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Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by rory on Friday November 05, 2021 @10:17AM (#29119586)
> some assholes will use it as an excuse not to get vaxxed, completely missing the point (among others, trying to prevent something worse than Delta).

It's still quite unclear whether vaccinated or unvaccinated people pose a greater risk via viral evolution (especially w/r/t risk to people that are already vaccinated). Basically comes down to a comparison of a higher level of spread with "normal" genetic drift vs. a somewhat lower (but still fairly high) level of spread with selection for immune escape of the current vaccine versions.

It's still a good idea to get vaccinated to help your own reaction to the virus, and to keep hospitals at sustainable capacity, but the "UNVACCINATED ARE MAKING THE VIRUS MORE EVIL" claim is, at this point, more propaganda than fact.

Here's some discussion: https://journals.plos.org/plosone/article?id=10.1371/journal...

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by sabujp on Friday November 05, 2021 @11:02AM (#29120261)
There's no bad propaganda when it comes to persuading people to get vaccinated. The alternative is the mess we're in now because people hesitate to get vaccinated. This study uses HIV to model sars mutation. HIV is highly mutagenic :

    https://www.google.com/search?q=hiv+mutation+rate&oq=hiv+mutation+rate&aqs=chrome.0.0i512l6j0i22i30l4.1834j0j7&sourceid=chrome&ie=UTF-8
sar-cov2 is less mutagenic than the flu and far less than HIV:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7539923/

i.e. based on the PLOS study and the one above:

    1. PLOS study constantly uses the word "risk" and "may", i.e. the authors don't know the actual probabilities of escape and use a mathematical model based on a far more mutagenic virus, HIV.
    2. even if there's a low threshold for the virus to mutate, most of the mutations are not viable
    3. so far we've seen only 4 dominant strains, the rest are being outcompeted : https://www.google.com/search?q=how+many+dominant+mutations+of+covid+are+there
    4. It makes more logical sense to me that if your unvaccinated body takes 10 days to mount a peak immune response (as mentioned in the PLOS study), that still gives the virus more time to mutate even if there are no pressures to mutate. There's lots of missing data in your study, particularly what exactly is the mutation rate for sars-cov-2 in vaccinated vs unvaccinated populations? But if we simply look at where the dominant mutations have come from so far, it's not from countries with high vaccination rates like Israel, New Zealand, or from asian countries that take serious measures at curbing the spread of the virus, singapore, japan, korea, china.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by rory on Friday November 05, 2021 @11:24AM (#29120587)
> There's no bad propaganda when it comes to persuading people to get vaccinated

This is a very dangerous road to go down. I strongly disagree that the government and media should have license to lie to people if it's a useful lie in the moment. All that does is erode trust in those institutions, the longer term results of which are the root cause of most of the anti-vaccine sentiment today.

> PLOS study constantly uses the word "risk" and "may", i.e. the authors don't know the actual probabilities of escape and use a mathematical model based on a far more mutagenic virus, HIV.

You're absolutely right. The experts are just guessing the odds of this stuff, and you and I are really only able to do the same, with even less certainty.

> It makes more logical sense to me that if your unvaccinated body takes 10 days to mount a peak immune response (as mentioned in the PLOS study), that still gives the virus more time to mutate even if there are no pressures to mutate

With all due respect, when dealing with probabilities like this, non-experts estimating what makes "logical sense" is completely useless.

> if we simply look at where the dominant mutations have come from so far, it's not from countries with high vaccination rates like Israel, New Zealand, or from asian countries that take serious measures at curbing the spread of the virus, singapore, japan, korea, china.

Israel and New Zealand have negligible populations on a world scale. The efficacy of social distancing in the east Asian countries you mentioned is clear, but completely unrelated to the question at hand. The delta variant came from India, a country of 1.4B people, before any of them had access to the vaccines. That tells us nothing about whether the vaccines net encourage or net discourage harmful virus evolution.

