[HN Gopher] Nobel Prize in Medicine awarded to Katalin Kariko an...
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       Nobel Prize in Medicine awarded to Katalin Kariko and Drew Weissman
        
       Author : OskarS
       Score  : 488 points
       Date   : 2023-10-02 09:50 UTC (13 hours ago)
        
 (HTM) web link (www.nobelprize.org)
 (TXT) w3m dump (www.nobelprize.org)
        
       | gadders wrote:
       | This feels a bit premature to me.
       | 
       | I'm not convinced that the vaccines are 100% bad but they were a
       | novel technology and I'm not sure we're far enough along to judge
       | them objectively yet.
       | 
       | Regardless of how good they are, they were definitely over-sold.
        
         | thfuran wrote:
         | The covid vaccines are the trendy thing to talk about with lay
         | people, not the underlying thing the award is for.
        
           | gadders wrote:
           | If it's for the underlying technology, rather than a specific
           | implementation, then I'm all for it and it's well deserved.
        
         | tgv wrote:
         | IMO (but I'm barely more than a layman), mRNA already offers a
         | safer delivery mechanism than previous vaccination methods, and
         | the massive COVID campaigns have revealed much about the virus,
         | but nothing about the vaccination method.
         | 
         | The number of deaths due to COVID has been estimated at over 5
         | million. The fact that it didn't get much higher, and we can
         | stroll about like nothing happened, is already a miracle.
         | 
         | Edit: didn't finish...
         | 
         | So what is your worry? Sure, there is the possibility of
         | abusing the tech, like any tech. But healthwise?
        
           | gadders wrote:
           | I misunderstood. I thought the award was for the vaccination,
           | rather than the underlying technology. The technology is
           | definitely worth an award.
           | 
           | I think that there is enough "noise" over COVID vaccine side-
           | effects that we don't yet know whether long term it is safe.
           | I also think that given the politicisation of COVID (for
           | instance even discussion of the lab leak theory was gas-lit),
           | I don't think politicians would admit to an issue even if
           | there was one.
        
             | funcDropShadow wrote:
             | My understanding is that almost all side-effects of mRNA
             | covid vaccines originate in the fact that the body produces
             | a part of the virus. If that part of the virus can damage
             | the body, so can the vaccine. This is the mechanism for the
             | myocarditis after vaccination. But it also means that the
             | probability to get myocarditis from an actual infection is
             | much higher because of the exponential growth of the real
             | virus.
             | 
             | If that understanding holds up against scrutiny in the
             | future, mRNA vaccines are an extremely safe and capable
             | platform to deliver vaccines.
        
               | gadders wrote:
               | If that is what happens, then I agree with you.
        
               | the-rc wrote:
               | To think of it in programming terms: the original
               | vaccines had code with a length of 4000-4300 nucleotides.
               | Yes, that protein might trigger reactions after
               | injection. But, then, what would you expect from the
               | virus, which has almost 30,000 nucleotides, encoding an
               | additional 28 proteins, including those involved in
               | replication and camouflaging?
               | 
               | The only scenario in which you have better chances not
               | taking the vaccine is by making sure you never get
               | exposed to the virus, for years.
        
       | jmyeet wrote:
       | I figured there'd be a Nobel Prize for the mRNA vaccines. This is
       | deserved and the further impacts of this are going to be felt for
       | decades.
       | 
       | Some background: for many years, the flu vaccine has had what's
       | called the "egg problem". The vaccine is cultivated in chicken
       | eggs in a sterile environment. The US government pays billions
       | every year to maintain these production lines. It takes about 4-5
       | months to go from choosing what flu strainsa are likely to be
       | prevalent to there being a vaccine. The production line can't
       | scale up quickly either.
       | 
       | Also, people who are allergic eggs can't generally take the flu
       | vaccine. That's why they ask you.
       | 
       | For decades the US government has funded research to get away
       | from this system and that resulted in the mRNA vaccine. It
       | doesn't require chicken eggs to produce and the lead time for
       | producing a vaccine goes to almost immediate. we saw this with
       | Covid where the candidate vaccines were produced in days. This
       | fed into conspiracy theories about it being unsafe because it was
       | rushed but it was nothing more than the culmination of decades of
       | research where fast vaccine turnaround was the entire point.
       | 
       | In future years we'll see mRNA vaccines turned to diseases that
       | have thus far we've been unable to produce vaccines for.
        
         | ifyoubuildit wrote:
         | I'm hopeful that you're right about the future of the
         | technology.
         | 
         | > This fed into conspiracy theories about it being unsafe
         | because it was rushed but it was nothing more than the
         | culmination of decades of research where fast vaccine
         | turnaround was the entire point.
         | 
         | That's one interpretation. I wonder if you'd apply that same
         | interpretation to the first few viable aircraft. Surely flight
         | was studied for millennia at the point that the wright brothers
         | got their plane flying. Would you hop in and try to cross the
         | Atlantic on one? Or would you fall prey to conspiracy theories
         | that maybe they hadn't worked out all the kinks yet?
         | 
         | edit: I suppose I'm being downvoted for spreading Big Wheel's
         | antiwinger talking points.
        
           | bigbillheck wrote:
           | > edit: I suppose I'm being downvoted for spreading Big
           | Wheel's antiwinger talking points.
           | 
           | I downvoted you for complaining about being downvoted.
        
           | foogazi wrote:
           | I still think about this when flying, ultimately it's a
           | choice and you have to trust a whole chain of humans (
           | pilots, techs, controllers, engineers, suppliers ) doing
           | things the right way - makes you realize flight is really a
           | miracle
        
             | ifyoubuildit wrote:
             | I dont mind getting in a plane these days (aside from all
             | the bullshit you have to deal with on either end of the
             | trip). I would be a little hesitant to be strapped into
             | Flyer I or even Flyer II. I wonder if there was stigma for
             | that position back then? Maybe if it had the right
             | marketing budget.
        
           | thinkcontext wrote:
           | > I suppose I'm being downvoted for spreading Big Wheel's
           | antiwinger talking points.
           | 
           | No, for an absolutely abysmal analogy.
        
             | ifyoubuildit wrote:
             | I'm responding to the argument that decades of research is
             | enough to feel safe using a technology. Maybe there is a
             | better argument, but OP didn't make it.
             | 
             | How long have we studied the fountain of youth? The cure
             | for baldness? Penis enlargement pills? Would you trust any
             | of today's solutions to those problems?
             | 
             | Research time is necessary but not sufficient. What I and
             | many others care about is time in production usage.
             | 
             | What's so abysmal about this line of thinking?
        
               | jmyeet wrote:
               | As an example, fear of flying is more prevalent in the
               | population than fear of driving. This is despite flying
               | being demonstrably safer by any metrics you choose. It,
               | like pretty much any fear, is irrational. That's fine.
               | 
               | This only becomes a problem try to rationalize their
               | fears and make them seem logical. Again, if that's purely
               | an internal struggle that's fine. But if your fear of
               | flight led you to push policy and legislation to outlaw
               | planes and airports using junk science about noise,
               | pollution or safety then your fear of flyijng has become
               | a problem that needs to be addressed. And you need to be
               | ignored.
               | 
               | Which brings us to mRNA vaccines and the "evidence" of
               | them being unsafe. Trust me when I tell you that what
               | motivates you here is your feelings, not anything
               | rational. I would strongly encourage you to figure out
               | why that is.
        
               | ifyoubuildit wrote:
               | > Which brings us to mRNA vaccines and the "evidence" of
               | them being unsafe.
               | 
               | Who said anything about that? Wrong thread maybe?
        
               | jmyeet wrote:
               | No, right thread. Your original comment immediately
               | pegged you as an anti-vaxxer. You might try the slightly
               | better label of "vaccine skeptic" but it's the same
               | thing. This was entirely obvious.
               | 
               | Perusing your comments confirms this pretty quickly eg
               | [1][2][3][4][5][6].
               | 
               | [1]: https://news.ycombinator.com/item?id=37669756
               | 
               | [2]: https://news.ycombinator.com/item?id=37579999
               | 
               | [3]: https://news.ycombinator.com/item?id=37579906
               | 
               | [4]: https://news.ycombinator.com/item?id=37525788
               | 
               | [5]: https://news.ycombinator.com/item?id=37217411
               | 
               | [6]: https://news.ycombinator.com/item?id=36516071
        
               | whoisthemachine wrote:
               | The comparison you made was not accurate. We have a
               | pretty good handle on the science of how the body builds
               | up immunity to pathogens (most lay folks can tell you
               | something about white blood cells). I think a more apt
               | analogy would be prop planes are to dead virus vaccines
               | as jet planes are to mRNA vaccines. And I do think we
               | were jumping into jet planes fairly quickly after
               | inventing them, because at that point we already
               | understood the principles of flight well, jet turbine
               | engines were just another mechanism of delivery.
        
               | ifyoubuildit wrote:
               | What does pretty good handle mean to you? We obviously
               | know some things - we have various models that are
               | predictive. We seem decent at figuring out if I do X,
               | then Y will happen with some frequency. And thats the
               | sort of thing that will sell a drug like hot cakes.
               | 
               | We don't seem good at knowing that it doesn't also cause
               | Z, A, B, C, etc, and by the time you figure any of that
               | out, the checks have already been cashed and spent.
               | 
               | I don't think lay folks being able to regurgitate some
               | terminology says much. Lay folks could tell you that
               | birds flap their wings long before we had controlled
               | manned flight.
        
               | whoisthemachine wrote:
               | Maybe I'm not tracking the argument. Are you saying that
               | because we can't completely model the body's response to
               | a drug or immunization through to the body's eventual
               | death, we shouldn't trust it or use it?
        
       | 77ko wrote:
       | This was a good interview with her:
       | https://josephnoelwalker.com/147-katalin-kariko/
       | 
       | She had a very interesting life, I hope she writes a memoir.
       | 
       | Edit: She has a memoir out 10th Oct:
       | https://www.penguinrandomhouse.com/books/706251/breaking-thr...
        
         | agloe_dreams wrote:
         | In this very moment, Penguin is getting quotes on getting
         | "Nobel Prize Winning Author" stickers for the books.
        
           | queuebert wrote:
           | I have a special hatred for "Now a Major Motion Picture"
           | littering book covers.
        
             | NeuroCoder wrote:
             | Even worse is when they put a picture from the movie on the
             | book cover
        
         | pciexpgpu wrote:
         | Fantastic interview. Always love great branching off points
         | from HN.
        
         | swyx wrote:
         | her journey to mRNA was full of adversity too. the NYT podcast
         | with her was great coverage of this:
         | https://www.nytimes.com/2021/06/10/podcasts/the-daily/mrna-v...
         | (my excerpt https://x.com/swyx/status/1490363488824627200?s=20)
         | 
         | i cant imagine how it must feel to have her own vaccine
         | injected in her, and know she saved so many lives through her
         | persistence and the rare few that believed in her through her
         | lowest moments.
        
       | chrisweekly wrote:
       | mods: typo in title "Price" -> "Prize"
        
       | ngcc_hk wrote:
       | Is that always that clear in the press release?
        
       | Pixie_Dust wrote:
       | [flagged]
        
         | epistasis wrote:
         | This sort of pathetic political misinformation should have no
         | place on HN
        
           | jacquesm wrote:
           | Unfortunately it does.
        
       | H8crilA wrote:
       | Is this the first practical, mass deployable remote code
       | execution in a human? Or was there something earlier?
       | 
       | I particularly enjoyed the unreasonably effective antivirus
       | bypass achieved by slight modification of the payload by
       | introducing pseudouridine (Ps), which the antivirus had never
       | seen before and therefore ignored. Such a bypass definitely
       | deserves a Nobel Prize!
        
         | [deleted]
        
         | xorcist wrote:
         | The computer term "virus" was chosen because it has
         | similarities with a virus.
         | 
         | Not the other way around...
        
         | happytiger wrote:
         | It's kind of exactly what it is tho
        
           | ceejayoz wrote:
           | RCE, yes. The first ever, no.
        
         | aredox wrote:
         | All viruses are "remote code execution" - including vaccines
         | made from weakened viruses or repurposed viral vectors.
         | 
         | mRNA tech is just cutting out a lot of cruft and mass-producing
         | and delivering tiny mRNA strands directly.
        
           | gniv wrote:
           | I don't think weakened viruses go through our protein-making
           | machinery (aka code execution), but directly cause immune
           | system reactions.
           | 
           | Edit: I stand corrected.
        
             | jeltz wrote:
             | Viral vectors on the other hand are.
        
             | ralusek wrote:
             | Attenuated/weakened viruses still infect cells and go
             | through normal protein-making machinery. Inactivated
             | viruses and subunit/recombinant vaccines, however, just
             | directly expose our immune system to the antigen(s) of the
             | pathogen.
             | 
             | mRNA/viral vector/attenuated all involve some degree of
             | "code execution."
        
             | sampo wrote:
             | > I don't think weakened viruses go through our protein-
             | making machinery (aka code execution)
             | 
             | Yes they do. They are live viruses, and they attack cells
             | and hijack their protein-making machinery for making more
             | viruses. But the attenuated vaccine viruses are not capable
             | of causing a severe disease, so in time the body's immune
             | system cleans them out.
             | 
             | https://en.wikipedia.org/wiki/Attenuated_vaccine
        
         | Beijinger wrote:
         | Kind of. Yes.
         | 
         | The real question is now: When will it be used in doping?
         | Honestly, I suspect it might be already.
        
       | xdennis wrote:
       | Wasn't Robert Malone the inventor of mRNA vaccines? He's kinda
       | kooky now, but I thought his mRNA vaccine work was real.
        
         | jimmydddd wrote:
         | I think we need to recognize that sometimes (often?) innovators
         | are "kinda kooky" sometimes. In a different field, folks are
         | surprised that a guy trying to send rockets to Mars is kinda
         | kooky sometimes.
        
