[HN Gopher] Spate of polio outbreaks worldwide puts scientists o...
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       Spate of polio outbreaks worldwide puts scientists on alert
        
       Author : Brajeshwar
       Score  : 70 points
       Date   : 2022-08-24 15:49 UTC (7 hours ago)
        
 (HTM) web link (www.nature.com)
 (TXT) w3m dump (www.nature.com)
        
       | t0bia_s wrote:
       | Similar story from 1955 - Cutter incident.
       | 
       | The mistake produced 120,000 doses of polio vaccine that
       | contained live polio virus. Of children who received the vaccine,
       | 40,000 developed abortive poliomyelitis (a form of the disease
       | that does not involve the central nervous system), 56 developed
       | paralytic poliomyelitis--and of these, five children died from
       | polio.
       | 
       | https://en.m.wikipedia.org/wiki/Cutter_Laboratories
        
       | gregwebs wrote:
       | If you understand the limitations of the two types of vaccines,
       | then polio showing up in the wastewater in international cities
       | seems expected.
       | 
       | The US and England vaccinate with the non-live version. This non-
       | live version cannot mutate, but it is non-sterilizing- the
       | vaccinated can still become infected in their gut- the vaccine
       | prevents it from getting into their bloodstream and becoming
       | poliomyelitis.
       | 
       | So Polio will continue to spread among the fully vaccinated going
       | unnoticed- particularly in international cities where they can
       | import new cases. And we have seen a tragic outcome where someone
       | is not vaccinated and ends up acquiring poliomyelitis.
        
         | Nokinside wrote:
         | It's only when you have low enough vaccine coverage that the
         | strains can circulate. Rockland County, NY where it first
         | started in the US had only 60% vaccine coverage.
         | 
         | Children missing vaccine appointments due Covid19 and pockets
         | of vaccine hesitancy have created this situation. For example,
         | Hasidic Jews have anti-vaxxer tendencies.
        
       | aaaaaaaaaaab wrote:
        
         | last_responder wrote:
         | Large cites with lots of people perhaps?
        
           | loriverkutya wrote:
           | Nope, cities where there are orthodox jewish communities
           | where nobody is vaccinated.
        
           | aaaaaaaaaaab wrote:
        
         | aqme28 wrote:
         | Please, what are you trying to say?
        
           | hahaitsfunny wrote:
           | Probably that Zionist Israel's longtime allies are also
           | reporting the virus in their countries. Many theorize the
           | Rothschilds still run things, via the WEF and other NGOs and
           | that Zionists in Israel were behind COVID-19 and are the real
           | movers and shakers. At least it sounds like it's following
           | the lines of this conspiracy / theory to me.
        
           | Vecr wrote:
           | Concentrations of religious people, probably.
        
       | gallow1956 wrote:
        
         | baggy_trough wrote:
         | Who is it?
        
           | aaaaaaaaaaab wrote:
        
           | chihuahua wrote:
           | It's like the scene in Monty Python's Life of Brian where no
           | one is allowed to say "Jehovah."
        
           | debacle wrote:
           | Generally religious fundamentalists.
        
       | mistrial9 wrote:
       | Is it true more-or-less that the technology chains involved in
       | the USA/Western Covid-19 vaccines, are under development as a
       | 'platform' for new, novel treatments for a wide range of illness?
       | Is it possible that the billions upon billions of dollars that
       | have changed hands in the last thirty months, are an incentive to
       | "pile on" new treatments, and perhaps new required treatments in
       | the future?
        
         | robbiep wrote:
         | Wtf are you getting at? Yes mRNA vaccines are under development
         | for many many other diseases. It's a new technology. Would you
         | expect the invention of a new technology to have a single
         | application and then be put on a shelf somewhere, perhaps in
         | that secret government warehouse where they store the Ark, and
         | maybe the Lindbergh baby?
         | 
         | FYI mRNA vaccines were first developed 5-10 years prior to the
         | events of the past few years, and deployed in veterinary
         | medicine. Having a global pandemic led to the urgency to adapt
         | them to human conditions where they have saved millions of
         | lives
        
         | makomk wrote:
         | I don't think anyone's tried to push mRNA vaccines for polio
         | yet, and if they did it would be a really obvious swindle -
         | they'd run right into the same problems with the vaccines not
         | being sterilizing that we already did with Covid and with the
         | existing, well-tested inactivated polio vaccines. In principle
         | it's more or less the same problem even (inadequate mucosal
         | immune response, though in different mucosa...)
        