It's okay to say we don't know, and in fact far better to do so than to make up a politically convenient answer.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by GhettoComputers on Friday November 05, 2021 @11:24AM (#29120593)
All those countries are small aside from China whose vaccine is not very effective and people with high East Asian ancestry have natural mutations against COVID. https://www.nature.com/articles/s41586-020-2818-3

You say vaccination or serious measure, which is the truth? Could a mutation not occur elsewhere and infect a densely populated area? There isn’t evidence that the places most affected were the origins of the virus mutations.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by sabujp on Saturday November 06, 2021 @11:42AM (#29131143)
That article shows a clear correlation between 2 locations with large populations that are susceptible to high risk of severe covid and 2 of the main mutations delta (india) and alpha (uk).
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by Fellshard on Friday November 05, 2021 @09:59AM (#29119321)
Genuine question: is it necessary to get vaxxed if - all else held the same - the cost is not significantly higher for the antiviral? Wouldn't that cut the risk down so significantly that we can safely say, "Vaccinate if you're at-risk for your own protection, and have negligible risk otherwise"? This changes the entire risk calculation.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by cossatot on Friday November 05, 2021 @10:14AM (#29119543)
Vaccination is in large part about beating the epidemic, i.e. the population-scale prevalence of the pathogen, by preventing most of the infections and therefore disease transmission. This pill is about treating disease symptoms, but while doing nothing to limit disease spread.

So while on a personal level, there may not be dramatic differences in death rates etc., on a population level the differences are huge.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by orangepurple on Friday November 05, 2021 @10:55AM (#29120162)
Incorrect, mRNA COVID vaccination is about reducing symptoms in infected patients. It does absolutely nothing to slow down or stop the spread of COVID.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by thinkcontext on Friday November 05, 2021 @11:37AM (#29120793)
This is one of the most persistent pieces of misinformation I've seen, especially in the face of clear data.

The reduction in transmission rate for the vaccinated is 89%. Even for someone with a breakthrough infection of the more contagious Delta variant being vaccinated means a 63% reduction.

https://www.newscientist.com/article/2294250-how-much-less-l...

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by orangepurple on Friday November 05, 2021 @02:08PM (#29122786)
You are correct, it seems, if this trial is done correctly. https://www.medrxiv.org/content/10.1101/2021.10.14.21264959v...
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by Izkata on Friday November 05, 2021 @02:34PM (#29123111)
It's become reflexive whenever people claim it stops transmission because all evidence for it is very very recent, while the claim of stopping transmission started to be used with authority as early as Feb 2021 with absolutely no evidence. Not even Pfizer's press release in 2020 tried to claim they even researched it, let alone had a conclusion, despite people nowadays claiming otherwise.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by Jarmsy on Friday November 05, 2021 @10:08AM (#29119443)
I guess even if that were the case, there'd still be the increased risk of catching and passing it to vulnerable people with reduced immunity.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by aneutron on Friday November 05, 2021 @12:41PM (#29121691)
In my untrained eyes (from an edipemological point of view), it depends on many things. It's a slippery slope anyway ... But I sort of view it from a "practical ethics" point of view if you will ....

First thing I noticed is these result actually select people who had the antiviral administered to them within 3 days of the symptoms appearing. I have personally known people who unfortunately died in a week tops after contracting the virus (they had pre-existing conditions, namely hypertension and diabetes).

Which brings me to my next point: Suppose the antiviral exists and is viable to even beyond 85%. How much will it cost ? I'm not a US citizen, but I'm thinking insurances will rush to trying not to cover anyone who's not vaccinated or some shady shit because they always do. And how about 3rd world countries like the one I come from. We can't even get RNA vaccines, let alone an experimental drug like this.

And now my final and target point: Suppose you don't want to get the vaccine and you can afford the drug. We do have proof that even if the vaccine doesn't protect you from the virus completely, even in the unfortunate case where you do contract it, you'll end up infecting less people. Now if you choose to not get vaccinated, then you really do risk potentially contaminating more people that will either have no access to the antiviral within a reasonable effective timeframe(and that maybe not vaccinated either) or just plain infecting more people overall.

Not the cleanest reasoning, and not a mathematical proof by any means, but I believe it's one of those "mathematical" problems where the proof is finding an edge case (sorry studied in french, really don't know how they say it in english).

