Olshansky, Hayflick and Hershow: Millions are rejecting one of humanity's best weapons for saving lives

In this June 3, 2021 file photo, a Pfizer vaccine is prepared at a COVID-19 vaccination clinic at PeaceHealth St. Joseph Medical Center in Bellingham, Wash. On Friday, June 11, The Associated Press reported on stories circulating online incorrectly claiming COVID-19 vaccines make people produce a spike protein that is a toxin and can spread to other parts of the body and damage organs. (AP Photo/Elaine Thompson)
In this June 3, 2021 file photo, a Pfizer vaccine is prepared at a COVID-19 vaccination clinic at PeaceHealth St. Joseph Medical Center in Bellingham, Wash. On Friday, June 11, The Associated Press reported on stories circulating online incorrectly claiming COVID-19 vaccines make people produce a spike protein that is a toxin and can spread to other parts of the body and damage organs. (AP Photo/Elaine Thompson)

A federal judge has dismissed a lawsuit filed by employees at a Houston hospital who did not want to be vaccinated for COVID-19, claiming that COVID-19 vaccines are unsafe. In the June 12, 2021, ruling, U.S. district Judge Lynn Hughes rejected the lead plaintiff's claim that the vaccines are experimental and dangerous.

This case is indicative of how many people believe that the COVID-19 vaccine could either kill or harm them in some way. But as scientists in public health, infectious diseases and vaccine development, we know that these claims are not just false – they are lethal. In the U.S. today, the vast majority of hospitalizations and deaths from COVID-19 occur among the unvaccinated.

Over the course of history, vaccines have allowed humanity to successfully combat viral diseases, some to the point of eradication. Here, we break down the role that vaccination plays in the fight against infectious disease and illustrate how the benefits far outweigh the risks.

Revving up the immune system

Vaccines are one of the most innovative public health interventions in medical history. They activate the most effective human weapon against viruses that exists - our own immune system.

Vaccines show the immune system what the virus looks like so our bodies can manufacture specific antibodies to that virus. These antibodies then bind to and inactivate or destroy invading viruses.

In addition to antibodies, the immune system also generates immune-active lymphocytes programmed to specifically seek out, bind to and destroy invading viruses. Together, these antibodies and immune-active lymphocytes help the immune system recognize viruses and often wipe them out before the host knows they've been exposed. The immune response may also reduce the consequences of infection to little more than minor symptoms.

mRNA vaccines the latest weapon

mRNA vaccines contain only the genetic code for the spike proteins the COVID-19 virus uses to attach to cells, not the virus itself. This code primes the immune system to recognize the spike protein and manufacture antibodies against it.

This technology is new only in the sense that it had not yet been deployed when COVID-19 emerged. Tests of mRNA technology have been ongoing since the early 1990s.

It took under a year to develop an mRNA vaccine against COVID-19. This was not because the process was rushed, but because coronaviruses had already been studied in detail for previous outbreaks. Scientists knew in advance how to block coronaviruses from infecting cells.

The short-term reactions most people experience when receiving the Pfizer and Moderna vaccines, like muscle soreness and fatigue, are from the body revving up its immune system to attack the protein it was just instructed to manufacture. This reaction is a good sign; it means that your immune system is working.

Adverse effects of vaccines

That said, viral vaccines are not risk-free. Because humanity is so diverse, there will always be a tiny fraction of the population that reacts poorly to one or more of the vaccine's ingredients. But these same risks also apply to common, frequently used medications, such as aspirin or insulin, that can't be used safely by everyone. People continue to use these medications because the benefits far outweigh the risks.

There have been reports suggesting that deaths that occurred shortly after vaccine administration were due to the vaccine. But there has not been any confirmed causal link between these deaths and the COVID-19 vaccine. It's likely that the great majority of these deaths are coincidental.

A collective responsibility

Vaccines are among the safest interventions against viral disease - and they operate not by introducing synthetic drugs into our bodies, but by activating and training our own immune systems to recognize and destroy viral invaders.

If viral transmission pathways are blocked to a high enough level to reach herd immunity, the disease caused by the virus - and sometimes the virus itself - can diminish or disappear. For example, smallpox was eradicated in 1980 due to a coordinated global vaccination effort. But not before it killed 300-500 million people in the 20th century alone.

For viral vaccines to be fully effective, it's not enough for only a few people to be vaccinated. Those who choose not to participate in vaccination efforts don't just place themselves at risk of disability and death. They can also serve as reservoirs for viruses to remain active and mutate to potentially become more lethal for everyone - including those already vaccinated. COVID-19 strains have already emerged that have greater transmissibility, enhanced virulence and varying ability to evade vaccine-induced immunity.

The fact that a new weapon has been developed and deployed to combat COVID-19 means that humanity's battle against all viral diseases can and should be renewed with increasing vigor. Choosing not to use these vaccines would be a tragic negation of our collective responsibility. Winning the battle against COVID-19 and other viruses - and the disease, disability and death they cause - requires all of us to play our part.

S. Jay Olshansky is a professor of epidemiology and biostatistics at the University of Illinois at Chicago; Leonard Hayflick is a professor of anatomy at University of California, San Francisco; and Ronald Hershow is associate professor of epidemiology and biostatistics at University of Illinois at Chicago.

This article is republished from The Conversation, an independent and nonprofit source of news, analysis and commentary from academic experts.

The Associated Press

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