effect on transmission, but at the same time selects for vaccine escape as if it did.

    Sorry, my tl;dr now needs a tl;dr!

  6. Alan Fox,

    Laurence Fox (actor, famous dad and uncle, now carving a career as rightwing knobhead). He posted a picture posing in a t shirt: “No vaccine needed, I have an immune system”.

    I know… 🙄

    People had a field day photoshopping. Then, with perfect comic timing, announced barely a day later that he had Covid … and was dosing himself with ivermectin (bought on holiday in Mexico, oddly since he thinks it’s just a cold), quercetin and nasal flushing. None of which he really needs, ‘cos… 🤣

    He looks like shit. I never looked that bad with a cold. He will undoubtedly survive, an n=1 dataset for the power of ivermectin and good old pluck.

  7. Allan Miller: He looks like shit. I never looked that bad with a cold. He will undoubtedly survive, an n=1 dataset for the power of ivermectin and good old pluck.

    I happened to see that picture and yeah, that was some cold!

  8. And Laurence Fox (no relation) is certainly a bit of a twat. I suppose someone has to be.

  9. Meatloaf, singer, orange idiot supporter and outspoken anti-vaxxer died last week from covid. His asshole family wanted to hide the cause of his death, instead of coming out and saying, hey, don’t let this happen to you. Wtf.

  10. Other than being sort of fat, he didn’t appear to have a whole lot of other co-morbidities. I think he becomes the most famous person to die from this so far.

    But some will say it doesn’t really count, because, well he was sort of fat.

  11. I’ve been in a bit of a crusade here in local forums against antivaxx disinformation these past few months. Unfortunately, the mantra that vaccines don’t protect against infection has been peddled by some pro-vaccine talking heads as well. I’m guessing their intentions were good. They probably were trying to convey the message that we should not get too overconfident after being vaccinated and that we should still do our social distancing and wear our masks.

    I’m not sure if they were misled, or it was a patronizing white lie, but the damage is done.

    Also many people think herd immunity is almost metaphysically impossible with SARS-Cov-2 at this point. What do you guys think about that? Could the virus plateau at some point and stop producing variants at such a high rate so that a new vaccine, one that is highly effective against infection, might push that R0 (or was it Re)) bellow 1 for long enough?

  12. dazz: Allan, your blog link doesn’t work for me.

    Same here (the link leads me to my old abandoned blog) . Also, the graph in your post just shows as a large grey rectangle with “IMG” in.

  13. Corneel,

    Cheers for that. That happens in Blogger on preview, but resolves itself on publish, I just kinda assumed that would happen here too.

  14. dazz,

    Yes, that ‘does not stop’ thing is my #1 pet hate. It’s the implicit ‘at all’ that bugs me – some people really do struggle with nuance, others are just dishonest. Also confusion between transmission (little effect once caught) and infection (less chance of being caught in the 1st place).

  15. phoodoo:
    But some will say it doesn’t really count, because, well he was sort of fat.

    Yeah, there’s a whole bunch of crap going on round comorbities too, as if they were at death’s door and Covid just tipped ’em over the edge. Or, they didn’t die ‘of’ Covid, but of their comorbidity, which for many comorbidities is nonsense. Also, Covid death is often pretty distinctive …

    A lot of minimising percentages too, eliminating human suffering by rounding up. 99.999% of kids survive. That’s still 700 don’t, in the US.

  16. dazz,

    Also many people think herd immunity is almost metaphysically impossible with SARS-Cov-2 at this point. What do you guys think about that? Could the virus plateau at some point and stop producing variants at such a high rate so that a new vaccine, one that is highly effective against infection, might push that R0 (or was it Re)) bellow 1 for long enough?

    Pre-vaccine, I used to be reasonably optimistic about herd immunity. After all (I reasoned) every other pandemic finished, why not this one? I also felt it very unlikely we’d get a vaccine as quickly as we did, so infection had to do the job till then. It still must happen sometime. But R for omicron is so high it takes a mallet to HI calculations (which are themselves a bit too homogenised for real populations). 70% might have done for alpha, but not enough now.

    It will settle down eventually. The problem at the moment is that mass infection is a mutant-generator, and selector. If we could get everyone on board with vaccines, and got smarter against variants, we’d be a lot better off.

