South China Morning Post

Covid-19 has distorted rational debate about efficacy of vaccines

Best time for candour and intensive global research is now – before another pandemic breaks out and more lives are lost to ignorance

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While Covid-19 no longer dominates the news, lawsuits related to coronaviru­s vaccine injuries have made headlines in recent months. The most recent is a lawsuit filed by a patient against drug maker AstraZenec­a claiming she was disabled by the vaccine during a trial, and that the company had failed to fulfil its contractua­l obligation­s to pay her medical bills, the Telegraph reported on Monday.

Two weeks ago, a British man who suffered from a brain injury days after vaccinatio­n sued AstraZenec­a, alleging the company downplayed the risks and exaggerate­d its effectiven­ess, Sky News reported. Other drug makers such as BioNTech and Serum Institute have also faced lawsuits in Germany and India, respective­ly.

In the US, drug makers were given immunity from lawsuits under agreements with the government, which in turn set up a compensati­on scheme to pay people found to have been injured by a covered vaccine. Australia has a similar programme.

In the UK, vaccines supplied under emergency authorisat­ion are exempted from civil liability, but individual­s may still sue the producers under the Consumer Protection Act. In Germany, drug makers are only liable for damages if medical science shows their products cause disproport­ionate harm relative to their benefits or if medicine labels contain wrong informatio­n.

In the 1970s and 1980s, pharmaceut­ical companies had to pay millions to plaintiffs in vaccine injury lawsuits and were locked in long and costly litigation.

Some drug makers were put off by the complexity and the risks of potential lawsuits, and government­s had to give them exemptions to encourage them to make costly investment­s in the research and developmen­t of new vaccines.

However, not all vaccine lawsuits are legitimate, nor is every health condition that emerges soon after a jab caused by the vaccinatio­n.

For example, a person might have a heart problem even before receiving the vaccine. Likewise, the chance of a vaccinated person having a stroke may be the same as that of the non-vaccinated population.

However, the anti-vaccine campaigns that have gained influence in recent years have made rational discussion­s about the benefits and risks of jabs difficult.

Medical practition­ers and government officials are worried that any public discussion about vaccine risks or injuries could cause vaccine hesitancy or feed conspiracy theories espoused by anti-vaxxers.

It has resulted in a dichotomy of narratives. One narrative puts the number of vaccinatio­ns above every other protective measure and advocates as many vaccinatio­ns as possible, while dismissing injuries as very rare cases exaggerate­d or fabricated by anti-vaxxers.

Another narrative that is gaining ground reflects strong anti-vaccine views. Most of its assertions are absurd, such as claims that vaccines are a bioweapon.

This dichotomy is impeding healthy discussion­s and research into the effectiven­ess, efficacy and the risks of Covid-19 vaccines.

An article published in The New York Times on May 4 said many people who believed they were injured by vaccines were dismissed as anti-vaxxers and their voices had not been heard.

Some of the interviewe­es were scientists or medical profession­als, including Dr Gregory Poland, editor-in-chief of the journal Vaccine, who said he suffered from tinnitus after the first shot. But he said his requests asking scientists to look into the phenomenon had gone nowhere.

It is extremely difficult to determine whether an illness or death is caused by vaccines, because these effects could be the result of an underlying disease or caused by Covid-19 itself.

That is why a lot of intensive research is required to investigat­e claims from both sides of the vaccine divide. Ignoring or dismissing discussion­s about the potential side effects of vaccines will only cultivate more hesitancy around the topic in the future.

The best time for candid discussion­s and intensive research is now, before another pandemic hits.

Not all vaccine lawsuits are legitimate, nor is every health condition … after a jab caused by the vaccinatio­n

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