tjwebbmd.com
"The Most Reliable Webb MD on the Internet"
A blog about doctoring, COVID-19, and medical misinforma
So many people have sent me this video of Dr. Dan Stock at the Mt. Vernon school board meeting that I felt a sense of urgency to offer a minute-by-minute analysis as quickly as possible. I'm a little over halfway through, and my attention is called back to clinical responsibilities. I'll try to finish the rest as soon as possible, but wanted to go ahead and share what I have (so please forgive the typos)...
https://tjwebbmd.com/2021/08/10/dr-dan-stocks-rapid-fire-misinformation-at-the-mt-vernon-community-school-corporation
Dr. Dan Stockโs Rapid-Fire Misinformation at the Mt. Vernon Community School Corporation We have now given 352 million COVID-19 vaccine doses in the US alone and over 4 billion doses worldwide, and there is well over there is still no evidence that the COVID-19 vaccines cause antibody-โฆ
I haven't had any time to write about COVID-19 misinformation recently. But I've seen this being spread around Facebook recently and I think we need to better understand what this means.
๐๐ก๐ ๐๐๐ซ๐ง๐ฌ๐ญ๐๐๐ฅ๐ ๐จ๐ฎ๐ญ๐๐ซ๐๐๐ค ๐ข๐ฌ ๐ ๐ ๐ซ๐๐๐ญ ๐๐ฑ๐๐ฆ๐ฉ๐ฅ๐ ๐จ๐ ๐ก๐จ๐ฐ ๐๐๐๐๐๐ฉ๐๐ซ๐ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐๐ฌ ๐๐ซ๐; ๐ญ๐ก๐๐ฒ ๐ฌ๐ก๐จ๐ฐ ๐ฎ๐ฌ ๐ฐ๐ก๐๐ญ ๐๐ง ๐จ๐ฎ๐ญ๐๐ซ๐๐๐ค ๐จ๐ ๐ญ๐ก๐ ๐๐๐ฅ๐ญ๐ ๐ฏ๐๐ซ๐ข๐๐ง๐ญ ๐จ๐ ๐๐๐๐๐-๐๐ ๐ฐ๐จ๐ฎ๐ฅ๐ ๐๐ ๐ฅ๐ข๐ค๐ ๐ข๐ง ๐ ๐ก๐๐๐ฏ๐ข๐ฅ๐ฒ ๐ฏ๐๐๐๐ข๐ง๐๐ญ๐๐ ๐ฉ๐จ๐ฉ๐ฎ๐ฅ๐๐ญ๐ข๐จ๐ง.
Barnstable is a county of 213,000 people in the 2nd most densely populated state in the country. It just suffered an outbreak triggered by a super-spreader event. This resulted in only about 500 cases of COVID-19 (in residents; we don't have data, including vaccination data, on the other half who were from out-of-state), 5 hospitalizations, and 0 deaths. About 79% of the population is fully vaccinated there; saying 74% of those who got COVID-19 during this outbreak were vaccinated is a bit like saying "the people who lived there are the ones who got it there"; unvaccinated Texas and Floridians couldn't have gotten COVID-19 from the outbreak in Barnstable County Massachusetts; they were in Texas and Florida.
All of the evidence we have from the other 3,005 counties (and 64 Parishes) in the US strongly suggests that if Barnstable had had this outbreak with, say, a 36% vaccination rate like we have here, this would ๐ฃ๐ค๐ฉ be a mere 500 person outbreak with 5 hospitalizations and ๐ณ๐๐ซ๐จ deaths. Less densely populated counties without super-spreader events are seeing worse numbers than these every day, and their hospitals and ICU's are filling up as patients continue to die.
We are a smaller county with half the population density, excellent local leadership, and no recent super-spreader events; yet we have 853 active cases, 161 new cases from just yesterday (I diagnosed some of those personally), and over a 100 hospitalizations. Most of those cases- and almost all of those hospitalizations- are unvaccinated patients. Our numbers just leave Barnstable county standing- it's because we have such a low vaccination rate.
Vaccines don't put a forcefield around us that keep us from coming in contact with the virus; they prime our immune system to fight the virus when we do come into contact with it by teaching us how to build effective antibodies and a targeted immune response. No vaccine can keep every person from becoming symptomatic when they are exposed to COVID-19. But they reduce infections and thus transmission, and most importantly they greatly reduce the risk of severe illness and death; that has been their purpose since they were invented in the late 1700's, and that was the purpose of vaccination's predecessor, inoculation, which we inherited (one could argue, stole) from African, Indian, and Asian traditional healing practices.
Right now, hospitals all over the country are drowning in almost entirely unvaccinated COVID-19 cases that are absolutely overwhelming our medical infrastructure, and many of those patients are dying tragically. They didn't have to. None of the patients who got COVID-19 in the Cape Cod outbreak did. The Barnstable outbreak is indeed a warning about just how contagious the Delta variant really is. It also shows us how much better off we would right now as a nation if all of our counties- and parishes- had vaccinated at the rate of Massachusetts.
It's been a while since I've written on any COVID-19 or vaccine misinformation, but this one hits close to home. This physician trained at the same program I did.
https://tjwebbmd.com/2021/05/20/have-the-covid-19-vaccines-really-killed-4178-people-my-response-to-a-former-waco-chief-resident/
Have the COVID-19 Vaccines Really Killed 4,178 People? My Response to a Former Waco Chief Resident A Brief Apology Itโs been a difficult pandemic. And while our COVID-19 cases and the severity of illness we faced as a community was undoubtedly worse over the Winter, the hardest time periodโฆ
I don't have time to write about Texas, the state where I live and practice medicine, deciding today to stop requiring masks and to "100% reopen." If you want more info I suggest you start with my friend Dr. Emily Smith, the Friendly Neighbor Epidemiologist: https://www.facebook.com/friendlyneighborepidemiologist/posts/254900069465983
But I did take the time to fix the official announcement from the Governor's Office. You're welcome, Governor's Office.
As a Physician, one of the most difficult dichotomies to hold in tension is the contrast between the heroic sacrifices you have seen your colleagues make on behalf of their patients every single day, and the very real harm and humiliation so many people have experienced at the hands of doctors.
