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Denmark to permanently cease using AstraZeneca vaccine

reuters.com

261–270 of 344 posts

Re: Denmark to permanently cease using AstraZeneca vaccine

#261
post #45
post #14

Earlier quoted context omitted.

Theoretically Pfizer has higher efficacy, especially with variants. Giving Pfizer to the old and AZ to the young probably saves more lives than the other way around. If you decide that you don't want to give AZ to the young any more, it doesn't follow that it's then a good idea to give it to the old, especially if you have enough supplies of Pfizer to vaccinate the old.

All the vaccines have 100% efficacy in preventing ICU admissions so far.

not quite

>Hospitalization data for 129 of the fully vaccinated cases is incomplete, Sutfin said. But for the 117 people for whom hospitalization records are known, 11 were hospitalized.

https://www.freep.com/story/news/local/michigan/2021/04/06/v...

"However, since February 1, eight people with vaccine breakthrough have been hospitalized. DOH is investigating two potential vaccine breakthrough cases where the patients died."

https://www.doh.wa.gov/Newsroom/Articles/ID/2720/Cases-of-CO...

Re: Denmark to permanently cease using AstraZeneca vaccine

#262

Earlier quoted context omitted.

Slowely I'm getting the impression that a lot of decisions around AZ are politically driven. In Germany, the new recommendation is now to use Biontech for the second shot after AZ. In that recommendation, it is also stated that there are no studies nor data supporting that. Quite funny, because there is, to my understanding, a study taking place in the Uk for that. It is expected to be done by end of April. Someone h…

I was getting the impression that pretty much any government decision around COVID-19 was politically driven, not just AZ. Actually that does not even sound very surprising.

This much was clear in January 2020.

Re: Denmark to permanently cease using AstraZeneca vaccine

#263

Earlier quoted context omitted.

I’ll tell you one thing that’s even worse than elections - no elections

Absolutely! But having elections in 2021 makes every Covid-related decision by definition political. And that doesn't help. I should have made clear that the problem with elections is the timing, not elections in general. Governments should be focused on getting the population vaccinated as fast as possible now, and not worry about their / (re-)election chances.

As soon as you justify canceling elections for one crisis, you can cancel them for any crisis. You'll manufacture a crisis if necessary.

Re: Denmark to permanently cease using AstraZeneca vaccine

#264
post #3

Not giving it to 65+ people seems overly cautious. There are zero cases in that group and even just a small delay will mean many dead. This is trading a potential unlikely side effect for a large number of severe Covid cases in high risk groups. Edit: yes I'm aware they have only a dozen or so dead per week but that also translates to hundreds of severe cases, missed elective surgeries, etc. For what would most likel…

> There are zero cases in that group and even just a small delay will mean many dead.

Not really. AZ is a small fraction of the total vaccines being deployed in Denmark.

> For what would most likely result in zero side effects in the elderly group.

The elderly group is almost fully vaccinated because they were prioritized; allowing AZ to go forward with that group would have no meaningful effect on the delay in overall vaccination completion, or its expected impacts. This is explicitly noted in the article as part of the reason Denmark.made the decision.

Re: Denmark to permanently cease using AstraZeneca vaccine

#265
post #181
post #147

Earlier quoted context omitted.

>There was a bit of an initial, politically influenced confusion in the US at the beginning up until about June You are downplaying it - they were actively taking a stance against them in the US and June was already quite late into the pandemic. The WHO themselves were advising people NOT to wear a mask and that it might be even more dangerous to wear one than not to wear it months into the pandemic.. They also only…

> The WHO themselves were advising people NOT to wear a mask and that it might be even more dangerous to wear one than not to wear it months into the pandemic.. They also only revised this in June To protect yourself . The revised and current advice is to wear masks to protect the others and avoid propagating the virus. Why does everyone complaining about the masks thing miss that? And as others have already said, th…

> The revised and current advice is to wear masks to protect the others and avoid propagating the virus.

