WEBVTT - What Herd Immunity Really Means

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<v Speaker 1>Before we get started, we have a favor to ask you.

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<v Speaker 1>With a holiday season approaching, we want to hear what

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<v Speaker 1>COVID dilemmas you're facing. Are you worried about air travel,

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<v Speaker 1>having disagreements over whether relatives should come over for dinner?

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<v Speaker 1>To have us run your questions by an expert, record

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<v Speaker 1>a voicemail by calling six four six three two four

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<v Speaker 1>three four zo We may use your voice on the show.

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<v Speaker 1>And now for today's show, Welcome to Prognosis. I'm Laura Carlson.

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<v Speaker 1>It's day two hundred and twenty three since coronavirus was

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<v Speaker 1>declared a global pandemic. Today's main story. Herd immunity has

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<v Speaker 1>become a buzzy phrase on the right. But the idea

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<v Speaker 1>that allowing the coronavirus to infect more people will offer

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<v Speaker 1>some type of protection from the virus to spread has

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<v Speaker 1>been widely denounced by experts. But first, here's what happened

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<v Speaker 1>in virus news today. Cafe Pacific will cut about fifty

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<v Speaker 1>three hundred jobs and close its regional airline, Cafe Dragon unit.

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<v Speaker 1>It's part of a sweeping restructuring that was triggered by

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<v Speaker 1>the pandemics hit to air travel. In addition, to the layoffs,

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<v Speaker 1>thousands of currently unfilled positions will be eliminated. The entire

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<v Speaker 1>reduction amounts to around of cafe's head count. It's one

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<v Speaker 1>of the largest cutbacks in the aviation sector globally since

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<v Speaker 1>the outbreak started. Germany's new virus cases hit another record.

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<v Speaker 1>The country recorded eight thousand, five hundred and twenty three

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<v Speaker 1>new cases, according to data from Johns Hopkins University. That's

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<v Speaker 1>the most the country has seen since the pandemic began.

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<v Speaker 1>Like other countries in Europe, Germany has been grappling with

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<v Speaker 1>rapidly rising cases in recent weeks. There were also forty

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<v Speaker 1>new fatalities on Tuesday. Finally, an inspection of an Eli Lily,

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<v Speaker 1>New Jersey facility where the company planned to produce its

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<v Speaker 1>antibody therapy, found major quality control problems. In a memo

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<v Speaker 1>from October two, compliance officers at the Food and Drug Administration,

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<v Speaker 1>who conducted a four week site inspection over the summer,

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<v Speaker 1>wrote that it is quote imperative that f D a

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<v Speaker 1>take action. They recommended that the company received a warning letter,

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<v Speaker 1>one of the agency's strongest enforcement measures. According to documents

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<v Speaker 1>for You by Bloomberg News and Now for Today's main story.

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<v Speaker 1>In the US, enthusiasm on the right is building for

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<v Speaker 1>so called herd immunity as much of the public grows

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<v Speaker 1>skeptical of coronavirus vaccines. These developments could dash hopes for

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<v Speaker 1>containing COVID nineteen in the months ahead. Proponents of herd

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<v Speaker 1>immunity say exposing more people to the coronavirus will build

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<v Speaker 1>protection broadly in the population, but experts say that will

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<v Speaker 1>result in many more illnesses and deaths, and that vaccines

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<v Speaker 1>are a safer route to herd immunity. I spoke with

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<v Speaker 1>Emma Court, who reports that the concept gained attraction in

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<v Speaker 1>the White House due to the increasing influence of Trump

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<v Speaker 1>medical advisor Scott Atlas. It would backed this month by

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<v Speaker 1>a group of academics and a treatise titled the Great

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<v Speaker 1>Barrington Declaration. Broadly speaking, when we talk about herd immunity,

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<v Speaker 1>what do we mean. Herd immunity is this idea of

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<v Speaker 1>having widespread enough protection in the population that the viruses

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<v Speaker 1>chain of transmission gets cut off. Truly, we're talking about

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<v Speaker 1>immunity that protects the herd. Right Usually, herd immunity comes

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<v Speaker 1>up and is taught in epidemiology classes in the context

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<v Speaker 1>of widespread vaccination, but it's emerged more recently as something

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<v Speaker 1>that can be achieved through exposing more people to the coronavirus.

