More about ivermectin!

December 14, 2021 • 11:00 am

I feel bad for this man and his wife, but there’s a strong dose of irony in this story from USA Today (click on title below to read):

An excerpt:

Keith Smith, whose wife had gone to court to have his COVID-19 infection treated with ivermectin, died Sunday evening, a week after he received his first dose of the controversial drug.

He was 52.

Smith was in a hospital in Pennsylvania for nearly three weeks and had been in the hospital’s intensive care unit in a medically induced coma on a ventilator since Nov. 21. He had been diagnosed with the virus on Nov. 10.

His wife of 24 years, Darla, had gone to court to compel the hospital, UPMC Memorial, to treat her husband with ivermectin, an anti-parasitic drug that has not been approved for treatment of COVID-19.

York County Court Judge Clyde Vedder’s Dec. 3 decision did not compel the hospital to treat Keith with the drug, but it did allow Darla to have an independent physician administer it. He received two doses before Keith’s condition grew worse, and the doctor halted the treatment. . .

. . .Darla sued UPMC to treat her husband with ivermectin after reading about similar cases throughout the country, all filed by an attorney in Buffalo, N.Y. She was assisted by a group called Front Line COVID-19 Critical Care Alliance, which promotes the use of ivermectin in the treatment of the virus.

He received his first dose on Dec. 5, two days after Vedder’s decision in the court case. After Keith received a second dose, the doctor overseeing the drug’s administration – a physician not affiliated with UPMC – ended the treatment as Keith’s condition deteriorated.

Here’s a photo of Keith and Darla; note the caption (click photo to enlarge):

Now there may have been nothing that would save this man once he was infected, and, after all, this is only one anecdote, not a disproof of the claim (made, among others, by Bret Weinstein and Heather Heying) that ivermectin is an efficacious preventive and cure for Covid-19. But I point out that we still have no good evidence that ivermectin can do either of these things, while we have strong evidence not only for the efficacy of vaccination (particularly with a booster), and now also for the new Prizer antiviral pill, which, if given within three days of the onset of symptoms, reduces the risk of hospitalization and death by 89%.  Even if ivermectin proves to have a marginal effect (and, given the studies, that’s the most it could have), it’s no match for existing treatments.

To see a summary of the “evidence”, read this short piece in Stat, a site for health and health-and-business related news (click on screenshot):

As I’ve already pointed out, many past studies purporting to show an effect of ivermectin were fatally flawed in different ways, including cases of apparent data-faking as well as post facto analysis without proper controls. Here’s a summary of the article above:

Where to look for higher quality data? A group called the Cochrane Collaboration spends its time conducting meta-analyses of the best-conducted clinical trials. After excluding dozens of ivermectin studies with “high risk of bias,” the collaboration left little room for optimism: “Based on the current very low- to low-certainty evidence, we are uncertain about the efficacy and safety of ivermectin used to treat or prevent Covid-19.” The group recommended that ivermectin use be restricted to clinical trials that might actually generate high quality data.

The World Health Organization and the Infectious Diseases Society of America concur. Even Merck, an ivermectin manufacturer, avers that there is “no meaningful evidence for clinical activity or efficacy in patients with Covid-19.” And just last weekend the FDA warned people not to use the drug as a treatment for Covid-19.

An FDA tweet. (Note: yes, people, I know that ivermectin has valid uses in humans for eliminating lice and parasites, so don’t bother to correct me. We’re talking about viruses here.)

Note that Stat reports that a properly designed study is in progress (my emphasis below).

Yet ivermectin boosters and merchants have convinced many to use this therapy for Covid-19, particularly in Latin America where its use is so widespread that researchers have had difficulty recruiting patients for trials of other potentially effective products. In June, YouTube suspended the account of Sen. Ron Johnson (R-Wis.), a member of the Senate Homeland Security and Governmental Affairs Committee, for a week for spreading misinformation about ivermectin and hydroxychloroquine.

I’ve also criticized Weinstein and Heying, who work in my own field, for not only denigrating vaccines, but pushing ivermectin. Those who heeded their advice have been put in danger.

The increased demand for the drug, combined with enhanced scrutiny from pharmacists, has caused shortages of veterinary formulations of the drug. Inevitably, a spike in calls to Poison Control Centers connected to the use of veterinary ivermectin has followed.

