Ephraim
1708
The more I learn about this AstraZeneca trial, the more I want them to go back and rerun it. Serendipitous findings are nice and all, but do not lead me to feel very confident considering that importance of getting this right.
They need to enroll more people which sets them months behind. I’m fine with them making a mistake, but that doesn’t mean they get to cheat on sample size.
Ephraim
1710
Fully agree. If they think they have a winning protocol now, run a new study to get the sample size up, it’s not as if there’s a shortage of cases right now. They’ll hit their infected number soon enough, in Brazil or anywhere else.
jpinard
1711
I feel the same way. Very little confidence in them.
This seems like the kind of PR hiccup/disaster that Moderna narrowly averted when they made the tough choice to adjust their trial to include more minorities and postpone the results.
Still, I’m hopeful that stories like this might build trust in the scientific process and public scrutiny we’ll need to get one or more vaccines that work.
Alstein
1713
I feel like even the 62% mark has some value to go ahead with distribution for now in places where the other vaccines aren’t going to be avaliable, but they should run more tests. I would not want the vaccine for myself though, I’d wait for one of the other two , my concern would be effectiveness not safety.
jsnell
1716
They’ve now written a paper on the effectiveness of the approach.
It’s a bit odd. They’re claiming it was a massive success that reduced prevalence by 80% in two weeks. But looking at the data that the various statistics websites have, their curve looks basically the same as in comparable countries.
Yes, it appears to match with the impact of many other European countries lock downs. And be reversing.
jpinard
1718
Why would you skip testing younger kids? They’re just as much a vector as anyone else, maybe worse since you rarely see them exhibit symptoms.
Timex
1719
The rationale that i could think would make this ok, is that if the kids have Covid, their parents are going to have it, so you will catch it in the testing anyway.
jostly
1720
COVID-19: “Just a normal flu”, turned up 500%, with a bonus chance of getting diabetes. (If I read the conclusion correctly)
Five-fold worse than influenza is much lower than IFR estimates suggest. (Not saying it’s wrong, just that this is a tension that needs resolving).
jsnell
1722
This study uses CFRs, which are determined as much as by who gets tested as by who dies. It seems basically guaranteed that the testing strategy wasn’t the same for Covid vs. flu, which makes this comparison really risky.
Looking at the data in the appendix (in particular tables 6 and 7) seems to confirm this. A couple of examples:
- There’s a very consistent pattern that people who tested positive for influenza have a lower mortality rate than people who tested negative. This is across all age groups, and for all three years of flu stats they have.
- People testing negative for the flu had about 2x the mortality rates than those testing negative for Covid.
Those results make no intuitive sense, unless their flu testing was skewed in very odd ways. I didn’t read through the actual paper, so can’t tell if they tried to control for this in some way.
jostly
1723
Yeah, and it’s really the risk of dying with Covid relative to dying with the flu, not of the diseases, right?
Norwegian stats professor crocheted a representation of R0
TWiEVO video covering the new variants observed first in the UK.
The host is Vincent Racaniello, but most of the conversation as they walk through the data is being driven by an evolutionary biologist Nels Elde, who provides a TON of really helpful commentary as they walk through the data. This conversation gets some additional flavor from VR’s virology background and his understanding of previous pitfalls in analysis for similar observations made in other viral outbreaks like the original SARS outbreak.
Perhaps worth watching if you’re a real data geek - I get a lot out of looking being walked through primary data in a way similar to a journal club.
Interesting stuff starts off at ~19 minutes in, so I’ve started the video there to save you some time.
[Hopefully at some point soon they’ll get an epidemiologist on, this problem seems to require a number of disciplines to fully understand]
Are (coronavirus) antibodies gendered in some way? There are UK ads running on podcasts at the moment asking for male people who have had coronavirus to donate plasma.