It means that even if youโve spent every day of your professional life listening with empathy, maintaining high standards of truth and kindness, and fighting for equitable care for your patients, the trust of a patient still isnโt something you are ๐๐ฃ๐ฉ๐๐ฉ๐ก๐๐ to.
Trust has been broken by other doctors, by systems we have been complicit in or too complacent with, and unless we are flawless (Iโm certainly not), even by ourselves.
We have to ๐ซ๐๐๐ฎ๐ข๐ฅ๐ trust. With every single patient, every single time.
๐๐ข๐ฅ๐ฅ ๐ฒ๐จ๐ฎ ๐ฌ๐ก๐๐ซ๐ ๐ฐ๐ข๐ญ๐ก ๐ฆ๐ ๐ญ๐ก๐ ๐๐ฉ๐ข๐ฌ๐จ๐๐ ๐จ๐ซ ๐ฌ๐๐ซ๐ข๐๐ฌ ๐จ๐ ๐๐ฏ๐๐ง๐ญ๐ฌ ๐ญ๐ก๐๐ญ ๐ฆ๐๐๐ ๐ฒ๐จ๐ฎ ๐ฌ๐ญ๐จ๐ฉ ๐ญ๐ซ๐ฎ๐ฌ๐ญ๐ข๐ง๐ ๐๐จ๐๐ญ๐จ๐ซ๐ฌ?
๐๐ง๐/๐จ๐ซ
๐๐ข๐ฅ๐ฅ ๐ฒ๐จ๐ฎ ๐ฌ๐ก๐๐ซ๐ ๐ญ๐ก๐ ๐๐ฏ๐๐ง๐ญ ๐ญ๐ก๐๐ญ ๐ซ๐๐ฌ๐ญ๐จ๐ซ๐๐ ๐ฒ๐จ๐ฎ๐ซ ๐๐๐ข๐ญ๐ก ๐ข๐ง ๐๐จ๐๐ญ๐จ๐ซ๐ฌ ๐๐ง๐ ๐ฆ๐จ๐๐๐ซ๐ง ๐ฆ๐๐๐ข๐๐ข๐ง๐?
๐๐จ๐ญ๐: I'm committed to not defend, explain away, or argue the other side of any story or incident shared here (unless specifically asked to by the commenter), and I'll ask others to do likewise.
A recent survey found that only 25% of Black Americans were planning to get the COVID-19 vaccine. As a primary care physician, I've been talking about the vaccines with my patients for over a month now and helping them navigate all of the myths and misinformation so they can make the most informed choice possible.
For my Black patients, those discussions have a specific historical context that has to be acknowledged and addressed; this long history of medical research abuse against Black Americans.
In this article, and with no small amount of trepidation, I take a look at that history, discuss the ongoing healthcare disparities that have placed an increased burden from COVID-19 on Black communities and the need for equal access to the new vaccines, and most importantly, share a list of resources from Black physicians, scientists, and public health experts.
https://tjwebbmd.com/2021/02/06/why-would-any-black-american-trust-these-new-vaccines/
Why Would Any Black American Trust These New Vaccines? Black Americans face a double-edged sword. Longstanding healthcare inequities and neglect of Black healthcare needs places Black communities in a position of heightened vulnerability to the COVID-1โฆ
A video of Dr. Simone Gold speaking about the COVID-19 vaccines at a church in Florida is going viral right now and needs to be addressed.
I typically don't like to post incomplete blog entries, but this vaccine misinformation video is about an hour long and I've got a long afternoon in front of me.
I'm breaking it down minute-by-minute and will update the website after each timestamp. Feel free to follow along or check back later.
https://tjwebbmd.com/2021/01/30/dr-simone-gold-and-the-experimental-vaccines/
Dr. Simone Gold and the โExperimental Vaccinesโ *The following post is currently in-progress.* If you are looking for an analysis/debunking of a particular section of the video that is not yet posted, please check back later.
I just read that Dr. Simone Gold of "America's Frontline Doctors" was arrested for her involvement in the storming of the US Capitol, during which she also gave a speech against the COVID-19 vaccines and calling COVID-19 a "non-lethal virus." Dr. Gold doesn't know me from Adam, but at this point she feels like an old antagonist to me; I've been arguing against her COVID-19 misinformation for what feels like ages.
Dr. Gold is a physician and a lawyer and ought to have known better on both counts; first, she should have realized the illegality of her actions, and with a degree in law does not have the excuse, which I actually find rather sympathetic, that she was duped by the election misinformation into thinking she was performing a noble, patriotic, and ultimately legally permissible act on behalf of her country.
But even more compelling to me is that she should have known better months and months ago when she began spreading COVID-19 misinformation and lies, placing political goals and rhetoric above her Oath to first do no harm, to honor the hard won scientific gains of those physicians in whose footsteps she walks, to apply all measures for the benefit of the sick, to prevent disease whenever she can (because prevention is always preferable to a 'cure', which in this case she has only claimed to have in hydroxychloroquine), and even to remember that she is a member of a society and has an obligation to her fellow human beings.
I do not wish ill on her, and honestly hope (and expect) that her illegal actions will be met with clemency. But I sincerely hope that this incident may do what being demonstrably wrong on every point of scientific contention throughout this pandemic, and the deaths of 400,000 of her countrymen, have not done; I hope it will teach her the seriousness of her own actions and the power of her own words, for either good or ill. God alone knows how many people her viral misinformation videos have hurt.
If you need a reminder of who Dr. Simone Gold is, I've addressed her misinformation letters and videos in a few prior posts. I was also sent another lecture of hers, this time against the COVID-19 vaccines, which I hope to address soon.
https://tjwebbmd.com/.../americas-frontline-doctors-i...
https://tjwebbmd.com/.../covid-19-as-a-mass-casualty...
Americaโs Frontline Doctors (I guess I donโt count?) No Dr. Immanuel, it is not unethical to refrain from using a medication in a clinical scenario where it has no proven efficacy. This is the philosophy that led to the opioid epidemic and every day โฆ
๐๐๐๐๐-๐๐ ๐๐๐๐๐ข๐ง๐ ๐๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง๐ฌ & ๐๐ง๐ฌ๐ฐ๐๐ซ๐ฌ
๐๐ ๐ ๐ ๐๐ญ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐, ๐๐๐ง ๐ ๐ฌ๐ญ๐ข๐ฅ๐ฅ ๐ญ๐ซ๐๐ง๐ฌ๐ฆ๐ข๐ญ/๐ฌ๐ฉ๐ซ๐๐๐ ๐ญ๐ก๐ ๐ฏ๐ข๐ซ๐ฎ๐ฌ?