And the money paragraph:

The University of Oxford’s rigorously designed PRINCIPLE trial is now trying to determine if ivermectin actually benefits people with Covid-19. But until those results come in, I urge people to heed the lessons of hydroxychloroquine, bleach, and all the other purported Covid-19 cures: effective treatments will be identified through systematic scientific study, not by wishful thinking, fabrication, or miracles.

Remember the Hippocratic Oath’s dictum: “First, do no harm.”

If the Oxford study shows ivermectin has appreciable value in preventing or curing Covid-19, I will admit that I was wrong, though I reserve the right to judge whether such an effect is sufficiently strong to make the drug more valuable than current treatments.

Likewise, if the Oxford study shows very low or no value of ivermectin in preventing or curing Covid-19, I expect that Weinstein and Heying will issue a statement saying, “We were wrong. We may have put people in danger.”

But I can already say with assurance that anybody following their advice, dosing themselves with ivermectin and avoiding vaccination, is doing precisely the wrong thing.

Talking sense about the Omicron variant

December 1, 2021 • 12:00 pm

Reader Tom sent me this 19½-minute video about Omicron from health science expert and nurse John Campbell, who’s apparently been dispensing sound information on the coronavirus for a long time. Tom said this:

Dr. John Campbell has been my go-to-guy for the past 14 months on a nearly daily basis.  He’s lucid, authoritative, clear, concise and engaging, just a superb source of reasonable advice.

When I asked for more information because Campbell’s Wikipedia bio was scanty, Tom added this:

He’s had a YouTube channel since 2008 and is an evidence-based medicine proponent to the bone.  His videos are daily, usually about 20 minutes long and shot in a spare room of his home.  Just him wielding a sharpie, an overhead camera, printed sheets of the day’s topic and a calm, no nonsense discussion delivered in a clipped English accent.  No histrionics.  Like visiting a well-loved teacher during office hours.

Now remember, we know very little about this virus—neither about its infectivity or its virulence (which really encompasses severity and spreadability).  So take this with a grain of salt. However, Campbell readily admits our ignorance while claiming, with support, that this variant will be the dominant strain throughout the world.

He does sound a note of hope, i.e., the vaccinated, when infected with Omicron, seem to get generally mild cases, and hypothesis that its spreadability is negatively correlated with how sick it makes peope.

John also gives us a pessimistic timeline for a vaccination (early to mid-2022). He summarizes where all the cases are (everywhere), and the mortality rate (thankfully, zero).  Remember, it’s early days.

It must be the full moon

November 5, 2021 • 8:25 am

Yep, the wackos are out: here’s a comment I got (but didn’t post) on my piece “Bret Weinstein and Heather Heying go unvaccinated for Covid, take and promote Ivermectin instead“. It’s from one Stephanie, who won’t be posting here again:

I have ivermectin and didn’t get it at an animal feed shop. It’s for human beings, prescribed by a human internist that treats Covid patients (a real living MD). He also prescribes it to ease vaccine side-effects. It helped mine, I had my period for months after the Moderna shot, along with neuropathy in my right arm which prevented me from working for 2 weeks. I did not follow up with a second dose and will not until at least third generation vaccines are available.You are a dangerous person and I challenge your view, your vaccine indoctrination. There are safe, healthy options for All and instead of promoting health, an MD’s ability to practice and prescribe, you support a billionaire class who wants you hooked into a booster program. You’re the laughable one, the one that should be shamed but you’re so insecure, you point at Bret and Heather

No control in her assertion of “it helped mine”, of course, and if she listened to Bret Weinstein and Heather Heying she wouldn’t have gotten the shot in the first place. If ivermectin is a “safe and healthy option,” why did she get a jab?

I stand by what I said: there is no convincing evidence that Ivermectin is either a palliative, a cure, or a preventive for Covid 19, much less a reliever of symptoms from the vaccination. There are mixed results from some studies of the drug, but those are almost all retrospective analyses, have pathetically small sample sizes, and many lack real controls.

