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macrocephalopod's profile
macrocephalopod
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@macrocephalopod

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macrocephalopod

@macrocephalopod

Paul Allen, Vice President M&A, Pierce & Pierce (Sie/Hir) | Vegan | Silence is Violence | Women’s Rights Are Human Rights | ACAB (Assigned Cephalopod At Birth)

Joined December 2020

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    1. econhedge‏ @econhedge 31 Dec 2020

      econhedge Retweeted Ben Kentish

      This is pretty incredible. Vaccine makers suggesting the change in U.K. policy on vaccine dose sequencing is potentially hugely flawed. Are we snatching defeat out of the jaws of victory?https://twitter.com/BenKentish/status/1344584306589638656 …

      econhedge added,

      Ben KentishVerified account @BenKentish
      Pfizer says there is “no data” to suggest that people are properly protected after just one dose of its vaccine, as U.K. scientists and politicians have said: “The safety and efficacy of the vaccine has not been evaluated on different dosing schedules.” pic.twitter.com/8mSbDeIptp
      Show this thread
      4 replies 7 retweets 10 likes
    2. macrocephalopod‏ @macrocephalopod 31 Dec 2020
      Replying to @econhedge

      True that there is “no data” from their trial, but plenty of reasons to think that protection will last longer than 21 days based on (a) our understanding of the mechanism (b) experience with vaccines for other pathogens.

      1 reply 0 retweets 1 like
    3. macrocephalopod‏ @macrocephalopod 31 Dec 2020
      Replying to @macrocephalopod @econhedge

      eg AstraZeneca vaccine *was* tested in a one dose regime and protection was as good (actually better) than two dose regime, up to the point they stopped the trial. Are there reasons to think that the Pfizer vaccine is different?

      1 reply 0 retweets 1 like
    4. econhedge‏ @econhedge 31 Dec 2020
      Replying to @macrocephalopod

      Pfizer is a 2 dose vaccine. In the trial some participants caught the virus between getting the first and second dose and one dose was found to be 52% effective.

      1 reply 0 retweets 1 like
    5. macrocephalopod‏ @macrocephalopod 31 Dec 2020
      Replying to @econhedge

      Almost everyone who caught the virus after the first dose caught it within the first ten days, when you would not expect much if any immunity. Between 10 and 21 days it was nearly as effective as in the period following the second dose.

      1 reply 0 retweets 1 like
    6. econhedge‏ @econhedge 31 Dec 2020
      Replying to @macrocephalopod

      The difference is big. https://www.bmj.com/content/371/bmj.m4826 …

      1 reply 0 retweets 1 like
    7. Ben‏ @1867ben 31 Dec 2020
      Replying to @econhedge @macrocephalopod

      But as @macrocephalopod said - that’s all about timing. Those cases were in the short period after first dose and before we’d expect it to be working anyway. There’s no evidence about rates after would expect immunity.

      1 reply 0 retweets 0 likes
    8. econhedge‏ @econhedge 31 Dec 2020
      Replying to @1867ben @macrocephalopod

      What do you think we are taking about ... we are talking exactly about timing

      2 replies 0 retweets 0 likes
      macrocephalopod‏ @macrocephalopod 31 Dec 2020
      Replying to @econhedge @1867ben

      Look at the difference in the slope of the lower line between 0 to 10 days and 10 to 21 days. Second dose is not administered till 21 days but protection has obviously kicked in before that.pic.twitter.com/sstcFj9MJI

      3:36 AM - 31 Dec 2020
      • 1 Like
      • Ben
      2 replies 0 retweets 1 like
        1. New conversation
        2. macrocephalopod‏ @macrocephalopod 31 Dec 2020
          Replying to @macrocephalopod @econhedge @1867ben

          All of the difference between 1 dose and 2 dose regime happens in the first ten days after the first dose, when there is no immunity. You would have this period whether you are in a 1 dose or two dose regime.

          1 reply 0 retweets 0 likes
        3. macrocephalopod‏ @macrocephalopod 31 Dec 2020
          Replying to @macrocephalopod @econhedge @1867ben

          In fact based on Pfizer’s own data, there is no evidence that the second dose does anything at all! All we can say is that two doses is effective. They didn’t test one dose regime so hard to say, but there’s some evidence (and our priors) that one dose is pretty good.

          0 replies 0 retweets 0 likes
        4. End of conversation
        1. New conversation
        2. Michael Penn‏ @pennma2 31 Dec 2020
          Replying to @macrocephalopod @econhedge @1867ben

          I understand what you're saying, and you may well be right. But it seems extremely risky to change a national distribution strategy based solely on the idea of extrapolating the red line from days 10-21 and assuming it remains flat.

          1 reply 0 retweets 1 like
        3. macrocephalopod‏ @macrocephalopod 31 Dec 2020
          Replying to @pennma2 @econhedge @1867ben

          Yep understand that there are risks and data is limited. But the decision is not only based on this data - trials of other covid vaccines, other metrics from these trials (eg antibody production) and what we know about vaccines in general 1/2

          1 reply 0 retweets 0 likes
        4. Show replies

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