{"id":4517,"date":"2021-10-12T07:13:09","date_gmt":"2021-10-12T07:13:09","guid":{"rendered":"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot"},"modified":"2021-10-12T07:49:20","modified_gmt":"2021-10-12T07:49:20","slug":"theres-no-such-thing-as-a-free-lunch-or-a-free-shot","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot","title":{"rendered":"There\u2019s no such thing as a free lunch\u2026 or a free shot"},"content":{"rendered":"

Africa-Press<\/a> – Mauritius<\/a>. <\/strong><\/span>The op-ed in The Washington Post appeared on January 3, suggesting that we skip the second shot or \u201cchaser\u201d of the Covid-19 mRNA vaccine until more supplies become available. Specifically, the authors Robert M.<\/p>\n

Wachter & Ashish K Jha wrote: \u201cIt\u2019s time to change the plan; namely, we should give people a single vaccination now and defer their second shot until more doses of vaccine become available.<\/p>\n

\u201d Taking part in a Covid-19 vaccine trial, funded by Operation Warp Speed, in Hollywood, Fla.<\/p>\n

, this month. Photo \u2013 Getty Images Wachter is chair of the department of medicine at the University of California at San Francisco. Ashish K. Jha is dean of the Brown University School of Public Health. High positions, to be sure.<\/p>\n

But should we take this advice seriously? It appears that President-elect Biden has decided to release all available supplies of Pfizer and Moderna vaccines and not hold back enough for the \u201cchaser\u201d shot that has been shown to have 94% and 95% efficacy.<\/p>\n

I\u2019ve thought for a long time that Ashish Jha loves to be on TV. He seems to get a little glow on his face \u2013 almost as if he\u2019s been nominated Rudolph the Red-nosed Reindeer.<\/p>\n

Well, I wonder if Dr Fauci appreciates that Dr Jha may be trying to usurp his position as the Dean of Vaccines at the head of the Covid Sleigh. Oh, deer! Dr Jha is not an epidemiologist or virologist. He is described as an internist and academician in a Twitter profile.<\/p>\n

He has written articles on such varied subjects as Use of electronic health records in US hospitals, Health care spending in the United States and other high-income countries, Clinical supply shortages (this one about ventilators and PPE), Patients\u2019 perception of hospital care in the U.<\/p>\n

S. , and so on. You get the idea. For all his appearances on TV as an expert, he has no expertise in virology or immunology. Dr Wachter coined the term \u201cHospitalist\u201d and is often considered the father of the hospitalist field according to a publicity blurb on the UCSF medicine website.<\/p>\n

The problem that I see with all this rambling from so-called experts is that they really don\u2019t know what they are talking about, but this doesn\u2019t stop them.<\/p>\n

Pfizer and Moderna must have some reason for requiring two shots even if the original reason was nothing more than a modern adaptation of The Shampoo Algorithm \u2013 Lather, Rinse, Repeat.<\/p>\n

(I have read that Benjamin Cheever\u2019s novel The Plagiarist, features a marketing executive who comes up with that direction to increase the usage and hence resultant sales of shampoo but I\u2019ve also read that this actually happened, perhaps at the facilities of the maker of Breck shampoo).<\/p>\n

But don\u2019t take my word on this. Here is what Dr Lewis Jacobson, Professor Emeritus of Biological Sciences University of Pittsburgh wrote: \u201cThe problem now is that if we don\u2019t give the second shot, the primary response fades in (usually) days to weeks.<\/p>\n

In the recent Pfizer and Moderna clinical trials, the second shot was given 3-4 weeks after the first, so any data on efficacy between shots tell us only efficacy at the narrow peak of the first wave of immunity.<\/p>\n

We know almost nothing about what will happen if people don\u2019t get the second shot. They may remain effectively immune for years (like chicken pox or tetanus), or they may become susceptible again in weeks.<\/p>\n

It probably won\u2019t be fully effective immunity. \u201cAnd that brings us to the behavioural hazard. People who have had their one (recommended!) shot will now behave as if they\u2019re immune, and will be at higher risk for infection and transmission.<\/p>\n

We can\u2019t fix this by telling them their first shot is ineffective, because that will sabotage the entire vaccination push. \u201d Anyhow, a more sensible discussion of vaccination logistics is that we will likely have to find a way to administer the shots outside a hospital setting as hospital workers at all levels, are stretched thin and stressed.<\/p>\n

Then there are the logistics involved. You have to maintain social distancing of six feet between the targets (okay, okay, I know we shouldn\u2019t call people getting shots \u201ctargets\u201d \u2013 I wonder if Target, the Department Store calls its customers targets?).<\/p>\n

That seems somehow illogical because once you\u2019ve been targeted, you start developing immunity. But, of course, it takes time. Two doses more than doubles the logistical challenges of administering the vaccines.<\/p>\n