We will have more definitive data in a couple of months. But regardless of that, we know that the shots are powerfully effective in preventing Covid, and, if you get it anyway, you get a milder case. Faced with the assurance of that result contrasted with our ignorance about Ivermectin, which simply cannot have as powerful a result as the vaccines, you’d simply be dumb to forego up the shots (which Weinstein and Heying have been urging; neither is vaccinated) and take a medicine designed for roundworms and head lice.

It’s not me who’s the dangerous person.

Advice from my primary care doc: Should you get a booster? If so, which one?

October 25, 2021 • 10:45 am

If you’re contemplating getting a booster shot, as I did (the Pfizer), you should read this blog post by Dr. Alex Lickerman, my primary care doc who has, as you may know, written a whole series on Covid-19 for the layperson.  This is post #16.  Click on the screenshot below to read his booster take and see links to the other posts.  NOTE: Alex has kindly agreed, as he often does, to answer readers’ questions about Covid, so fire away in the comments section below.

Here’s the intro, the short take, and then below I’ll list the topics he takes up:

In this post, we explore the pros and cons of getting a third booster shot (or second booster shot if you got the J&J vaccine) against COVID-19. As usual, if you’re less interested in how we got to our conclusions than you are in the conclusions themselves, feel free to skip to the BOTTOM LINE in each section and the CONCLUSION at the end.

Question: Should you get a third booster shot?

Answer: It depends on how likely you are to have a bad outcome if you contract COVID-19 as well as your specific goals in getting vaccinated.

The topics of the post:

ESTIMATES OF CONTINUING VACCINE EFFECTIVENESS

WHAT DOES WANING EFFECTIVENESS MEAN IN THE REAL WORLD?

BENEFITS OF A THIRD SHOT

RISKS OF A THIRD SHOT

WHAT THIRD SHOT SHOULD YOU GET?

I got my booster because I’m older and thereby in the ‘at risk’ group, but I’m also going to Antarctica on a ship for a month in March, and wanted the extra protection.  Note: Alex also recommends in his post which of the possible boosters will boost you the most. But you’ll have to see that for yourself.

My booster shot

October 1, 2021 • 12:00 pm

Yesterday at about 10 a.m. I got the booster shot for the Pfizer vaccine at the University of Chicago Hospital, which was offering it to all staff (I count). I confess that when I called my doctor to ask his advice, he didn’t think it was necessary. This is because given the low infectivity rates, a waning of immunity over six months of about 10% makes almost no difference in your chance of landing in the hospital or dying. I raised the objection that I wasn’t worried about those outcomes, but simply about getting sick, as even a breakthrough infection can last several weeks and make you miserable.  When I added that I was likely to be on a ship in Antarctica this winter, and wanted extra protection in that situation, he said that that a booster was fine for me.

Here I’m reporting my physiological reaction to the booster.

I had no reaction to the first Pfizer jab save a bit of soreness in the arm that abated within a day.

The second shot, though, had more severe effects, as it does with many people. I got that one about 8 a.m. on January 25, and was fine for the rest of the day. I also woke up the next day and felt good. The side effects didn’t set in until about noon on day 2: a flu-like feeling, malaise, some chills, and general debility. I went home early, a no-no for me, and woke up the next day completely fine.

I suspected that the effects of the booster would resemble those of the second shot, which represented my antibody reaction to the spike protein after my system was programmed. And, sure enough, that’s what happened. The effects did come on a bit earlier. My arm was sore most of yesterday, but otherwise I felt fine. I woke up this morning, though, and knew I was AFFLICTED. I trudged into work in the dark and labored away at those three posts, and then took a nap at my desk for an hour. After checking on the ducks (there are ten now, including Honey and Dorothy), I still felt like the bottom of a birdcage, and so took two Advil. I don’t know if it was the pills or the side effects are wearing off, but I feel much better now.

Everyone has to make their own decision on this, though I see nearly all the gub’mint experts are recommending getting a booster. To me, it’s worth a half day of malaise to avoid the possibility of a breakthrough infection, even though a booster may not have a substantial effect on even that.

If you’ve had yours, report in below on the effects.

Oh, and I have received NO pictures of polydactylous cats from any reader, despite my plea. Seriously, I don’t ask much from you, so if you own a Super Scratcher, send me a photo or two (paw and cat, perhaps), and a short paragraph of explanation.