         | Geekette wrote:
         | _" While Malone promotes himself as an inventor of mRNA
         | vaccines,[1][7] credit for the distinction is more often given
         | to the lead authors on the major papers he contributed to (such
         | as Felgner and Wolff), later advances by Katalin Kariko and
         | Drew Weissman,[3][19] or Moderna co-founder Derrick Rossi.[13]
         | Ultimately, mRNA vaccines were the decades-long result of the
         | contributions of hundreds of researchers, including
         | Malone.[3][20][21] In April 2022, Davey Alba, writing for The
         | New York Times, said that "[w]hile he was involved in some
         | early research into the technology, his role in its creation
         | was minimal at best", citing "half a dozen Covid experts and
         | researchers, including three who worked closely with Dr.
         | Malone."[7] "_[0]
         | 
         | [0] https://en.wikipedia.org/wiki/Robert_W._Malone
        
         | dav_Oz wrote:
         | Before you get downvoted to oblivion. I think it is a fair
         | question.
         | 
         | Yes, Robert Malone could be seen as initiating the journey in
         | 1987 [0] but there are a lot of landmark contributors who
         | refined it to the mass-produced mRNA platform of today.
         | 
         | As with other Nobel Prizes, it is a far outdated award of the
         | late 19th/early 20th century in which honoring single
         | individuals made some sense.
         | 
         | In today's scientific enterprise the high-frequent
         | collaborative effort of different teams all over the world is
         | the norm, so over time it becomes pretty hard to single out
         | individual scientists.
         | 
         | The prize winners of today are just widely recognized
         | representatives (and therefore mostly older folks) of a
         | particular successful scientific endeavor so that the public
         | can still relate to the achievements via a personal story what
         | would be otherwise a history lesson involving a lot of
         | important people - and in this case I think Kariko's
         | extraordinary perseverance throughout her science career fits
         | this bill very well without ruffling up some too many feathers.
         | 
         | [0]https://archive.ph/xgmnv
        
         | kreskin wrote:
         | The first few minutes of this video goes over what he
         | contributed to the mRNA vaccine technology. The rest of the
         | video debunks some claims he made on Joe Rogan.
         | 
         | https://www.youtube.com/watch?v=xjszVOfG_wo
        
       | ralusek wrote:
       | The viral vector vaccines are a very similar development as the
       | mRNA vaccines, and I'm curious as to why they've received less
       | attention as a technological wonder.
       | 
       | Brief summary:
       | 
       | Goal of vaccine is to get antigens in body in order to stimulate
       | immune response to antigen, ideally at a lower risk than via
       | infection from associated pathogen.
       | 
       | - "Traditional" vaccines inject a dead or weakened pathogen.
       | Protein subunit vaccines inject just the antigen(s). Antigen
       | directly put in body
       | 
       | Both mRNA and viral vector vaccines, however, are genetic
       | vaccines. Rather than injecting your body with the antigen
       | directly, they inject your body with code (mRNA and DNA,
       | respectively), with the goal of having your own body produce the
       | antigen(s).
       | 
       | - mRNA vaccines deliver a snippet of mMRNA via lipid
       | nanoparticles to your cells' cytoplasm, where your ribosomes pick
       | it up and produce and express the antigen themselves
       | 
       | - viral vector vaccines deliver a snippet of code via living
       | virus (in the case of COVID vaccines, a living adenovirus
       | delivering a DNA payload) to your cells' nucleus, where your
       | cells reads the DNA, produces mRNA in your cytoplasm, after which
       | it behaves the same as the mRNA vaccines
       | 
       | Basically, both the mRNA vaccines and viral vector vaccines are
       | genetic in nature and rely on delivering code to your body rather
       | than antigens. The analogy I've used before is that traditional
       | vaccines are SSR, and the genetic platforms are SPA. I'm just
       | curious as to why mRNA as a platform has been so much more hyped
       | than the viral vectors; they're novel in fundamentally the same
       | exact way.
        
         | nyc wrote:
         | The 4th paragraph in the Nobel Prize press release suggests
         | that it's because mRNA based vaccines are easier to scale up
         | and mass produce in response to a pandemic:
         | 
         | "Producing whole virus-, protein- and vector-based vaccines
         | requires large-scale cell culture. This resource-intensive
         | process limits the possibilities for rapid vaccine production
         | in response to outbreaks and pandemics."
        
         | inferiorhuman wrote:
         | Likely due to the limitations and challenges with the viral
         | vaccines. Perhaps the biggest limitation is that the virus used
         | as the vector must be one to which you don't already have
         | immunity. For instance the adenovirus used by the Chinese and
         | Russian vaccines is pretty common in the west, with something
         | nearly half of all Americans have some immunity to it.
        
           | ralusek wrote:
           | Yes, the delivery system definitely has that drawback.
           | However, the lipid nanoparticles as a delivery system have
           | problems of their own, which I laid out in a sibling comment
           | to your own.
           | 
           | But my question is more related to the pop-science perception
           | of mRNA vs viral vector. mRNA were presented as new
           | technology, but on media publication after media publication,
           | the viral vectors were presented as the "old"/"traditional"
           | way of doing things. 9/10 people have that understanding of
           | the mRNA vs vv vaccines. The truth is that both are radical
           | departures from existing technologies and they're both
           | genetic platforms very similar in nature, and both completely
           | novel being deployed at this scale.
        
             | marcosdumay wrote:
             | On the popular press I can imagine three reasons.
             | 
             | One is that the mRNA vaccines were brand new, while VV was
             | old enough that most people have already taken a few shots
             | using it. The media has a very non-linear response to
             | novelty.
             | 
             | Another one is that the most profit-seeking laboratories
             | were working with it. And they are the ones with closest
             | relation to the media.
             | 
             | Finally, it may be some reflection of the experts hype.
             | People were very rationally hyped due to the lack of
             | restrictions, easiness to ramp-up new vaccines, and the
             | bare beauty of the idea. It's possible that journalists
             | perceived that, even if they couldn't understand or explain
             | the reasons.
        
               | inferiorhuman wrote:
               | Neither mRNA nor viral vector vaccines were new. mRNA had
               | a vastly better safety and efficacy profile. AstraZeneca
               | had the clots, the Russians had the issue with
               | replication (and use Ad5), and the Chinese exclusively
               | used a virus that nearly half of all Americans are immune
               | to. And IIRC the mRNA vaccines were still more effective
               | against the variants.
        
         | ralusek wrote:
         | As another note, the mRNA platform has a few concerns that the
         | viral vector vaccines do not.
         | 
         | In particular, the delivery of the mRNA payload is done via
         | lipid nanoparticles that are not in any way targeted to a
         | specific cell type.
         | 
         | The European Medicines Agency released a report on the
         | distribution of the mRNA found in various organs:
         | 
         | https://www.ema.europa.eu/en/documents/assessment-report/spi...
         | 
         | > "Besides injection site [muscle] and lymph nodes [proximal
         | and distal], increased mRNA concentrations (compared to plasma
         | levels) were found in the spleen and eye. Both tissues were
         | examined in the frame of the toxicological studies conducted
         | with mRNA-1273 final vaccine formulation. Low levels of mRNA
         | could be detected in all examined tissues except the kidney.
         | This included heart, lung, testis and also brain tissues,
         | indicating that the mRNA/LNP platform crossed the blood/brain
         | barrier
         | 
         | A similar 2017 study was conducted using mRNA coded for
         | luciferase as a tracking mechanism:
         | 
         | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5475249/
         | 
         | And it, likewise, found the protein was produced in the
         | muscles, lymph nodes, spleen, liver, heart, bone marrow,
         | kidney, lung, stomach, rectum, intestines, testes, and brain.
         | 
         | One of the main draws of using the lipid nanoparticle as a
         | delivery mechanism for other payloads in the past has
         | specifically been that the lipid nanoparticle can readily cross
         | the brain-blood barrier (BBB). And the EMA paper/quotation
         | referenced above seems to verify that this is, in fact, the
         | case.
         | 
         | A question that both platforms have to contend with is: "what,
         | if any, risks are associated with having your cells producing
         | and expressing a pathogenic antigen that your immune system is
         | to identify and attack?" But one that the lipid nanoparticle
         | delivery system has to contend with is the same question, but
         | in the context that it has very little differentiation WRT
         | where it is going to be deployed and expressed.
         | 
         | With the viral vector vaccines, the delivery mechanism is a
         | living virus, and has much more predictable infection pathways.
         | For one, our bodies have millions of years of evolution for
         | dealing with viral infection, and particularly safeguarding the
         | parts of our body least desirable for infection. Viruses have a
         | very hard time crossing the blood brain barrier, whereas lipid
         | nanoparticles do not.
         | 
         | There are, meanwhile, concerns associated with the viral vector
         | vaccines which are not associated with the mRNA vaccines, but
         | I've yet to see this sufficiently addressed as a major
         | shortcoming of the mRNA platform. Targeted delivery is a very
         | important topic in the world of gene therapies, and seems to
         | have been completely neglected in the available platforms.
        
           | fanf2 wrote:
           | Isn't the non-specificity a good thing for a disease like
           | COVID that attacks the whole body?
        
             | ralusek wrote:
             | No, the immune response would be systemic no matter where
             | the antigen manifests. You don't want the antigen being
             | produced everywhere.
        
           | funcDropShadow wrote:
           | > As another note, the mRNA platform has a few concerns that
           | the viral vector vaccines do not.
           | 
           | E.g. the target patient might already have a good immune
           | response to the vector hull. I.e. the patient's immune
           | systems would destroy the vaccine before it can do its work.
           | One of the vector vaccines against covid did use two
           | different vectors because of that. But repeated usage of the
           | same vector might decrease its effectiveness.
        
       | haunter wrote:
       | [flagged]
        
         | briffid wrote:
         | It's you who brought Orban here first, quoting something he
         | didn't say, then refute it. Are you from some kind of
         | propaganda school? Orban posted this in fact: "My
         | congratulations to the first Hungarian woman winning the Nobel
         | prize. We are proud!"
        
         | rurban wrote:
         | Here you have it: https://www.reuters.com/lifestyle/budapest-
         | mural-pays-tribut...
         | 
         | "The future is written by Hungarians"
         | 
         | Also related to the
         | https://en.wikipedia.org/wiki/The_Martians_(scientists)
        
       | Geekette wrote:
       | Dr. Kariko's experience makes me wonder how many other
       | potentially groundbreaking research nodes are being ignored and
       | whether organizations like YC actually have adequate mechanisms
       | to identify such potential bio-science startups.
       | 
       |  _" Dr. Kariko's struggles to stay afloat in academia have a
       | familiar ring to scientists. She needed grants to pursue ideas
       | that seemed wild and fanciful. She did not get them, even as more
       | mundane research was rewarded. "When your idea is against the
       | conventional wisdom that makes sense to the star chamber, it is
       | very hard to break out," said Dr. David Langer ... Leading
       | scientific journals rejected their work. When the research
       | finally was published, in Immunity, it got little attention. ...
       | "We talked to pharmaceutical companies and venture capitalists.
       | No one cared," Dr. Weissman said. "We were screaming a lot, but
       | no one would listen.[1]"_
       | 
       | [1] https://www.nytimes.com/2021/04/08/health/coronavirus-
       | mrna-k...
        
         | hintymad wrote:
         | "A new scientific truth does not triumph by convincing its
         | opponents and making them see the light, but rather because its
         | opponents eventually die, and a new generation grows up that is
         | familiar with it" -- Max Planck
        
           | m463 wrote:
           | Makes me think of that Feynman commencement speech -
           | hopefully we can get better:
           | 
           |  _We have learned a lot from experience about how to handle
           | some of the ways we fool ourselves. One example: Millikan
           | measured the charge on an electron by an experiment with
           | falling oil drops and got an answer which we now know not to
           | be quite right. It's a little bit off, because he had the
           | incorrect value for the viscosity of air. It's interesting to
           | look at the history of measurements of the charge of the
           | electron, after Millikan. If you plot them as a function of
           | time, you find that one is a little bigger than Millikan's,
           | and the next one's a little bit bigger than that, and the
           | next one's a little bit bigger than that, until finally they
           | settle down to a number which is higher.
           | 
           | Why didn't they discover that the new number was higher right
           | away? It's a thing that scientists are ashamed of--this
           | history--because it's apparent that people did things like
           | this: When they got a number that was too high above
           | Millikan's, they thought something must be wrong--and they
           | would look for and find a reason why something might be
           | wrong. When they got a number closer to Millikan's value they
           | didn't look so hard. And so they eliminated the numbers that
           | were too far off, and did other things like that. We've
           | learned those tricks nowadays, and now we don't have that
           | kind of a disease._
           | 
           | https://calteches.library.caltech.edu/51/2/CargoCult.htm
        
             | bsder wrote:
             | While it's a nice story, I seem to remember that it _isn 't
             | true_.
             | 
             | There was some article a while back that talked about the
             | fact that measurements from the oil drop experiment pretty
             | much moved as the input data got better.
        
         | anonporridge wrote:
         | Of course they are.
         | 
         | Almost every groundbreaking idea that surfaced went through a
         | period of obscurity and dismissal.
        
           | thomasahle wrote:
           | Are you saying this is a fact of life, or that it is true by
           | definition? Like, "any idea, to be truly groundbreaking, can
           | not be easily distinguished from noise / crackpot theories".
        
             | whatisyour wrote:
             | It's surprisingly difficult to look at an idea and figure
             | out from first principles if its any good. Most of the
             | scientists (and people really) rely on comparing it with
             | what they have already seen and using their experiences
             | from things they know to judge the new idea.
             | 
             | So, its really difficult to judge a revolutionary theory.
             | Crackpot theories are easier to judge however. They often
             | have very provable falsehoods.
        
             | inglor_cz wrote:
             | "any idea, to be truly groundbreaking, can not be easily
             | distinguished from noise / crackpot theories"
             | 
             | This is an interesting insight. Yeah, I think you are onto
             | something here.
             | 
             | Groundbreaking _ideas_ , as opposed to new _technologies_ ,
             | tend not to have obvious real world applications/results
             | for years. As such, they aren't easily distinguishable from
             | random crackpottery.
             | 
             | We tend to validate ideas by their later applications, or,
             | at the very least, a heap of corroborating evidence. Both
             | takes a lot of time to aggregate.
        
           | maronato wrote:
           | "It's true because it has always been true"
        
         | Lionga wrote:
         | It mostly shows that gov. funded research grants are broken and
         | just fund echo chambers.
         | 
         | Even if it was not easy pharmaceutical companies finally did
         | invest.
        