       | CatWChainsaw wrote:
        
         | kmeisthax wrote:
         | I'm not sure what you're talking about. The article is very
         | explicit that the current polio outbreak is poliovirus derived
         | from live-virus vaccines.
         | 
         | The only obvious conclusion is that people who can get a polio
         | vaccine but didn't should reconsider getting it, because the
         | virus is spreading again and herd immunity against polio has
         | collapsed. Even the vaccine that is implicated in the outbreak
         | still provides protection against polio at lower risk than
         | getting infected; so it's not as simple as "just stop using the
         | oral vaccine".
        
         | platz wrote:
         | What is the obvious?
        
           | adhesive_wombat wrote:
           | Impressive that one can write a sentence that can be validly
           | parsed as "vaccination is a good idea" and "vaccination is a
           | bad idea".
           | 
           | Though I'd say the obvious takeaway is that vaccination is
           | still a good idea even if you don't personally know anyone
           | who was disabled by whatever it protects against.
        
       | ptsneves wrote:
       | I cannot understand how vaccination is a liberty thing. This is
       | akin to an hiv infected person exercising the freedom of having
       | non consensual unprotected sex. Or having freedom to defecate in
       | common areas. There is a fine or detention for public exposure
       | yet our society believes it is fine to expose others with their
       | own dangerous fantasies.
       | 
       | I am so tired of people claiming freedom to do this and that, and
       | never considering others that want to be free of. I want to be
       | free of solved diseases. I want to be free of life threatening
       | illnesses so I can be alive and not living in an iron lung.
       | Idiocracy all the way.
       | 
       | We drank so much of our own freedom kool aid that we are getting
       | literally sick of it.
       | 
       | Non vaccination should become not possible unless there are
       | medical reasons.
        
         | debacle wrote:
         | You have no authority over someone else's body. It sucks, but
         | it's reality.
         | 
         | Education is hard. Deradicalization is even harder. But it's
         | something we need to learn how to do again as a society.
         | 
         | Some of the vaccine conspiracy theories are truly insane, but
         | medical patriarchy is not the answer.
        
           | msbarnett wrote:
           | > You have no authority over someone else's body. It sucks,
           | but it's reality.
           | 
           | This is obviously untrue: the state can lock up and kill you,
           | is currently asserting its right to restrict people from
           | having abortions performed on them, and has been increasingly
           | aggressive about attack peoples' right to undergo hormone
           | replacement therapy, among many many other examples.
           | Mandatory vaccination has very much been something the state
           | has historically exercised its powers to enforce, quite
           | successfully in the case of smallpox.
           | 
           | We're extremely inconsistent about what authority we exercise
           | over others' bodies, generally, but we're a very far cry from
           | never exercising it or acting as if doing so were simply
           | beyond the pale.
        
           | mistrial9 wrote:
           | agreeing generally with that sentiment, as a WEIRD though
           | (western-educated-industrialized-rich). Many social systems
           | on Earth today do not have nearly the individual autonomy
           | that is normal to some readers here. Those social systems are
           | stable in some way. Big sailing ships and steam-powered
           | railroad engines aside, there is no absolute truth here.
        
             | debacle wrote:
             | True. My Asian friends would say to me "What do you mean
             | patriarchy isn't the answer?"
        
           | bawolff wrote:
           | > You have no authority over someone else's body. It sucks,
           | but it's reality.
           | 
           | That's obviously untrue. For example the state claims the
           | right to confine (and sometimes even execute) the body of
           | people convicted of murder. And most people are ok with that.
           | 
           | Where the line is, is of course a complicated question, but
           | the absolute version where the state cannot ever control
           | people at all, is obviously false.
        
           | hahaitsfunny wrote:
        
         | goatcode wrote:
         | It may seem simple, but there is a deep rabbit hole when you
         | pair liberty and things seen to reduce the impact of illness on
         | a population. For example: it is statistically more likely for
         | homosexual men to have HIV and other fatal transmissible
         | illnesses. Therefore, they should not be free to donate blood,
         | so goes the tradition, since this overall increases the health
         | of a population. This rule has come under contention lately,
         | and if you agree that gay men should be able to donate blood,
         | you now have a counterexample. Notwithstanding of course the
         | arguments about better testing, and so on; statistically: it
         | helps.
         | 
         | I'm not presenting an argument in either direction. I'm simply
         | saying it's a more complex issue than "this thing makes
         | everyone healthier, therefore it should be law."
        
