WEBVTT - Delta Variant May Warrant a New Covid Vaccine

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<v Speaker 1>This is Bloomberg Business Week with Carol Messer and Bloomberg

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<v Speaker 1>Quick Takes Tim Stenovic on Bloomberg Radio. So we talked

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<v Speaker 1>earlier with our Cynthia Coons about how we need to

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<v Speaker 1>be ready to deal with more COVID variants coming Jane

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<v Speaker 1>sequencing is what we got into. Our Bloomberg Intelligence Farmer

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<v Speaker 1>team has come out with some new research noting that

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<v Speaker 1>the delta variant may warrant a new COVID vaccine to

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<v Speaker 1>combat the higher infectivity and potentially worst disease outcomes of

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<v Speaker 1>the variant. So let's get to it. Because when I

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<v Speaker 1>read in this morning, and when I look at the

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<v Speaker 1>Bloomberg right now, the most read stories in the past

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<v Speaker 1>eight hours, seven out of twenty have to do with

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<v Speaker 1>the delta variant and COVID. Six of them are related

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<v Speaker 1>to this Bloomberg intelligence research. Let's get to it. With

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<v Speaker 1>Bloomberg News is h Drew Armstrong. He's a senior head

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<v Speaker 1>editor for US Healthcare and he joins us in our

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<v Speaker 1>Interactive Broker studio. I can't read my own writing. That's

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<v Speaker 1>really bad. It's been that kind of a day. This

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<v Speaker 1>research is pretty phenomenal. Reading in um Drew I'm not

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<v Speaker 1>surprised because we're all kind of nervous and trying to

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<v Speaker 1>understand the delta variant. Tell us a little bit about

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<v Speaker 1>what we need to understand about it right now, Yeah,

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<v Speaker 1>I think you know a couple of kind of just

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<v Speaker 1>fundamental points. We know that these viruses evolve over time,

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<v Speaker 1>and some of these ways that they involve can be

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<v Speaker 1>you know, not particularly consequential virus. Yeah, everything. These virus

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<v Speaker 1>viruses are mutating every single time they replicate in your body.

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<v Speaker 1>They are a highly highly highly you know, they muted

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<v Speaker 1>very fast up until the time. Very few of these

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<v Speaker 1>mutations actually matter. A lot of them make the virus

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<v Speaker 1>so it doesn't even function properly, and you know it

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<v Speaker 1>just you know, this is random chance. You're basically spinning

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<v Speaker 1>the Roulette wheel every time from a genetic standpoint. But

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<v Speaker 1>some of them do matter, and we have these things

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<v Speaker 1>that are called variants of concern. The delta variant is

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<v Speaker 1>kind of the the you know, one of the latest

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<v Speaker 1>and greatest of these. And if you're a you know,

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<v Speaker 1>viiologist or epidemiologists, one of the things you're talking about

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<v Speaker 1>is this concept of vaccine escape. Does something about the

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<v Speaker 1>virus change in a way that it makes it so

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<v Speaker 1>that the immune response that's kind of sitting there in

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<v Speaker 1>your body ready and waiting is no longer you know, effective,

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<v Speaker 1>or is no longer as effective. And keep in mind,

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<v Speaker 1>all this stuff is kind of on a spectrum, you know,

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<v Speaker 1>against you know, a certain type of mutation of the virus,

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<v Speaker 1>and then does that allow the virus to you know,

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<v Speaker 1>that version that mutation and strain of the virus to

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<v Speaker 1>kind of spread and be more fit and capable in

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<v Speaker 1>a in a in a in a population. And so

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<v Speaker 1>that's really what you're worried about now, you know. The

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<v Speaker 1>good news when we talk about that is it. You know,

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<v Speaker 1>just as viruses can evolve, so can vaccines. I mean,

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<v Speaker 1>we come up with new flu vaccines every single year.

