Friday Update for 2021-04-23: Effervescence
Three items of pandemic news you may have missed recently: Watching the virus evolve variants in a single human; a damning report on Emergent’s vaccine manufacturing plant; and the dimming prospects for herd immunity. Plus news briefs and a frippery.
Herd immunity is receding
The US may never get to the promised land of herd immunity, according to experts quoted in this report in USA Today. One of them, a vaccine researcher from the Mayo Clinic, said of herd immunity: “It’s theoretically possible but we as a society have rejected that. There is no eradication [of the virus] at this point, it’s off the table.” (A report last month in Nature argued for a similar conclusion worldwide.)
The concept of herd immunity is a moving target. It’s influenced by such factors as people’s social behavior in the aggregate, as well as by the rise of viral variants.
With around 20% of US adults saying they will never take a vaccine, even covering the large majority of children (who represent a quarter of the population) will not get us to 90% overall. The numbers of the vaccine hesitant — the “wait and see” crowd — have been shrinking as more people get vaccinated and nobody breaks out in purple spots or grows a microchip communicating with 5G towers. But the ranks of the hard-core resisters seem to be holding steady.
If we don’t reach herd immunity, then what? Then Covid-19 becomes a long-term endemic disease like the flu, waxing and waning with the seasons and occasionally flaring up in regions of low vaccination uptake around the world, for years to come.
The FDA’s inspection report on the Emergent plant
This is not pretty. Here is the FDA’s report (Form 483) following the agency’s 9-day inspection of the Emergent facility in Baltimore that was taken out of commission last Monday.
This is the facility that mixed up AstraZeneca and Johnson & Johnson ingredients and ruined 15 million doses of the latter’s vaccine.
The FDA’s report lists nine observations on the plant’s operation. The first notes that Emergent failed to investigate that mix-up thoroughly, and could not guarantee that the resulting cross-contamination was limited to the one discarded batch of J&J vaccine. For the vaccines already manufactured, the FDA notes that “the products will undergo additional testing and will be thoroughly evaluated to ensure their quality before any potential distribution.”
The second point in the report spells out how filthy the facility is. Peeling paint on the walls assures that complete decontamination would not be possible. Workers were observed dragging open bags of “non-decontaminated special medical waste” across the floor from a manufacturing area to a warehouse.
Other citations by the FDA delineate the cramped quarters in the facility and improper storage and handling of bulk drug substances to prevent cross-contamination.
It is hard to imagine what Emergent could do at this point to restore confidence in its ability to manufacture vaccines safely.
Watching variants arise in an infected person
Vincent Raciniello created and runs This Week in Virology as well as other podcasts under the umbrella of Microbe.tv. In a recent blog post he introduces a paper in PLOS Pathogens that describes a high-throughput, single-copy RNA sequencing method. This technique allowed researchers to follow viral variants as they emerged in a single human host in response to selection pressure from the immune system.
The research demonstrated that rapid viral evolution tended not to occur early in infection, when viral titers are high and immune system counterattack has not yet built up to high levels. The virus saw more changes later on, when immunity was punching back hard. In some patients that the researchers studied, levels of virus rose to a second peak after initial clearance by the imune system — possibly the result of immunity-escaping variants arising within a single infection.
For clinical practice, this research suggests knocking down the virus early in the course of an infection, perhaps with a monoclonal antibody cocktail, in order to avoid the strong immune response that might encourage the virus to mutate out from under its pressure.
- Collective effervescence — That is the term for the mood enhancement that humans get from gathering together. The author argues that some of this benefit can be gained through the likes of Zoom, if only we don’t all automatically mute our sound.
- 2021’s dominant emotion: languishing — This NY Times article captures the zeitgeist as well as anything since the meditation on grief just over a year ago. “Languishing” captures how I have felt about life at many points in since our isolation began: The “neglected middle child of mental health,” the absence of wellbeing, sulks in between depression and thriving.
- Bad guys caught peddling fake Pfizer vaccine — Authorities broke up separate operations in Poland and Mexico in which miscreants tried to sell people shots of water and an anti-wrinkle treatment bottled to look like Pfizer / BioNTech’s vaccine. Previously, scams have been taken down worldwide as they attempted to distribute fake vaccines claimed to be Russian Sputnik V, Moderna, and others.
- Autoimmunity and long Covid — Adam Piore has a long piece in Technology Review catching us up on the current state of research into autoimmunity as it relates to long Covid. (Note: TR has a paywall, but it can be outmaneuvered using Reader Mode: Chrome, Safari, Firefox.)
- Where we went wrong — How did the advanced countries of the Western world uniformly let the pandemic get out of hand with such disastrous consequences? And why did the countries of Asia and Ocenia fare so much better? You may think you have some insight into the reasons, but this carefully constructed argument may convince you otherwise: that the virus and the way it interacts with the world of people are still deeply mysterious.
Rewarding your patience today, the frippery is Northern Lights over Tromsø, Norway (about 3° above the Arctic Circle). The photographs at the above link were taken by Markus Varik, proprietor of Greenlander Tromsø. His company of tour operators call themselves “Northern Lights chasers.” Here is their Facebook page with many aurora photos.
The image that got me started on this quest was the one at right — click to open a larger version in all its glory in a new window — captured on March 16, 2019. It was picked up all across the Net and has been reposted many times since; the caption usually accompanying it begins: “A crack in the Earth’s magnetic field over the weekend (not uncommon around the Equinox) allowed the Solar Wind to pour in over Norway.” Here is a short video clip from that same night, captured by another aurora chaser.
That crack in the planet’s magnetic field? It’s a real thing, caused by what is called the Russell-McPherron Effect. Happens most frequently around the equinoxes, slightly more strongly in the spring than in the fall.
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