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    Coronavirus: Shots! Shots! Shots!

    enDecember 03, 2020

    Podcast Summary

    • COVID-19 Vaccines: Effectiveness and Safety ConcernsDespite promising COVID-19 vaccine effectiveness, safety concerns arise due to rapid development and past errors. Long-term symptoms in recovered individuals, or 'long haulers,' add to the complexity.

      While the news of effective COVID-19 vaccines brings hope, there are valid concerns regarding their safety and efficacy, especially with reports of errors in dosages with other vaccines. Pfizer's vaccine is currently showing 95% effectiveness, surpassing initial expectations. However, the rapid development of these vaccines raises questions about their safety. Additionally, there is growing attention on the phenomenon of "long haulers," individuals who experience severe and prolonged symptoms after recovering from COVID-19. Scientists have been working tirelessly to understand the virus and its impact on the body, and this episode of Science Versus explores these topics in detail. While there is reason for optimism, it's essential to approach these developments with a critical and informed perspective.

    • Determining Effectiveness of Pfizer and Moderna's COVID-19 VaccinesThrough large-scale clinical trials, Pfizer and Moderna's COVID-19 vaccines have been shown to be 95% effective, as determined by a significant difference in infection rates between vaccine and placebo groups, which have undergone rigorous scrutiny by experts.

      The impressive effectiveness rates of 95% for both Pfizer and Moderna's coronavirus vaccines were determined through large-scale clinical trials involving thousands of participants. Half of the participants received the vaccine, while the other half received a placebo. Once a sufficient number of participants contracted COVID-19, researchers were able to compare the infection rates between the two groups. The significant difference in infection rates between the placebo and vaccine groups led to the determination of the vaccine's effectiveness. It's important to note that these findings have been vetted by independent experts and leaders in the field, increasing the credibility of the data. Despite the fact that we don't yet have access to the full data from these trials, the data that has been released has undergone rigorous scrutiny, making it a promising sign in the fight against the pandemic. Additionally, the success of these vaccines was not guaranteed, as it often takes over a decade to develop a vaccine, and for some viruses, creating a vaccine can be particularly challenging.

    • Promising Results from COVID-19 Vaccine TrialsVaccines from AstraZeneca, Pfizer, and Moderna show high efficacy rates, but achieving herd immunity requires vaccinating a large portion of the population. Vaccines are generally safe, but more information is needed about side effects and distribution.

      The COVID-19 vaccines are showing promising results in clinical trials, with efficacy rates of at least 60% for AstraZeneca and 94.5% for Pfizer and Moderna. These findings have brought excitement and relief to scientists and the public, despite some initial hiccups in the trials. However, it's important to note that achieving herd immunity and ending the pandemic will require vaccinating a significant portion of the global population, potentially up to 70%. While the vaccines have shown to be generally safe with common side effects like fatigue and muscle pain, more information is needed about the duration and severity of these symptoms. Overall, the vaccines represent a crucial step towards returning to normalcy, but it will take time and effort to ensure widespread distribution and acceptance.

    • Understanding Severe COVID-19 in Young PeopleScientists are analyzing the DNA of young COVID-19 patients to identify potential genetic factors contributing to severe cases, which could lead to new treatment options.

      Even with the arrival of a COVID-19 vaccine, the pandemic is likely to continue in fits and starts. Studies have shown that a significant number of people do not return for their second vaccine dose, leaving them unprotected. Furthermore, it is still unknown how long the vaccines will provide protection. The discovery of young, seemingly healthy individuals falling severely ill or even dying from COVID-19 has been a mystery. Scientists, like geneticist Alexander from the Radboud University Medical Center in the Netherlands, are now starting to unravel this puzzle. By analyzing the DNA of affected individuals, they hope to identify any genetic factors that may increase the risk of severe COVID-19 in young people. This research could lead to a better understanding of the disease and potentially new treatment options. In summary, the arrival of a vaccine is an important step, but the pandemic is far from over, and there are still many questions to be answered.

    • Identifying a genetic mutation linked to severe COVID-19 casesA missing chunk of the TLR 7 gene can make individuals more susceptible to severe COVID-19 cases, and identifying such mutations could lead to targeted treatments for hospitalized patients.

      A specific genetic mutation, in this case, a missing chunk of the TLR 7 gene, can make individuals more susceptible to severe cases of COVID-19. Researchers, led by Alexandra Henrion-Caude, identified this mutation in two brothers who both fell critically ill with the virus. The TLR 7 gene is responsible for producing a protein that helps the immune system detect viruses and alert other immune cells to fight the infection. Without this protein, the body's response to the virus is delayed, allowing more virus to accumulate and worsen the infection. Estimates suggest that about 1 in 10,000 people may have this mutation, but it's just the tip of the iceberg when it comes to genetic susceptibilities to COVID-19. Scientists are already finding other genes where mutations might make people more likely to get seriously ill if they contract the virus. Identifying these mutations could help in developing targeted treatments for hospitalized patients. For instance, interferon, a medicine used to treat other conditions, could potentially help individuals with the TLR 7 mutation. The Netherlands is now screening hospitalized COVID-19 patients for this mutation. However, as the virus continues to evolve, new challenges, like long-term COVID-19 symptoms, emerge. Stay tuned for more updates on this front.

    • Unexpected Long-Term Effects of COVID-19 on Healthy IndividualsEven healthy individuals can experience prolonged symptoms, or 'long haul,' after COVID-19 infection, including debilitating fatigue, brain fog, and heart palpitations. A large-scale study led by Tim Spector at King's College London aims to understand these lingering effects.

