[HN Gopher] AstraZeneca exempt from coronavirus vaccine liabilit...
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       AstraZeneca exempt from coronavirus vaccine liability claims in
       most countries
        
       Author : ColanR
       Score  : 22 points
       Date   : 2020-08-01 21:14 UTC (1 hours ago)
        
 (HTM) web link (uk.reuters.com)
 (TXT) w3m dump (uk.reuters.com)
        
       | simonblack wrote:
       | That raises a huge red flag in my mind over its safety.
       | 
       | Big pharmaceutical companies have a history of marketing drugs
       | that aren't quite as good or harmless as they are made out to be.
        
         | toast0 wrote:
         | This seems inline with at least US practices. Most (many?)
         | vaccines are covered by the National Vaccine Injury
         | Compensation Program, which shields the manufacturer from
         | liability for covered injuries.
        
         | foobarbazetc wrote:
         | Not that it's relevant in this particular case, but I don't
         | take anything that's only approved in the US, because the FDA
         | really doesn't care, and especially doesn't care right now.
         | 
         | Most drug companies actually view the US as the beta test
         | country in a lot of ways.
         | 
         | If something makes it to Australia (who are very strict on
         | pharmaceuticals) then it's usually pretty safe.
        
           | refurb wrote:
           | As someone who has worked directly with the FDA, this is an
           | absurd position. If anything, the FDA errs on the side of
           | causing no harm versus getting a much needed treatment
           | approved.
           | 
           | And it might be good to know that most countries approve
           | drugs based on the same data - global clinical trials.
           | Australia is looking at the same data as the US when making
           | an approval decision. Some countries require local trials
           | (China and India, I believe).
           | 
           | In addition, there is plenty of collaboration across drug
           | approval bodies when developing or changing regulations. They
           | are all talking to each other to determine the best approach.
           | 
           | Here is a good example of the FDA and TGA (Australia) and
           | Canada approving a new cancer drug together[1]
           | 
           | [1] https://www.fdanews.com/articles/192766-fda-approves-
           | first-c...
        
         | m0zg wrote:
         | That's the problem with a vaccine as compared to a therapeutic.
         | You need to give it to a billion people for it to do any good.
         | Some percentage of those people will have complications and
         | die. If they fuck up with vaccine testing (which could cause
         | the effect opposite of what the vaccine normally does, possibly
         | weeks or _months_ after immunization), _millions_ could die,
         | eclipsing the loss of life from the virus itself.
         | 
         | Before someone attempts to read my mind: I, and everyone else
         | in my family, am fully immunized, including some vaccines (e.g.
         | BCG) not normally administered in the US. I also do the flu
         | shot every year.
         | 
         | But I do understand the risks a rushed vaccine could pose, and
         | so I won't be taking it until at least 6 months after the
         | initial wave of vaccination, and a careful study of population-
         | scale safety and efficacy.
        
           | deeg wrote:
           | I'm not sure people understand the scale that vaccines work
           | at. Right now--because we are close to wiping out polio--more
           | people die every year from the polio vaccine than the actual
           | disease. When you give billions of people a vaccine, even a
           | one-in-a-million problem will still lead to thousands of
           | deaths. It could be very hard to have wide-scale vaccines if
           | we allowed people to sue for every death.
           | 
           | (Just to be clear: I am very pro-vax. Get all recommended
           | vaccinations.)
        
         | creato wrote:
         | I don't think the issue is that simple. For example, a Lyme
         | disease vaccine was pulled from the market over dubious safety
         | issues [1]:
         | 
         | > This panel, described by one participant as raucous and
         | riotous [35], provided a forum for all of the stakeholders
         | [36]. In support of the vaccine, the FDA summarized the VAERS
         | data and concluded that the evidence did not support a
         | causative association. The vaccine manufacturer, now
         | GlaxoSmithKline following a corporate merger, assured the
         | assembled parties that the LYMErix(tm) vaccine did not cause
         | harm to its recipients. They reviewed the status of their phase
         | IV post-marketing surveillance. Practising physicians spoke of
         | vaccine efficacy by describing the dramatic reduction in Lyme
         | disease cases in their own practices.
         | 
         | > Others raised concerns about the vaccine's safety. Scientists
         | argued a potential role for genetic susceptibility and OspA-
         | related autoimmunity in vaccine complications. Poignant
         | presentations by several 'vaccine victims' described in detail
         | their suffering. The prosecuting lawyers for the largest class
         | action suit claimed that manufacturers suppressed reports of
         | adverse events from the licensing trial and provided inadequate
         | warnings to genetically susceptible individuals.
         | 
         | > After hearing compelling testimonies from all the interested
         | parties, the panel concluded the benefits of LYMErix(tm)
         | continued to outweigh its risks. The panel made no changes to
         | the product's labelling or indications. However, the FDA
         | required the manufacturer to provide more vaccine safety and
         | efficacy data by increasing the enrolment in their ongoing
         | phase IV trial. The LYMErix(tm) vaccine remained available for
         | public use.
         | 
         | > Market withdrawal > Spawned by the press coverage of vaccine
         | risks and the ongoing litigation, vaccine sales fell off
         | dramatically in 2001. On 26 February 2002 GlaxoSmithKline
         | decided to withdraw LYMErix(tm) from the market citing poor
         | market performance [37].
         | 
         | > On 9 July 2003 the pharmaceutical giant settled the class
         | action suits with Sheller, Ludwig & Bailey as well as several
         | other smaller law firms. The final agreement included over 1
         | million dollars in legal fees for the prosecuting lawyers, but
         | provided no financial compensation to the 'vaccine victims'.
         | The plaintiffs' attorneys stated that the voluntary removal of
         | LYMErix(tm) from the market accomplished the main goal of the
         | suit. Despite the settlement, the manufacturer continued to
         | deny that LYMErix(tm) caused harm and indicated that the
         | decision to settle represented a choice based on economic
         | concerns (i.e. the desire to avoid the costs of lengthy
         | litigation) for a product showing relatively poor performance
         | in the market.
         | 
         | 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2870557/
        