         | californiadreem wrote:
         | There is a very small escalation needed to make the jump from
         | the concept of collective negative liberty ("freedom from
         | disease") to involuntary treatment resulting in Nazi-aligned
         | pogroms for collective hygiene. That step is typically cloaked
         | with good intentions and then used mercilessly without
         | compunction by any inheritors of the system.
        
           | makomk wrote:
           | Also, in the real non-hypothetical world, the previous forced
           | vaccination campaigns were the precident that lead to Buck v.
           | Bell and forcible eugenic sterilization of people deemed
           | unfit to have children in the USA. Which, in turn, directly
           | inspired Adolf Hitler and the Nazis. Back in the day the ACLU
           | used to be opposed to forced vaccination for exactly this
           | reason (including arguing that forced vaccination for
           | smallpox was an unnecessary and counter-productive attack on
           | civil liberties). As far as I can tell the people involved
           | changed their minds for purely partisan reasons; there is no
           | intellectual justification to go from there to supporting
           | mandatory Covid vaccination and they gave none.
        
         | MonkeyMalarky wrote:
        
         | JumpCrisscross wrote:
         | > _akin to an hiv infected person exercising the freedom of
         | having non consensual unprotected sex_
         | 
         | I think the voluntarily (EDIT: polio) unvaccinated are misled
         | or idiots, but this is a bad comparison. Non-consensual sex is
         | violence. Full stop. We can start arguing that giving people an
         | infectious disease is _like_ violence, or this or that, mais
         | _ceci n 'est pas une pipe._
         | 
         | What it _is_ analogous to is getting  "stranded after driving
         | around barricades to enter a flooded stretch of roadway" [1].
         | 
         | [1] https://en.wikipedia.org/wiki/Stupid_motorist_law
        
           | SketchySeaBeast wrote:
           | > What it is analogous to is getting "stranded after driving
           | around barricades to enter a flooded stretch of roadway"
           | 
           | Kind of? But in this case somehow the driver is driving a
           | bus, or their car is pulling other cars in due to gravity, or
           | something? A motorist who ends up on a flooded motorway
           | endangers themselves and some first responders - which yes,
           | is dumb, but after that initial ripple it doesn't continue to
           | propagate the problem to other people. You can't spread car
           | stranding.
        
           | t0bia_s wrote:
           | My body, my choice. Do you agree?
        
             | JumpCrisscross wrote:
             | > _My body, my choice. Do you agree?_
             | 
             | Broadly speaking, yes. The narrow point here is on how to
             | deal with choices that hurt others. On the prescriptive
             | side, we could foreclose that choice. That's mandatory
             | vaccination. On the reactive side, we can assign liability.
             | That's the point of my analogy.
        
       | Silverback_VII wrote:
       | Herd immunity for sars-cov-2 may have become impossible in highly
       | vaccinated regions due to maladaptive immune response.
       | 
       | Now we have the problem that people constantly get reinfected in
       | omicron waves which puts a heavy burden on the immune system and
       | damages the system.
        
         | noselasd wrote:
         | On the upside, that is not an issue for polio vaccine.
        
         | debacle wrote:
         | It's hard to talk about the COVID vaccine in the context of
         | other vaccines.
         | 
         | The history of our attempts at developing traditional vaccines
         | for this type of virus goes back 50 years, and we've been very
         | unsuccessful at it, not for lack of trying.
         | 
         | I don't think it's unreasonable to believe that we wont ever be
         | able to develop a vaccine for this type of virus in the same
         | manner that we have for e.g. polio.
        
       | Metacelsus wrote:
       | Note, this is vaccine-derived polio. This is when the oral polio
       | vaccine (which uses a live poliovirus) mutates and reverts to a
       | more virulent form. This version of the polio vaccine is rather
       | outdated, and in fact a new one with much better genetic
       | stability is already being produced.
       | https://polioeradication.org/nopv2/
       | 
       | We really need to switch away from the old vaccine ASAP.
        
