#160 - Paul Offit, MD: Latest on COVID-19 vaccines and their safety, herd immunity, & viral variants
Summary

In this podcast episode, the host and guest discuss the different scientific strategies in place to create vaccines for COVID-19, with a particular focus on the safety and effectiveness of mRNA vaccines. The guest reassures listeners that the mRNA cannot alter DNA and that serious adverse events from vaccines are rare and usually occur within two months of receiving a dose. The speaker also compares the difficulty in creating a vaccine for HIV to the development of COVID-19 vaccines and discusses the unique nature of the coronavirus in terms of genetic drift and mutability.

The podcast also discusses the mutations of viruses, particularly the flu, measles, and COVID-19. The speaker explains that COVID-19 mutates more slowly than flu but still mutates to become more contagious. The speaker discusses the variants of concern, such as the UK, Brazilian, and South African variants, and explains that current vaccines protect against severe disease caused by these variants. However, if a variant emerges that is not recognized by natural or vaccine-induced immunity, it could lead to a new pandemic.

The speaker also discusses the importance of the cellular immune system in providing long-term immunity and explains that immunization or natural infection are the two options for controlling mucosal infections like COVID-19. The podcast discusses the recent news about the Johnson & Johnson vaccine causing serious clotting episodes in six women, one of whom died. The side effects are rare, occurring in only 6 out of 6.9 million people who received the vaccine. The podcast host questions whether pausing the vaccine is an overreaction and may cause fear and hesitation among the public.

The conversation then shifts to herd immunity and the likelihood of achieving it. The host believes that we can slow the spread of the virus but not eliminate it entirely, and that we will need to continually vaccinate against it as we do with polio. The podcast also touches on the issue of vaccine hesitancy and the right to choose not to get vaccinated, which may affect the ability to achieve herd immunity.

The speaker discusses the number of people who have been infected with COVID-19 and the importance of vaccination. He suggests that the number of people who have been infected is likely much higher than reported due to limited testing and that natural immunity may not be as effective as vaccination. The speaker also discusses the possibility of mandating vaccination for certain privileges, such as travel. He believes that achieving herd immunity may be possible within the next few months with continued vaccination efforts.

Finally, the podcast discusses the origins of COVID-19 and the need for international collaboration to prepare for future pandemics. The speaker highlights the importance of identifying patient zero and having an international surveillance system to monitor potential viruses. The speaker also emphasizes the need for collaboration in vaccine distribution and the responsibility of economically and technologically advanced countries to provide vaccines for everyone. The conversation also touches upon vaccine hesitancy rates and the difference between vaccine skeptics and cynics.