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<v Speaker 1>You know, there's already been talking about will we need

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<v Speaker 1>some kind of you know, variant booster for uh for

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<v Speaker 1>for this particular coronavirus, And so I think that's a

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<v Speaker 1>discussion that's underway right now. And looking you know, how

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<v Speaker 1>good is the protection and do we need to tweak

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<v Speaker 1>things in some way or another to attack this particular

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<v Speaker 1>variant or what is the virus gonna look like in

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<v Speaker 1>the future. Can a variant in a virus. You talk

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<v Speaker 1>about a spectrum. So can someone who's gotten a vaccine, though,

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<v Speaker 1>I mean, it can affect all of us differently, right,

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<v Speaker 1>even as a mutation or is it can say this

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<v Speaker 1>is the mutation, this is how it's going to affect you.

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<v Speaker 1>That's that's exactly right. I mean, I think the way

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<v Speaker 1>to think about it is that this is not a

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<v Speaker 1>binary question where a vaccine either you know, works or

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<v Speaker 1>it doesn't work. Um, It's more of a question of, well, okay,

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<v Speaker 1>this vaccine, let's say, was protective you know, against symptomatic

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<v Speaker 1>illness or you know, anything anything worse than mild illness

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<v Speaker 1>in the original strain. Well, the strain evolves, and now

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<v Speaker 1>that vaccine is protects still, which is still good, but

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<v Speaker 1>you know, it may be less protective or it maybe

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<v Speaker 1>that for example, hey, you have a larger number of

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<v Speaker 1>people who you know, they get they get infected, but

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<v Speaker 1>their infections are very mild. I just had a friend

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<v Speaker 1>in Los Angeles, he had both do as a fiser.

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<v Speaker 1>Back in April, he got COVID. He doesn't know what

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<v Speaker 1>varying it was, but you know, I mean it wasn't

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<v Speaker 1>He was sick and it wasn't fun, but he was

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<v Speaker 1>over written a week or something that wasn't in the hospital. No,

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<v Speaker 1>it wasn't not in the hospital. And so I think,

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<v Speaker 1>you know, and and who knows if this is the

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<v Speaker 1>variant or some original strain, But I think, you know,

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<v Speaker 1>we really do have to think about this as a

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<v Speaker 1>spectrum of protection where it's never going to disappear entirely,

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<v Speaker 1>it's never gonna be perfect. And where are you on

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<v Speaker 1>that on that range, you know, both against protecting against

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<v Speaker 1>infection entirely, protecting against more severe diseases, and so on

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<v Speaker 1>and so forth. How quickly are they tracking all the

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<v Speaker 1>data about the variant to understand whether or not the

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<v Speaker 1>vaccines are going to kind of stand up against it

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<v Speaker 1>as it continues to mutate, like well, they know instantaneously

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<v Speaker 1>because they're tracking populations or will there be a lag

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<v Speaker 1>or no, This stuff takes a while. And that's one

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<v Speaker 1>of the real challenges here is that viruses mutate faster

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<v Speaker 1>than vaccines evolve. And so one of the reasons that

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<v Speaker 1>I think the flu vaccine tends to be relatively you know,

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<v Speaker 1>I mean, it's it works, but you know, it's obviously

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<v Speaker 1>people still get the flu. It tends to be about

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<v Speaker 1>sixty protective is something you're looking for generally with the flu.

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<v Speaker 1>That's kind of what you can expect there. Part of

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<v Speaker 1>the reason is that you know, when you're making vaccine,

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<v Speaker 1>and you're making vaccine and a mass scale, as we

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<v Speaker 1>saw with the covid vaccines, you're doing this months and

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<v Speaker 1>months in advance. And so with flu vaccines, for example,

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<v Speaker 1>you're trying to predict, hey, what strains of the flu

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<v Speaker 1>are going to be circulating most predominantly by the time

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<v Speaker 1>you know, we have to They have to guess a

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<v Speaker 1>year or so out and say, okay, we think it's

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<v Speaker 1>going to be these four strains. And sometimes they guess

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<v Speaker 1>really well, and the flu vaccine is great. Sometimes they

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<v Speaker 1>don't guess so well. Man, it's only moderately protective. The

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<v Speaker 1>same dynamic may eventually come to play with this, but

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<v Speaker 1>we don't want that miss on covid right right exactly,

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<v Speaker 1>And so you know, I mean, listen, the flu and

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<v Speaker 1>covid are very different viruses. It's it's worth keeping in mind.