This is a question Iโve heard frequently, especially from those who themselves work in healthcare or have vulnerable friends and loved ones. It is a question driven by compassion. In this blog we have been trying to address the fears and concerns that arise not only from conspiracy theories and misinformation, but also from the very small but real risks associated with the vaccines; yet I know that many people would brave whatever degree of risk to themselves (again, Itโs very small) if it meant protecting their family and community. If they could be guaranteed that their choice to get vaccinated meant they could safely visit an unwell grandparent or have coffee face to face with a friend without any risk of spreading the virus, it would be a no brainer ๐๐ซ๐๐ฃ ๐๐ there was a considerable risk it might cause significant side effects like Bellโs Palsy (there isnโt: https://tinyurl.com/y3pkuxh5).
And I wish I could give that complete reassurance today, but while I ๐๐๐ say that the chances are very good this vaccine will not only protect you but also protect those around you, we still need much more data to be able to quantify the degree of that protection.
The point of the vaccines is to provide your systemic adaptive immune system, the part that acts powerfully and rapidly against specific disease, with the information it needs to produce the antibodies you need to keep you from getting very sick. A common misconception is that after you get say the flu shot, you canโt get the flu. Itโs not true. The flu shot doesnโt give you a magical forcefield around your body that blocks flu virus, it just helps you fight it much, much more quickly and efficiently when you do get it; often to the point that you never even know you are infected, or at least only have very minor symptoms (Image 1). ๐๐๐๐๐๐ฃ๐๐จ ๐๐ง๐๐จ๐ฉ๐๐๐๐ก๐ก๐ฎ ๐ง๐๐๐ช๐๐ ๐ฉ๐๐ ๐๐๐๐ฃ๐๐๐จ ๐ค๐ ๐ฎ๐ค๐ช ๐๐๐๐ค๐ข๐๐ฃ๐ ๐๐ญ๐ฉ๐ง๐๐ข๐๐ก๐ฎ ๐๐ก๐ก ๐๐ง๐ค๐ข ๐๐๐๐๐ก๐ฎ ๐๐๐จ๐๐๐จ๐ ๐ก๐๐ ๐ ๐๐ฃ๐๐ก๐ช๐๐ฃ๐ฏ๐, ๐ข๐๐๐จ๐ก๐๐จ, ๐ค๐ง ๐พ๐๐๐๐ฟ-19; ๐ฉ๐๐๐ฉโ๐จ ๐ฉ๐๐๐๐ง ๐๐ค๐.
This main function of vaccines is what underpins the epidemiology strategy of giving the COVID-19 vaccine to healthcare workers and the most vulnerable first. The medically vulnerable, because they are the most likely to require high levels of care, to suffer long-term problems from infection, or to die from COVID-19; and healthcare workers because as the pandemic worsens it becomes more and more important to preserve our medical workforce, and vaccinated folks are less likely to need sick time (much less become seriously ill and require hospitalization themselves) for COVID-19. The other reasons for vaccinating healthcare workers go back to courage, trust, and solidarity with our patients in the face of any new treatment (https://tinyurl.com/y7xlc4ko). We are prioritizing vaccinating the vulnerable instead of say pathologic extroverts because the effectiveness of the vaccines at preventing significant illness ๐๐จ ๐ ๐ฃ๐ค๐ฌ๐ฃ (90-95%), but their effectiveness at preventing transmission is still unknown (image 2).
So how do we find out so that Dustin can get his vaccine? Well, the big question mark is ๐๐๐ผ ๐๐ฃ๐ฉ๐๐๐ค๐๐๐๐จ (Image 3). Most of the research on antibody production from COVID-19 vaccination focuses on IgM and IgG because they predominate in the blood and represent, respectively, our short-term and long-term antibody protection against systemic (whole body) illness. But IgA is the main antibody in the mucous membranes; your mouth and throat, nasal passages, lung surfaces, and digestive track (itโs also the antibody responsible for passive immunity transmitted through breastmilk), and we know that the IgA response to infection is a big, big part of what neutralizes the virus and decreases transmission in those first 10 days of symptoms. If the vaccines โonlyโ cause a significant IgG and IgM response during that post-vaccine exposure to the COVID-19 virus, it will prevent severe infection; and may still prevent enough viral replication to stop transmission. But if it produces a strong IgA response too (or a strong enough mucosal IgG response), it will almost definitely neutralize any live virus in the upper airway as well, making transmission as unlikely as severe illness. In other words, the degree of IgA response is a strong predictor of whether the vaccine protects those around you as well as it protects you.
Because of this, researchers are already studying the degree of production of mucosal IgA against COVID-19 in vaccine recipients, with some promising results, and at least one intranasal vaccine (which produce a very strong IgA response) is under development. And while the best information we could get would be to see exactly how well someone develops IgA and neutralizes the virus by studying them when they are exposed to COVID-19 after vaccination, itโs sort of hard to catch people in that window. In the end we will probably have to settle for epidemiology data instead; carefully watching to see if clusters of infection occur around exposed, asymptomatic ๐ซ๐๐๐๐๐ฃ๐๐ฉ๐๐ people at the same rate that they do around ๐ช๐ฃ๐ซ๐๐๐๐๐ฃ๐๐ฉ๐๐ people. That will take time, but if and when it becomes apparent that vaccinated people really arenโt spreading the virus to those around them at all, that will be the point Iโll stop wearing my mask, practicing social distancing, and washing my hands (fine, fine; Iโll keep on washing my hands: https://youtu.be/VK2vpOh5wws).