Credit: Mike Kai Chen for The New York Times

Ivermectin: still horsewash

September 26, 2021 • 10:30 am

Yes, I know that ivermectin is used against human lice, rosacea, and worms, and is safe when used properly. And it’s also used against worms in horses, though the veterinary formula appears to differ from the human drug, so those people who buy and swallow animal ivermectin are just dumb.

What I do not know, because the data are unclear, is whether ivermectin is a palliative or preventive of Covid-19. Some studies say that, but none of the studies published so far adhere to the gold standards of drug testing: double-blind randomized tests with very large sample sizes, carried out over a decent length of time. If you look at the FDA link to existing studies below, you’ll see that only one study used a placebo, and only a couple used “standard care”, (i.e. neither vaccination nor drug given).  Most studies appear to be retrospective analyses of ivermectin treatments without controls, and those are worthless.

Because of this, the FDA has definitely warned against ivermectin’s use against covid (and gives a link to existing tests). FDA says this:

Here’s What you Need to Know about Ivermectin. 

  • The FDA has not authorized or approved ivermectin for use in preventing or treating COVID-19 in humans or animals. Ivermectin is approved for human use to treat infections caused by some parasitic worms and head lice and skin conditions like rosacea.
  • Currently available data do not show ivermectin is effective against COVID-19. Clinical trials assessing ivermectin tablets for the prevention or treatment of COVID-19 in people are ongoing.
  • Taking large doses of ivermectin is dangerous.
  • If your health care provider writes you an ivermectin prescription, fill it through a legitimate source such as a pharmacy, and take it exactly as prescribed.
  • Never use medications intended for animals on yourself or other people. Animal ivermectin products are very different from those approved for humans. Use of animal ivermectin for the prevention or treatment of COVID-19 in humans is dangerous.

It also notes that ivermectin, though safe when taken as directed by itself, can interact negatively with other drugs taken by humans.

And here’s one other thing I don’t know for sure, but strongly suspect: if you have a choice of getting vaccinated with any of the major vaccines, and not taking ivermectin, versus another choice of not getting vaccinated but taking ivermectin, your chances of illness and death will be higher if you choose the latter, and that includes possible side effects of both treatments. I don’t think there’s been a controlled study of this, but we’ll have the data some day.

Sure, it’s possible that ivermectin may have some useful effects against Covid-19, preventing or mitigating its symptoms. But we can’t say that with confidence until the results of large studies in progress are completed. They’re not, so those who tell you to take ivermectin and avoid “dangerous” vaccinations are, insofar as they’re influencing anyone, putting lives at risk.

A new letter by five researchers in Nature Medicine (below) examines the studies combined in meta-analyses that purport to show the efficacy of ivermectin for Covid-19. The researchers find flaws in some of them that are so serious that they probably invalidate the conclusions. Click on the screenshot to read for free:

I’ve left out the references, but you can see them in the original letter. Here’s the gist of the author’s conclusions:

Research into the use of ivermectin (a drug that has an established safety and efficacy record in many parasitic diseases) for the treatment and/or prophylaxis of COVID-19 has illustrated this problem [relying on “high volumes of recent, often unpublished trial data of variable quality”] well. Recently, we described flaws in one randomized control trial of ivermectin, the results of which represented more than 10% of the overall effect in at least two major meta-analyses. We described several irregularities in the data that could not be consistent with them being experimentally derived. That study has now been withdrawn by the preprint server on which it was hosted. We also raised concerns about unexpected stratification across baseline variables in another randomized controlled trial for ivermectin, which were highly suggestive of randomization failure. We have requested data from the authors but, as of 6 September 2021, have not yet received a response. This second ivermectin study has now been published, and there is still no response from the authors in a request for data.

It is highly unethical for scientists to withhold published data from other researchers! The letter continues:

The authors of one recently published meta-analysis of ivermectin for COVID-19 have publicly stated that they will now reanalyze and republish their now-retracted meta-analysis and will no longer include either of the two papers just mentioned. As these two papers were the only studies included in that meta-analysis to demonstrate an independently significant reduction in mortality, the revision will probably show no mortality benefit for ivermectin.

Several other studies that claim a clinical benefit for ivermectin are similarly fraught, and contain impossible numbers in their results, unexplainable mismatches between trial registry updates and published patient demographics, purported timelines that are not consistent with the veracity of the data collection, and substantial methodological weaknesses. We expect further studies supporting ivermectin to be withdrawn over the coming months.