         | open-source-ux wrote:
         | _" That raises a huge red flag in my mind over its safety."_
         | 
         | In this particular case, AstraZeneca are not doing the research
         | for a COVID-19 vaccine. They have struck an agreement with the
         | University of Oxford to manufacture and distribute the
         | university's COVID-19 vaccine (still under development).
         | 
         | https://www.ox.ac.uk/news/2020-04-30-landmark-partnership-an...
        
         | mrgordon wrote:
         | Well you can't have it both ways.
         | 
         | 1. We want you to sell us the drug at cost with no profit
         | margin
         | 
         | 2. We want you to be responsible for unlimited liability for
         | whatever the drug might eventually do
         | 
         | Oh, and by the way, we want you to rush your testing so you
         | don't have the normal time to verify its safety!
        
       | PragmaticPulp wrote:
       | In the United States, an existing law from 2005 likely already
       | covers these cases anyway:
       | 
       | > The United States, however, already has a law to exclude tort
       | claims from products that help control a public-health crises in
       | the form of the 2005 Public Readiness and Emergency Preparedness,
       | or PREP Act.
       | 
       | It's also important to note that AstraZeneca has also pledged to
       | supply the doses with no profit:
       | 
       | > AstraZeneca, Britain's second-largest drugmaker, has pledged to
       | supply a total of more than 2 billion doses at no profit in
       | agreements with the United States, Britain and European
       | countries, among other nations and organisations.
       | 
       | The exemption from liability claims is a function of the massive
       | scale, the rushed timeline, and the lack of profit to defend
       | claims in court.
       | 
       | When you're supplying a vaccine at the scale of billions of
       | people, it's inevitable that many people will convince themselves
       | that the vaccine is the cause of unrelated medical issues. Even
       | if the vaccine turns out to be just as benign as every other
       | vaccine out there, having tens or hundreds of thousands of people
       | attempt to sue these companies under the mistaken notion that the
       | vaccine caused their problems could be extremely costly.
       | 
       | The alternative would be a much more expensive vaccine (profit
       | margins to buffer against potential losses) delivered much later
       | (additional _years_ of safety testing and R &D).
        
       | supernova87a wrote:
       | I wonder if any stats or math go into this decision, and what the
       | thresholds/limits of risk are? Or perhaps they're programmed into
       | the criteria for what is accepted as the eventual vaccine.
       | 
       | Because this decision is most definitely making a call about the
       | value of saved lives / avoided sickness, versus the likelihood of
       | unintentionally caused sickness due to vaccine side effects.
       | 
       | I wonder what the acceptable numbers / risk percentages are.
        
       | rubyn00bie wrote:
       | I am okay with this... mostly because I don't think even
       | someone/organization with the best intentions could possibly ship
       | this without establishing this sort of clause up front.
       | 
       | If anything, not doing so, would make me _more_ concerned because
       | it seems like overconfidence, or refusing to acknowledge how long
       | it normally takes to do clinical trials on something before
       | releasing it the public.
       | 
       | I know there are predatory pharmaceutical companies who would put
       | their own profits way ahead of others... I just don't think in a
       | global pandemic its going to be easy to intentionally lie about,
       | or misrepresent, the effects of a cure to said pandemic. No
       | amount of signed contracts would protect the company from the
       | sheer volume of people marching to take their heads.
        
       | refurb wrote:
       | This should not surprise anyone. Giving an exemption from vaccine
       | injury is pretty standard and there is a fund for payouts if
       | children are injured by a vaccine. This isn't the only exemption.
       | 
       | https://en.m.wikipedia.org/wiki/National_Childhood_Vaccine_I...
        
       | aaron695 wrote:
       | "This is a unique situation where we as a company simply cannot
       | take the risk if in ... four years the vaccine is showing side
       | effects,"
       | 
       | It's going to be well known any of the vaccines available will be
       | considered risky.
       | 
       | I'm not sure people are considering how society will react to
       | that.
        
       | IfOnlyYouKnew wrote:
       | That's probably... fine?
       | 
       | these vaccines are developed in a process far more open than any
       | typical pharmaceutical research. The risks at issue here are
       | unlikely to be of the bad-faith variety that can be discouraged
       | with liability.
       | 
       | Instead, these will be genuine known and unknown unknowns. There
       | will be a lot of scrutiny, which will allow governments and the
       | public at large to make these decisions under uncertainty with
       | the benefit of the best possible information at the time.
       | 
       | With the company not enjoying a significant informational
       | advantage, the moral and practical case for liability just
       | doesn't make any sense.
       | 
       | That is a standard approach for the otherwise intractable
       | collision of a legal system that apportions the damages of
       | anything that goes wrong on the party mostly responsible for it,
       | and the medical reality of almost all interventions coming with
       | _some_ potential for grievous harm: by default, your surgeon
       | would always be  "responsible", in sense of civil law, not
       | morality or criminal law. Because the general principle allocates
       | responsibility with those making decisions.
       | 
       | "Informed consent" is about getting you into a position to make
       | decisions, and thereby share in the responsibility.
        
         | mrgordon wrote:
         | Well put
        
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       (page generated 2020-08-01 23:00 UTC)