I realize this was a really long-winded way of saying โI have no idea,โ but I want to conclude with a few reasons you should get the vaccine even if your main concern is not spreading the virus to others. ๐
๐ข๐ซ๐ฌ๐ญ, there is already a lot of good data that supports the idea that these vaccines will provide mucosal immunity (and thus decrease transmission), both from studies of the COVID-19 vaccines themselves (Image 4) and from our much more robust knowledge of vaccines in general; itโs hard to say anything with much confidence yet because weโve had these vaccines for such a short time, but Iโm pretty optimist they will. Weโve followed these principles for years; we recommend everyone around a newborn be vaccinated against Pertussis (whooping cough) because the newborn canโt be, and we know that vaccine-derived herd immunity works even for viruses that are primarily spread through respiratory particles. ๐๐๐๐จ๐ง๐, there is no conceivable mechanism by which they would increase transmission. The vaccines ๐๐๐ฃ๐ฃ๐ค๐ฉ make you produce live virus (at all) so they canโt make you contagious, and if you are exposed to COVID-19 later on your body will still respond with a mucosal immune response whether it is augmented by your vaccine or not (and it probably will be); the vaccine wonโt stop that. And ๐ญ๐ก๐ข๐ซ๐, by preventing a severe systemic illness, the vaccine will decrease the amount of time you are shedding virus and prevent transmission in some of the most high-risk settings; aerosol producing procedures like nebulizer treatments or intubation in the hospital. And by preventing symptoms like coughing and sneezing the vaccine will make you less contagious when exposed to the virus, as long as you are still following other transmission control measures like wearing a mask and quarantining after exposure.
So no, unfortunately being vaccinated against COVID-19 does not give us carte blanche to schedule giant indoor parties, throw away our masks, and treat the pandemic as if it were over; but they are a huge step in that direction, and in addition to protecting ourselves they do have a fair, if yet unproven, chance of protecting those around us too. And besides, if you donโt get vaccinated, how are you going to get your government tracking microchip?
Bad joke, sorry.
๐๐๐ฑ๐ญ: "๐๐ซ๐ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐๐ฌ ๐๐ญ๐ก๐ข๐๐๐ฅ (๐๐๐จ๐ซ๐ญ๐ข๐จ๐ง, ๐ก๐ฎ๐ฆ๐๐ง ๐๐๐ฅ๐ฅ๐ฌ ๐ฅ๐ข๐ง๐๐ฌ, ๐๐ง๐ ๐ฆ๐๐๐ข๐๐๐ฅ ๐ซ๐๐ฌ๐๐๐ซ๐๐ก)?"
๐๐๐๐๐-๐๐ ๐๐๐๐๐ข๐ง๐ ๐๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง๐ฌ & ๐๐ง๐ฌ๐ฐ๐๐ซ๐ฌ:
๐
๐ฎ๐ฅ๐ฅ ๐๐๐๐๐ข๐ง๐ ๐&๐ ๐๐ง ๐๐๐๐๐๐๐๐.๐๐จ๐ฆ (updated regularly): https://tjwebbmd.com/.../covid-19-vaccine-questions-and...
๐ญ. ๐๐จ๐ฐ ๐๐จ ๐ญ๐ก๐๐ฌ๐ ๐ฏ๐๐๐๐ข๐ง๐๐ฌ ๐ฐ๐จ๐ซ๐ค? https://tinyurl.com/ycetonku
๐ฎ. ๐๐ข๐ฅ๐ฅ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐๐ฌ ๐ก๐๐ฏ๐ ๐๐ง๐ฒ ๐ฅ๐๐ฌ๐ญ๐ข๐ง๐ ๐๐๐๐๐๐ญ ๐จ๐ง ๐ฆ๐ฒ ๐๐จ๐๐ฒ? (๐จ: ๐๐๐!) & ๐๐ข๐ฅ๐ฅ ๐ญ๐ก๐๐ฒ ๐๐๐ฎ๐ฌ๐ ๐ข๐ง๐๐๐ซ๐ญ๐ข๐ฅ๐ข๐ญ๐ฒ? (๐จ: ๐ต๐!) https://tinyurl.com/yabolsbf
๐. ๐๐ซ๐๐ง'๐ญ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐ ๐ข๐ง๐ ๐ซ๐๐๐ข๐๐ง๐ญ๐ฌ ๐ญ๐จ๐ฑ๐ข๐? (๐ด: ๐๐) https://tinyurl.com/y6a2rex9
๐๐ญ๐ก๐๐ซ ๐๐๐๐๐ข๐ง๐๐ฌ ๐๐จ๐ฌ๐ญ๐ฌ:
๐๐๐๐๐-๐๐ ๐๐๐๐๐ข๐ง๐ ๐๐ข๐ฌ๐ข๐ง๐๐จ๐ซ๐ฆ๐๐ญ๐ข๐จ๐ง ๐๐ข๐๐๐จ ๐๐๐๐ฎ๐ง๐ค๐ข๐ง๐ https://tjwebbmd.com/2020/11/21/covid-19-vaccine-misinformation-minute-by-minute-analysis
๐๐๐๐๐-๐๐ ๐๐ง๐ ๐๐๐ฅ๐ฅโ๐ฌ ๐๐๐ฅ๐ฌ๐ฒ: ๐ ๐ฐ๐ข๐ฌ๐ก ๐ฌ๐ก๐ ๐ฐ๐๐ฌ ๐ฆ๐ฒ ๐ฉ๐๐ญ๐ข๐๐ง๐ญ. https://tjwebbmd.com/2020/12/31/covid-19-and-bells-palsy-i-wish-she-was-my-patient
๐๐จ ๐๐๐๐๐ข๐ง๐ ๐๐๐ฅ๐๐ข๐ ๐๐๐ญ or "๐๐ฉ๐บ ๐ ๐ข๐ฎ ๐ถ๐ฏ๐ค๐ฐ๐ฎ๐ง๐ฐ๐ณ๐ต๐ข๐ฃ๐ญ๐ฆ ๐จ๐ฆ๐ต๐ต๐ช๐ฏ๐จ ๐ท๐ข๐ค๐ค๐ช๐ฏ๐ข๐ต๐ฆ๐ฅ" https://tinyurl.com/y7xlc4ko
"๐ ๐๐๐๐๐-๐๐ ๐๐๐๐๐ข๐ง๐ ๐ฐ๐ข๐ญ๐ก ๐๐% ๐๐๐๐๐๐ญ๐ข๐ฏ๐๐ง๐๐ฌ๐ฌ... ๐๐๐ฅ๐ฅ ๐๐ ๐๐ง๐จ๐ญ๐ก๐๐ซ ๐๐๐๐ญ๐ข๐ฆ๐ ๐๐ญ๐จ๐ซ๐ฒ." https://tinyurl.com/y7ylla8k
๐
๐ซ๐ข๐๐ง๐๐ฅ๐ฒ ๐๐๐ข๐ ๐ก๐๐จ๐ซ ๐๐ฉ๐ข๐๐๐ฆ๐ข๐จ๐ฅ๐จ๐ ๐ข๐ฌ๐ญ ๐๐๐๐๐ข๐ง๐ ๐๐๐ซ๐ข๐๐ฌ
๐๐ญ๐๐ซ๐ญ ๐๐๐ซ๐: Herd immunity and vaccines: Vaccines 101 โ https://tinyurl.com/y27txvro
๐๐ ๐ง๐๐๐ ๐ญ๐จ ๐๐ก๐๐ง๐ ๐ ๐ญ๐ก๐ ๐๐จ๐ง๐ฏ๐๐ซ๐ฌ๐๐ญ๐ข๐จ๐ง ๐๐ซ๐จ๐ฎ๐ง๐ ๐ญ๐ก๐ข๐ฌ ๐๐๐๐๐-๐๐ ๐ฏ๐๐๐๐ข๐ง๐ ๐๐๐ฅ๐ฅ'๐ฌ ๐๐๐ฅ๐ฌ๐ฒ ๐ฏ๐ข๐๐๐จ.