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<v Speaker 1>You know, this is you know, a virus that it

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<v Speaker 1>may be that we you know that one. You know

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<v Speaker 1>that a vaccine these m R and a vaccines, they

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<v Speaker 1>might be very effective. It might be that, you know,

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<v Speaker 1>if you end up doing a booster shot or something

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<v Speaker 1>like that, you end up with very long lasting protection,

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<v Speaker 1>you know, against almost all strains of US. I think

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<v Speaker 1>this is a question that is one it's it's being

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<v Speaker 1>looked at, but it's still an open one exactly on

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<v Speaker 1>whether we truly will need a new type of vaccine

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<v Speaker 1>or a slightly modified vaccine, if we'll need a booster,

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<v Speaker 1>or if we'll just be you know, say, hey, we've

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<v Speaker 1>got against all the strains out there with the MR

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<v Speaker 1>and A vaccines. That's pretty good. We don't know if

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<v Speaker 1>we can get any better by giving more shots or

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<v Speaker 1>modifying the shots. So we don't know yet about a

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<v Speaker 1>booster Like I keep thinking, do I have to circle

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<v Speaker 1>some date on a calendar? No, I think we really

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<v Speaker 1>don't know. I know, you know, Fiser has been talking

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<v Speaker 1>it up, the US government has been talking it down.

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<v Speaker 1>I think the reality is that, you know, the question

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<v Speaker 1>is still out there from a data standpoint in terms

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<v Speaker 1>of you know, how much does immunity wayne. The immunity

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<v Speaker 1>has a lot of different parts to it, you know,

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<v Speaker 1>is it just these antibodies which are kind of the

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<v Speaker 1>like live active defenses that are circulating versus kind of

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<v Speaker 1>the immune memory cells that are a little bit more

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<v Speaker 1>deminant but a little bit more permanent. You know, I

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<v Speaker 1>think we really do not know yet exactly what long

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<v Speaker 1>term immunity for these vaccines looks like, because you know,

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<v Speaker 1>they've not been out there for that long. They've only

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<v Speaker 1>been in people's bodies for around a year. I mean,

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<v Speaker 1>you know, so, yeah, exactly, So we don't know, and

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<v Speaker 1>I think that's very, very important. There's gonna be a

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<v Speaker 1>lot of data that is going to come out over

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<v Speaker 1>the next couple of months. Someone's to go in one direction,

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<v Speaker 1>someone's going to go in another. What I would encourage

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<v Speaker 1>people to do is, you know, try to take the

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<v Speaker 1>totality this information as it comes out, because you're going

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<v Speaker 1>to see headlines at the point one direction and then

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<v Speaker 1>owns the point the other. It's not that it is

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<v Speaker 1>changing back for it. This is the argument of science

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<v Speaker 1>happening live in real time. You have been covering all

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<v Speaker 1>of this stuff in real time, and I know how

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<v Speaker 1>exhausted you must be over the past year and a half. Well,

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<v Speaker 1>we start to see, though l A wear a mask.

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<v Speaker 1>We have conversations here in the office, like throwing a

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<v Speaker 1>mask it doesn't hurt. How are we as the general

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<v Speaker 1>public supposed to read that when you also say these

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<v Speaker 1>vaccines are really effective and they do protect us. I

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<v Speaker 1>think the mask debate in this country is really interesting

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<v Speaker 1>to watch. I don't think anybody really wants to go back,

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<v Speaker 1>you know. I mean, if you're listening, you know someone

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<v Speaker 1>who's vaccinated, Like, I hate wearing a mask. It sucks.

