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Moderated Underselling the vaccine


 

We want to keep the vegan community healthy!

They are "essentially 100 percent effective against serious disease."
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January 18, 2021

By

Good morning. We explain why the vaccine news is better than you may think.

Preparing the Pfizer vaccine in Phoenix.Adriana Zehbrauskas for The New York Times

¡®We¡¯re underselling the vaccine¡¯

Early in the pandemic, many health experts ¡ª and ¡ª decided that the public could not be trusted to hear the truth about masks. Instead, the experts spread a misleading message, discouraging the use of masks.

Their motivation was mostly good. It sprung from a concern that people would rush to buy high-grade medical masks, leaving too few for doctors and nurses. The experts were also unsure how much ordinary masks would help.

But the message was still a mistake.

It confused people. (If masks weren¡¯t effective, why did doctors and nurses need them?) It delayed the widespread use of masks (even though there was to believe they could help). And it damaged the credibility of public health experts.

¡°When people feel as though they may not be getting the full truth from the authorities, snake-oil sellers and price gougers have an easier time,¡± the sociologist wrote early last year.

Now a version of the mask story is repeating itself ¡ª this time involving the vaccines. Once again, the experts don¡¯t seem to trust the public to hear the full truth.

This issue is important and complex enough that I¡¯m going to make today¡¯s newsletter a bit longer than usual. If you still have questions, don¡¯t hesitate to email me at themorning@....

¡®Ridiculously encouraging¡¯

Right now, public discussion of the vaccines is full of warnings about their limitations: They¡¯re not 100 percent effective. Even vaccinated people may be able to spread the virus. And people shouldn¡¯t change their behavior once they get their shots.

These warnings have a basis in truth, just as it¡¯s true that masks are imperfect. But the sum total of the warnings is misleading, as I heard from multiple doctors and epidemiologists last week.

¡°It¡¯s driving me a little bit crazy,¡± Dr. Ashish Jha, dean of the Brown School of Public Health, told me.

¡°We¡¯re underselling the vaccine,¡± Dr. Aaron Richterman, an infectious-disease specialist at the University of Pennsylvania, said.

¡°It¡¯s going to save your life ¡ª that¡¯s where the emphasis has to be right now,¡± Dr. Peter Hotez of the Baylor College of Medicine said.

The Moderna and Pfizer vaccines are ¡°essentially 100 percent effective against serious disease,¡± Dr. Paul Offit, the director of the Vaccine Education Center at Children¡¯s Hospital of Philadelphia, said. ¡°It¡¯s ridiculously encouraging.¡±

The details

±á±ð°ù±ð¡¯²õ my best attempt at summarizing what we know:

  • The Moderna and Pfizer vaccines ¡ª the only two approved in the U.S. ¡ª are among the best vaccines ever created, with effectiveness rates of about 95 percent after two doses. That¡¯s on par with the vaccines for chickenpox and measles. And a vaccine to be so effective to reduce cases sharply and crush a pandemic.
  • If anything, the 95 percent number , because it counts anyone who came down with a mild case of Covid-19 as a failure. But turning Covid into a typical flu ¡ª as the vaccines evidently did for most of the remaining 5 percent ¡ª is actually a success. Of the 32,000 people who received the or vaccine in a research trial, do you want to guess how many contracted a severe Covid case? One.
  • Although no rigorous study has yet analyzed whether vaccinated people can spread the virus, it would be surprising if they did. ¡°If there is an example of a vaccine in widespread clinical use that has this selective effect ¡ª prevents disease but not infection ¡ª I can¡¯t think of one!¡± of Harvard has written in The New England Journal of Medicine. (And, no, exclamation points are not common in medical journals.) On Twitter, of the University of California, San Francisco, argued: ¡°Please be assured that YOU ARE SAFE after vaccine from what matters ¡ª disease and spreading.¡±
  • The risks for vaccinated people are still not zero, because almost nothing in the real world is zero risk. A tiny percentage of people may have allergic reactions. And I¡¯ll be eager to see what the studies on post-vaccination spread eventually show. But the evidence so far suggests that the vaccines are akin to a cure.

Offit told me we should be greeting them with the same enthusiasm that greeted : ¡°It should be this rallying cry.¡±

A medical worker receiving the Moderna vaccine in Jersey City, N.J.Bryan Anselm for The New York Times

The costs of negativity

Why are many experts conveying a more negative message?

Again, their motivations are mostly good. As academic researchers, they are instinctively cautious, prone to emphasizing any uncertainty. Many may also be nervous that vaccinated people will stop wearing masks and social distancing, which in turn could cause unvaccinated people to stop as well. If that happens, deaths would soar .

But the best way to persuade people to behave safely usually involves telling them the truth. ¡°Not being completely open because you want to achieve some sort of behavioral public health goal ¡ª people will see through that eventually,¡± Richterman said. The current approach also feeds anti-vaccine skepticism and .