Yesterday two patients, both African American, asked me about the COVID-19 vaccines, and about this viral video specifically. After a long, heartfelt conversation, both are again considering getting vaccinated.
This is exactly why I got my vaccine last week.
๐๐ ๐๐๐ง๐ง๐จ๐ญ ๐ญ๐๐ฅ๐ค ๐๐๐จ๐ฎ๐ญ ๐ญ๐ก๐ข๐ฌ ๐ฏ๐ข๐๐๐จ ๐ฐ๐ข๐ญ๐ก๐จ๐ฎ๐ญ ๐ญ๐๐ฅ๐ค๐ข๐ง๐ ๐๐๐จ๐ฎ๐ญ ๐ก๐๐๐ฅ๐ญ๐ก๐๐๐ซ๐ ๐ฃ๐ฎ๐ฌ๐ญ๐ข๐๐ ๐๐ง๐ ๐๐ฆ๐๐ซ๐ข๐๐๐ง ๐ฆ๐๐๐ข๐๐ข๐ง๐'๐ฌ ๐๐๐ข๐ฅ๐ฎ๐ซ๐ ๐ญ๐จ ๐๐๐ซ๐ ๐๐จ๐ซ ๐๐๐จ๐ฉ๐ฅ๐ ๐จ๐ ๐๐จ๐ฅ๐จ๐ซ.
Contents:
-Having a Healthy Incredulity About Internet Videos
-Bellโs Palsy: Medical Facts
-Bellโs Palsy: Why I Wish She Were My Patient
-Healthcare as War on Black Bodies: Vaccine Skepticism as a Consequence of Systemic Racism in Medicine
https://tjwebbmd.com/2020/12/31/covid-19-and-bells-palsy-i-wish-she-was-my-patient
COVID-19 and Bellโs Palsy: I wish she was my patient. These vaccines are the best hope we have of ending the pandemic. I believe in them. They are safe, and your chances of developing a significant reaction- including Bellโs Palsy- is incrediblyโฆ
๐๐๐๐๐-๐๐ ๐๐๐๐๐ข๐ง๐ ๐๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง๐ฌ & ๐๐ง๐ฌ๐ฐ๐๐ซ๐ฌ
๐๐ซ๐๐ง'๐ญ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐ ๐ข๐ง๐ ๐ซ๐๐๐ข๐๐ง๐ญ๐ฌ ๐ญ๐จ๐ฑ๐ข๐?
(๐ด: ๐๐)
Those whom I interact with regularly who are undecided or hesitant about vaccines are typically patients and parents with sincere, legitimate questions, who deserve the time it takes to hear their concerns, answer their questions completely, and offer reassurance. But unfortunately, ๐ฉ๐๐๐ง๐ ๐๐ง๐ ๐๐ก๐จ๐ค people out there who are promoting anti-vaccine propaganda and deliberately creating false information. One common strategy to increase unease or paranoia about vaccinating our children is to simply list the scientific sounding ingredients and then ask, โ๐ฅ๐ฐ ๐บ๐ฐ๐ถ ๐ณ๐ฆ๐ข๐ญ๐ญ๐บ ๐ธ๐ข๐ฏ๐ต ๐ต๐ฐ ๐ฑ๐ถ๐ต ๐ต๐ฉ๐ข๐ต ๐ช๐ฏ๐ต๐ฐ ๐ต๐ฉ๐ฆ๐ช๐ณ ๐ฃ๐ฐ๐ฅ๐ช๐ฆ๐ด?โ Usually this approach will ignore benign sounding ingredients like โsucroseโ or โgelatinโ, and focus in on lengthy or scientific-sounding ingredients like โnicotinamide adenine dinucleotideโ or โcetyltrimethylammonium bromide,โ which register emotionally as more intimidating, less safe, and less natural. Of course we know that logically a chemical with a long name would not necessarily be any more or less dangerous than one with a short name; โricinโ has a short name, and itโs the 5th most dangerous chemical in the world (that is ๐ท๐๐๐ an example; there is ๐ก๐ข ricin in your vaccines. ๐ ๐ฅ๐ฐ ๐ฏ๐ฐ๐ต ๐ธ๐ข๐ฏ๐ต ๐ต๐ฐ ๐ด๐ฆ๐ฆ ๐ข ๐ฃ๐ถ๐ฏ๐ค๐ฉ ๐ฐ๐ง ๐ฎ๐ฆ๐ฎ๐ฆ๐ด ๐ฏ๐ฆ๐น๐ต ๐ธ๐ฆ๐ฆ๐ฌ ๐ค๐ญ๐ข๐ช๐ฎ๐ช๐ฏ๐จ ๐ต๐ฉ๐ฆ๐บ ๐ฑ๐ถ๐ต ๐ณ๐ช๐ค๐ช๐ฏ ๐ช๐ฏ ๐ท๐ข๐ค๐ค๐ช๐ฏ๐ฆ๐ด). But fear mongering is not always logical.