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by Steltek on Friday November 05, 2021 @10:25AM (#29119711)
I'm guessing you only get this pill if you're hospitalized with severe symptoms. In which case, you're still occupying hospital beds/resources, which is the main remaining threat to rational society.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by mherdeg on Friday November 05, 2021 @11:01AM (#29120246)
> which is the main remaining threat to rational society

What is a "rational society" and what threatens it?

My default view is Rawlsian: I'd like to live in a society which maximizes the well-being of the least well-off people, even if that's not currently me. In that framework one threat from a pandemic is that some at-risk people might die (people with some health conditions will die when infected and may not respond well to vaccination); that threat can be mitigated if people develop treatments, apply nonpharmaceutical interventions like indoor masking, and participate in community inoculation.

There are other very different notions of a "rational society". In some, the premature death of people who are elderly, medically at-risk, or choose to avoid vaccination might be preferred outcomes. Hmmm.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by GhettoComputers on Friday November 05, 2021 @11:25AM (#29120604)
It was to prevent hospitalization.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by Nextgrid on Friday November 05, 2021 @10:16AM (#29119578)
If your reason to not get the vaccine is to avoid yet-to-be-discovered side effects, wouldn't that apply to this drug as well though? Not to mention that the vaccines now have a year-long track record of safety despite widespread adoption, where as this one has yet to be deployed on such a large scale.

Also, the vaccines work on a principle that's somewhat well understood, accepted and deemed safe: training the immune system by giving it something that looks like the virus so it can learn. The only novel part is how this "something that looks like the virus" is created (mRNA as opposed to weakened but real virus). On the other hand this new molecule has a totally different mechanism of action and the potential for side effects may be higher.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by sabujp on Friday November 05, 2021 @10:20AM (#29119639)
yes vaccination 300% (i.e. single, second, and third booster dose when ready!) Drugs that have anti-biologic properties are never good for your body, neither is allowing symptoms to fully manifest before taking drugs. People should still get the vaccines. The drugs are a backup in case the virus still overwhelms your immune system or causes it to overreact.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by civilized on Friday November 05, 2021 @09:56AM (#29119268)
I think that crowd will hate on this new drug. It's from Big Pharma, very expensive, it's probably full of GMOs and brain-controlling chips from Bill Gates. They'll stick with their cheap, generic ivermectin.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by RicoElectrico on Friday November 05, 2021 @09:58AM (#29119303)
In Poland the "wonder drug" was amantadine and the "martyr" was dr Bodnar.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by kibwen on Friday November 05, 2021 @10:02AM (#29119357)
And to be clear, this drug is not related to ivermectin: https://apnews.com/article/fact-checking-067310377629
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by pjkundert on Friday November 05, 2021 @05:46PM (#29125052)
Except that they are both potent protease inhibitors.

Other than that, you mean?

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by thehappypm on Friday November 05, 2021 @06:10PM (#29125239)
Why would a parasite drug have protease inhibition properties? Parasites don’t have protease enzymes
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by pjkundert on Friday November 05, 2021 @11:04PM (#29127139)
That’s why it was spectacularly interesting to begin with!

Why would an anti parasitic drug exhibit any measurable response? Yet, it did.

That is when I realized that science was, if not dead, then severely wounded.

No interest at all, from the “scientific” people.

Now, it turns out we probably know why; it happened to (probably accidentally) be a potent protease inhibitors - and that happened to be important.

We could have found this out a year ago, and begun exploiting this attack vector.

But, no: everyone who found this interesting and worthy of further study was derided and threatened with job losses.