         | deepsun wrote:
         | > She needed grants to pursue ideas that seemed wild and
         | fanciful.
         | 
         | You cannot even realize how many people in academia are running
         | for wild and fanciful ideas. Don't blame the scientists, they
         | are probably the most open-minded to the new ideas. But
         | filtering out bad ideas is a part of their job, and they grew
         | thick-skinned from constant bombardment of fancy ideas, we
         | cannot pursue them all.
         | 
         | So I'd say this story is pretty traditional in the history of
         | revolutionary ideas (e.g. a similar story of John Snow vs.
         | cholera -- how many years and lives it took).
        
         | sn9 wrote:
         | As an aside, this is maddening: "Published April 8, 2021
         | Updated Oct. 2, 2023, 9:59 a.m. ET"
         | 
         | The original article is gone!
         | 
         | Just an constantly evolving page that likely has things deleted
         | for reasons other than accuracy (e.g., like narrative
         | coherency).
         | 
         | Just write another article! Damn!
        
         | manicennui wrote:
         | YC is basically a non-entity when it comes to such startups.
        
       | jononomo wrote:
       | Interesting -- I just got my fourth covid vaccine, along with a
       | flu shot, yesterday. I got two shots in 2021, one in 2022, and my
       | fourth yesterday. Vaccines are a godsend. Also, I have never had
       | covid.
        
       | trauco wrote:
       | A good reminder that academic institutions often fail to
       | recognize the best in their ranks. From this NYTimes article:
       | https://www.nytimes.com/2021/04/08/health/coronavirus-mrna-k...
       | 
       | About Dr. Kariko:
       | 
       | "But for many years her career at the University of Pennsylvania
       | was fragile. She migrated from lab to lab, relying on one senior
       | scientist after another to take her in. She never made more than
       | $60,000 a year"
        
         | specialist wrote:
         | > _often fail to recognize the best in their ranks_
         | 
         | I know it's a dumb cultural cite, but I keep thinking of the
         | "12th man" scene from the movie (book too?) "World War Z". The
         | Israeli is explaining that his job is to disagree with the
         | consensus. Just in case. Who is then given charter and
         | resources to plan accordingly. Just in case.
         | 
         | I hope there's many buckets of research funds. With a modest
         | bucket for long shots. And perhaps a smaller bucket for loonie
         | tunes. Where by formalizing that model would preempt all the
         | reactionary "omgherd golden fleece!?" outbursts.
         | 
         | As a taxpayer, I'd be thrilled if researchers, artists,
         | journalists, musicians, and misc crazies got some kind of UBI,
         | to do their work without starving. Considering the scale of all
         | the usual waste and pork, genius grants wouldn't be more than a
         | round-off error.
         | 
         | With a payout of 1:1000, it'd be a bargain for society.
         | Smartest investments ever.
        
         | f6v wrote:
         | > A good reminder that academic
         | 
         | Unlike industry, where there's no internal politics and
         | everything is merit-based.
        
         | arbuge wrote:
         | The class of people who seem to do well in academia these days
         | are those focused on grinding out masses of papers on
         | incremental advances. Professors good at writing grant
         | applications do well too, because with those grants they can
         | afford to hire lots of graduate students to help with those
         | incremental advances and masses of papers.
         | 
         | Individuals focused on real discovery and not publishing much
         | until they really have something significant to say don't fit
         | into this well.
        
           | eigenvalue wrote:
           | Yes, or in the social sciences, those who just make up fake
           | data and come up with catchy, media-friendly summaries! See
           | https://news.ycombinator.com/item?id=37714898
        
           | queuebert wrote:
           | This is especially true in U.S. health sciences, where to get
           | money from the NIH, you must plan and describe the outcome of
           | the next 3-5 yrs of research. It's not acceptable to say,
           | "We're going to explore this area for 5 years and see what we
           | find and hope for a surprise."
           | 
           | Obviously, you then only get very incremental, low-risk, low-
           | reward research, but high-profile scientists who mainly serve
           | on the committees at the NIH and dole out funding get to keep
           | their small business (err, I mean lab) going with minimal
           | disruption in funding.
        
           | didntknowya wrote:
           | yeh unfortunately most of the best professors spend the
           | majority of their time applying for grants for their
           | students, going to conference, doing admin etc rather than
           | work in a lab
        
           | wolverine876 wrote:
           | Just for context, what experience is that based on? What
           | fields in academia? Do you work there or have friends there?
        
           | jjtheblunt wrote:
           | I wonder if there's a way to measure the proportions of
           | impactful science coming from private companies versus
           | universities. Perhaps measure by field, too, since the
           | proprotions may differ in genomics vs electrical engineering,
           | for example.
           | 
           | I don't have any idea how to calculate those proportions, but
           | it's an awesome puzzle.
        
             | mananaysiempre wrote:
             | Many companies, unfortunately, go out of their way to _not_
             | produce meaningful science in the sense of publicly
             | available (trade secrets) or publicly usable (patents)
             | knowledge. Biotech especially.
        
               | radus wrote:
               | How is that different from any profit seeking endeavor?
               | You could write the same company about software companies
               | that don't open source all of their code..
        
               | mananaysiempre wrote:
               | Fundamentally, it isn't. Practically, some industries are
               | more open about their work than others--computer graphics
               | (both game and cinematic) come to mind as an example on
               | the opposite end of the spectrum from the secretive
               | worlds of biotech or (say) semiconductor manufacturing.
               | 
               | My point was only that (by the definition I think makes
               | the most sense here) they are doing science to the exact
               | extent they give up the intellectual-property monopoly,
               | whatever that extent happens to be.
        
             | wolverine876 wrote:
             | Private companies are interested in profitable science, not
             | impactful science. In fact it can have negative impact:
             | Discovering a way to extend intellectual property rights
             | for an expiring patent, or a formulation that they can
             | charge more for. Discovering a cheap cure for cancer
             | wouldn't help profits.
             | 
             | And have their own internal politics - they want science
             | that does not disrupt the VP/CEO's plans, or make the chief
             | scientist look bad.
        
               | lotsofpulp wrote:
               | > Discovering a cheap cure for cancer wouldn't help
               | profits.
               | 
               | Hence patents. The new Hep C treatments are hundreds of
               | thousands of dollars cheaper than older treatments, but
               | were still researched and developed.
        
           | kiba wrote:
           | Maybe we should bring back the concept of the
           | gentleman(gentleperson for the modern era) scientist, who are
           | both independent and wealthy.
           | 
           | Charles Darwin, for example, was born into wealth and doesn't
           | really need to work for a living.
        
             | AlexErrant wrote:
             | Musk and Bezos have their science/engineering
             | experiments... and Gates through his investments. Hell, if
             | we look at this broadly, many investments are being made in
             | science - just through through (and to) institutions.
             | 
             | Basic science funding seems sparse though. Investments tend
             | to favor commercial entities.
        
               | heyoni wrote:
               | Yes but they mostly direct stuff and wouldn't know how to
               | calibrate a pipette if their life depended on it
        
             | tetrep wrote:
             | According to this data, at least in the US, wealthy people
             | are already "gentlepersoning" us in many elite fields: http
             | s://www.npr.org/sections/money/2014/03/18/289013884/who-...
        
               | 2devnull wrote:
               | It's international. The global elite are not constrained
               | by borders.
        
               | maven29 wrote:
               | There aren't a lot of places where going into academia
               | has significant opportunity cost (like for example,
               | losing out on the prospect of a yacht paid for by reactjs
               | work).
        
             | dekhn wrote:
             | There are several SROs ("Scientific Research
             | Organizations") funded by extremely wealthy folks
             | (typically made their billions in tech). They can offer
             | scientists a number of nice things that universities can't-
             | for example, Arc Institute, created by Patrick Collison
             | among others, has plenty of lab space and computing for its
             | members, compared to the space and computing available on
             | campuses like UCSF and Stanford.
        
               | bigbacaloa wrote:
               | [dead]
        
             | edanm wrote:
             | There's no need to "bring it back" because we never "got
             | rid of it". It's just a natural part of some people being
             | wealthy - they have more time/resources to spend on various
             | pursuits, including art and science.
             | 
             | This is still true, although to a lesser degree, because
             | _everyone_ is much better off. 500 years ago, you could
             | _only_ pursue some things if you were born rich. Today, the
             | field has greatly expanded, to everyone 's benefit.
        
             | renewiltord wrote:
             | That never went away. We just have multiple avenues:
             | 
             | 1. Government funded research
             | 
             | 2. Private industrial research
             | 
             | 3. Private personal research
             | 
             | Usually, those involved in #3 are made fun of constantly by
             | the lumpenproles. Before someone in category #3 makes it
             | they look like Bryan Johnson doing Blueprint. That's the
             | defining characteristic, actually. If you were to look at
             | Ms. Kariko before she was successful, the majority of HN
             | users would have made fun of her.
        
             | f6v wrote:
             | Yes, I'm willing to accept donations to become
             | multimillionaire and do science. Cash or check from you?
        
             | chpatrick wrote:
             | I think in obscure unprofitable fields that's already the
             | case.
        
             | Kranar wrote:
             | Funny you bring up Charles Darwin, since Darwin was never
             | an academic.
        
             | esafak wrote:
             | Rich people today fund the people that do the work, rather
             | than do it themselves. I'd say the new way is more
             | productive.
        
             | dkqmduems wrote:
             | While we're at it let's bring back the monarchy!
        
               | badcppdev wrote:
               | Well at the moment the UK could really benefit from tax
               | revenue from a certain prosperous former colony so that
               | sounds good to me. Not sure about the benefit for the
               | colony.
        
         | kevmo wrote:
         | And her daughter won 2 Olympic gold medals! That family must be
         | intense!
        
           | xattt wrote:
           | The perspective from the inside is pretty different from the
           | outside. High-functioning families see their achievements as
           | "normal" while the rest of the community looks around in awe.
        
             | ChicagoBoy11 wrote:
             | I know a family of a nobel prize winner, and everyone in it
             | is just insanely talented -- like, if you were to
             | caricature the experience of a super genius family you'd
             | actually probably get pretty close to them. And, your point
             | is spot on. For them, the sheer creativity and output (in
             | writing, science, and music) of the whole family was kind
             | of seen as table stakes and something rather unremarkable.
             | Whenever I was over for dinner I felt like a kid in class
             | who hadn't done the reading haha (just in terms of how hard
             | it was to keep up... they were all super gracious and I
             | have many many cherished memories from the time we hung
             | out)
        
             | sdfghswe wrote:
             | Yes. That's because "high-functioning families" compare
             | themselves with those who are better, not those who are
             | worse. They go "sure I got 2 olympic medals, but bob and
             | suse also got 2 each. It's not a big deal". They never
             | dwell in thoughts like "I got 2 olympic medals, and look at
             | the billions of people who got zero."
             | 
             | It's just a culture of self-improvement.
        
               | anonporridge wrote:
               | It's just what happens whenever you rise in the ranks of
               | any domain.
               | 
               | People in the 99th percentile aren't super happy and
               | satisfied that they've outcompeted 99% of the
               | participating population who look at them with awe and
               | envy. They're comparing themselves to the 99.9th
               | percentile who leave them in awe and envy.
               | 
               | I think it's important for any high performer to
               | occasionally step out of their narrow perception of the
               | world and really grok how far ahead they are compared to
               | everyone else. This is definitely something a lot of my
               | high income tech friends could learn to appreciate when
               | they get caught up feeling like a loser for _only_ making
               | $250k total comp.
        
               | DaedPsyker wrote:
               | And misery if done wrong. I have to temper my
               | perfectionist temperament to avoid the self flagellation
               | that comes with small failings.
        
               | funnym0nk3y wrote:
               | I'm not sure about that. Being in a state of constant
               | fear of failure doesn't enable one to do great stuff.
        
               | somenameforme wrote:
               | Absolutely. Becoming world class at anything, especially
               | anything competitive, also involves failing about a
               | million times on the way up. In coaching chess one of the
               | first things one tends to ask is what the student wants
               | to achieve. And the typical response has something to do
               | with winning. But they don't need you for that. If they
               | just want to win, then they but need to never play
               | anybody better than themselves!
               | 
               | Improving involves blood, sweat, tears, and defeat. Only
               | to come back ever stronger.
        
               | funnym0nk3y wrote:
               | That's maybe the essence of a growth mindset. I want to
               | play. Winning is secondary.
        
               | cm2012 wrote:
               | Building a business is the same way. Just constant
               | punches in the face you have to persevere through.
        
               | darkwater wrote:
               | You can fail or have success on many dimensions. There is
               | probably some skill you are good innately, or better than
               | a large chunk of population. On that dimension you will
               | have probably have built a pretty good self-esteem over
               | the years, but you know that you can still improve (hence
               | comparing yourself with who got 4 medals if you have 2)
               | but fear of failing will not completely block you, only
               | stress you more to raise the bar. On the other hand, in
               | domains where you are not so good by default, if you are
               | a perfectionist you can totally risk being paralyzed
               | until you think you are "good enough for it".
        
               | funnym0nk3y wrote:
               | I don't think there is a "good by default" dimension.
               | Maybe a "learning easier" dimension. I'd argue that in
               | such advanced spheres comparison becomes secondary. First
               | an foremost it's about the activity. Like friends
               | competing in a game of cards. It's about having fun with
               | friends. Winning is for having a purpose to play.
        