Since the above primary studies were published, many hundreds of thousands of patients have been dosed with ivermectin, relying on an evidence base that has substantially evaporated under close scrutiny.

All I know is that I wouldn’t take ivermectin without FDA or CDC approval, and if you’re doing so in lieu of getting vaccinated, you’re foolish.

The researchers also suggest a different way besides large double-blind tests or meta-analysis to analyze data (assuming it’s good data):

Most, if not all, of the flaws described above would have been immediately detected if meta-analyses were performed on an individual patient data (IPD) basis. In particular, irregularities such as extreme terminal digit bias and the duplication of blocks of patient records would have been both obvious and immediately interrogable from raw data if provided.

We recommend that meta-analysts who study interventions for COVID-19 should request and personally review IPD in all cases, even if IPD synthesis techniques are not used. In a similar vein, all clinical trials published on COVID-19 should immediately follow best-practice guidelines and upload anonymized IPD so that this type of analysis can occur. Any study for which authors are not able or not willing to provide suitably anonymized IPD should be considered at high risk of bias for incomplete reporting and/or excluded entirely from meta-syntheses.

Hurdles to the release of IPD from clinical trials are well described, and generally addressable with careful anonymization and integration of data sharing plans at the ethical approval stage of trial planning.

We recognize that this is a change to long-accepted practice and is substantially more rigorous than the standards that are typically currently applied, but we believe that what has happened in the case of ivermectin justifies our proposal: a poorly scrutinized evidence base supported the administration of millions of doses of a potentially ineffective drug globally, and yet when this evidence was subjected to a very basic numerical scrutiny it collapsed in a matter of weeks. This research has created undue confidence in the use of ivermectin as a prophylactic or treatment for COVID-19, has usurped other research agendas, and probably resulted in inappropriate treatment or substandard care of patients.

Meta-analyses, of course, usually combine the results of different studies of a treatment to arrive at an overall conclusion, while IPD uses each patient across many studies as an individual datum to get an overall conclusion. I haven’t investigated the niceties of this analysis, but you can go here or here to see how it’s done.  I am not necessarily recommending this type of analysis, as I haven’t studied it, and those combined patients could also represent data that is dubious but undetectably so. I would therefore still recommend a large number of random, double-blind tests of ivermectin, each including large samples of patients as well as a control group given a placebo.

In the meantime, don’t listen to the neigh-sayers about vaccines. If you don’t have medical contraindications, get your jabs! (This is my recommendation as a doctor, though the wrong kind of doctor.)

Should there be religious exemptions from vaccine mandates?

September 7, 2021 • 9:15 am

The other day I had a bright idea for a post on my drive to the store, and, since my short-term memory has always been lousy, I should have made a note to myself. SInce I didn’t do that, I promptly forgot it, though I knew the topic was interesting.

I was, however, just reminded of what I’d thought of by seeing the title below of a NYT op-ed by Curtis Chang (identified as “a co-founder of Christians and the Vaccine, a consulting faculty member at Duke Divinity School and the C.E.O. of CWR, a management consultancy serving secular nonprofits and government agencies”).

I haven’t yet read this op-ed except for the title, so let me first give my own view before I parse the article.

First, I agree with the title wholeheartedly.  The only people who should be exempted from vaccine mandates are those who might be injured by vaccines, including the immunocompromised.  Now adults above a certain age should be allowed to make medical decisions if those decisions don’t endanger anyone else. Thus, if you have appendicitis and are one of those sects that don’t accept medical intervention (Christian Science is supposed to be one, but members often sneak around the restrictions), it’s okay by me if you reject the operation and endanger yourself. (If you have a wife and kids, however, that may be another matter, largely because the kids, who could be left without a parent, don’t get to choose their faith.)

But with vaccinations, you’re endangering not only yourself by rejecting science-based medicine, but others as well. Thus, if you refuse the Covid shot on religious grounds, you’re endangering other people because you might get infected and spread the virus. Even if nearly everyone else is vaccinated, you could still infect the few who aren’t. Even the Bible talks about rendering unto Caesar. Well, Caesar is the state, and to the state belongs the purview of preventing pandemics and epidemics.