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<v Speaker 1>Inherent in this idea of herd immunity, and the reason

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<v Speaker 1>we've heard so much pushback from health experts is that

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<v Speaker 1>by intentionally exposing more people to the coronavirus, we know

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<v Speaker 1>there will be deaths, and people do suffer quite a

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<v Speaker 1>lot from even mild forms of this disease, and it's

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<v Speaker 1>not clear whether even if people survive the coronavirus, they,

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<v Speaker 1>you know, will ever stop dealing with these longer term

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<v Speaker 1>effects that we've been seeing among among patients. So have

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<v Speaker 1>there been any real life examples of communities taking this

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<v Speaker 1>herd immunity approach to COVID nineteen. People often point to

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<v Speaker 1>Sweden as an example you can let the virus kind

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<v Speaker 1>of run free, but even Sweden put restrictions on large gatherings,

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<v Speaker 1>and there's been some reporting lately that the country may

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<v Speaker 1>actually be changing its policies on on the coronavirus um.

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<v Speaker 1>The United Kingdom as well was also accused of pursuing

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<v Speaker 1>her community earlier on in the pandemics, something that officials

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<v Speaker 1>they're denied Ultimately, health officials state we've never intentionally pursued

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<v Speaker 1>her immunity as a strategy, um, and is too much

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<v Speaker 1>on the line now to try it right today without

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<v Speaker 1>a vaccine. What is the theory of achieving herd immunity

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<v Speaker 1>to COVID nineteen, Yeah, you know, to some extent, this

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<v Speaker 1>idea of herd immunity, you know, let the virus do

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<v Speaker 1>what it wants, has been around in popular conversation since

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<v Speaker 1>the start of this pandemic. Right. I think we've all

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<v Speaker 1>heard some iteration of that from folks too, you know,

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<v Speaker 1>think the virus isn't as serious that they should be

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<v Speaker 1>allowed to move around the world freely. So, you know,

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<v Speaker 1>like let people kind of do what they want and

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<v Speaker 1>let the virus kind of spread as a will. It's

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<v Speaker 1>it's been out there, um, but it's being packaged through

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<v Speaker 1>this terminology of herd immunity. And most recently, um, you know,

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<v Speaker 1>earlier this month at a gathering that was hosted by

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<v Speaker 1>a free market think tank in Massachusetts, it was sort

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<v Speaker 1>of put together as this Great Barrington Declaration. The leaders

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<v Speaker 1>of this are are academics, you know, three academics at Harvard, Stanford,

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<v Speaker 1>and Oxford, and they basically came together in Great Barrington, Massachusetts. Instead,

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<v Speaker 1>we can let the virus do what it will as

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<v Speaker 1>long as healthy people are kind of out there moving

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<v Speaker 1>around the world, and we can protect the vulnerable, you know,

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<v Speaker 1>the elderly successfully until enough healthy people have been exposed

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<v Speaker 1>and have this protective immunity, and hopefully, you know, that

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<v Speaker 1>stops the virus from spreading. The timing of this, of course,

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<v Speaker 1>is is all very interesting because theoretically we may have

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<v Speaker 1>a vaccine in a matter of months um and it

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<v Speaker 1>also is coming out here in the US and being

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<v Speaker 1>sort of supported by politicians on the right at a

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<v Speaker 1>time that the president himself just had COVID nineteen and

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<v Speaker 1>there's an election rapidly approaching. So it's not clear to

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<v Speaker 1>me what all of this signifies, but I think it

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<v Speaker 1>is clear from how we've seen politicians at the state level,

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<v Speaker 1>the local level talking about this Great Barrington declaration that

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<v Speaker 1>no matter what the outcome of the presidential election is,

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<v Speaker 1>this idea of herd immunity is going to live on.

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<v Speaker 1>It's going to be used to justify policies at the

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<v Speaker 1>stand local level, even if we have a change in

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<v Speaker 1>the presidential administration. And what's been the response from a

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<v Speaker 1>governmental perspective to this Great Barrington Declaration. This Great Barrington

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<v Speaker 1>Declaration has been highlighted, you know, as prominently as the

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<v Speaker 1>White House. There's a call last week by officials there

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<v Speaker 1>who talked about how the Great Barrington Declaration was, you know,

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<v Speaker 1>aligned with the President's own policies. And there's been a

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<v Speaker 1>lot of talk about a senior medical advisor to the

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<v Speaker 1>President named Scott Atlas, who is a neuro radiologist but

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<v Speaker 1>doesn't have any formal epidemic theological training um and he's

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<v Speaker 1>affiliated with Stanford's Conservative Hoover Institute. You know, this idea

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<v Speaker 1>of herd immunity, which he's a proponent of, has become

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<v Speaker 1>more discussed by the President. The White House has said,

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<v Speaker 1>we are aligned with these principles of the Great Barrington Declaration,

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<v Speaker 1>but we're not proponents of herd immunity. But ultimately, if

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<v Speaker 1>you look at what herd immunity entails or what these

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<v Speaker 1>Great Barrington proponents are talking about, it it's really not

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<v Speaker 1>that dissimilar from what the United States is doing right now.