         | wolverine876 wrote:
         | It seems more as a status issue to me:
         | 
         | Kariko had a PhD from Hungary, was a post-doc at Temple U. -
         | not an elite pedigree. At Penn, an elite school:
         | 
         |  _" It was a low-level position, research assistant professor,
         | and never meant to lead to a permanent tenured position."_
         | 
         | and after that boss left,
         | 
         |  _" Dr. Kariko was left without a lab or financial support. She
         | could stay at Penn only if she found another lab to take her
         | on. "They expected I would quit," she said.
         | 
         | Universities only support low-level Ph.D.s for a limited amount
         | of time, Dr. Langer said: "If they don't get a grant, they will
         | let them go." Dr. Kariko "was not a great grant writer," ..._
         | 
         | Kariko was slotted into the non-tenure / adjunct role, and it
         | didn't matter what they did. It happens in private industry
         | too. The problem is elitism overlooking talent and production.
         | It's a brazen, obvious flaw.
         | 
         | The US long had the culture - imperfect, of course - of an
         | active rejection of elitism, class, etc. 'All men are created
         | equal', 'every man a king', meritocracy, hard work, you can
         | accomplish anything if you work hard enough, the land of
         | opportuity, the American Dream, etc. That equality, the respect
         | for others, is the foundation of voting - you respect
         | everyone's right to have input and its value.
         | 
         | The dominant fashion, a sort of neo-reactionaryism, is to
         | reject that, deride it, rather than aggressively moving it
         | forward. Many people look for ways to justify prejudice, to
         | exclude, to embrace personal ego and greed and to mock public
         | good. I think that's because if you embrace universal rights,
         | opportunity, equality, etc., you can't avoid 'liberal' ideals
         | too, and those are the target of reactionaryism.
        
           | fatherzine wrote:
           | "active rejection of elitism". Not really. In US 'elite'
           | means money wealth, whereas in historical Europe 'elite'
           | means martial nobility. Anecdata: the very concept of 'legacy
           | admission' is overtly classist, and simply does not exist in
           | continental Europe. US is very much elitist, it's just that
           | its manifestation of elitism is less obvious to the
           | unsuspecting eye.
        
             | inglor_cz wrote:
             | Is there any non-elitist country out there? Humans tend to
             | socially stratify even in relatively modest conditions
             | (such as tribal life).
             | 
             | What really matters is if the elite is closed or relatively
             | permeable, and how it treats the non-elite.
             | 
             | What the founding generation of America rejected, was
             | _inheritance_ of elite status, but I don 't think they were
             | completely egalitarian either. After all, people like
             | Jefferson and Washington were highly regarded by their
             | peers.
        
         | relativ575 wrote:
         | Survivor bias. This is what often mentioned in any thread about
         | business success, yet nobody has mentioned it here.
         | 
         | Institutions also often don't recognize researches that end up
         | going nowhere. What we can say is that finding a gem is hard
         | because of abundance of noise.
        
         | elashri wrote:
         | To be honest and in this context. Nobel prize committees
         | doesn't do any better and have history of failing in
         | recognizing great scientific achievements until long time
         | passes [1] (and sometimes scientists die before that which
         | disqualify them from the prize)
         | 
         | [1] https://www.nature.com/articles/d41586-023-03086-3
        
           | empath-nirvana wrote:
           | They only give one per year and there's probably more than
           | one nobel prize worthy achievement every year on average, so
           | they end up with a backlog. Unless something huge happens in
           | a given year like the Higgs, they're probably going to reach
           | back as far as they can for a worthy award to make sure
           | people get the awards before they die.
        
           | ramraj07 wrote:
           | In that vein what institution in the history of mankind ever
           | been fair and objective more than this?
        
             | pokepim wrote:
             | [dead]
        
         | [deleted]
        
         | IOT_Apprentice wrote:
         | She was also demoted at U Penn. She is now working at a
         | university in her homeland.
        
           | esafak wrote:
           | https://billypenn.com/2020/12/29/university-pennsylvania-
           | cov...
        
       | [deleted]
        
       | coolhand2120 wrote:
       | [flagged]
        
       | j7ake wrote:
       | Much deserved and really inspirational story.
       | 
       | I wonder if she would have survived today's even more competitive
       | academic environment. If not then we must wonder how many future
       | Karikos have been silenced by our current academic system.
        
       | cies wrote:
       | [flagged]
        
       | xkbarkar wrote:
       | [flagged]
        
         | mellosouls wrote:
         | Please don't use praise to smuggle in vaccine misinformation.
         | 
         | The vaccines were a (successful) strategy for the population as
         | a whole; their use on low-risk groups was a part of that
         | strategy.
         | 
         | While the usefulness of some of the tactics and groups targeted
         | can be debated, isolating them out of that context to push your
         | anti-vax message is extremely misleading.
        
           | stormfather wrote:
           | [flagged]
        
         | sandworm101 wrote:
         | Such can be, and has been, said about every vaccine throughout
         | history. Why this one became such a political/religeous issue
         | is beyond me.
        
         | tycho-newman wrote:
         | > What took us out of lockdown in the end was not the vaccines
         | or the billions spent on them. Not even the dumb masks and the
         | draconian asinine distancing rules. It was Omicron. Plain and
         | simple.
         | 
         | The Nobel Prize in vaccine disinformation goes to:
        
         | Garvi wrote:
         | It's not hard spotting people that broke quarantine rules for a
         | tiny ego boost. A lot of people died strictly because of it.
         | With all the censorship on other topics on HN, I truly wonder
         | why such medical disinformation is being tolerated and even
         | upvoted. HN is becoming more like Reddit by the day now.
        
           | Garvi wrote:
           | Being cowards and downvoting me on a dead post without having
           | the guts to state your opinion in trembling fear of outing
           | yourself as corona-deniers in a sick society where this is
           | actually acceptable, none the less, one can tell that this
           | kind of opinion is really only held by the worst our species
           | has to offer and their boot lickers.
        
         | boredhedgehog wrote:
         | > What took us out of lockdown in the end was not the vaccines
         | or ht billions spent on them. Not even or the dumb masks and
         | the draconian asinine distancing rules. It was Omicron. Plain
         | and simple.
         | 
         | But on the other hand, how much did the vaccination campaign
         | accelerate the emergence of Omicron? I don't think there's any
         | way to tell.
        
       | urduntupu wrote:
       | [flagged]
        
       | strangesmells02 wrote:
       | Like the Oscars and Grammy's, the Nobel Prize is based as much on
       | cultural significance as it is on the quality of the product.
       | 
       | Lobotomies also won the Nobel Prize because they were a cultural
       | phenomenon of the day. JFKs sister got a lobotomy.
       | 
       | So even if these one and a half year old treatments prove to have
       | significant long-term side effects there's still the recognition
       | of the cultural and historical significance.
        
       | [deleted]
        
       | brutusborn wrote:
       | Their seminal paper was desk rejected by nature - when thinking
       | about this I don't know whether to laugh or cry.
        
         | QuesnayJr wrote:
         | They'll dine out on that story for the rest of their lives.
         | "Let me tell you about the time Nature desk-rejected my
         | research..."
        
         | Gibbon1 wrote:
         | I remember a story that the guys that developed PCR presented
         | their results at a conference and no one was interested. The
         | last day some guy walked up, looked at the title to their talk
         | and asked, 'does it really work' and when they said yeah it
         | works and he went 'holy shit'
        
         | swyx wrote:
         | non academic here - what is a "desk rejection"?
        
           | QuesnayJr wrote:
           | Immediate rejection. Not even worthy for sending out to
           | referees.
        
           | fooker wrote:
           | Rejected without review.
           | 
           | Like a recruiter rejecting screening you out without an
           | interview.
        
           | marsa wrote:
           | a desk rejection is when the editor in chief (or managing
           | editor, or whoever is the one first receiving the submitted
           | paper) decides to reject the submission without sending it
           | out for peer review
           | 
           | basically a judgment call by the person in charge of a
           | journal that the paper is not interesting or impactful enough
           | to warrant going through with the rest of the
           | review/publishing process
        
             | swyx wrote:
             | ouch. but also, surely that has to happen to the majority
             | of papers, meaning the snap judgment call of effectively
             | one person greatly colors the quality of the whole process.
             | as a conference organizer this is something i worry about.
             | is there a better process proposed out there - that
             | respects the constraint that high value people have limited
             | time to review things?
        
               | marsa wrote:
               | sadly no, it is an unsolved problem of scholarly
               | publishing imo. on the one hand you have the reputable
               | journals following the traditional publishing process
               | that take pride in their high rejection rates -- these
               | require a large percentage of desk rejections to avoid
               | flooding their reviewers with sub-par papers. thus
               | they'll inevitably have some quality papers fall through
               | the cracks + some flashy sub-par papers making the cut.
               | 
               | on the other hand you have the pay-to-publish journals
               | that have a financial incentive to push as many papers
               | through peer review -- these thrive on sub-par papers
               | that are technically just barely 'good enough', but the
               | upside is that the real good ones will also make it
               | through. however, they inevitably face reviewer fatigue,
               | and the most valuable ones will quit reviewing if they
               | often send them low-quality papers. so basically once in
               | a while they'll publish top notch research without being
               | aware of it.
               | 
               | i'm not aware of any middle-ground solutions out there
               | and it certainly feels like a tough problem to solve.
        
       | blcknight wrote:
       | Title needs fixing: Nobel prize.
        
       | sabujp wrote:
       | good! predicted this would happen 2 years ago
        
       | mtalantikite wrote:
       | For those that know more than I do, out of curiosity, why would
       | this Nobel go to these two and not also Ozlem Tureci and Ugur
       | Sahin? The four of them shared earlier awards, and it was Ozlem
       | Tureci and Ugur Sahin's BioNTech that got the vaccine to market
       | (after their decades of research).
       | 
       | The couple are billionaires, so I'm sure they're doing just fine,
       | but that's gotta hurt to be overlooked for such a major prize
       | when they did so much for that discovery and technology.
        
         | dekhn wrote:
         | Nobel Prizes in Medicine don't award people getting medicines
         | to the market. They exist to reward fundamental discoveries
         | that have high impact.
        
           | mtalantikite wrote:
           | Absolutely, and this is more along what I was asking. What
           | about their discovery was deemed the most important part out
           | of this long chain of work that led up to mRNA vaccination
           | and this Nobel? Nature's news section had a history of
           | discoveries a while back [1], and it seems like there is a
           | lot of disagreement about who deserves what credit.
           | 
           | Personally, it seems like everyone's contribution is
           | important, but we as humans irrationally want to point to a
           | single thing/event/team and say "this was the cause" rather
           | than stand back and notice how interdependent the whole thing
           | is. In the end I think things like Nobels are pretty silly.
           | 
           | [1] https://www.nature.com/articles/d41586-021-02483-w
        
             | dekhn wrote:
             | Humans are even more irrational! For CRISPR most people
             | expecfted the prize to go to 3 people- Doudna, Charpentier,
             | and Zhang. But Zhang was ommitted and many people think it
             | was because the head of his institution wrote this:
             | https://www.cell.com/fulltext/S0092-8674%2815%2901705-5
             | (the establishment hates Eric Lander, and this was a
             | particularly egregious example of his behavior).
             | 
             | But the original discoverer of CRISPR, Francis Mojica, was
             | not awarded the prize. That's because, in my opinion (as
             | well as the Nobel Committee), Doudna and Charpentier played
             | the _greatest_ individual roles in the process of turning
             | the original discovery of CRISPR into a powerful tool
             | (CRISPR /cas9), that is much more general than CRISPR the
             | process that occurs in bacteria. I still think Mojica
             | should have been given the prize, and if 4 recipients were
             | possible, also Zhang.
        
               | selimthegrim wrote:
               | Nathaniel Comfort has a good take [1], which Lior Pachter
               | likes to cite, on exactly why Lander's intervention was
               | so egregious.
               | 
               | [1] -https://genotopia.scienceblog.com/573/a-whig-
               | history-of-cris...
        
         | heyoni wrote:
         | The discovery being rewarded was made before biontech.
        
           | mtalantikite wrote:
           | Well yes, clearly -- 2005 is before 2008. But it's
           | interesting to see who gets selected when so many other
           | researchers end up being involved with these major
           | technologies before and after a single paper.
        
             | heyoni wrote:
             | lol what a stupid response. Don't blame me for answering a
             | simple question simply
        
               | [deleted]
        
               | mtalantikite wrote:
               | No disrespect meant. However, I don't think it's a simple
               | question.
        
               | heyoni wrote:
               | Sorry I just think this is actually one of the simpler
               | Nobel prizes and I'm fairly certain they weren't even in
               | the picture when the discovery was made.
               | 
               | I worked in a lab with "Nobel winning lineage" and the
               | ego fights always come up so I get kind of tired of it
               | coming up lol. Sorry I responded so harshly.
        
               | dang wrote:
               | Thanks for recovering your balance so quickly. I posted a
               | moderation reply to the GP comment and then saw this and
               | realized it wasn't necessary!
        
               | heyoni wrote:
               | I was being stupid, sorry.
               | 
               | You might not believe this but I actually forgot to put
               | on my nicotine patch this morning.
        
               | dang wrote:
               | Thanks for reacting so neutrally and in the intended
               | spirit of the site:
               | https://news.ycombinator.com/newsguidelines.html. That's
               | not always so easy!
        
       | epistasis wrote:
       | Well deserved. I've been following mRNA vaccines since long
       | before the pandemic because of an interest in cancer therapeutic
       | vaccines, and the technology is amazing and it took sooooo much
       | fight to bring it forward to production. The speed and
       | flexibility of the tech really is a huge advancement.
        
       | daft_pink wrote:
       | At least in medicine the nobel prize still goes to people who
       | actually did something good.
        
       | Octokiddie wrote:
       | Title ("Price") is misspelled.
        
       | lynx23 wrote:
       | [flagged]
        
         | robertlagrant wrote:
         | I think the peace prize is a totally separate decision-making
         | groups - it's a political award.
        
         | TheBigSalad wrote:
         | Hopefully they're being objective. I don't think they should
         | not recognize it because of a few loud and obnoxious fringe
         | conspiracy theorists.
        
       | anonu wrote:
       | So this is the 2005 paper that started it all:
       | https://pubmed.ncbi.nlm.nih.gov/16111635/
       | 
       | I often wonder if, as a lay person, I would be capable of
       | understanding the significance of really technical papers like
       | this if I were to randomly start reading. Probably not without
       | the right foundation.
        
         | ramraj07 wrote:
         | See if you're able to read the original Yamanaka iPS paper
         | here. https://www.cell.com/cell/fulltext/S0092-8674(06)00976-7
         | 
         | I read this as an undergrad and had a blast (inside joke lol).
         | I am considering starting a YouTube channel explaining such
         | breakthroughs while going through the original research. If
         | you're interested I'll ping you as focus group when I have
         | some!
        