They might also home in on a naturally occurring and well known chemical that most people think about in conjunction with another of its uses, counting on that association alone to create fear. A good example is ๐ณ๐ผ๐ฟ๐บ๐ฎ๐น๐ฑ๐ฒ๐ต๐๐ฑ๐ฒ, which most of us think of in the context of embalming, but is also used in applications from color photography to deodorants; and of course, as an anti-bacterial and anti-fungal in certain vaccines. Some vaccines contain about .005 to .01 mg per dose; a 2 month old baby produces up to 200 times more than that every single day as a part of their normal metabolism (for adults, itโs more like 3,000 times more). Yet because our culture so strongly associates formaldehyde with death, merely invoking itโs name is enough to create unease.
Most of the ingredients in vaccines are there to keep the attenuated or killed virus pieces from decaying long before they are injected. Others are there to prevent the growth of bacteria or fungi in the vaccine vials themselves. Still others are used to stimulate the bodyโs immune cells around the injection site to make them more likely to produce an adequate response that leads to long-term immunity. ๐๐น๐น chemicals we encounter in our lives are toxic under certain circumstances or in high enough doses (image 3); ๐ฃ๐ค๐ฃ๐ of the ingredients in vaccines are toxic at the doses or in the manner given. I think people often forget that the scientists who design the vaccines, and the doctors and nurses that counsel patients about them and inject them, are human beings who also vaccinate ourselves and our children; we want vaccines to be safe for ๐จ๐๐ก๐๐๐จ๐ reasons, too, not just altruistic ones.
That all applies to traditional vaccines; the new mRNA vaccines are made differently, and so they donโt need a lot of the same additional chemicals to ensure they work. In fact, whatโs shocking about them is just how few ingredients they actually have. In addition to the messenger RNA molecules themselves, the Pfizer vaccine has just 4 synthetic fats (lipid nanoparticles) meant to deliver the mRNA into the cells that will build the COVID-19 spike protein, 4 salts to make sure the vaccine is at the same acidity and osmolality as the tissue it is being injected into so it can get absorbed (and hurt less), and 1 sugar, sucrose, to protect the vaccine during cold storage.
Salt, fat, sugar. And thatโs it.
Some of the substances can still cause a reaction; the leading theory right now is that the few anaphylactic reactions to the Pfizer vaccine were likely due to polyethylene glycol, a common chemical we give in huge doses for constipation, but which can cause an extremely rare, but serious, allergic reaction. This chemical is used to create the lipid nanoparticles through some Tony Stark level methods I canโt hope to understand. The lipid nanoparticles (very small fat molecules that can protect the mRNA) themselves are indeed new technology; which in science terms means about 30 years old (Image 4). Over that time period their safety has been studied extensively and found to be safe, non-toxic, and biocompatible/biodegradable. And because the world is crazy, ๐ฃ๐ค, ๐ฉ๐๐๐ฎ ๐๐ง๐ ๐ฃ๐ค๐ฉ ๐ฉ๐๐ฃ๐ฎ ๐ง๐ค๐๐ค๐ฉ๐จ (Image 5)(but how cool would that be?!).
I canโt claim to be familiar with every anti-vaccine meme and article out there, but I havenโt seen as much about โtoxic ingredientsโ with the COVID-19 vaccine, and I think thatโs because even compared to the safe ingredients of traditional vaccines the ingredients of the COVID-19 mRNA vaccines, marvels of modern science, still manage to ๐จ๐ค๐ช๐ฃ๐ very unimpressive, and thus feel less intimidating.
๐๐๐ฑ๐ญ: "๐๐ ๐ ๐ ๐๐ญ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐, ๐๐๐ง ๐ ๐ฌ๐ญ๐ข๐ฅ๐ฅ ๐ญ๐ซ๐๐ง๐ฌ๐ฆ๐ข๐ญ ๐ญ๐ก๐ ๐ฏ๐ข๐ซ๐ฎ๐ฌ?"
๐๐๐๐๐-๐๐ ๐๐๐๐๐ข๐ง๐ ๐๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง๐ฌ & ๐๐ง๐ฌ๐ฐ๐๐ซ๐ฌ:
๐
๐ฎ๐ฅ๐ฅ ๐๐๐๐๐ข๐ง๐ ๐&๐ ๐๐ง ๐๐๐๐๐๐๐๐.๐๐จ๐ฆ (updated regularly): https://tjwebbmd.com/2020/12/24/covid-19-vaccine-questions-and-answers
๐ญ. ๐๐จ๐ฐ ๐๐จ ๐ญ๐ก๐๐ฌ๐ ๐ฏ๐๐๐๐ข๐ง๐๐ฌ ๐ฐ๐จ๐ซ๐ค? https://tinyurl.com/ycetonku
๐ฎ. ๐๐ข๐ฅ๐ฅ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐๐ฌ ๐ก๐๐ฏ๐ ๐๐ง๐ฒ ๐ฅ๐๐ฌ๐ญ๐ข๐ง๐ ๐๐๐๐๐๐ญ ๐จ๐ง ๐ฆ๐ฒ ๐๐จ๐๐ฒ? (๐จ: ๐๐๐!) & ๐๐ข๐ฅ๐ฅ ๐ญ๐ก๐๐ฒ ๐๐๐ฎ๐ฌ๐ ๐ข๐ง๐๐๐ซ๐ญ๐ข๐ฅ๐ข๐ญ๐ฒ? (๐จ: ๐ต๐!) https://tinyurl.com/yabolsbf
๐๐ญ๐ก๐๐ซ ๐๐๐๐๐ข๐ง๐๐ฌ ๐๐จ๐ฌ๐ญ๐ฌ:
๐๐จ ๐๐๐๐๐ข๐ง๐ ๐๐๐ฅ๐๐ข๐ ๐๐๐ญ or "๐๐ฉ๐บ ๐ ๐ข๐ฎ ๐ถ๐ฏ๐ค๐ฐ๐ฎ๐ง๐ฐ๐ณ๐ต๐ข๐ฃ๐ญ๐ฆ ๐จ๐ฆ๐ต๐ต๐ช๐ฏ๐จ ๐ท๐ข๐ค๐ค๐ช๐ฏ๐ข๐ต๐ฆ๐ฅ" https://tinyurl.com/y7xlc4ko
"๐ ๐๐๐๐๐-๐๐ ๐๐๐๐๐ข๐ง๐ ๐ฐ๐ข๐ญ๐ก ๐๐% ๐๐๐๐๐๐ญ๐ข๐ฏ๐๐ง๐๐ฌ๐ฌ... ๐๐๐ฅ๐ฅ ๐๐ ๐๐ง๐จ๐ญ๐ก๐๐ซ ๐๐๐๐ญ๐ข๐ฆ๐ ๐๐ญ๐จ๐ซ๐ฒ." https://tinyurl.com/y7ylla8k
๐
๐ซ๐ข๐๐ง๐๐ฅ๐ฒ ๐๐๐ข๐ ๐ก๐๐จ๐ซ ๐๐ฉ๐ข๐๐๐ฆ๐ข๐จ๐ฅ๐จ๐ ๐ข๐ฌ๐ญ ๐๐๐๐๐ข๐ง๐ ๐๐๐ซ๐ข๐๐ฌ
๐๐ญ๐๐ซ๐ญ ๐๐๐ซ๐: Herd immunity and vaccines: Vaccines 101 โ https://tinyurl.com/y27txvro
๐๐๐๐๐-๐๐ ๐๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง๐ฌ & ๐๐ง๐ฌ๐ฐ๐๐ซ๐ฌ
๐๐ข๐ฅ๐ฅ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐๐ฌ ๐ก๐๐ฏ๐ ๐๐ง๐ฒ ๐ฅ๐๐ฌ๐ญ๐ข๐ง๐ ๐๐๐๐๐๐ญ ๐จ๐ง ๐ฆ๐ฒ ๐๐จ๐๐ฒ? (๐จ: ๐๐๐!) & ๐๐ข๐ฅ๐ฅ ๐ญ๐ก๐๐ฒ ๐๐๐ฎ๐ฌ๐ ๐ข๐ง๐๐๐ซ๐ญ๐ข๐ฅ๐ข๐ญ๐ฒ? (๐จ: ๐ต๐!)