What a shit-show.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by tclancy on Friday November 05, 2021 @10:01AM (#29119341)
And LUCIFERASE!
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by adrianN on Friday November 05, 2021 @10:12AM (#29119521)
That's the enzyme you take when you have trouble digesting Satan?
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by tsywke44 on Friday November 05, 2021 @10:02AM (#29119355)
No they won’t. conspiracy theories are based on instincts and emotions not any science or rationality.

pills are basically just food(=good) to the subconscious lizard brain, zero negative connotations from evolution, zero conspiracy theories

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by civilized on Friday November 05, 2021 @10:05AM (#29119416)
But if that were an iron truth, wouldn't people be comfortable with GMOs?
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by tsywke44 on Friday November 05, 2021 @10:08AM (#29119451)
GMO’s is emotional, largely based on the public image around the word ”mutant” meaning a hulk like green person that was irradiated by a James Bond villain etc
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by base698 on Friday November 05, 2021 @10:18AM (#29119611)
Or maybe spraying roundup on everything and suing small family farms for not using your GMO seed makes them the James Bond villain.

https://www.theguardian.com/environment/2013/feb/12/monsanto...

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by djrogers on Friday November 05, 2021 @10:07AM (#29119431)
> completely missing the point (among others, trying to prevent something worse than Delta)

Given that there isn’t a ton of data showing that vaccination actually reduces infection or transmission, and all of the clinical studies before approval were based on hospitals death, I don’t think you can claim that’s ‘the point’.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by resoluteteeth on Friday November 05, 2021 @10:03AM (#29119379)
It would be somewhat ironic if antivaxxers latch onto this drug, because it actually has a possibility of turning out to have bad side effects that will only show up much later (increased rates of cancer), which is a major reason that is given for people not wanting to get vaccinated.

Edit: Actually I was confusing this with molnupiravir; this drug is presumably perfectly safe.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by umanwizard on Friday November 05, 2021 @10:05AM (#29119404)
Why is the probability of late-appearing side effects higher for this than for the vaccine?
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by resoluteteeth on Friday November 05, 2021 @10:26AM (#29119721)
Sorry I was confusing it with Merck's molnupiravir which could potentially cause genetic errors in humans. The drug this article is about is unlikely to have side effects that appear later.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by sudosysgen on Friday November 05, 2021 @10:13AM (#29119536)
Because of its mechanism of action, which is to induce massive and deadly mutation and reproductive issues on the virus. Normally this should not have an effect on our bodies, but it's not impossible that it does lead to higher cancer rates.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by datameta on Friday November 05, 2021 @10:32AM (#29119819)
> but it's not impossible that it does lead to higher cancer rates.

That is almost a non-statement that could be seemingly applied to anything with some pharmacological effect. I think you and I and every other layman are talking out of their ass when we make some kind of determination as to any side effects Paxlovid might have.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by sudosysgen on Friday November 05, 2021 @11:23AM (#29120576)
It's not a non-statement, such effects are a serious concern for nucleoside analogs. But I can't say it's an actual issue or that it's definitely not because we just don't have sufficient data.

You're correct that almost anything with a pharmacological effect has such concerns, which diminish with time. That's why prevention is superior to treatment.

Also I wasn't talking about Paxlovid, but molnupiravir, which you'd also be taking.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by datameta on Friday November 05, 2021 @11:37AM (#29120799)
I don't know enough about the difference between how viral RNA polymerase and human RNA polymerase function, but my hunch is the nucleotide substitution might not apply to us. This could be wrong.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by sudosysgen on Friday November 05, 2021 @12:56PM (#29121886)
That's the hunch these drugs are based upon. But things in biochemistry are rarely black and white. There are people with serious experience in the field saying that there is a risk.

Certainly the risk is lower than untreated covid, but it's just that if you can avoid the risk then all the better.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by foolinaround on Friday November 05, 2021 @10:11AM (#29119494)
> weird-ass drugs-of-the-day

which ones are you talking about?

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by splatcollision on Friday November 05, 2021 @10:01AM (#29119345)
Easy - just brand it "ivermectan" and sit back and relax
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by _Microft on Friday November 05, 2021 @09:55AM (#29119261)
On top of that, they will most likely discredit the new drug, claim that it was only developed because there is no money in old drugs,... blablablah.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by tsywke44 on Friday November 05, 2021 @10:00AM (#29119326)
The same antivaxxers who ”refuse to take experiemental drugs from big pharma Pfizer” will gobble this pill down no questions asked.