           | anuvrat1 wrote:
           | 2017 lecture by Shinya Yamanaka[0] is really good, much
           | easier to digest too.
           | 
           | [0] - https://youtube.com/watch?v=PTkCDDUbsBc
        
             | [deleted]
        
           | mnw21cam wrote:
           | FWIW: BLAST: Basic Local Alignment Search Tool
           | https://blast.ncbi.nlm.nih.gov/Blast.cgi
        
           | felipemnoa wrote:
           | I would love to watch your channel!
        
             | ramraj07 wrote:
             | I'll make sure to invite you then :)
        
           | Metacelsus wrote:
           | I read that one in undergrad, it's a great paper.
        
         | anuvrat1 wrote:
         | You can get a rough idea with the right use of chatgpt and
         | Wikipedia while reading any paper, you should give it a try
         | anyway.
        
         | ortusdux wrote:
         | You might like https://fermatslibrary.com/
        
         | j7ake wrote:
         | Crazy that it has only been cited about 2000 times over 20
         | years. Surprising given its impact.
         | 
         | This is an example where even citations fail to recognise
         | significant papers.
         | 
         | The Doudna Charpentier paper, by contrast, has been cited 17k
         | times and publishes only 12 years ago.
         | 
         | As a fun exercise, the journal immunity should provide the
         | reviewer comments to see how things have changed in light of 20
         | years.
        
       | trebligdivad wrote:
       | Typo in title! Nobel Pri _z_ e
        
         | xeonmc wrote:
         | Noble Price
        
       | nojvek wrote:
       | Very well deserved. The more we understand how RNA/DNA are able
       | to build proteins, which then assemble into cell parts, into
       | cells into rest of biology, the more we control our future.
       | 
       | I wish I'm alive to see the day when we have cheap DNA compilers
       | and molecular assemblers. Design in CAD and a machine grows it
       | out from a mixture of molecules in water.
        
       | gergely wrote:
       | yet another hungarian nobel prize winner who managed to get it
       | while left hungary long ago. yet hungarians going to be proud of
       | her. this country such a shame.
        
         | [deleted]
        
       | reqo wrote:
       | Are COVID-19 vaccines the first successful mRNA-based vaccines?
       | Seems to me there should be some other successful application of
       | mRNA when it comes to vaccines/medications even before COVID-19.
       | In that case, how much more complex was it to create a vaccine
       | for COVID-19 specifically?
        
         | dbcooper wrote:
         | Not exactly the same, but Onpattro, an siRNA medication
         | encapsulated in a similar formulation of lipid nanoparticles,
         | for the treatment of ATTR was approved in 2018.
        
         | dd36 wrote:
         | https://publichealth.jhu.edu/2021/the-long-history-of-mrna-v...
        
         | DiogenesKynikos wrote:
         | Other mRNA vaccines for human diseases had been under
         | development for years before the pandemic, but none had yet
         | reached approval. Vaccine development is normally slow, partly
         | because nobody wants to put up the money for large human trials
         | until they're relatively confident the vaccine will work.
         | 
         | During the pandemic, however, governments gave financial
         | guarantees that allowed vaccine trials to go forward right
         | away, so SARS-CoV-2 is the first human virus with an approved
         | mRNA vaccine.
         | 
         | > how much more complex was it to create a vaccine for COVID-19
         | specifically?
         | 
         | It's not necessarily more complex. A number of different
         | approaches ultimately worked, including one of the oldest
         | technologies: growing virus in eggs and then chemically
         | inactivating it. However, mRNA vaccines worked the best, and
         | had less side-effects than most other approaches.
        
           | ggm wrote:
           | Which do you think will come first? Has rapid worldwide scale
           | deployment of mRNA made the barrier to entry easier for the
           | following vaccines?
        
             | funcDropShadow wrote:
             | Yes, the production capacities do exist now. mRNA vaccines
             | have proven relatively safe and effective. That should
             | motivate pharma companies to invest in them.
        
         | pavlov wrote:
         | The Covid-19 vaccine was the first mRNA vaccine brought to
         | market. That's part of why there were so many conspiracy
         | theories surrounding it.
        
           | passwordoops wrote:
           | Even if they were market established, there would always have
           | been conspiracy theories about any vaccines. It's about a
           | worldview shaping your reality
        
             | logicchains wrote:
             | It's about incentives: vaccines are one of the only
             | products where manufacturers are completely immune from
             | liability, and given big pharma's historical willingness to
             | priotise profit over lives, it's hard to just trust them.
             | Especially when the reason big pharma lobbied for that
             | liability immunity was because they claimed they'd be sued
             | into bankruptcy without it.
        
               | chimprich wrote:
               | Every single company in the world tries to minimise their
               | legal liability, for every single product.
               | 
               | That's even more crucial when you're trying to vaccinate
               | literally billions of people. Even for extremely safe
               | vaccines (like these are), very low percentage bad
               | outcomes can mean a lot of people willing to sue.
               | 
               | Billions of people also means a lot of cranks willing to
               | call conspiracy theories in a lot of jurisdictions.
        
               | artificialLimbs wrote:
               | Is there a reason the manufacturers shouldn't be liable
               | in these cases?
        
               | chimprich wrote:
               | Yes, in order to save tens of millions of lives globally
               | - which is exactly what happened. You really don't want
               | to discourage that.
               | 
               | But leaving aside pragmatics, you're assuming that the
               | manufacturers wouldn't be liable. If they'd e.g. hid bad
               | results from some study, they'd presumably still be
               | criminally liable.
        
               | rsynnott wrote:
               | Vaccines, however, are usually not that profitable. If
               | anything, I'd expect more conspiracy theories about
               | pharma companies suppressing vaccines on the grounds
               | that, while prevention may be better than cure, it's
               | generally less profitable.
        
               | fooker wrote:
               | > Vaccines, however, are usually not that profitable.
               | 
               | That's exactly why the idea was to get the government to
               | pay for it and then force everyone to take it.
        
               | passwordoops wrote:
               | Willful negligence resulting from economic incentives are
               | endemic and I agree a major problem in every industry. It
               | could be the long-term side effects of these vaccines
               | prove more harmful than the side effects of multiple
               | COVID infections... time will tell.
               | 
               | But it's a big leap to go from "Pharma is driven by
               | profits, therefore they should be put under more
               | scrutiny" and "Pharma is driven by profits, therefore
               | they are injecting us with 5G-enabled nanobots to enable
               | mind control by the Council of Rome"
        
               | funcDropShadow wrote:
               | > But it's a big leap to go from "Pharma is driven by
               | profits, therefore they should be put under more
               | scrutiny" and "Pharma is driven by profits, therefore
               | they are injecting us with 5G-enabled nanobots to enable
               | mind control by the Council of Rome"
               | 
               | They are put under way more scrutiny than other
               | industries. Or where is the FDA equivalent demanding
               | phase I, II, and III trials for so-called self-driving?
               | Or imagine a pharma company embracing the slogan "Move
               | fast and break things."
        
               | astrange wrote:
               | GenX "big whatever" / "evil corporations" leftism is
               | completely dead at this point. People should drop it
               | since it only ever brings them to incorrect conclusions.
               | 
               | If you want an evil corporation, it's the small ones that
               | are usually the worst.
        
               | emkemp wrote:
               | Counterpoint: Oracle Corporation.
        
       | sytelus wrote:
       | In the times when so many people are up in arms against covid
       | vaccines, we keep forgetting how things were and how these
       | vaccines allowed to open up en-mass. Yes, there were problems but
       | number of lives saved is just awe inspiring.
        
         | dalore wrote:
         | [flagged]
        
           | Lutger wrote:
           | Any sources or data to back that up? Or is this just your own
           | hypothesis you came up with yourself?
           | 
           | There is an enormous body of knowledge proving vaccines did
           | reduce transmissions, you can easily find them online. So a
           | claim that goes counter to the outcome of hundreds of studies
           | should have some backup, otherwise it no better than saying
           | 'here is a snowball that proves 100% of climate scientists
           | are wrong'
        
             | goodluckchuck wrote:
             | You also are not providing any sources or data...
        
             | d0100 wrote:
             | From my time of internet arguing about vaccines, most
             | "reduce transmission" claims started at 70% and last I
             | remember ended up being only 30%
        
             | someuser2345 wrote:
             | Here is a paper that claims that there was no correlation
             | between vaccination rates and an increase in covid cases:
             | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8481107/
        
           | aredox wrote:
           | They did reduce transmission. We have actual data from US
           | prisons.
           | 
           | If you want to look at dodgy science, anything around "moral
           | hazards" is on very shaky grounds...
        
             | sod wrote:
             | If you have an interest in making your point, I suggest to
             | reference trusted sources one can read through so people on
             | the fence can educate themself.
             | 
             | Blaming and labelling has the opposite effect though.
        
               | nicman23 wrote:
               | the fact that antivaxers never source data but instead
               | require normal sane people to do so will never not make
               | me laugh
        
               | stefantalpalaru wrote:
               | [dead]
        
               | Lutger wrote:
               | Respectfully, I believe you are in the wrong here.
               | 
               | Covid and climate science denial can be strengthened by
               | having a 'discussion'.
               | 
               | This is because conspiracy thinking is actually immune to
               | evidence. The denialist will subvert your evidence in a
               | way that it proves the conspiracy. In here they will
               | probably complain that 'correlation is not causation' or
               | some other methodology 101 trope, whereas the audience
               | will think "oh, yeah, this is complicated, smart people
               | are debating it, I guess the jury is still out and we
               | don't know for certain if climate change is real or not,
               | and the vaccines are not a silver bullet either, lets
               | just wait until the debate is over'.
               | 
               | But, in fact, the debate _is_ over.
               | 
               | So no, in this case the onus is one the person attacking
               | a vast body of scientific literature proving beyond
               | reasonable doubt that vaccines are effective to come up
               | with something supporting those _wild_ claims. It is not
               | up to me to provide a literature list that nobody will
               | ever read anyway, and anyone who is even remotely
               | interested in finding the truth can google such a list in
               | 5 min.
        
               | kuerbel wrote:
               | Thank you for your post. And I mean it. I've fallen into
               | this trap so often myself, because nothing grinds my
               | gears as conspiracy theorists do. I think next time I'll
               | stop before I answer, think of your post and maybe
               | copypaste it.
        
               | sod wrote:
               | All I did was asking for information. After all, science
               | is about studies and data, not about opinion.
               | 
               | It would just be nice to get a finger pointing in a
               | direction, not the middlefinger.
        
               | ceejayoz wrote:
               | At this point, anyone _still_ "asking for information"
               | knows full well where to find it. It's not March 2020 any
               | more.
               | 
               | "Actual data from US prisons" took me about 20 seconds to
               | find a reputable source for
               | (https://news.ycombinator.com/item?id=37736396), likely
               | less time than your comment asking for it took to type.
        
               | sod wrote:
               | > At this point, anyone still "asking for information"
               | knows full well where to find it. It's not March 2020 any
               | more.
               | 
               | Do you really think that behavior will improve the
               | knowledge gap?
        
               | ceejayoz wrote:
               | I don't think any behavior will help the _willfully_
               | ignorant.
        
               | empath-nirvana wrote:
               | https://en.wikipedia.org/wiki/Sealioning
        
               | ceejayoz wrote:
               | https://www.cidrap.umn.edu/covid-19/covid-shots-previous-
               | inf...
               | 
               | > Unvaccinated, infected inmates had an estimated 36%
               | risk of spreading the virus, compared with 28% among
               | infected vaccinees. After adjustment, any vaccination,
               | previous infection alone, and both vaccination and
               | previous infection cut the risk of SARS-CoV-2
               | transmission by 22%, 23%, and 40%, respectively.
               | 
               | > Booster doses and more recent vaccination further
               | lowered infectiousness among vaccinated inmates, with
               | each dose conferring an 11% risk reduction; the risk of
               | transmission rose 6% for every 5 weeks that had elapsed
               | since the last shot.
        
               | dalore wrote:
               | I don't know about you, 8% sounds a rounding error and
               | probably within the error margins. It certainly wasn't
               | enough to open the country en-mass like the OP believes.
               | 
               | And now we have the opposite situation with those who
               | have had the most boosters and now more likely to catch
               | the new variant that is out.
        
               | ceejayoz wrote:
               | > I don't know about you, 8% sounds a rounding error and
               | probably within the error margins.
               | 
               | It is not. The study is available for you to review if
               | you like.
               | 
               | > And now we have the opposite situation with those who
               | have had the most boosters and now more likely to catch
               | the new variant that is out.
               | 
               | I'd like to see _that_ study. Cite, please.
        
               | Workaccount2 wrote:
               | >I'd like to see that study. Cite, please.
               | 
               | Sure:
               | 
               | www.NewEarthTimes.com/publications/VaccinesKill/New-
               | vaccine-makes-more-infections.html
               | 
               | /this is a joke
        
               | nvm0n2 wrote:
               | _> 8% sounds a rounding error and probably within the
               | error margins.
               | 
               | It is not._
               | 
               | Erm yes it is ... from the study:
               | 
               |  _> In adjusted analyses, we estimated that any
               | vaccination ... reduced an index case's risk of
               | transmitting infection by 22% (6-36%)_
               | 
               | CI is much wider than 8pp and the estimated absolute
               | transmission risk CIs actually overlap at 31%. So the
               | study results are consistent with there being no actual
               | difference, also.
               | 
               | If this is the best evidence of a difference in
               | transmission it's not very good.
               | 
               | Also this is Omicron which hardly matters. The
               | justification was the earlier variants.
        
               | empath-nirvana wrote:
               | This is a classic example of the way conspiracy theorists
               | shift goal posts and demand more and more evidence, while
               | waving away any evidence provided. It's _boring_ to
               | engage with people like you. You have no idea what you're
               | talking about, and demand that people who _do_ know what
               | they're talking about give you an education that you
               | don't actually want. You're just _performing_, you aren't
               | having a genuine conversation with people.
        
               | shrubble wrote:
               | Out of 111,000 inmates, 31 were hospitalized and none
               | died. Is there a small city with equivalent population
               | where approximately the same numbers held?
        
