The thing about vaccines is that, because they are preventative measures given to people without disease, it’s not really possible to know if benefits > risks without testing them on large numbers of people; i.e., doing proper phase 3 clinical trials.https://twitter.com/ashishkjha/status/1300080022602969089 …
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Yes. But the ethics of having a preventive at hand and not doing anything are also problematic. Sometimes there isn’t a great answer.
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You don’t have a preventive “at hand” until it’s been shown to be effective and safe. The consequences of getting this wrong for either safety or effect would be unimaginable.
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In places nursing homes or prisons, merely applying social distancing and basic hygiene routines has been shown to be quite effective in limiting disease spread. So it is very unlikely to justify an EUA, since there would already be effective methods available.
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That's only sort of true. In my area, we've had double digit fatalities in a number of facilities, even with cohorting, droplet precautions, etc. Also, note that memory care and psych facilities make these steps close to impossible.
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