  17. Allan Miller: Yes, that ‘does not stop’ thing is my #1 pet hate. It’s the implicit ‘at all’ that bugs me – some people really do struggle with nuance, others are just dishonest. Also confusion between transmission (little effect once caught) and infection (less chance of being caught in the 1st place).

    So true. I wouldn’t really call it “struggling with nuance” for someone who cannot grok the idea that {vaccine|masking|distancing|avoiding indoor parties} all reduce, but do not eliminate, risk. These people seem incapable of multiplication.
    Does the vaccine reduce the risk of “infection”? Well, that A) depends on your definition of “infection” and B) doesn’t really matter since, as you note, it’s transmission that matters (along with morbidity and mortality, where the data is overwhelming)…

    Allan Miller: Yeah, there’s a whole bunch of crap going on round comorbities too, as if they were at death’s door and Covid just tipped ’em over the edge.

    One telling thing is the number of times I come across the same supposed “fact” that arises from a failure to understand; this whole “co-morbidities” shtick is a case in point.
    “For COVID-19 deaths there were, on average, 4.0 co-morbidities listed.”
    Yeah, and the top listed “co-morbidities” were (in order) pneumonia, respiratory failure, hypertension, diabetes, cardiac arrest, and ARDS.
    So diabetes is seen in 15% of US COVID deaths (of course it’s present in 11.3% of the population, so the Hazard Ratio isn’t even that big…) and hypertension is reported in 18% of COVID deaths, lower than its prevalence in the general population [!!].
    More to the point, I can say with some confidence that all COVID deaths involved some pneumonia, respiratory distress, and eventually, cardiac arrest. Those aren’t really co-morbidities…

  18. DNA_Jock,

    Well, that A) depends on your definition of “infection” and B) doesn’t really matter since, as you note, it’s transmission that matters

    I might disagree with your B). Once caught, onward transmission is little different between the vaccinated and unvaccinated (as, another of my pet hates, ‘even Fauci said’, or ‘even CDC said’). Those Fauci/CDCisms are misinterpreted as ‘no effect on case load’. There’s some reduction of SAR due to faster shedding and (presumably) lower viral loads, but the result is relatively small . But VE(infection) is significantly impacted, and is the real driver of lower case rates among a population with a significant proportion of vaccinated people, and hence the protective effect that the “it only affects me” brigade are determined to reject.

    All VEs contingent on infection are really composite, and the 1st step always must involve a term for VE(i). That feeds into the next filter – eg hospitalisation.If VE(h) is 90%, that could be the resultant of
    VE(i) of 80% and VE(h given i) of 50%,
    or
    VE(i)=0 and VE(h given i)=90%

    or some other permutation, obviously.

    Which leads to an interesting conundrum. If VE(i) is going down, as it seems to be, but overall composite VE(h) is staying steadier, would that mean the protective effect of vaccine against serious effects – VE (h given i) – was going up?

  19. J-Mac,

    https://en.m.wikipedia.org/wiki/LifeSiteNews

    Seems this organisation has already been banned from social media sites for spreading misinformation on Covid.

    I suggest, if J-Mac wants to support a claim that vaccination is killing children, that he start with the raw data supplied by ONS. There’s no doubt the ONS has a deserved reputation for reliability and integrity.

  20. Alan Fox,

    There’s no doubt the ONS has a deserved reputation for reliability and integrity.

    Yep. Although the Contrarian World is currently ejaculating over some published UKHSA data. There is a significant denominator problem, referenced in the data notes but completely ignored by the disseminators. The result is that it appears that vaccinated people are twice as likely to be a case. But it ain’t so.

  21. I opened J macs site, saw two of the articles and thought, my God, people actually read this shit. And Jewish lizard people rule the world and want to eat your babies. True story.

  22. Allan Miller,

    But, given his medical expertise, J-Mac should have no problem spotting the issue. I don’t see why he would need our help correcting something this obviously wrong.

  23. DNA_Jock,

    I did have a quick look, but couldn’t work up the enthusiasm to begin to be bothered to make head or tail of it. I did notice no confidence intervals, bit of an issue with such small numbers.

  24. phoodoo: I opened J macs site, saw two of the articles and thought, my God, people actually read this shit. And Jewish lizard people rule the world and want to eat your babies. True story.

    What’s amusing is that your opinions are as outlandish and absurd to many of us as that site is to you. You are the living embodiment of that sort of nonsense with regard to your opinions about evolution. You are that site!