๐๐ข๐ฅ๐ฅ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐๐ฌ ๐ก๐๐ฏ๐ ๐๐ง๐ฒ ๐ฅ๐๐ฌ๐ญ๐ข๐ง๐ ๐๐๐๐๐๐ญ ๐จ๐ง ๐ฆ๐ฒ ๐๐จ๐๐ฒ?
Hopefully! Thatโs sort of the idea. While the messenger RNA only survives for a few minutes before degrading, the antibodies that are produced will circulate for months, and some of the other cells of the adaptive immune system, specifically the antibody-producing plasma cells, will hopefully migrate to the bone marrow and lie dormant for decades, which is how vaccines given in childhood continue to provide protection many years later. This is true of the annual flu vaccine too, by the way; the issue isnโt that those vaccines donโt provide lasting immunity, but that influenza is a rapidly mutating virus and different strains are more common every flu season. So your flu shot from 1997 or 2008 is still providing you with protectionโฆ But only against the flu strains that were chosen for the vaccine in 1997 and 2008. Theyโve even done studies that showed people who survived the Spanish Flu Pandemic of 1918 could still produce an antibody response 100 years later! Coronaviruses mutate much more slowly than the flu, but it is too early to know whether SARS-CoV-2 will mutate enough or in the right way to require additional, regular vaccinations. If we can judge by the SARS and MERS epidemics of 2002 and 2012, it seems unlikely.
As far as other changes to our bodies, thankfully there is no plausible mechanism by which the COVID-19 vaccines could cause other chronic changes than the desired immune response. The mRNA only codes for a few specific proteins and cannot produce an active virus, and the fats, sugar and salts in the vaccines do little else than package the mRNA and help it get into the cell.
๐๐ข๐ฅ๐ฅ ๐ญ๐ก๐๐ฒ ๐๐๐ฎ๐ฌ๐ ๐ข๐ง๐๐๐ซ๐ญ๐ข๐ฅ๐ข๐ญ๐ฒ?
There has been misinformation circulating online about the vaccines causing female infertility, but these are baseless. The original claim can be traced back to Michael Yeadon, a former Pfizer researcher and COVID-19 denier who has also posted videos claiming that the pandemic really ended in late Spring, at least in the UK, because most of the population was already immune due to having antibodies to other coronaviruses, which cause the common cold (as of today there have been over 70,000 deaths in the UK from COVID-19; see image 2 & 3). This is an extremely ironic idea in light of his claims about the vaccine causing infertility, as we shall see shortly. He has not worked for Pfizer since 2011, and calling him the โHead of Pfizer Researchโ is just as deceptive as the rest of the headline and article.
The vaccine ๐ฅ๐ฐ๐ฆ๐ด ๐ฏ๐ฐ๐ต contain Syncytin-1, at all; the article (picture 1) is simply lying at that point. The actual theory claims that the COVID-19 spike protein the vaccines code for shares similar amino acid sequences with a human protein, Syncytin-1, which is important in placental development. They reason that antibodies trained to attack COVID-19 would also attack Syncytin-1, causing infertility. This is illogical and scientifically invalid for a few reasons.
First, we have already had 80 million cases of COVID-19 worldwide and there has been no evidence of infertility as a side effect; yet the body of any infected person is going to produce antibodies against multiple COVID-19 proteins, including the spike protein in question. If the antibodies we develop against the spike protein from having the virus donโt attack Syncytin-1, there is no logical reason to believe vaccine-induced antibodies would either.
Second, we have evidence from the COVID-19 vaccine trials themselves that pregnancy occurs at similar rates between those vaccinated and those not vaccinated. The vaccine trials did not include pregnant women or women who intended to become pregnant, and all women of child-bearing age that participated had a negative pregnancy test before their first dose and committed to using a method of birth control throughout the study. Thirty-nine women became pregnant anyway; twenty-three in the Pfizer trial and sixteen in the Moderna trial, and the rate of unintended pregnancy in those who received the vaccine was about the same as in the placebo group. Those numbers are too small to draw serious conclusions, but the point is that we ๐ข๐ญ๐ณ๐ฆ๐ข๐ฅ๐บ ๐ฉ๐ข๐ท๐ฆ ๐ฆ๐น๐ข๐ฎ๐ฑ๐ญ๐ฆ๐ด of women who became pregnant after receiving the vaccine, even though they were actively preventing pregnancy; in the coming months as more and more people receive the vaccines, we will have many more examples, and because this misinformation has been popular there are already studies planned to track the pregnancy rate following vaccination.
