Larry Brilliant Says Covid Rapid Antigen Tests Are Bad for Public Health

You were one of those people with four doses.

That’s right, and I was also able to get a prophylactic monoclonal antibody. That’s probably why I think I have a relatively mild illness. But it persisted for 17 days and I had to take two courses of Paxlovid.

By the way, I don’t think we should call this a rebound. A better way to say it is that we don’t have the right dosing schedule. It is possible that Paxlovid probably requires a course of seven or 10 days.

So if I have Covid, I can ask my doctor to give me seven o 10 days of Paxlovid instead of five? [Note: The official guidance is that Paxlovid should be administered for five days, though some physicians have spoken out about the need for clearer guidance.]

Not yet. When people say they follow science, what they should mean is they follow published science, which is always based on a study done on something that happened before. You’re always behind.

Sometimes it seems that politics, not science, is determining policy. Biden said he would stay longer in isolation what the recommended five days if he continued to test positive. Who is right?

Biden is modeling very good behavior. This is really refreshing as the last president modeled the worst.

Sure, but it’s strange that the president has to dispense with his own agency to do the right thing. [Note: After this interview, Biden ended up leaving isolation after five days when he tested negative, then reentering isolation after experiencing a rebound case.]

In part, this is because when Trump was president, he attacked the CDC. There was so much political interference that there was an exodus of key people from CDC and a loss of its institutional memory. But there has also been a failure by the CDC to communicate well and update its recommendations.

Also, CDC is slow. In a way, you wish it were: you like your doctor to be deliberative. But no too slow While their advice may have been perfect a year ago, it’s not perfect now. So now the administration is talking about changing pandemic preparedness to what was once a small agency: ASPR [Administration for Strategic Preparedness & Response].

Why does it make sense?

CDC’s mandate is much more than pandemics. Works in health promotion, prevention. He is responsible for looking at heart disease and diabetes, international relations with other countries doing all the health programs, all the public health units in all the different counties. But of course right now we’re necessarily focused on pandemic and infectious disease, and we’re really dealing with Covid and monkey pox.

I was going to mention monkey pox. what’s up

Let’s go back to 1967. The WHO had the idea that the whole world should work together to eradicate smallpox. But what about the other verelles? The smallpox vaccine also protects against smallpox. If smallpox is eradicated and you subsequently stop vaccinating, what happens to the remaining smallpox that was kept under control by continuing to vaccinate? We could have continued to vaccinate. But we didn’t, and now nobody under 40 has a vaccination scar.

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