  25. Just about everyone who has made a prediction about the course of the pandemic has been burned. Including me, of course.

    When omicron are along, and many people said it was less deadly, I suspected it was less deadly because 90 percent of everyone has either been vaccinated or has had the bug.

    Now we have a shitload of people who’ve done both.

    It sorta kinda makes sense that a virus that specializes in the upper respiratory tract would be more contagious. And by coincidence, slower to infect and damage the lungs. Provided the immune system jumped in before it spread to the lungs.

    Despite the poopooing above, obesity is the factor most associated with landing in the hospital. After age. I’d like to know if median population age and incidence of obesity account for a lot of the difference between countries in per capita deaths.

  26. I read there is no necessary link between infectiousness and mildness, but I’m wondering if the route taken by omicron links infectiousness and delay in infecting lungs. Which gives the immune system a bit of extra time.

    The milder symptoms might be an advantage to the virus in spreading, because there’s less warning.

  27. petrushka,

    It is possible. The issue on mildness is that the virus only has to keep people alive till they stop shedding. After that, there’s no advantage (nor disadvantage) to keeping them alive. It’s reallly our immune response that kills us.

    Staying higher in the airways might reduce the opportunities to get into the bloodstream and become a vascular disease. But it’s still not clear (to me) if omicron is ‘genuinely’ milder, or is being made so by immunity.

    Also: even if a milder course on average, there are signs it can damage components of both innate and adaptive immunity.

  28. Allan Miller:
    Staying higher in the airways might reduce the opportunities to get into the bloodstream and become a vascular disease. But it’s still not clear (to me) if omicron is ‘genuinely’ milder, or is being made so by immunity.

    Also: even if a milder course on average, there are signs it can damage components of both innate and adaptive immunity.

    It’s looking like, when you adjust for immunity, it’s a little milder than delta but comparable to the earlier variants. From “Challenges in Inferring Intrinsic Severity of the SARS-CoV-2 Omicron Variant”:

    … each study estimated that omicron was about 75% as likely as delta to cause hospitalization in an unvaccinated person with no history of SARS-CoV-2 infection.[2,3] This meaningful but fairly small difference implies that omicron, alpha, and wild-type SARS-CoV-2 have similar intrinsic severity.

    But that’s only looking at hospitalization and death rates; there’s no guarantee that other damage is proportional.

    Allan Miller:
    petrushka,
    It is possible. The issue on mildness is that the virus only has to keep people alive till they stop shedding. After that, there’s no advantage (nor disadvantage) to keeping them alive. It’s reallly our immune response that kills us.

    Indeed. That article also mentions,

    Viruses don’t inevitably evolve toward being less virulent; evolution simply selects those that excel at multiplying. In the case of Covid-19, in which the vast majority of transmission occurs before disease becomes severe, reduced severity may not be directly selected for at all. Indeed, previous SARS-CoV-2 variants with enhanced transmissibility (e.g., alpha and delta) appear to have greater intrinsic severity than their immediate ancestors or the previously dominant variant.

  29. I was thinking that spending more time in the upper respiratory system might mean more opportunity to spread, more time before the immune system gets involved, longer life for the host. And milder disease allows the host to continue socializing.

    I’m just thinking there could be natural contingencies selecting for mildness. Just as spreading before symptoms benefits the virus. The ideal virus would produce no symptoms. Indeed, we are loaded with microbes that produce no disease.

  30. petrushka,

    This is a good point, that would seem the most natural conclusion of natural selection, if such a concept really existed. Viruses would be neutral or even beneficial, then they could spread like crazy.

    If natural selection was a real concept. Maybe in an alternative universe.

  31. petrushka:
    Concept.

    I don’t think that word means what you think it means.

    Then I don’t think means means what you think it means.

    I wonder how many neutral or beneficial viruses have been identified over the past 100 years. I guess it would have to be a lot.

  32. phoodoo: Viruses would be neutral or even beneficial, then they could spread like crazy.

    There is of course the tiny problem of assuming control over the cellular machinery of the host and lysing its cells, without harming it. But yes, commensal viruses exist. Warts come to mind.

  33. Corneel: There is of course the tiny problem of assuming control over the cellular machinery of the host and lysing its cells, without harming it. But yes, commensal viruses exist. Warts come to mind.