This was a mistake. If authorities were going to be lying about masks anyway, the message should have been that they protect the wearer. People care more about themselves than they do about strangers.

Re: Denmark to permanently cease using AstraZeneca vaccine

#266
post #25
post #3

Not giving it to 65+ people seems overly cautious. There are zero cases in that group and even just a small delay will mean many dead. This is trading a potential unlikely side effect for a large number of severe Covid cases in high risk groups. Edit: yes I'm aware they have only a dozen or so dead per week but that also translates to hundreds of severe cases, missed elective surgeries, etc. For what would most likel…

It's a real world example of a trolley problem. They're choosing to let a large group risk severe disease or death through inaction, rather than pulling the lever and have a small group be at risk due to their actions.

> They're choosing to let a large group risk severe disease or death through inaction, rather than pulling the lever and have a small group be at risk due to their actions.

I think your interpretation of the relative risks is wrong, but I’m open to seeing the calculations by which you come to this conclusion.

Re: Denmark to permanently cease using AstraZeneca vaccine

#267

Earlier quoted context omitted.

Absolutely! But having elections in 2021 makes every Covid-related decision by definition political. And that doesn't help. I should have made clear that the problem with elections is the timing, not elections in general. Governments should be focused on getting the population vaccinated as fast as possible now, and not worry about their / (re-)election chances.

As soon as you justify canceling elections for one crisis, you can cancel them for any crisis. You'll manufacture a crisis if necessary.

I never said we should cancel elections, quite the opposite. I just certain problems with conflicting incentives in the period before an election. Like weighing decision not just based on data and facts, but on public perception, media coverage and the impact on election chances. Covid had a shitty timing with that.

Re: Denmark to permanently cease using AstraZeneca vaccine

#268
post #82

This decision seems illogical to many commenters here, but I assume the decision was made by professionals with all the data in front of them. Which then raises the question, why did these professionals make a decision so different than the "obvious" opinion here?

Because it's a kind of a trolley-problem that makes people make wrong decisions because of how society assigns blame. If the vaccine kills 1 person, they can be held directly responsible for that death. However, if the lack of vaccine kills 100 people, their deaths are the result of COVID, and would not be considered the result of the decision. In trolley problem terms, they would be blamed for pushing someone in fro…

And I think in general people are inherently equipped to handle the idea of getting sick and dying. It happens to everyone eventually; it's unavoidable. Death from something another person's actions can be blamed for is much less tolerable.

Re: Denmark to permanently cease using AstraZeneca vaccine

#269
post #3

Not giving it to 65+ people seems overly cautious. There are zero cases in that group and even just a small delay will mean many dead. This is trading a potential unlikely side effect for a large number of severe Covid cases in high risk groups. Edit: yes I'm aware they have only a dozen or so dead per week but that also translates to hundreds of severe cases, missed elective surgeries, etc. For what would most likel…

Not really. We have already vacinated most of the high risk groups and our hospitals are not at risk of capacity. It just means that people like me who are at the end of the queue will lose six months more of our lives waiting for a vaccine (they have also paused J&J, I am assuming that one is gone too).

I’m assuming it’s similar to Sweden in terms of vaccinated over 60 and fraction of vaccines that are AZ?

Sweden has only around 10% given a first dose in the 60-69 group yet and a huge fraction of the doses given to that group are now AZ, so that mRNA vaccines can be given to other groups.

Re: Denmark to permanently cease using AstraZeneca vaccine

#270
post #139

In both the comments and in other discussions, I've seen a lot of trolley problem analogies. This is a spectacularly bad analogy. In the trolley problem, the people on the tracks have no choice! With regards to vaccines, we can give people a choice. A competent government would respect people's agency. It would say "Hey folks, the virus kills 1/N and the vaccine kills 1/M, take your pick." When people learn the M is…

People don't have a great history of dealing with probability on a strictly rational basis.
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