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<v Speaker 1>Do you wear it? I do on planes, on the

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<v Speaker 1>subway and things like that. I wear where I have

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<v Speaker 1>to wear it. Um and I wear in a couple

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<v Speaker 1>of situations, you know, when I'm around people I don't know,

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<v Speaker 1>or something like that. You know, yes, but not very often,

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<v Speaker 1>and like and I don't want to you know, I

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<v Speaker 1>don't want to have to go back to that. It

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<v Speaker 1>is you, it is not. It's not something I want

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<v Speaker 1>to keep having to do. And so I think and

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<v Speaker 1>and and trust me, I'm very much on the like

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<v Speaker 1>pro public health measure side. As I follow this stuff

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<v Speaker 1>and I wore my mask diligently, I think it's going

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<v Speaker 1>to be very hard from a political standpoint and a

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<v Speaker 1>public health messaging standpoint to reenact mass mandates again because

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<v Speaker 1>you know, like it's hard to go back to that

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<v Speaker 1>world for people, especially if they've been vaccinated um, you know,

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<v Speaker 1>and people are gonna have a reset risk calibration. I

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<v Speaker 1>would expect a little bit and and figure out what

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<v Speaker 1>their level of comfort is. I feel like we keep

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<v Speaker 1>hearing um drew increasingly from global leaders that in order

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<v Speaker 1>to get through this, we have to have a global

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<v Speaker 1>solution and there's going to be sharing of information, sharing

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<v Speaker 1>of data. It isn't really happening, is it. No? I mean,

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<v Speaker 1>you know, I think one of the really challenging parts

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<v Speaker 1>of the vaccine roll out within the context of the

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<v Speaker 1>pandemic is that you've seen programs like COVACS that's the

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<v Speaker 1>w h O and GAV organized program to kind of

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<v Speaker 1>buy vaccines and distribute them, you know, equit will be

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<v Speaker 1>across the globe, but really lead you know, trying to

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<v Speaker 1>figure out a way of getting vaccines to lower incombinations.

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<v Speaker 1>It has just abysmally, you know, it started, has been

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<v Speaker 1>a busmoine has has not worked, has gotten very few vaccines,

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<v Speaker 1>has done you know, has not been able to get

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<v Speaker 1>them to lower income countries, particularly in Africa where you know,

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<v Speaker 1>listen to people are complaining about a fifty percent vaccination

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<v Speaker 1>rate in the United States. It's one percent in in Africa,

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<v Speaker 1>and they're having death spike in those places. We need

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<v Speaker 1>to be concerned about these hotspots. Like I think there

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<v Speaker 1>are people listening, like that's far away from me, but

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<v Speaker 1>I also remember back in December January, where like China,

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<v Speaker 1>that's far away from me, it's never going to touch us,

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<v Speaker 1>And here we are. Yeah, I mean, you know, listen,

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<v Speaker 1>unvaccinated populations are pretty effective breeding grounds for new variants.

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<v Speaker 1>And we've seen what happens when very you know, variant

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<v Speaker 1>evolves that is successful and kind of leaping around a

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<v Speaker 1>vaccine or is a very effective hitting you know, unvaccinated

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<v Speaker 1>or vulnerable populations. And so yeah, I mean, just from

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<v Speaker 1>like a purely selfish standpoint, it's a good thing. Like

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<v Speaker 1>we all get on airplane to travel around the world

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<v Speaker 1>and you know, go to these places or people come

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<v Speaker 1>from these places, and you know, virus doesn't really care

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<v Speaker 1>about income or borders or anything like that. We've got

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<v Speaker 1>the delta variant is much more contagious, right, That's certainly

0:10:09.360 --> 0:10:11.080
<v Speaker 1>something we hear. I was talking with a doctor yesterday

0:10:11.080 --> 0:10:13.440
<v Speaker 1>and they said, yeah, but it's not like your outcome

0:10:13.720 --> 0:10:16.720
<v Speaker 1>is worse, meaning if you've got the vaccine, you're likely