    Gee, it almost sounds like you are talking about how difficult it would be to have a random mutation to a DNA code that doesn’t destroy it.

    But that’s probably just a caricature anyway.

  34. phoodoo: Gee, it almost sounds like you are talking about how difficult it would be to have a random mutation to a DNA code that doesn’t destroy it.

    Then you misunderstand. SARS-CoV-2 has already acquired numerous mutations to its genome that have not destroyed it. Take a look at the Nextstrain site to get a taste of the tremendous diversity that has already accumulated since the virus was introduced into the human population 2 years ago. RNA viruses are prime examples of evolution in action.

    No, I was merely trying to say that given the parasitic nature of viruses it is not surprising that many will not become neutral to their host.

  35. Corneel: Then you misunderstand. SARS-CoV-2 has already acquired numerous mutations to its genome that have not destroyed it. Take a look at the Nextstrain site to get a taste of the tremendous diversity that has already accumulated since the virus was introduced into the human population 2 years ago.

    Think Phoodoo prefers the concept of a All Knowing designer ,for some unknown reasons , creating the virus which has killed millions of folks . Then changing it again to evade vaccines to eliminate some more.

  36. phoodoo: This is a good point, that would seem the most natural conclusion of natural selection, if such a concept really existed. Viruses would be neutral or even beneficial, then they could spread like crazy.

    Sharks exist , sharks are not the beneficial to swimmers , therefore natural selection does not exist .

  37. velikovskys: Think Phoodoo prefers the concept of a All Knowing designer ,for some unknown reasons , creating the virus which has killed millions of folks . Then changing it again to evade vaccines to eliminate some more.

    phoodoo was just repeating the old creationist argument that modern genomes tend to be intolerant of new mutations and therefore are unlikely to have evolved by their accumulation. I have just not seen that argument used before on a virus for which by a massive world wide sequencing effort we have demonstrated in real time that this is actually what happens.

  38. Just out of curiosity, are there beneficial viruses, to us or to bacteria or whatever?
    I wonder, given the opportunity and rate of virus mutation, if there haven’t been a great many “strains” that failed utterly, lasting at most only a few generations. My intuition is that the large majority of mutations are, as with everything else, either neutral or harmful to the virus. Fire enough billions of times, though, and now and then you hit the bullseye.

  39. Flint: Just out of curiosity, are there beneficial viruses, to us or to bacteria or whatever?

    It ‘s quite rare, but I am aware of at least one example in insects.

    Author Summary
    The old world cotton bollworm, Helicoverpa armigera, is one of the most significant pests of crops throughout Asia, Europe, Africa and Australia. Herein, we report a novel densovirus (HaDNV-1) which was widely distributed in wild populations of H. armigera and was beneficial to its host by increasing larval and pupal development rates, female lifespan and fecundity, suggesting a mutualistic interaction between the cotton bollworm and HaDNV-1. The cotton bollworm is currently widely controlled by the biopesticides Bacillus thuringiensis (Bt) toxin and the baculovirus HaNPV. It is therefore important to estimate the risk that the symbiotic virus will negatively impact on the efficiency of these biopesticides. Field and laboratory results suggest that HaDNV-1 infection significantly increases larval resistance to HaNPV and Bt toxin. These results have important implications for the selection of biopesticides for this species, and highlight the need for greater research into the elegant microbial interactions that may impact host individual and population dynamics.

  40. Corneel,

    I was thinking of examples where a lysogenic infection by one phage confers immunity to closely related phages, but that’s a rather narrow and dubious benefit. HaDNV-1 is waaay cooler.
    For the hard core anthropocentrists here, there’s always the various oncolytic viruses…

  41. The “vaccines” are very effective that ‘s why you need a booster every 3-6 months…
    Who could argue with that shittific argument?

  42. Corneel: Then you misunderstand. SARS-CoV-2 has already acquired numerous mutations to its genome that have not destroyed it. Take a look at the Nextstrain site to get a taste of the tremendous diversity that has already accumulated since the virus was introduced into the human population 2 years ago. RNA viruses are prime examples of evolution in action.

    No, I was merely trying to say that given the parasitic nature of viruses it is not surprising that many will not become neutral to their host.

    I agree that the mutations that SARS CoV2 has “acquired’ leads to only one conclusion: another lab leak, unless, of course you are ready to abandon your evolutionary faith???
    It will come to that. I guarantee it. Are you ready??? lol

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