         | makomk wrote:
         | A lot of the news coverage dances around the issue, but the
         | direct cause of this actually seems to be a catastrophically
         | failed attempt to switch away from the previous polio vaccine.
         | Vaccine-derived poliovirus outbreaks used to be pretty rare
         | because the vaccine kept them under control, but there was
         | always the fear that some war or other disruption to
         | vaccination would trigger a major outbreak. So the WHO came up
         | with a plan: everyone around the world would stop using oral
         | polio vaccines with the type 2 poliovirus components (which is
         | the main culprit and protects against a variant that's been
         | eradicated in the wild), they'd estroy all their old trivalent
         | vaccines and switch to bivalent type 1 and 3 ones, any
         | outbreaks of vaccine-derived poliovirus would be mopped up with
         | a special type 2 only vaccine reserved for that purpose, and
         | then it'd be gone for good. Instead vaccine-derived poliovirus
         | outbreaks exploded all over the world. The nOPV2 vaccine was
         | then rushed out through development and into production to try
         | and patch up the mess. (In theory they could've just switched
         | back to the old vaccine temporarily, but that would mean
         | admitting failure and besides they didn't have the big
         | stockpiles of it anymore.)
        
         | debacle wrote:
         | Is this vaccine-derived polio "medically resistant" (or vaccine
         | resistant), or does it just infect people who may have waning
         | immunity, no immunity, etc?
        
           | HarryHirsch wrote:
           | The latter - it is attenuated virus from the live oral
           | vaccine that has reverted to a form causing paralysis. Both
           | forms of the polio vaccine are still effective against it.
           | 
           | <s>Why worry? Poliomyelitis is mild, most cases are
           | asymptomatic, only one in 200 cases result in paralysis, and
           | fatality rates are even lower.</s>
        
           | [deleted]
        
       | _s wrote:
       | From my understanding - there are two main "strains" for polio;
       | one that is "wild"; endemic to Afghanistan and Pakistan, and one
       | derived from the oral vaccine, endemic in Africa and a lot of
       | conflict zones, from Asia to Europe to Central / Southern
       | Americas.
       | 
       | The oral vaccine in use in a lot of the world contains a weakened
       | version of the virus, and allows your body to fight it off
       | without any negative effects. This is usually a 3 or 4 course
       | vaccine.
       | 
       | This specifically engineered weakened virus has been shown to
       | mutate and infect other partially or non vaccinated individuals,
       | including causing paralysis, and is the one now popping up in
       | more developed / inoculated areas - but again, in unvaccinated
       | individuals.
       | 
       | Note - from what I have read, you can still get and spread polio
       | even if you are vaccinated (much like Covid), but it's an
       | incredibly low chance - and furthermore, your risk of serious
       | disease / paralysis / death is even lower (so we know the
       | vaccines work). The oral vaccine (weakened virus) efficacy is
       | much higher than the injected (inactive virus) vaccine too, and
       | boosters are offered for those who had the vaccines as children
       | and are now adults.
       | 
       | There is also another oral vaccine, with a weakened virus, that
       | has been engineered to prevent certain mutations that cause it to
       | spread (if I read some articles correctly), but is not currently
       | approved for use in the US / UK.
       | 
       | Polio was one of the first few horrible diseases almost
       | eradicated by vaccines. Whatever your stance on getting
       | vaccinated, do understand that Polio has a 1 in 200 chance of
       | resulting in severe symptoms and paralysis, and there is no
       | treatment for it - only prevention via inoculation. It is not
       | like Covid where mostly the older, more immunocompromised suffer
       | - it will ravage children and healthy adults too.
        
         | pm90 wrote:
         | Im tired of saying this but it's absolutely mind boggling how
         | fucked up it is that one of the main exports from America today
         | is vaccine hesitancy.
         | 
         | Science skepticism has always been a thing; its only in recent
         | years though that internet has allowed the rapid spread of
         | disinformation. Glossy content created for misinforming
         | Americans inspires copycats in other countries. It's really
         | depressing.
        
           | ryandrake wrote:
           | You're very kind calling it "hesitancy", too! I know that's
           | the soft euphemism that the media has coalesced around, but
           | "hesitancy" implies that one is on the fence, unsure, open to
           | debate and open to being convinced. That's not what America
           | is exporting.
           | 
           | America's Anti-Vax movement is religiously sure of itself.
           | They aren't on the fence. They're not weighing the pros and
           | cons. They're convinced that they know the secret capital-T
           | Truth, and that spreading their gospel saves lives. COVID
           | brought it mainstream, but if you look back at the "Anti-vax
           | Moms groups" long before COVID, there was still no hesitancy.
           | Their minds were also made up.
        
             | anigbrowl wrote:
             | This seems to be a international effort, sadly. Article is
             | also pre-covid.
             | 
             | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137759/
        
             | VLM wrote:
             | > religiously sure of itself
             | 
             | There's a lot of projecting going on.
        