0:10:16.760 --> 0:10:19.280
<v Speaker 1>to get through it. Are we likely to get to

0:10:19.320 --> 0:10:21.680
<v Speaker 1>a stage, especially since a big part of the world

0:10:21.800 --> 0:10:25.040
<v Speaker 1>is still not vaccinated, they are available hosts to continue

0:10:25.040 --> 0:10:27.960
<v Speaker 1>the variations uh in covid. Are we likely to get

0:10:28.000 --> 0:10:31.680
<v Speaker 1>to a mutation that is not only more contagious but

0:10:31.800 --> 0:10:34.679
<v Speaker 1>more a killer. It's hard to know. I mean, I

0:10:34.760 --> 0:10:38.200
<v Speaker 1>think one of the general rules of viruses, you know,

0:10:38.360 --> 0:10:40.880
<v Speaker 1>in a big picture sense, is that like a very effective,

0:10:41.679 --> 0:10:43.840
<v Speaker 1>a virus that kills its host very quickly is not

0:10:43.880 --> 0:10:46.520
<v Speaker 1>a very good virus because it makes it harder for

0:10:46.679 --> 0:10:48.520
<v Speaker 1>you know, it makes it harder for her to spread.

0:10:48.559 --> 0:10:51.080
<v Speaker 1>I mean, a bola is really really scary, but as

0:10:51.120 --> 0:10:53.240
<v Speaker 1>a virus attends to the reason it tends to say

0:10:53.320 --> 0:10:56.720
<v Speaker 1>relatively self contained is because it kills people too quickly

0:10:56.760 --> 0:11:00.360
<v Speaker 1>before they can, you know, end up walking around and

0:11:00.360 --> 0:11:02.000
<v Speaker 1>spreading it to lots and lots of people. It's very

0:11:02.000 --> 0:11:04.080
<v Speaker 1>scary for healthcare workers. Is very scary if it's happening

0:11:04.080 --> 0:11:07.080
<v Speaker 1>in your village, you know, but there's much less risk

0:11:07.120 --> 0:11:08.959
<v Speaker 1>that you know, someone gets a bowla and then has

0:11:08.960 --> 0:11:10.520
<v Speaker 1>a mind you know, you don't have a mild case

0:11:10.559 --> 0:11:12.640
<v Speaker 1>of a bowla that you're walking, you know, walking around

0:11:12.679 --> 0:11:15.440
<v Speaker 1>with infecting lots and lots of other people. So, um,

0:11:15.480 --> 0:11:17.920
<v Speaker 1>you know, yeah, I mean this this, this question of

0:11:17.960 --> 0:11:21.320
<v Speaker 1>you know, the global issue is a is a real one. Um.

0:11:21.520 --> 0:11:25.079
<v Speaker 1>And and you know the failure of of richer nations

0:11:25.120 --> 0:11:28.320
<v Speaker 1>to effectively contribute to kovacs in other ways, you know,

0:11:28.360 --> 0:11:31.480
<v Speaker 1>and really help push vaccinations in in in other places.

0:11:31.480 --> 0:11:33.800
<v Speaker 1>I mean that is that is meaningful. And then you

0:11:33.840 --> 0:11:35.600
<v Speaker 1>mentioned some of this data sharing stuff. I mean, I

0:11:35.600 --> 0:11:37.800
<v Speaker 1>think another real issue that is going to come up

0:11:37.840 --> 0:11:40.040
<v Speaker 1>over and over again and is going to be I

0:11:40.040 --> 0:11:42.360
<v Speaker 1>I hope a point of consideration after this, you know

0:11:42.400 --> 0:11:45.280
<v Speaker 1>pandemic ends is you know, we do need probably a

0:11:45.320 --> 0:11:49.160
<v Speaker 1>better system of surveillance and monitoring and fast action from

0:11:49.160 --> 0:11:52.000
<v Speaker 1>a global standpoint, because I think you really saw and

0:11:52.080 --> 0:11:54.480
<v Speaker 1>have seen over the course of this pandemic. You know