Third, the number of amino acids in the shared sequence is actually tiny; a segment of ๐ ๐๐ฆ๐ข๐ง๐จ ๐๐๐ข๐๐ฌ, with only the first two and the last two being shared. Syncytin-1 has a full sequence of ๐๐๐ ๐๐ฆ๐ข๐ง๐จ ๐๐๐ข๐๐ฌ, and the COVID-19 spike protein itself is ๐,๐๐๐ ๐๐ฆ๐ข๐ง๐จ ๐๐๐ข๐๐ฌ long. We have an analogy in human disease; one explanation for rheumatic heart disease following streptococcal infection is that certain proteins in the Group A strep bacteria share similar amino acid sequences with myosin, a protein found in heart muscle, allowing antibodies against the bacteria to cross-react with heart tissue. However, in that case there are not only much longer sequences of shared amino acids, but multiple sequences that repeat multiple times each. The section of shared amino acids in the case of Syncytin-1 and COVID-19 antibodies ๐ซ๐ถ๐ด๐ต ๐ช๐ด๐ฏโ๐ต ๐ด๐ช๐จ๐ฏ๐ช๐ง๐ช๐ค๐ข๐ฏ๐ต, and you will find many viruses and bacteria in nature that share such similarities with a great many proteins in humans.
Finally, SARS-CoV-2 is not the only coronavirus in existence; not by a long shot. Coronaviruses are one of the main groups of viruses that cause the common cold, and you and I have both had many coronavirus infections throughout our lives. ๐๐ค๐ช ๐จ๐ฉ๐๐ก๐ก ๐๐๐ซ๐ ๐๐ฃ๐ฉ๐๐๐ค๐๐๐๐จ ๐ฉ๐ค ๐ฉ๐๐ค๐จ๐ ๐๐ค๐ง๐ค๐ฃ๐๐ซ๐๐ง๐ช๐จ๐๐จ, as Dr. Yeadon points out in his other videos. Every single coronavirus has spike proteins (that is what gives them their name; they form a halo, or corona, around the virus when you look at it through an electron microscope; see image 4), and all of those spike proteins share as much or more similarity to Syncytin-1 as the COVID-19 spike protein, because they play similar roles in viral replication to what Syncytin-1 does in placental development (they are fusion proteins). So you have ๐๐ก๐ง๐๐๐๐ฎ ๐๐๐ซ๐๐ก๐ค๐ฅ๐๐ ๐๐ฃ๐ฉ๐๐๐ค๐๐๐๐จ ๐๐๐๐๐ฃ๐จ๐ฉ ๐๐ค๐ง๐ค๐ฃ๐๐ซ๐๐ง๐ช๐จ ๐จ๐ฅ๐๐ ๐ ๐ฅ๐ง๐ค๐ฉ๐๐๐ฃ๐จ all throughout your life, maybe even every single year, just like everyone around you; and yet this has never been identified as a contributing factor in human infertility.
So yes, the vaccine will have a lasting impact on your body, assuming you respond well like 95% of clinical trial participants. The lasting effects will be the same as the lasting effects of surviving the virus: immunity to COVID-19, and hopefully long-lasting immunity. The difference is that the vaccine doesnโt carry a risk of serious illness or death to you or transmission to those around you. And thankfully, neither immunity from getting the vaccine nor immunity from getting the virus itself will cause infertility.
๐๐๐ฑ๐ญ: ๐๐ซ๐๐งโ๐ญ ๐ญ๐ก๐ ๐ฏ๐๐๐๐ข๐ง๐ ๐ข๐ง๐ ๐ซ๐๐๐ข๐๐ง๐ญ๐ฌ ๐ญ๐จ๐ฑ๐ข๐?
๐๐ญ๐ก๐๐ซ ๐๐๐๐๐ข๐ง๐๐ฌ ๐๐จ๐ฌ๐ญ๐ฌ:
๐๐จ๐ฐ ๐๐จ ๐ญ๐ก๐๐ฌ๐ ๐ฏ๐๐๐๐ข๐ง๐๐ฌ ๐ฐ๐จ๐ซ๐ค? https://tinyurl.com/ycetonku
๐๐จ ๐๐๐๐๐ข๐ง๐ ๐๐๐ฅ๐๐ข๐ ๐๐๐ญ or "๐๐ฉ๐บ ๐ ๐ข๐ฎ ๐ถ๐ฏ๐ค๐ฐ๐ฎ๐ง๐ฐ๐ณ๐ต๐ข๐ฃ๐ญ๐ฆ ๐จ๐ฆ๐ต๐ต๐ช๐ฏ๐จ ๐ท๐ข๐ค๐ค๐ช๐ฏ๐ข๐ต๐ฆ๐ฅ" https://tinyurl.com/y7xlc4ko
"๐ ๐๐๐๐๐-๐๐ ๐๐๐๐๐ข๐ง๐ ๐ฐ๐ข๐ญ๐ก ๐๐% ๐๐๐๐๐๐ญ๐ข๐ฏ๐๐ง๐๐ฌ๐ฌ... ๐๐๐ฅ๐ฅ ๐๐ ๐๐ง๐จ๐ญ๐ก๐๐ซ ๐๐๐๐ญ๐ข๐ฆ๐ ๐๐ญ๐จ๐ซ๐ฒ." https://tinyurl.com/y7ylla8k
๐
๐ฎ๐ฅ๐ฅ ๐๐๐๐๐ข๐ง๐ ๐&๐ ๐๐ง ๐๐๐๐๐๐๐๐.๐๐จ๐ฆ (updated regularly): https://tjwebbmd.com/.../covid-19-vaccine-questions-and...
๐
๐ซ๐ข๐๐ง๐๐ฅ๐ฒ ๐๐๐ข๐ ๐ก๐๐จ๐ซ ๐๐ฉ๐ข๐๐๐ฆ๐ข๐จ๐ฅ๐จ๐ ๐ข๐ฌ๐ญ ๐๐๐๐๐ข๐ง๐ ๐๐๐ซ๐ข๐๐ฌ
๐๐ญ๐๐ซ๐ญ ๐๐๐ซ๐: Herd immunity and vaccines: Vaccines 101 โ https://tinyurl.com/y27txvro
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