               | mongol wrote:
               | I understand it as they have faith in their beliefs
               | despite lack of scientific evidence
        
             | JumpCrisscross wrote:
             | > _America 's Anti-Vax movement is religiously sure of
             | itself. They aren't on the fence. They're not weighing the
             | pros and cons._
             | 
             | This is the activist wing of the movement. Many more
             | Americans are genuinely, in many cases reasonably,
             | hesitant.
        
           | swatcoder wrote:
           | > Science skepticism has always been a thing; its only in
           | recent years though that internet has allowed the rapid
           | spread of disinformation. Glossy content created for
           | misinforming Americans inspires copycats in other countries.
           | It's really depressing.
           | 
           | It may be depressing, but it's not helpful to associate it
           | with "science skepticism".
           | 
           | The vaccine "hesitant" you refer to are not skeptical of
           | _science_. They freely use the language and processes of
           | science as their argument. You or I may think they misuse the
           | language, make unconvincing assumptions, etc, but there 's
           | nothing to it that's skeptical of science.
           | 
           | Where vaccine hesitancy is rooted in science skepticism, you
           | see the hesitant relying on alternative means of knowing why
           | vaccines aren't right for them. You can think of the classic
           | faith healing communities like Christian Scientists and
           | Jehovah's Witnesses as an example of that.
           | 
           | The contagious skepticism that you're talking about is of
           | _institutions_ and _authority_. They don 't trust Fauci or
           | the CDC or the WHO or Pfizer or whomever to to communicate
           | honestly, objectively, and in their own interests. They
           | believe that these institutions can not be trusted to
           | communicate scientific knowledge free of political bias.
           | 
           | And when you look at it that way, _of course_ America is the
           | exporter of that. While responsible for founding some
           | impressive modern institutions, the founding myth of the
           | nation is all about skepticism of institution and authority.
           | The country is constitutionally designed to live in perpetual
           | tension with itself, and that 's what's getting exported now.
        
             | bawolff wrote:
             | > They freely use the language and processes of science as
             | their argument. You or I may think they misuse the
             | language, make unconvincing assumptions, etc, but there's
             | nothing to it that's skeptical of science.
             | 
             | Words are different than the things they refer to. Using
             | "sciency" words doesn't neccesarily mean people are
             | following the scientific method just like how soverign
             | citizens aren't actually lawyers.
             | 
             | What matters is the meaning of the words, not what they
             | superficially sound like.
             | 
             | * to be clear, im not saying that all antivaccine people
             | are neccesarily anti-science, just that the superficial
             | form of the words they use is irrelavent.
        
               | swatcoder wrote:
               | Sure, but practicing science poorly, or communicating
               | about it naively, is not the same as being science
               | skeptical or anti-science. That's the point.
               | 
               | If it helps to situate it in a different truth system:
               | Heresy may be _wrong_ according to the prevailing
               | doctrine or _theologically unsound_ , but it's still
               | operating within the religious system of belief.
               | 
               | Professing belief unitarianism is not atheism, and making
               | unconvincing or unsound scientific arguments is not anti-
               | science.
        
             | tzs wrote:
             | Jehovah's Witnesses are not a faith healing community and
             | their religion is not anti-vaccination [1] [2]. Christian
             | Scientists do first turn to prayer for healing, but it is
             | not part of the dogma. Their church is fine with members
             | who get vaccinated [3].
             | 
             | [1] https://www.jw.org/en/library/magazines/wp20101001/Do-
             | Jehova...
             | 
             | [2] https://www.jw.org/en/jehovahs-witnesses/faq/jw-
             | vaccines-imm...
             | 
             | [3] https://www.christianscience.com/press-
             | room/a-christian-scie...
        
             | retox wrote:
             | Can you expand on what you mean by 'The country is
             | constitutionally designed to live in perpetual tension with
             | itself'?
             | 
             | Let's also not lose sight of the fake vaccine operation run
             | by the CIA in Pakistan to catch Bin Laden.
             | https://www.theguardian.com/world/2011/jul/11/cia-fake-
             | vacci...
        
           | bvoq wrote:
           | Yeah, I wish it was only America, but the UK have their own
           | antivaxx propagandists. What's the motivation behind this
           | anyways? Aren't there other topics to make money off off,
           | like spreading flat earth information?
        
         | Nokinside wrote:
         | Some old pictures of what it looked like in hospitals:
         | https://www.google.com/search?source=univ&tbm=isch&q=images+...
         | 
         | Horrible disease.
        
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       (page generated 2022-08-24 23:01 UTC)