Which just proves, the anti-vaxxer moment is based on the primitive instinct of ”pain and needles=bad”

Being scared of vaccines should be considered the same thing as having a fear of dentists. Or pets hating going to the vet.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by nsxwolf on Friday November 05, 2021 @10:07AM (#29119437)
I'm not sure that's how it works. There's a calculus to this I don't quite understand.

The group blesses and curses treatments based on contradictory criteria.

Ivermectin is blessed, supposedly because it is cheap. Molnupiravir is cursed, because it is a new drug Big Pharma wants you to pay more for. The vaccines are cursed, even though they're cheap. Monoclonal antibodies are blessed, even though they are very expensive, and are effectively just the products of vaccination.

I think it's more likely people are just doing what they are told by whoever influences them the most. None of it has to be consistent or make any kind of sense.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by nsxwolf on Friday November 05, 2021 @11:27AM (#29120638)
I'm being downvoted but in March, conservatives were screaming about how unfair it was that prisoners were getting their shots first. Things aren't always what they seem.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by base698 on Friday November 05, 2021 @10:21AM (#29119661)
It's related to the Lindy effect.

https://en.wikipedia.org/wiki/Lindy_effect

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by politician on Friday November 05, 2021 @10:07AM (#29119426)
Do open random executables that you get in your email? If not, why not?
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by tsywke44 on Friday November 05, 2021 @10:12AM (#29119507)
No, I don’t.

But just like I can trust the things I buy from the grocery stone to not poison me or to have stones embedded inside, I trust medical products taken by millions or even billions of people

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by politician on Friday November 05, 2021 @10:37AM (#29119882)
People in urban areas like yourself only get food from the grocery store, so they naturally treat everything behind that as a black box. You have a learned belief in the “API of the City”, and that’s OK. The API tells you to inject yourself with random concoction that you can’t independently verify and so you do it.

People in rural areas see how food grows directly— from the ground or from livestock. They can get food from the grocery or from their backyard: sometimes the backyard food is fresher and better. These folks don’t trust the “API of the City” to provide for them. That’s OK too. The API tells them to inject themselves with a random concoction that they can’t independently verify and so they refuse.

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by kibwen on Friday November 05, 2021 @10:21AM (#29119662)
Do you apply random security patches signed by your distro maintainers?
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by politician on Friday November 05, 2021 @10:43AM (#29119975)
No, I have the type of job where reading the changeset is important. For this reason, I prefer to run NixOS.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by rootusrootus on Friday November 05, 2021 @10:29AM (#29119779)
I don’t get injections or pills from random people stopping by my house.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by politician on Friday November 05, 2021 @10:47AM (#29120048)
You trust the manufacturer and their supply chain on the value of their marketing efforts. That’s OK.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by overboard2 on Friday November 05, 2021 @10:07AM (#29119435)
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by stronglikedan on Friday November 05, 2021 @10:03AM (#29119389)
> some assholes will use it as an excuse not to get vaxxed

Well, they've succeeded in holding out long enough, now that there's no longer a good reason to get vaxxed. Because, as most people are starting to realize, the pandemic is over (at least in the US).

Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by cossatot on Friday November 05, 2021 @10:20AM (#29119641)
A simple look at the time series shows that this is not the case in many places (e.g., Oregon, where I live): https://www.nytimes.com/interactive/2021/us/oregon-covid-cas...
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by datameta on Friday November 05, 2021 @10:34AM (#29119850)
It's potentially almost over thanks in large part to all the people who made the sensible society benefiting decision of taking the vaccine and/wearing a mask when in a non-dining public indoor space.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by switchbak on Friday November 05, 2021 @10:16AM (#29119583)
1500 deaths a day, how is the pandemic over?
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by mikeyouse on Friday November 05, 2021 @12:07PM (#29121222)
Whether it's gun violence, suicides, drug overdoses, car accidents, or now Covid -- the US has an insane threshold for what counts as an acceptable death rate.
Re:Pfizer's oral Covid-19 antiviral cuts hospitalization, de... by kibwen on Friday November 05, 2021 @10:12AM (#29119518)
> the pandemic is over (at least in the US)

That remains to be seen. Thanksgiving, Christmas, and New Years will be the test of this hypothesis.