               | ceejayoz wrote:
               | I very much doubt there's a small city with total gender
               | segregation, people living in large buildings they're not
               | permitted to leave, and single-source universal
               | healthcare.
               | 
               | (That's what makes it such a good observational study
               | population; a whole bunch of variables are controlled
               | away by default.)
        
               | aredox wrote:
               | Why should I do it, to "do your own research" types like
               | you?
               | 
               | Do your own research.
        
               | zo1 wrote:
               | [flagged]
        
               | noarchy wrote:
               | >I'm one of those people "on the fence".
               | 
               | Versus
               | 
               | >I can tell you now that honestly a good study won't
               | convince me to trust the prevailing narrative.
               | 
               | You're not on the fence.
        
               | zo1 wrote:
               | [flagged]
        
               | Ensorceled wrote:
               | [flagged]
        
               | [deleted]
        
               | [deleted]
        
               | ggm wrote:
               | You may want to avoid casting all questions through this
               | lens. Some people seek to leverage this sense of loss of
               | trust to promote other arguments, in politics and the
               | economy.
               | 
               | I appreciate that loss of trust is real, happens fast,
               | and takes longer to recover. Recovery itself demands some
               | acceptance that not all evidence is unequivocal, or
               | comprehensible.
        
           | dd36 wrote:
           | Good thing we have data that proves lives were saved and you
           | don't have to guess.
        
             | dalore wrote:
             | Good thing you're 100% convinced, I'm still looking for the
             | proof
        
               | [deleted]
        
             | urduntupu wrote:
             | [flagged]
        
               | chimprich wrote:
               | Please don't post this nonsense on HN. This is a joke,
               | right? It's a crank website, not a serious medical
               | journal.
        
               | blumomo wrote:
               | Can you say something constructive about the study
               | instead of insulting the messenger who published it?
        
             | logicchains wrote:
             | What data is that? That data on lockdowns suggests that
             | they didn't reduce overall excess mortality:
             | https://onlinelibrary.wiley.com/doi/full/10.1002/hec.4737
             | 
             | >Using an event study approach and data from 43 countries
             | and all U.S. states, we measure changes in excess deaths
             | following the implementation of COVID-19 shelter-in-place
             | (SIP) policies. We do not find that countries or U.S.
             | states that implemented SIP policies earlier had lower
             | excess deaths. We do not observe differences in excess
             | deaths before and after the implementation of SIP policies,
             | even when accounting for pre-SIP COVID-19 death rates.
        
               | jeffbee wrote:
               | Causality. The only thing this survey demonstrates is
               | that government orders have weak effects on actual
               | population behavior.
        
           | thehappypm wrote:
           | Ultimately, none of the societal restrictions really helped
           | reduce the portion of the population that caught covid --
           | given enough time, it ended up rounding up to 100%, almost
           | worldwide. Restrictions and masking really just bought us
           | some time and slowed the process of getting to "everyone got
           | infected". Even China, New Zealand, Australia, etc failed at
           | zero-covid given enough time, and covid raged once it got
           | out. Different states in the US with vastly different
           | policies ended up with the same final outcome. According to
           | the NY Times, Florida and New York both have 35k cases cases
           | per 100k population -- obviously there are substantial
           | differences in data quality, but we are clearly not looking
           | at an order-of-magnitude difference between these two
           | massively different responses.
           | 
           | Given that lens, the ultimate outcome of the pandemic is
           | "almost everyone eventually gets covid." As a result, the
           | vaccines -- in reducing mortality -- saved an absolutely
           | immense amount of lives.
        
           | dekhn wrote:
           | Are you a scientist, or otherwise qualified to make
           | judgements like this?
           | 
           | I see a lot of armchair quarterbacks making statements about
           | public health, but it ussually ends up being poorly informed
           | speculation.
        
           | fabian2k wrote:
           | The vaccines massively reduced mortality and severe disease
           | in the vulnerable populations. That is a big win.
           | 
           | They also could have stopped the spread for the early
           | variants, but the later ones were simply too contagious.
           | There simply was no chance to keep transmission fully down at
           | that point.
        
             | kibbi wrote:
             | > The vaccines massively reduced mortality and severe
             | disease in the vulnerable populations.
             | 
             | By how much, in numbers?
        
             | koolba wrote:
             | > The vaccines massively reduced mortality and severe
             | disease in the vulnerable populations. That is a big win.
             | 
             | That's changing the goalposts. The vaccines were not
             | necessary for the vast majority of the population or
             | society as a whole to "open up".
             | 
             | That's assuming you analyze only physical harm from the
             | spreading virus. After months of brainwashing, they were
             | definitely required for large swathes of the population to
             | given them a mental protection to come out of their shells.
             | 
             | > They also could have stopped the spread for the early
             | variants, but the later ones were simply too contagious.
             | There simply was no chance to keep transmission fully down
             | at that point.
             | 
             | There was never a chance to keep transmission fully down.
             | It was like trying to prevent a cold or the flu from
             | spreading.
        
               | fabian2k wrote:
               | The criteria for the original license were the reduction
               | in deaths and disease. Transmission wasn't even tested in
               | the original phase III trials. The vaccines achieved
               | their primary purpose, they prevented death and severe
               | disease.
               | 
               | COVID was a major threat to a significant part of the
               | population. The vaccines were effective and reduced the
               | threat to those people enormously.
               | 
               | It would have been very nice and useful to stop
               | transmission and achieve herd immunity. But even without
               | that the vaccines were a huge win and saved a lot of
               | lives.
        
               | [deleted]
        
               | somenameforme wrote:
               | Moderna seems to have moved, or removed, their initial
               | testing results but you can still find an archive here.
               | [1] The pharmaceutical industry was initially claiming
               | that vaccination would completely prevent infection, as
               | it typically does, let alone spread:
               | 
               | "There were 11 COVID-19 cases in the Moderna COVID-19
               | Vaccine group and 185 cases in the placebo group, with a
               | vaccine efficacy of 94.1% (95% confidence interval of
               | 89.3% to 96.8%)."
               | 
               | It's easy to create false memories because the
               | politicians and pharma industry simultaneously swapped
               | the narrative to stopping hospitalization and death once
               | it became completely clear the vaccines were not stopping
               | infection, but that is not what their initial purpose
               | was.
               | 
               | [1] - https://web.archive.org/web/20210202223626/https://
               | www.moder...
        
               | ceejayoz wrote:
               | Your quote: "Some of the vaccine group still got
               | infected."
               | 
               | Your summary: "They claimed vaccination would completely
               | prevent infection."
               | 
               | Perhaps you just can't read?
        
               | somenameforme wrote:
               | The efficacy rate was not being measured based on
               | death/sickness, but on any infection at all. It was
               | supposed to be 94.1% effective in terms of completely
               | preventing infection.
        
               | ceejayoz wrote:
               | Again, I think you're having trouble reading. From your
               | link:
               | 
               | > The median length of follow up for efficacy for
               | participants in the study was 9 weeks post Dose 2. There
               | were 11 COVID-19 cases in the Moderna COVID-19 Vaccine
               | group and 185 cases in the placebo group, with a vaccine
               | efficacy of 94.1% (95% confidence interval of 89.3% to
               | 96.8%).
               | 
               | > Cases of COVID-19, starting 14 days after Dose 2, were
               | defined as symptomatic COVID-19 requiring positive RT-PCR
               | result and _at least two systemic symptoms or one
               | respiratory symptom_.
               | 
               | A SARS-CoV-2 infection and a COVID-19 case aren't the
               | same thing, for the same reason a HIV infection is not
               | the same as having AIDS. The 94.1% number comes from
               | counts of _actual sickness_ , despite your assertions to
               | the contrary.
        
               | somenameforme wrote:
               | Feel free to change the above to claim they stated it
               | would create a negative PCR test or a PCR test with less
               | than 1 one respiratory symptom or 2 systemic symptoms. It
               | does not meaningfully change the issue whatsoever. The
               | asterisk by infection went, without skipping a beat, from
               | a 'PCR test and symptoms' to 'hospitalization/death.'
               | These are very different things.
        
               | fabian2k wrote:
               | The virus the vaccine was first tested is quite different
               | than the version we faced later. The virus is not a
               | static target, but a quickly evolving one. And the later
               | variants were far, far more contagious than the initial
               | one.
        
               | empath-nirvana wrote:
               | > After months of brainwashing
               | 
               | When you say stuff like this, it makes me think you have
               | the wrong idea about who was the victim of brainwashing.
        
               | somenameforme wrote:
               | It sounds hyperbolic but look at any poll on how deadly
               | people thought COVID was compared to how deadly it
               | actually was. This study [1] found people believing that,
               | on average, about 16% of people infected (diagnosed or
               | not) with COVID died. In reality, there were a _measured_
               | total of around 700 million cases and 7 million deaths.
               | And vast numbers of cases went undiagnosed and so would
               | never have ended up being tracked. In any case, the real
               | IFR was well less than 1%. Brain washing is an
               | unnecessarily loaded and divisive term, but it is safe to
               | say that the media (and politicians) actively went out of
               | their way to make people believe things that were not
               | true, and they succeeded.
               | 
               | [1] - https://www.frontiersin.org/articles/10.3389/fpsyg.
               | 2021.6191...
        
               | jf22 wrote:
               | Public perception and reality are often at odds, but it
               | doesn't mean the difference in perception is because of
               | brainwashing, it's because humans are bad at measuring
               | risk.
        
               | koolba wrote:
               | If the ones who are supposed to be informing the masses
               | are deliberately feeding them information that leads them
               | to inaccurately measure said risk, then that's
               | brainwashing.
        
               | somenameforme wrote:
               | I'd argue you're creating a bit of a false dichotomy
               | there. I completely agree that the public is bad at
               | measuring risk. But do you disagree that the
               | media/politicians were actively working to exaggerate the
               | impact of the disease? And really this even applied to
               | organizations like the CDC. Read this [1] page and tell
               | me how long you think it'd take the average person to
               | realize they're talking about child hospitalizations
               | _with_ COVID and not child hospitalizations _from_ COVID?
               | 
               | The "summary" of the article is that "COVID-19 can cause
               | severe illness in children and adolescents" followed by
               | numbers talking about a shocking increase in rates. The
               | fact it's talking about people hospitalized _with_ COVID
               | is hidden in a wall of text written in language that most
               | people wouldn 't be able to decipher. That more people
               | tested positive for a more contagious variant, in any
               | setting, is the most unremarkable news imaginable - spun
               | into a terrifying headline, by the CDC no less.
               | 
               | I see no way to imagine that article was written in good
               | faith. And it's been the absolute norm for the past 3
               | years now.
               | 
               | [1] - https://www.cdc.gov/mmwr/volumes/70/wr/mm7036e2.htm
        
               | Lutger wrote:
               | > That's changing the goalposts.
               | 
               | You complain about that, but proceed to doing it
               | yourself, and you don't even address the point unlike the
               | person you responded to.
               | 
               | > It was like trying to prevent a cold or the flu from
               | spreading.
               | 
               | Which is funny, because even the very mild measures we
               | had here in the Netherlands totally succeeded in
               | preventing the flu from spreading. Haven't had a cold or
               | flu in 1.5 years whereas normally would be sick at least
               | 2-3 times. One strain of the flu was completely
               | eradicated.
        
           | notacoward wrote:
           | Related: https://www.natesilver.net/p/fine-ill-run-a-
           | regression-analy...
           | 
           | There was a discussion here too, but it was hot garbage so
           | I'm not linking to it.
        
             | SamBam wrote:
             | The conclusion of that paper:
             | 
             | The higher the vaccination rate in a state, the lower the
             | deaths _after_ the vaccine was introduced. This is
             | unaffected by the age of the state.
             | 
             | The fact that this shift only emerges _after_ the
             | introduction of the vaccine means we can pretty much rule
             | out any demographics-based causes. The  "low vax" and "high
             | vax" states were pretty much even before the vaccine. The
             | only reasonable conclusion is that high vax rates directly
             | caused lower death rates.
        
           | forgetfreeman wrote:
           | Oh there's certainly moral hazard for all of the muppets that
           | fell in line with the interlocking "reopen" astroturf
           | campaigns that cropped up during the lockdown, but it isn't
           | due to false or misleading claims about vaccine efficacy. It
           | was made clear from jump that 1. the vaccines did not confer
           | perfect immunity and 2. continuous mutation meant the
           | goalposts for protection were moving. Individuals that chose
           | to accept either the narrative that we were all perfectly
           | safe once vaccinated or that there was nothing to worry about
           | in the first place because it was all a giant conspiracy are
           | collectively responsible for Covid making the transition from
           | pandemic to endemic.
        
             | astrange wrote:
             | It's impossible that covid could ever have not become
             | endemic. It can transmit through animals, we're not going
             | to vaccinate or kill all the animals, and we haven't found
             | the source it actually came from.
        
               | forgetfreeman wrote:
               | Bullshit. There was a window of time where hard
               | quarantine could have prevented it. Instead we got
               | politics.
        
           | amelius wrote:
           | https://ourworldindata.org/covid-deaths-by-vaccination
        
           | raverbashing wrote:
           | Reducing transmission is a bonus, and very hard to measure
           | initially. It is not the main (measured) goal of new vaccines
           | 
           | Nobody will worry about transmission when it provably reduces
           | mortality
           | 
           | > So I don't think they saved lives at all
           | 
           | Thank deity we have data proving otherwise
           | 
           | And even bigger thanks to Darwin who rarely disappoints
        
           | usrusr wrote:
           | What would have been the alternative? Go endemic Bergamo-
           | style? Remain in soft lockdown for a decade or two in order
           | to go endemic at a very slow pace? At the time vaccines were
           | widely available, chances of making the virus die out had
           | already been at exactly zero for quite a while (well, zero,
           | plus wherever the chances are for a sudden all life ending
           | meteor strike). It was vaccines that allowed us come to where
           | we are now with the amount of inconvenience we had on the
           | way. Any path without vaccines would have been worse, one way
           | or the other.
        
         | lumb63 wrote:
         | [flagged]
        
           | xxs wrote:
           | So the millions of death cases were a welcome purge?
        
