Okay. So the whole time, not once, not anywhere, have I advocated saying "vaccines will prevent transmission" without a clear "we expect" "likely" "probably" and adding "we're waiting for more data." THAT IS NOT CURRENT MESSAGING. I think it should be.
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Replying to @zeynep @reluctantlyjoe
(Even that macaque study had reduced viral loads but anyway). The current messaging is "we don't know" and it is widely interpreted as "they won't" because that's how it communicates—this has been a problem the whole pandemic. The "no evidence" statements need calibration.
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Replying to @zeynep @reluctantlyjoe
"We have no evidence of immunity" or "we don't know if infection provides immunity" was the spring message when it should have been "of course we expect infection to provide immunity but we don't know for how long and how strong." The former is heard as "it does NOT."
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Replying to @zeynep @reluctantlyjoe
People who write papers, write grants etc. are used to a frequentist/null-hypothesis language. It's what gets published. It's what gets the grants. I publish, I have grants, I get the language. But it miscommunicates, badly because that's not how how people interpret "don' know."
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Replying to @zeynep
we should work on explaining to people what it means to not know! it's how we do most science. and science affects peoples lives (hello current world). glossing over complexity isn't right now or ever! invite people in to the process.
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Replying to @reluctantlyjoe
Saying "we don't know" rather than "we expect that [insert strong priors]" "It is likely that but we're waiting for data..." is what glosses over complexity. How many people need to tell you that they hear/think vaccines do not prevent transmission? It's what's being messaged.
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Replying to @zeynep
fwiw i say "we don't yet know, but we think it's likely...." which I think accurately represents the current state of the data, but emphasizes the need for ongoing NPIs
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Replying to @reluctantlyjoe
"We think it's likely" is not in the current messaging or guidelines.
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Replying to @zeynep
i think we've reached a venn diagram good place and appreciate the convo. in my work, i definitely acknowledge the current state of the data. maybe you can walk back from "we know" which you did say a few times herein?
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Replying to @reluctantlyjoe
I think I'm pretty clear on what I've been saying for months: we expect that they will reduce transmission, with increasing confidence over time. How much, yet unclear. What to do? Nuanced guidelines that take risk and private/public distinction into account and empower people.
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As for non-compliance, that's here. I think nuance helps with that, to the degree we can. If you show me what I should walk back from, sure. I rail against the "we don't know" messaging, not the uncertainty. But good place to leave it.
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