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<v Speaker 1>So let's just get a little more specific in terms

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<v Speaker 1>of what is in this Great Barrington Declaration, What exactly

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<v Speaker 1>are they calling for in this document. This is kind

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<v Speaker 1>of where the rubber meets the road. So if you

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<v Speaker 1>look at this document, they aren't sayings, stop taking any

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<v Speaker 1>precautionary measures at all. They actually say, you know, you

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<v Speaker 1>should keep taking hygienic precautions like handwashing and staying home

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<v Speaker 1>when you're sick. But we have seen this document be

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<v Speaker 1>espoused by people who who are questioning masks and saying

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<v Speaker 1>masks don't work, masks shouldn't be used. But if you

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<v Speaker 1>look at the Great Barrington document, they actually kind of

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<v Speaker 1>don't get into the details all that much. They say,

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<v Speaker 1>and this is a quote, a comprehensive and detailed list

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<v Speaker 1>of measures, including approaches to multi generational households, can be

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<v Speaker 1>implemented and as well within the scope and capability of

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<v Speaker 1>public health professionals. So they're like, herd immunity, we should

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<v Speaker 1>be talking about it, but I'm not going to get

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<v Speaker 1>too detailed on the policy. And that's important because we

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<v Speaker 1>are many, many months into this pandemic. Who's going to

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<v Speaker 1>come up with this policy on HERD immunity and how

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<v Speaker 1>it's gonna work other than the people who are advocating

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<v Speaker 1>for it, you know, public health professionals don't want to

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<v Speaker 1>pursue her immunity. What they want is for widespread testing

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<v Speaker 1>and tracing and all of the things we've been talking

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<v Speaker 1>about for so long. As you've mentioned, there has been

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<v Speaker 1>really significant criticism of this declaration. I know, one former

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<v Speaker 1>Harvard Medical School professor called it amount to mass murder

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<v Speaker 1>in terms of her immunity. So I was wondering, if

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<v Speaker 1>you might walk us through what makes the ideas proposed

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<v Speaker 1>in this declaration so potentially lethal COVID nineteen experts, mainstream

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<v Speaker 1>public health leaders really come out and condemned this concept.

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<v Speaker 1>You know. The leader of the World Health Organization said

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<v Speaker 1>it was scientifically and ethically problematic and it's never been

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<v Speaker 1>intentionally used as a solution to a pandemic. We had

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<v Speaker 1>a group of eight scientists the other week come out

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<v Speaker 1>and say, you know, this is a dangerous fallacy unsupported

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<v Speaker 1>by scientific evidence in this letter that was published in

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<v Speaker 1>a medical journal called The Lancet and which they actually

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<v Speaker 1>named the John Snow Memorandum. So we're, you know, giving

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<v Speaker 1>big titles to things in this in this scientific debate.

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<v Speaker 1>But I think talking about the science here is sort

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<v Speaker 1>of critical as well. It's it's it's not just a

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<v Speaker 1>moral and ethical dilemma that is being posed by proponents

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<v Speaker 1>of herd imu unity. There's also some gaps in the

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<v Speaker 1>science because we don't totally know that protection from the

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<v Speaker 1>virus is going to be long lasting. In fact, there's

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<v Speaker 1>evidence that antibody levels drop off after a period of

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<v Speaker 1>a few months um, so we don't know that even

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<v Speaker 1>pursuing her immunity is a is a good strategy in

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<v Speaker 1>the big picture, because there are these questions about whether

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<v Speaker 1>protection is even gonna last, and that's something scientists have

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<v Speaker 1>pointed to alongside these other qualms raised with her immunity.

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<v Speaker 1>It's important to be clear that the leading experts we've

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<v Speaker 1>turned to for guidance throughout this pandemic are very much

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<v Speaker 1>against her immunity, and it's being advanced at a time

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<v Speaker 1>when it's more important than ever to be on the

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<v Speaker 1>same page about how to contain the virus that was

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<v Speaker 1>em Core. And that's it for our show today. For

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<v Speaker 1>coverage of the outbreak from one bureaus around the world world,

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<v Speaker 1>visit Bloomberg dot com slash coronavirus and if you like

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<v Speaker 1>the show, please leave us a review and a rating.

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<v Speaker 1>On Apple podcasts or Spotify. It's the best way to

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<v Speaker 1>help more listeners find our global reporting. The Prognosis Daily

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<v Speaker 1>edition is produced by Tophor foreheads Jordan Gospoure, Magnus Hendrickson

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<v Speaker 1>and me Laura Carlson. Today's main story was reported by

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<v Speaker 1>Emma Corp. Original music by Leo Sidrin. Our editors are

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<v Speaker 1>Rick Shine and Francesco Levi. Francesco Levi is Bloomberg's head

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<v Speaker 1>of podcasts. Thanks for listening, BLA