             | K0SM0S wrote:
             | Most discussions around depopulation get bogged down in
             | emotional or ethical arguments. To clarify, ethical
             | considerations aren't distractions; they drive the
             | pragmatic actions of all parties involved. It's even
             | feasible to consider the most ethical--perhaps fully
             | democratic--means of implementing such plans. However, it's
             | worth noting there's a historical tolerance limit beyond
             | which future generations may not be kind to the architects
             | of such initiatives.
             | 
             | The real crux isn't whether some advocate for lower
             | populations--clearly, many do--but the operational aspect:
             | who executes, under what authority, and how? For instance,
             | if a group of biologists and engineers aim to reduce
             | Earth's population to 4 billion by 2400, the implications--
             | like fewer children and potential space colonization--are
             | vastly different than a group of anthropological
             | philosophers striving for the same population count by
             | 2033, which could necessitate more drastic measures.
             | 
             | These logistical issues, whether it's stealth tactics
             | versus open methods or the necessity of opportunistic
             | partnerships, remain conspicuously underexplored.
        
             | logicchains wrote:
             | Sweden never locked down and has one of the lowest covid
             | death rates overall now.
        
               | DiogenesKynikos wrote:
               | Sweden has twice the death rate as its closest neighbors
               | (both geographically and culturally), Norway and Denmark.
               | Note that the differences in policy between Sweden and
               | other European countries were largest early on in the
               | pandemic, and the differences in Sweden's death rate then
               | were even more extreme.
               | 
               | In a broader international comparison, Sweden (and Europe
               | generally) did not fare well. Countries that took a zero-
               | CoVID approach, such as China, Taiwan, Australia, New
               | Zealand, Vietnam and Singapore ended up with much lower
               | death rates, because most of them vaccinated their
               | populations before allowing the virus to spread.
        
               | jacquesm wrote:
               | I think you've made this point at least 50 times in as
               | many COVID threads and you've been refuted at least as
               | many times, why do you keep doing this?
        
               | Lutger wrote:
               | I highly recommend everyone who wonders why people do
               | this to read the 'Conspiracy Theory Handbook'. Unlike
               | what the title suggests, it is a very brief primer into
               | the psychological research done by Cook and others on
               | conspiracy thinking, mostly from the perspective of
               | climate science denial:
               | https://www.climatechangecommunication.org/handbook/the-
               | cons...
               | 
               | One of the key traits of conspiracy thinking is immunity-
               | to-evidence:
               | 
               | "Conspiracy theories are inherently self-healing,
               | evidence that counters a theory is re-interpreted as
               | originating from the conspiracy. This reflects the belief
               | that the stronger the evidence against a conspiracy
               | (e.g., the FBI exonerating a politician from allegations
               | of misusing a personal email server), the more the
               | conspirators must want people to believe their version of
               | events (e.g., the FBI was part of the conspiracy to
               | protect that politician)"
        
               | AndrewDucker wrote:
               | https://www.latimes.com/business/story/2022-03-31/sweden-
               | cov...
        
               | aredox wrote:
               | They just had a very sparse population and the highest
               | rate of single-occupancy housing...
               | 
               | And socialized medicine.
               | 
               | Really, what a fine example for e.g. New York to follow!
        
             | prohobo wrote:
             | I suppose so, if you look at the exacerbation of economic
             | inequality, starvation (+15 million worldwide), and deaths
             | of despair caused by the lockdowns and associated
             | interventions. Seemingly no one minds that.
        
               | ceejayoz wrote:
               | In the US, pandemic mitigation _dropped_ poverty numbers
               | drastically.
               | 
               | https://www.nytimes.com/2022/09/13/business/economy/incom
               | e-p...
               | 
               | Going back up now.
        
           | DiogenesKynikos wrote:
           | Governments could have avoided shutting down if they had been
           | willing to accept much larger numbers of deaths. In the US,
           | that would have meant somewhere around a million _more_
           | deaths.
        
             | kybernetyk wrote:
             | If governments cared about dead people they would regulate
             | the fast food and processed food industry. McDonald's kills
             | more people than covid ever could.
        
               | misnome wrote:
               | I applaud the sheer scale of this whataboutism, to the
               | point I am unsure if it is a parody.
               | 
               | The distance between topics has to be somewhere close to
               | a world record!
        
             | logicchains wrote:
             | That's absolutely untrue; the data shows that lockdowns did
             | not reduce deaths:
             | https://onlinelibrary.wiley.com/doi/full/10.1002/hec.4737 .
             | 
             | >Using an event study approach and data from 43 countries
             | and all U.S. states, we measure changes in excess deaths
             | following the implementation of COVID-19 shelter-in-place
             | (SIP) policies. We do not find that countries or U.S.
             | states that implemented SIP policies earlier had lower
             | excess deaths. We do not observe differences in excess
             | deaths before and after the implementation of SIP policies,
             | even when accounting for pre-SIP COVID-19 death rates.
        
               | aredox wrote:
               | Yes, we should have saturated hospitals even more, it
               | would have had no effect on mortality!
               | 
               | https://youtu.be/0P8KyaYuaTg?si=emkhsme03r9shDxE
        
               | DiogenesKynikos wrote:
               | This is a garbage-in, garbage-out analysis, akin to
               | saying, "We analyzed 100 cities, and found that those
               | with levies were more prone to flooding. Thus, we
               | conclude that levies offer no protection against
               | flooding." We know mechanistically why levies work: they
               | block water. We know mechanistically why lockdowns work:
               | they reduce transmission. Less transmission means fewer
               | infections means fewer deaths.
               | 
               | You can see this most clearly in the zero-CoVID
               | countries, which had dramatically lower death rates
               | during the pandemic. Taiwan and China had virtually
               | _zero_ deaths for much of the pandemic, because they
               | traced literally every infection chain and capped it off.
               | They reopened after vaccinating most of their
               | populations, which means that most people in those
               | countries had a primed immune system when they first got
               | infected. As we know from numerous studies, that
               | dramatically reduces mortality.
        
         | oldgradstudent wrote:
         | [flagged]
        
           | lawn wrote:
           | Vaccination was never about "not getting it".
        
             | oldgradstudent wrote:
             | >Vaccination was never about "not getting it".
             | 
             | What do you base this bizarre claim on?
             | 
             | From the package insert for the Pfizer vaccine:
             | 
             | > COMIRNATY is a vaccine indicated for active immunization
             | to prevent coronavirus disease 2019 (COVID-19) caused by
             | severe acute respiratory syndrome coronavirus 2 (SARS-
             | CoV-2) in individuals 12 years of age and older. (1)
             | 
             | A single indication, "not getting it". This is what the
             | clinical trials tested and this is what the FDA approved.
        
               | ceejayoz wrote:
               | You'll note that insert doesn't say "to prevent
               | infection".
               | 
               | As with HIV (SARS-CoV-2) versus AIDS (COVID-19), the
               | _disease_ you can get _from_ the virus is not the same
               | thing as the _infection itself_.
        
               | oldgradstudent wrote:
               | The trials were never powered to even test for infetion
               | or transmission. It is quite clear now the vaccine
               | prevented neither.
               | 
               | It was supposed to prevent the disease - basically
               | postive test + symptoms. It didn't.
        
               | ceejayoz wrote:
               | > The trials were never powered to even test for infetion
               | or transmission.
               | 
               | You called that very statement a "bizarre claim"
               | upthread.
               | 
               | Try this: "Seatbelts prevent injury and death in car
               | accidents."
               | 
               | They don't prevent every single one of them, but no one
               | calls the above statement a lie. Your standard -
               | requiring a vaccine be perfect at its purpose - is an
               | invented one in bad faith to win an argument.
        
               | oldgradstudent wrote:
               | > You called that very statement a "bizarre claim"
               | upthread.
               | 
               | The discussion was about Covid. Covid is the disease
               | (infection+symptoms). The vaccine was supposed to prevent
               | you from "getting it".
        
               | ceejayoz wrote:
               | We have evidence of it reducing transmission:
               | https://www.cidrap.umn.edu/covid-19/covid-shots-previous-
               | inf...
               | 
               | That alone demonstrates the vaccine can help you not get
               | it.
               | 
               | We have loads of evidence of it lessening symptoms; for a
               | non-zero amount of people, that'll mean going from
               | symptomatic to asymptomatic, i.e. SARS-CoV-2 infection
               | but not COVID-19.
               | 
               | Vaccines have never been expected to be perfect in this
               | regard; some polio vaccines can _give people polio_ , for
               | example.
               | 
               | (The idea that "turns out it only prevents
               | hospitalization and/or death, not mild symptoms" is a bad
               | result is also lunacy from the start.)
        
               | oldgradstudent wrote:
               | Again, the debate started over the claim that
               | 
               | >>>> Vaccination was never about "not getting it".
               | 
               | Of course it was about whether the vaccine prevents you
               | from "getting it" (it being Covid). The original claim
               | was that it was 95% effective in preventing you getting
               | it.
               | 
               | > We have loads of evidence of it lessening symptoms; for
               | a non-zero amount of people, that'll mean going from
               | symptomatic to asymptomatic, i.e. SARS-CoV-2 infection
               | but not COVID-19.
               | 
               | We have loads of crappy evidence showing that (see
               | below). Crappy means highly confounded observational
               | data.
               | 
               | > Vaccines have never been expected to be perfect in this
               | regard; some polio vaccines can give people polio, for
               | example.
               | 
               | No one expects them to be perfect, but the original
               | claims were they were supposed to be 95% effective in
               | preventing Covid. Real world efficacy is no where near
               | that. If there's any efficacy at all it is in the low
               | teens.
               | 
               | [BTW, there's a huge debate about the oral Polio vaccine.
               | The US stopped vaccinating with it two decades ago
               | because of that risk]
               | 
               | > (The idea that "turns out it only prevents
               | hospitalization and/or death, not mild symptoms" is a bad
               | result is also lunacy from the start.)
               | 
               | It would be luncay if anyone actually claimed that.
               | 
               | The problem is that claiming that it prevents
               | hospitalizations or deaths requires evidence. Reliable
               | evidence.
               | 
               | A recent NEJM correspondence demonstrates quite vividly
               | how terrible much of the evidence for that claim was:
               | 
               | https://www.nejm.org/doi/full/10.1056/NEJMc2306683
               | 
               | (the original author's response is especially hillarious)
        
               | empath-nirvana wrote:
               | > to prevent coronavirus disease
               | 
               | You can be infected with a pathogen without developing
               | the disease associated with the pathogen.
        
           | empath-nirvana wrote:
           | I caught covid after getting vaccinated and I would not have
           | even known I had it had a coworker not tested positive and I
           | had to test to come back to the office. Symptoms were
           | incredibly mild. A lot of people my age who weren't
           | vaccinated ended up the in the ER. I never thought the
           | vaccine would prevent disease, it was never claimed that the
           | vaccine prevented catching covid, it always just reduced
           | severity and mortality.
        
             | AuryGlenz wrote:
             | I'm not saying it didn't reduce your symptoms - it probably
             | did. But there were plenty of people that caught COVID
             | unvaccinated and had the same experience as you.
             | 
             | On the other hand, I had the wonderful experience of
             | catching the first virus and the delta variant. I should
             | have been _more_ protected than with the vaccine by itself
             | as the data clearly showed at the time but it still hit me,
             | a 34 year old decently fit person, almost equally as hard.
             | I had 2-3 weeks of incredibly high fever along with a bunch
             | of other nasty symptoms.
             | 
             | We're all different. My retirement age mom has never been
             | vaccinated (even though I wish she would have) and she's
             | either never caught it, which I doubt, or it was so mild
             | she didn't realize it.
        
             | oldgradstudent wrote:
             | The vaccine was never approved for reduction of symptoms
             | because there was no good evidence to make this claim. And
             | there's no good evidence to make it now.
             | 
             | It was approved for the prevention of Covid (the 'D' stands
             | for disease). It was supposed to prevent you from getting
             | Covid, regardless of severity, and it didn't.
             | 
             | And if we're citing anecdotal evidence. I know of no one
             | who got anything more than flu symptoms, and for most it
             | was mild, regardless of vaccination.
             | 
             | That includes obese diabetic 80s year olds. I know of no
             | one personally who went to the ER except for a vaccinated
             | friend who panicked.
        
             | someuser2345 wrote:
             | > it was never claimed that the vaccine prevented catching
             | covid The president of the United States made that exact
             | claim: https://apnews.com/article/joe-biden-business-
             | health-governm...
        
         | shrubble wrote:
         | The ability to do it (specification) is what is being rewarded,
         | not the merits or not of what Pfizer/Moderna/Biontech did
         | (implementation).
        
         | logicchains wrote:
         | Some places never locked down, like Sweden and South Dakota,
         | and their death rate wasn't significantly higher. Overall
         | there's no evidence that lockdowns actually reduced mortality:
         | https://onlinelibrary.wiley.com/doi/full/10.1002/hec.4737 .
         | 
         | >Using an event study approach and data from 43 countries and
         | all U.S. states, we measure changes in excess deaths following
         | the implementation of COVID-19 shelter-in-place (SIP) policies.
         | We do not find that countries or U.S. states that implemented
         | SIP policies earlier had lower excess deaths. We do not observe
         | differences in excess deaths before and after the
         | implementation of SIP policies, even when accounting for pre-
         | SIP COVID-19 death rates.
        
           | ethbr1 wrote:
           | South Dakota, the state that ranks 46 (out of 50) in terms of
           | population density?
        
           | andyjohnson0 wrote:
           | Parent comment was referring to vaccines not lockdowns.
        
           | lawn wrote:
           | In Sweden it was notably higher initially.
           | 
           | What made a difference in Sweden was that vaccination rates
           | were really high and they were administrated quickly.
           | 
           | Had the anti-vaccine ideas spread more Sweden would be much,
           | much worse off.
        