Photo \u2013 AP That\u2019s not all. You also have to keep each target who has been \u201cacquired\u201d i. e. jabbed, hanging around for fifteen to thirty minutes while waiting to see if there is a possible anaphylactic or other reaction.<\/p>\n

Meanwhile, the suckers\u2026 er targets\u2026 are spewing aerosolized breath even if only under their masks. That\u2019s a formidable challenge. It\u2019s going to take a long, long time to vaccinate everyone.<\/p>\n

Let us keep in mind the foundation on which these new approaches rest. Dr Anthony Fauci, who has been recruited as a key adviser to the Biden Administration that will take charge soon, asserted that there\u2019s no plan to abandon the two-shot regimen.<\/p>\n

The Biden team is \u201cnot talking about withholding and not giving the second dose,\u201d he said. \u201cThey are completely committed to giving the second dose on time. They feel that the importance of getting as many people as possible is worth the risk. \u201d<\/p>\n

Media sources, including National Public Radio report that the Biden team is hopeful companies will be able to manufacture more doses quickly: \u201cWe have faith that the manufacturers can produce enough vaccines to ensure people can get their second doses in a timely manner, while also getting more people their first dose,\u201d Biden\u2019s incoming press secretary Jen Psaki said in a recent briefing.<\/p>\n

\u201cThe president-elect has said he will use the Defense Production Act as needed to help produce materials and whatever else is needed to ensure supply.<\/p>\n

\u201d So, the Biden administration thinks it\u2019s worth taking the risk according to Dr Fauci. I suppose if you have the blessing of the nation\u2019s top epidemiologist on matters of risk, you can justify anything.<\/p>\n

What\u2019s surprising to me is that they didn\u2019t make an epi-Pen like device for self-vaccination and sell it along with a second epi-Pen (the real kind, the price of which Senator Joe Manchin\u2019s daughter raised to over $600 or so) in case of an allergic reaction.<\/p>\n

Remember that these are the same people who told us that a three-week lockdown would stop the spread of the virus. Free enterprise. Just tells you there\u2019s no such thing as a free lunch or a free shot. Cheerz\u2026 Bwana<\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – Mauritius. The op-ed in The Washington Post appeared on January 3, suggesting that we skip the second shot or \u201cchaser\u201d of the Covid-19 mRNA vaccine until more supplies become available. Specifically, the authors Robert M. Wachter & Ashish K Jha wrote: \u201cIt\u2019s time to change the plan; namely, we should give people a […]<\/p>\n","protected":false},"author":84,"featured_media":4516,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,3,6,8,16],"tags":[960,233,245,252,241],"class_list":["post-4517","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-news","category-community","category-files","category-homepage-english","category-twitter","tag-vaccine-2","tag-africa-press","tag-africa-press-mauritius","tag-covid-19","tag-mauritius"],"yoast_head":"\nThere\u2019s no such thing as a free lunch\u2026 or a free shot - Mauritius<\/title>\n<meta name=\"description\" content=\"The op-ed in The Washington Post appeared on January 3, suggesting that we skip the second shot or \u201cchaser\u201d of the Covid ...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"There\u2019s no such thing as a free lunch\u2026 or a free shot\" \/>\n<meta property=\"og:description\" content=\"The op-ed in The Washington Post appeared on January 3, suggesting that we skip the second shot or \u201cchaser\u201d of the Covid ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot\" \/>\n<meta property=\"og:site_name\" content=\"Mauritius\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/AfricaPressTunisiaa\" \/>\n<meta property=\"article:published_time\" content=\"2021-10-12T07:13:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-10-12T07:49:20+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.africa-press.net\/mauritius\/sites\/61\/2021\/10\/img-61653de40b610.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"768\" \/>\n\t<meta property=\"og:image:height\" content=\"511\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"cfeditoren\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"cfeditoren\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot\"},\"author\":{\"name\":\"cfeditoren\",\"@id\":\"https:\/\/www.africa-press.net\/mauritius\/#\/schema\/person\/068c7ab4e9634ae78ec5d54ec46598bb\"},\"headline\":\"There\u2019s no such thing as a free lunch\u2026 or a free shot\",\"datePublished\":\"2021-10-12T07:13:09+00:00\",\"dateModified\":\"2021-10-12T07:49:20+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot\"},\"wordCount\":1136,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/mauritius\/sites\/61\/2021\/10\/img-61653de40b610.jpg\",\"keywords\":[\"-vaccine\",\"Africa Press\",\"Africa Press-Mauritius\",\"COVID-19\",\"Mauritius\"],\"articleSection\":[\"all news\",\"community\",\"files\",\"homepage-english\",\"twitter\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot\",\"url\":\"https:\/\/www.africa-press.net\/mauritius\/all-news\/theres-no-such-thing-as-a-free-lunch-or-a-free-shot\",\"name\":\"There\u2019s no such thing as a free lunch\u2026 or a free shot - 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