0:11:54.840 --> 0:11:59.240
<v Speaker 1>what happens when information when countries don't share information um

0:11:59.280 --> 0:12:02.640
<v Speaker 1>as as rap with lye as they might otherwise. Um,

0:12:02.679 --> 0:12:04.760
<v Speaker 1>you know, and now we're trying to track variants and

0:12:04.800 --> 0:12:06.360
<v Speaker 1>you know, I mean that is still system that's kind

0:12:06.400 --> 0:12:08.400
<v Speaker 1>of in its infancy in terms of you know, growing

0:12:08.480 --> 0:12:11.480
<v Speaker 1>up and having global genetic surveillance of these viruses. When

0:12:11.520 --> 0:12:13.600
<v Speaker 1>you wake up every morning and there's a ton of

0:12:13.600 --> 0:12:16.120
<v Speaker 1>headlines when it comes to COVID and the vaccines and

0:12:16.160 --> 0:12:17.839
<v Speaker 1>the variants, I mean, what is it that you're always

0:12:17.880 --> 0:12:20.760
<v Speaker 1>looking for? Top of mind? I think, you know, we're

0:12:20.840 --> 0:12:24.120
<v Speaker 1>kind of at the point in this where it's you know,

0:12:24.400 --> 0:12:27.000
<v Speaker 1>I personally am really more thinking about the kind of

0:12:27.040 --> 0:12:29.520
<v Speaker 1>the long outcome here. I think there's you know, there's

0:12:29.559 --> 0:12:32.480
<v Speaker 1>new fresh headlines every day, you know, really, but though

0:12:32.720 --> 0:12:34.600
<v Speaker 1>you know, the main thing I think we're keeping an

0:12:34.600 --> 0:12:37.080
<v Speaker 1>eye on right now is, you know, where are people

0:12:37.120 --> 0:12:39.640
<v Speaker 1>getting sick and why are they getting sick? Um? You know,

0:12:39.760 --> 0:12:45.720
<v Speaker 1>and be they vaccinated or unvaccinated? What do we really know? Um?

0:12:45.800 --> 0:12:47.920
<v Speaker 1>And what can we find out more to learn and

0:12:47.960 --> 0:12:50.720
<v Speaker 1>add information about, you know, how effective these vaccines are,

0:12:51.120 --> 0:12:52.880
<v Speaker 1>how the virus is evolving. I mean, those are the

0:12:52.880 --> 0:12:55.160
<v Speaker 1>things that we're really paying attention to because all that

0:12:55.200 --> 0:12:57.120
<v Speaker 1>points to a time when you know, what is the

0:12:57.160 --> 0:13:00.199
<v Speaker 1>you know, hopeful end point of this of this pandemic mick,

0:13:00.559 --> 0:13:02.000
<v Speaker 1>you know, if there is one, or do we just

0:13:02.080 --> 0:13:05.040
<v Speaker 1>end up kind of in a long tail endemic situation

0:13:05.080 --> 0:13:07.280
<v Speaker 1>where we're dealing with this virus and living with it

0:13:07.320 --> 0:13:08.920
<v Speaker 1>in some way or another for the rest of our lives,

0:13:09.000 --> 0:13:11.240
<v Speaker 1>which is very possible. Yes, all right, gonna leave with her.

0:13:11.280 --> 0:13:13.120
<v Speaker 1>Thank you so much. It's what I wanted to do today.

0:13:13.120 --> 0:13:16.280
<v Speaker 1>So thank you so much. I know you're a busy guy,

0:13:16.360 --> 0:13:18.959
<v Speaker 1>Drew Armstrong. He's our senior editor for US healthcare right

0:13:19.000 --> 0:13:22.360
<v Speaker 1>here at Bloomberg News. Check him out his work on

0:13:22.559 --> 0:13:25.160
<v Speaker 1>the Bloomberg Terminal, also at Bloomberg dot com. To thank

0:13:25.200 --> 0:13:25.760
<v Speaker 1>you so much.