           | stringsandchars wrote:
           | > Some places never locked down, like Sweden
           | 
           | After the first two devastating waves during the Spring and
           | Autumn of 2020, Sweden in fact 'locked-down' in some ways
           | more restrictively than our nordic neighbors - all of which
           | made timely interventions that meant their restrictions on
           | meeting en-masse in public were for shorter periods and less
           | intrusive on people's everyday lives.
           | 
           | The narrative that it was a 'free-for-all' in Sweden has been
           | fostered retrospectively by neo-liberal groups that placed
           | economics above human lives. In their eagerness to be 'proved
           | right' after the fact, most Swedes now embrace this
           | historical revisionism.
           | 
           | The statistics that show that Swedish "excess deaths" were
           | low or even lower than other countries were cooked-up by a
           | journalist from a right-wing newspaper in Sweden (SvD), who
           | noticed that if one discounts the downward trend in excess
           | death for the last 25 years in Sweden, together with
           | dispensing with demographic weighting, and then averaging the
           | 3 years from 2019 onwards (which includes the period after
           | vaccination), then miraculously you can squeeze the numbers
           | you want from the raw figures.
        
             | brutusborn wrote:
             | How was Sweden more restrictive than it's neighbours?
        
               | heyoni wrote:
               | Yea I'm dying to hear this too because that's what I've
               | seen: it was a free for all.
        
               | stringsandchars wrote:
               | > Yea I'm dying to hear this too because that's what I've
               | seen: it was a free for all.
               | 
               | If you go to:
               | 
               | https://ourworldindata.org/covid-stringency-index
               | 
               | take away the default countries, and instead add Denmark,
               | Finland, Norway and Sweden.
               | 
               | Then make sure you also click "Align axis scales" you
               | will see that Sweden only had fewer restrictions than its
               | neighbors during a very short period at the beginning of
               | the pandemic (during the first wave).
               | 
               | After that, Sweden had both more stringent restrictions
               | than all its neighbors, and had those restrictions in
               | place for a longer period of time.
               | 
               | The _narrative_ - the historical revisionism, the myth
               | that a very large number of people want to promote, and
               | which has even become some sort of amnesiac  'reality'
               | for many Swedes - should not be mistaken for what really
               | happened.
        
               | heyoni wrote:
               | Thanks for the source! And I'm not saying I'm 100% right
               | but I do remember reading articles from the economist and
               | other solid publications about them not having any
               | restrictions. I won't be able to find the article but I
               | will look...and also look at this one.
               | 
               | /edit I actually found this in my bookmarks fyi:
               | https://archive.ph/7y7gF
        
               | stringsandchars wrote:
               | > edit I actually found this in my bookmarks fyi:
               | https://archive.ph/7y7gF
               | 
               | But Tegnell is the architect and main proponent of the
               | historical revisionism that I'm talking about. He is the
               | man at the center of the controversial policies.
               | 
               | Even while they were being enacted, Sweden was fed a
               | narrative of exceptionalism by Tegnell and the mainstream
               | media, who never mentioned the comparative liberality of
               | the other Nordic states' policies, and maintained the
               | fiction that we were still following the most liberal
               | strategy (even to this day).
               | 
               | Tegnell is massively popular in Sweden. In fact, as
               | deaths accumulated and it looked more and more like he
               | was following a disastrous path, his popularity increased
               | exponentially.
               | 
               | Criticism or even mildly questioning Tegnell was (and for
               | a large part, still is) totally off-limits: there is
               | absolutely no way I'd mention my doubts about him or his
               | policies to my fellow Swedish colleagues or friends.
               | 
               | edit: Incidentally, for those who can read Swedish (or
               | use Google Translate), this series of contemporary
               | articles is a really great overview of the events in
               | Sweden seen from a skeptical perspective:
               | 
               | https://floderochtekoppar.blogspot.com/2021/09/sveriges-
               | hant...
        
               | cycomanic wrote:
               | As a foreigner living in Sweden during covid was just
               | bizarre. I certainly appreciated that school were kept
               | open and that the country never went into complete lock
               | down. However the making fun of masks at the highest
               | level, because there hadn't been any definite studies
               | that showed they work (and after the turnaround later
               | they wondered why so few people put them on), or the
               | policies for medical personal who were not allowed
               | protective gear (because it scares patients) even for
               | ones working directly in the covid wards.
               | 
               | And yes there is definitely a weird "Swedish
               | exceptionalism", which interestingly Swedes from all sort
               | of political persuasion exhibit.
        
               | bjourne wrote:
               | Well, even now, many years later there is still no
               | evidence that mask mandates reduced covid infections.
               | https://www.nytimes.com/2023/02/21/opinion/do-mask-
               | mandates-...
        
               | nvm0n2 wrote:
               | The Oxford Stringency Index doesn't correlate in any way
               | with COVID deaths so it's unclear what point you're
               | getting at here. None of the NPIs had any effect on
               | COVID.
        
               | RandomLensman wrote:
               | At the very least not practically, a lot of companies
               | went WFH, for example. There might have been less
               | official forcing but behavior for sure changed.
        
             | nvm0n2 wrote:
             | _> the first two devastating waves during the Spring and
             | Autumn of 2020_
             | 
             | Sweden had negative excess mortality from Jan 2020 to
             | Spring 2021, so fewer people died than expected in this
             | period. These COVID waves just weren't devastating in any
             | way, and yielded virtually no deaths "of" and not "with"
             | COVID. It's strange that you are so convinced that Sweden's
             | data doesn't disprove the effectiveness of lockdowns...
             | 
             |  _> neo-liberal groups that placed economics above human
             | lives_
             | 
             | Ah, I see.
        
               | sampo wrote:
               | > Sweden had negative excess mortality from Jan 2020 to
               | Spring 2021
               | 
               | According to this, Sweden had quite bad excess mortality
               | in 2020 in April and May, and some in June. And then
               | again from mid-November 2020 to mid-January 2021.
               | 
               | https://ourworldindata.org/grapher/excess-mortality-raw-
               | deat...
               | 
               | There are many different ways different sources have
               | tried to estimate cumulative excess mortality. Depending
               | on the calculation methods, different sources have ended
               | up with quite different results.
               | 
               | What is your source, and what method did they use?
        
               | nvm0n2 wrote:
               | 2015-2019 average baseline.
               | 
               | It can be debated what model should be used and
               | governments don't always have consistent methods of
               | baselining. With different models you can compute some
               | excess mortality in Sweden but those have their own
               | flaws.
               | 
               | But it's worth calling out here that the reason you have
               | to dive into the details of what precise baseline model
               | you use is because the number of deaths was so very tiny
               | on the scale of a country. A simple graph showing the
               | absolute numbers puts it in perspective:
               | 
               | https://www.statista.com/statistics/525353/sweden-number-
               | of-...
               | 
               | Alternatively, a graph of deaths per 100k people shows
               | how surprisingly normal 2020 was in Sweden:
               | 
               | https://i0.wp.com/swprs.org/wp-
               | content/uploads/2023/04/swede...
               | 
               | It looks initially dramatic but that's only due to the
               | massive drop in 2019. In reality 2020 had the same number
               | of deaths per pop as in 2015! Nothing special happened in
               | 2015.
               | 
               | Given that 2019 was an abnormally low year, 2020 would
               | have been a bit higher than normal anyway even with no
               | pandemic. But we're still looking at numbers pretty much
               | within the realm of normal variance. If somehow you'd
               | never heard of COVID, then someone had shown you that
               | graph and asked "did something catastrophic happen in
               | this decade" you'd probably have said no. Although 2020
               | is a bit higher, it's on the order of a few thousands of
               | people, not something you could have noticed in a country
               | of millions short of saturation-level media coverage.
               | 
               | That's why it's hard to say but important to hear: these
               | levels of death simply do not matter. How do we know?
               | Because some countries have had high and persistent
               | levels of excess death since the end of the pandemic, but
               | as COVID isn't the explanation hardly anyone cares.
               | There's just no link between levels of death and severity
               | of reaction, in our society.
        
               | sampo wrote:
               | > 2015-2019 average baseline.
               | 
               | Many European countries have an ageing population, and
               | thus the number of yearly deaths increase year to year.
               | For example Finland in 2010-2019 had about 0.8% increase
               | in yearly deaths every year. If the deaths followed this
               | model and thus there was absolutely no excess mortality
               | (and no random variation), the simple method you cite
               | would compare 2020, 2021 and 2022 to the average of
               | 2015-2019, and would estimate 2.4%, 3.2% and 4.0% excess
               | mortality for years 2020, 2021, 2022 for Finland.
               | 
               | Whereas Sweden doesn't have an ageing population
               | structure, due to lots of immigration in the past 20
               | years. And Sweden didn't have an increasing trend in
               | yearly deaths in 2010-2019.
               | 
               | This simple method overestimates the excess mortality for
               | many countries, if they have an ageing population
               | structure. Then you end up comparing overestimated values
               | to Sweden's value that it not overestimated.
        
               | nvm0n2 wrote:
               | You can project a baseline like that and get a higher
               | number for 2020, but 2019 is still abnormally low and
               | those people who survived 2019 had to die at some point.
               | 
               | I'm happy to grant a different baseline though. It goes
               | from being a really small number to a really small
               | number. Remember that everything that happened was
               | justified by claiming a 3.something% IFR and 100%
               | infection rate in a single giant wave. That never came
               | close to happening and the places that used very light
               | touch approaches had no different outcomes to places that
               | went full totalitarian. That's the important thing here.
        
           | chimprich wrote:
           | > Some places never locked down, like Sweden and South
           | Dakota, and their death rate wasn't significantly higher
           | 
           | Many factors: different demographics, population density,
           | culture, what does "locked down" mean in different countries
           | / areas, what does "significantly higher" mean...
           | 
           | One important point though is this probably confuses
           | correlation and causation. Areas that were hit harder tended
           | to lock down harder.
           | 
           | > Overall there's no evidence that lockdowns actually reduced
           | mortality
           | 
           | People post this occasionally, and I'm going to keep calling
           | bullshit. What happens is someone posts a fringe paper that
           | supports their view whilst conveniently ignoring the large
           | body of established scientific orthodoxy that supports the
           | obvious conclusion: that restricting human interaction slows
           | down transmission of a respiratory disease that transmits
           | through human interaction.
        
             | brutusborn wrote:
             | I agree that the mechanism for lockdowns helping is sound
             | (less interaction -> less infection) but I still believe
             | lockdowns were harmful overall (eg including aspects like
             | additional deaths of despair - suicide and overdose, less
             | healthy activities - exercise and socializing etc).
             | 
             | I must admit this belief mostly comes from the claim Sweden
             | did better, and the fact that where I live had almost no
             | lockdowns and did better than the rest of my country.
             | 
             | Do you know of any good evidence that lockdowns were
             | effective, or are you calling bullshit based on intuition?
        
               | chimprich wrote:
               | > I still believe lockdowns were harmful overall (eg
               | including aspects like additional deaths of despair -
               | suicide and overdose, less healthy activities - exercise
               | and socializing etc).
               | 
               | Lockdowns were absolutely harmful - I don't think anyone
               | is claiming otherwise. They were effective in stopping
               | health systems collapsing, which is why pretty much
               | everywhere implemented them when it looked like their
               | health systems were about to be overwhelmed. (cf Italy in
               | early 2020). That would have been catastrophic compared
               | to the harms of lockdown.
               | 
               | In terms of suicides specifically, the evidence is not
               | clear. I've seen studies that indicate suicide rates did
               | not increase or actually fell during the pandemic, e.g. h
               | ttps://www.thelancet.com/journals/eclinm/article/PIIS2589
               | -5... . There were also fewer deaths from road traffic
               | accidents etc. However, there were lots of other harmful
               | effects such as secondary effects from the economic
               | impact.
               | 
               | > Do you know of any good evidence that lockdowns were
               | effective, or are you calling bullshit based on
               | intuition?
               | 
               | There have been a number of studies concluding that
               | lockdowns were effective. I doubt digging them up will
               | convince any of the sceptics in this thread.
               | 
               | But since you ask... how about this Royal Society report?
               | https://royalsociety.org/topics-policy/projects/impact-
               | non-p...
        
               | xorcist wrote:
               | We do not need to look further than excess mortality
               | during the period.
               | 
               | It's three years later now and the numbers are in. There
               | is plenty of high quality data from all Western
               | countries.
               | 
               | However data driven policy decisions should be much more
               | fine grained than that. We should instead identify
               | specific situations where different type of lockdowns
               | would make sense.
               | 
               | But the data is clear. Prolonged periods looks bad, at
               | closing schools were clearly the wrong decision on every
               | time scale.
        
               | brutusborn wrote:
               | I'm skeptical but open to changing my mind. The suicide
               | paper was interesting, I think it makes sense that early
               | in the pandemic suicides would decrease. I would be
               | interested to see a similar analysis for 2022 and 2023
               | since I would expect there to be many second-order
               | suicides (not a suicide during the lockdown but a later
               | suicide as a result of lost social interactions,
               | additional addictions and economic impacts).
               | 
               | Are there any particular papers in the report that you
               | think are evidence that lockdowns prevented health system
               | collapse and were beneficial overall?
               | 
               | I had a preliminary skim of it and decided to check the
               | first relevant citation for lockdown effectiveness. It
               | has the same problems as most of the studies I have seen:
               | it does not include any of the second order effects. Of
               | course virus transmission is reduced by limiting
               | interactions but this is only one part of the story. This
               | may be answered in some of the other references but I
               | need to put it aside for now.
        
           | sampo wrote:
           | > Some places never locked down, like Sweden and South
           | Dakota, and their death rate wasn't significantly higher.
           | 
           | In 2020 it clearly was higher. Denmark, Finland and Norway
           | avoided the spring 2020 death wave, whereas in Sweden
           | mortality was 20% to 50% (well, 48%) higher during the weeks
           | of April and May 2020.
           | 
           | https://ourworldindata.org/grapher/excess-mortality-raw-
           | deat...
           | 
           | https://ourworldindata.org/grapher/excess-mortality-raw-
           | deat...
           | 
           | https://ourworldindata.org/grapher/excess-mortality-raw-
           | deat...
           | 
           | https://ourworldindata.org/grapher/excess-mortality-raw-
           | deat...
        
           | TheBigSalad wrote:
           | What we call "lock down" was hardly anything. And usually in
           | reaction to surging cases. So the data probably couldn't show
           | it working, even if it did. And it probably didn't.
        
       | [deleted]
        
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