      Even healthy individuals, like a 40-year-old ER doctor named Jeff, can experience prolonged COVID-19 symptoms, also known as "long haulers." At the beginning of the pandemic, Jeff felt confident in his ability to protect himself at work. However, he contracted the virus in August, despite initial mild symptoms like a headache and loss of taste. Over the following days, Jeff's condition worsened with muscle aches, chills, and heart palpitations. He never required hospitalization but continued to suffer from debilitating fatigue and brain fog for months. Tim Spector, a professor of genetic epidemiology at King's College London, is leading a large-scale study on long haulers. The study began as an accident when a coronavirus symptom tracking app gained massive popularity, with over a million downloads in the first 24 hours. Researchers like Tim were surprised by the sudden influx of data and the high number of individuals reporting persistent symptoms. These symptoms ranged from diarrhea and shortness of breath to muscle pain and brain fog, affecting individuals of all ages. The story of Jeff and the long-term effects of COVID-19 serve as a reminder that anyone can be impacted by this virus, and its symptoms can linger long after the initial infection. It's crucial to stay informed and take precautions to protect yourself and those around you from contracting COVID-19.

    • Long-Term Effects of COVID-19: The Long-HaulersAn estimated 2% of COVID-19 survivors continue to experience symptoms 3 months later, primarily reporting fatigue and headaches. The risk increases with age, particularly for those over 70. Two distinct clusters of long-haulers have been identified: one with respiratory symptoms and another with whole-body reactions.

      The COVID-19 pandemic is affecting people in various ways beyond the acute phase of the illness. About 1 in 50 people who contracted COVID-19 were still experiencing symptoms three months later, primarily reporting fatigue and headaches. This equates to a substantial number of individuals in each country. The risk of becoming a long-hauler increases with age, particularly for those over 70. However, it's essential to note that the data might underrepresent individuals with mild symptoms who are less likely to use symptom tracking apps. Furthermore, Tim's study suggests that there might be more than one type of long-hauler, as there seem to be at least two distinct clusters. The first group experiences mainly respiratory symptoms, suggesting damage to the lungs. The second group exhibits whole-body reactions, including stomach problems, muscle pains, and chest pain. These findings could help researchers better understand the underlying mechanisms of long-term COVID-19 effects.

    • Long-term effects of COVID-19 on immune system and gender differencesThe COVID-19 virus can lead to long-term symptoms and inflammation, even after elimination. Women may be more susceptible due to unique immune responses. Progress is being made in understanding the virus and developing effective vaccines, but concerns exist with AstraZeneca. Researchers are also discovering genetic factors that might explain severe symptoms.

      The ongoing battle between our immune systems and the COVID-19 virus can lead to long-term symptoms and inflammation, even after the virus has been eliminated. This overreaction of the immune system might be more common in women due to their unique immune responses. While there are still many unknowns, scientists are making progress in understanding the virus and developing effective vaccines. The vaccines from Pfizer and Moderna are showing promising results, but there are some concerns with AstraZeneca. Additionally, researchers are discovering genetic factors that might explain why some individuals experience severe symptoms. Overall, while the situation is complex, we are making strides in combating the virus and gaining valuable insights into its behavior. Stay tuned for more updates as we continue to learn and adapt. This episode was produced by Rose Rimmler, Nick Del Rose, and Wendy Zuckerman, with help from Michelle Dang and Hannah Harris Green. We're edited by Blythe Terrell, with fact checking by Diane Kelly, and sound design and music by Peter Leonard, Marcus Begala, Emma Munga, and Bobby Lord. Note: The exact number of citations mentioned in the podcast is 110, but for the purpose of this summary, it was assumed that the number was not crucial to the main takeaway.

    • The value of interdisciplinary collaboration in medical researchCollaboration between doctors, professors, researchers, data analysts, and philanthropists is crucial for gaining a comprehensive understanding of health and disease, driving scientific discoveries, and improving health outcomes.

      The importance of interdisciplinary collaboration in advancing medical research. We had the privilege of speaking with numerous experts in various fields, including doctors, professors, and researchers, who all emphasized the value of working together to gain a more comprehensive understanding of health and disease. Doctor Cleo Anastas Opellu discussed the significance of genetics in understanding health disparities, while Doctor Kaz Vandermeade highlighted the importance of evidence-based medicine. Professor Joel Ray and Doctor Nicholas Tattonetti delved into the role of data analysis in medical research, and Michael Zeitz shared insights on the power of community engagement. Professor Tauben Barrington, Doctor Emma Pearson, Professor Peter Wark, Doctor Jennifer Dann, and Doctor Natalie Lambert all added to the conversation with their unique perspectives and expertise. Moreover, we heard from the Zuckerman family and Joseph LaBelle Wilson about the importance of funding and support for medical research. Their stories underscored the vital role that philanthropy plays in advancing scientific discoveries and improving health outcomes for individuals and communities. In summary, this episode underscored the importance of collaboration, interdisciplinary approaches, and community engagement in advancing medical research and improving health outcomes. We're grateful to everyone who shared their insights and experiences with us.

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    Lukas Konecny


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    Ep. 155 "Family Planning, Pregnancy and Psoriasis"

    Ep. 155 "Family Planning, Pregnancy and Psoriasis"

    Thinking of starting a family? Listen as dermatologist Dr. Jenny Murase from UCSF addresses considerations for family planning, pregnancy and psoriasis which includes fertility, genetic risk, flares, treatment choices, and why it's important to have a discussion with a dermatologist prior to becoming pregnant. Psound Bytes is supported by unrestricted educational grants from Amgen, Bristol Myers Squibb, Janssen, Novartis, Pfizer and UCB.