After asking Richterman and others what a better public message might sound like, I was left thinking about something like this:

We should immediately be about mask-wearing and social distancing because of the new . We should vaccinate people as rapidly as possible ¡ª which will require approving other Covid vaccines when the data justifies it.

People who have received both of their vaccine shots, and have waited until they take effect, will be able to do things that unvaccinated people cannot ¡ª like having meals together and hugging their grandchildren. But until the pandemic is defeated, all Americans should wear masks in public, help unvaccinated people stay safe and contribute to a shared national project of saving every possible life.

THE LATEST NEWS

THE TRANSITION
  • President-elect Joe Biden picked two Obama-era regulators : Gary Gensler to lead the Securities and Exchange Commission, and Rohit Chopra as the head of the Consumer Financial Protection Bureau.
  • ±á±ð°ù±ð¡¯²õ Biden¡¯s who use overly academic or elitist language: ¡°Pick up your phone, call your mother, read her what you just told me,¡± he likes to say. ¡°If she understands, we can keep talking.¡±
  • President Trump¡¯s allies from people seeking pardons.
CAPITOL RIOT FALLOUT
A small group of protesters in Lansing, Mich., yesterday.Bryan Denton for The New York Times
  • Law enforcement , after the F.B.I. warned of protests by armed far-right groups at statehouses. But protesters mostly stayed away.
  • Former Trump campaign officials helped plan the Jan. 6 rally that turned violent, .
OTHER BIG STORIES
Aleksei Navalny at an airport in Moscow yesterday.Kirill Kudryavtsev/Agence France-Presse ¡ª Getty Images
  • Aleksei Navalny ¡ª Russia¡¯s most prominent opposition leader?¡ª five months after a near-fatal poisoning. The police arrested him at the airport.
  • As the U.S. coronavirus death rate climbs toward 400,000, interviews with dozens of health, political and community leaders .
  • Egyptian officials denied that an oxygen shortage at a hospital in Cairo led to the deaths of Covid patients. .
  • As countries around the world continue to struggle with lockdowns and layoffs, China¡¯s economy .
MORNING READS
The Poor People¡¯s Campaign in Philadelphia in 1968.Associated Press

From Opinion: Today is Martin Luther King¡¯s Birthday. , Martin Luther King III remembers his father¡¯s economic message.

Media Equation: Fox settled a lawsuit over its lies about a murdered young man, but the network insisted that the settlement until after the 2020 election.

Lives Lived: Phil Spector was a pioneering producer who shaped the sound of pop music in the 1960s but who spent the end of his life in prison after murdering Lana Clarkson at his home in 2003. .

This newsletter is free, but you can go deeper into the stories we highlight each morning with a subscription to The Times. .

ARTS AND IDEAS

Fishermen singing a sea shanty, circa 1870.Hulton Archive/Getty Images

Why sea shanties are suddenly viral

On TikTok in December, Nathan Evans, a 26-year-old Scottish postal worker and musician, shared a black-and-white video of himself singing a sea shanty ¡ª a traditional sailor¡¯s work song ¡ª called ¡°.¡± In the ensuing weeks, .

Professional musicians, and even shared videos of themselves singing along. There were . Some people began covering other songs, , in a sea-shanty style.

While the genre may seem like a strange one to go viral, the songs are relatively easy to learn. They also lend themselves well to collaboration, which TikTok¡¯s functions encourage. An original goal of the sea shanty was to foster community, as sailors worked long hours aboard a ship.

¡°They are unifying, survivalist songs, designed to transform a huge group of people into one collective body, all working together to keep the ship afloat,¡± Kathryn VanArendonk . And they¡¯re especially fitting for a time when people are desperate for connection.

PLAY, WATCH, EAT

WHAT TO COOK
Linda Xiao for The New York Times

Spanakopita, the classic Greek spinach and feta pie, .

WHAT TO WATCH

directed by Sam Pollard, draws on long-secret documents to chronicle the F.B.I.¡¯s harassment of the Rev. Dr. Martin Luther King Jr.

WHAT TO LISTEN TO

Hear Lana Del Rey and more ¡ª including a song that holds the single-day streaming record on Spotify.

NOW TIME TO PLAY

The pangram from Friday¡¯s Spelling Bee was javelin. Today¡¯s puzzle is above ¡ª or you can if you have a Games subscription.

±á±ð°ù±ð¡¯²õ , and a clue: Pet hair (three letters).

Thanks for spending part of your morning with The Times. See you tomorrow. ¡ª David

P.S. The word ¡°chiroptophobia¡± ¡ª , which has spiked during the pandemic ¡ª appeared for the first time in The Times yesterday, as noted by the Twitter bot .

You can see .

There¡¯s no new episode of ¡°The Daily¡± today. discusses James Comey¡¯s new book and Peter Ho Davies¡¯s latest novel.

Claire Moses, Ian Prasad Philbrick, Tom Wright-Piersanti and Sanam Yar contributed to The Morning. You can reach the team at themorning@....

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