The fact that religious people are allowed to refuse medical care for their kids in some places, or get a slap on the wrist when they do—even when the child dies—is absolutely unconscionable. It’s one of the unjustified forms of “respect” that we afford to religious beliefs. The subject of religion and healthcare is largely the subject of the last chapter of my book Faith Versus Fact, and I tell some horrific stories of those who believe in faith healing letting their children die in the vain hope that God would save them. This should be a felony, and it is in some places, but all too often that unwarranted “respect” for faith gets parents either off the hook or with a minimal sentence. And all too often those parents justify their behavior, even when, by withholding medical care, they’ve killed their own child. As I note in my book (p. 234):

It’s not just the parents who are at fault. Religious exemptions are written into law by the federal and state governments—that is, those who represent all Americans. In fact, 38 of the 50 states have religious exemptions for child abuse and neglect in their civil codes, 15 states have such exemptions for misdemeanors, 17 for felony crimes against children, and five (Idaho, Iowa, Ohio, West Virginia, and Arkansas) have exemptions for manslaughter, murder, or capital murder. Altogether, 43 of the 50 states confer some type of civil or criminal immunity on parents who injure their children by withholding medical care on religious grounds.

As for vaccinations, there should be no religious exemptions for getting them, regardless of the dictate of your faith. That’s because refusing a vaccine is not a decision with purely personal consequences, but can have widespread and deleterious effects on other people. And yet, as I note further in my book (pp. 235-236):

Religious exemptions for vaccinations, allowed in 48 of the 50 U.S. states (all except Mississippi and West Virginia) endanger not only the children who don’t get immunized, but the community in general:  not everyone gets vaccinated, and even those who are don’t always acquire immunity. To attend public schools and many colleges, like the one where I teach, students must show evidence of vaccination for diseases like hepatitis, measles, mumps, diphtheria, and tetanus. The only exemptions permitted are for medical reasons, like a compromised immune system—and religion.

Nor are Christians the only believers who oppose immunization. Islamic clerics in Afghanistan, Pakistan, and Nigeria urge their followers to oppose polio vaccination, declaring it a conspiracy to sterilize Muslims. These efforts may prevent the complete eradication of polio from the human species, something already been achieved for smallpox. Dr. A Majid Katme, spokesman and former head of the Islamic Medical Association of the UK, described by the Guardian as “a respected figure in the British Muslim community,” has come out against all childhood vaccination, claiming that “the case of vaccination is first an Islamic one, based on Islamic ethos regarding the perfection of the natural human body’s immune defense system, empowered by great and prophetic guidance to avoid most infections.”  Taking his advice would, of course, be disastrous.

In all states, immunizations are required for public school enrollment, except for medical, religious and philosophical exemptions. Here’s the latest map (2021) of exemptions, taken from The National Conference of State Legislatures. As you can see, since my book was published in 2015, it appears that four states—Maine, New York, Connecticut, and California—no longer grant religious exemptions for vaccination. That’s good news. Note as well that only 15 states allow philosophical exemptions (the striped ones are also blue, meaning that they allow religious exemptions too). This shows not only that religion gets precedence over philosophy, but also that this precedence makes no sense, since a philosophical exemption is presumably a “reasoned” one (misguided though it may be), while religious dictates come from scripture or authority. Every state in the map below should be white.

Now I’ll read the article, and you are free to at any time by clicking on the screenshot below.

Chang and I largely agree, but diverge in three important ways:

First, though, he notes that the religious exemption comes from Title VII of the Civil Rights acts, which “require American employers to accommodate employees’ religious beliefs.” And those are the grounds on which many people are claiming religious exemption from the Covid vaccination, though Chang believes that these religionists aren’t really doing it on religious grounds (which don’t exist anyway, see below), but are “nonreligious and rooted in deep-seated suspicion of government and vulnerability to misinformation.”

Further, and this is what made me realize originally that this topic deserves a post, how many religions really have dictates prompting their followers to refuse vaccination?  We know about Christian Science, of course, and there are dozens of evangelical Christian sects, largely in the American Northwest, that refuse medical care as part of their faith. But try to find a justification for that in scripture. As Chang notes:

. . . there is no actual religious basis for exemptions from vaccine mandates in any established stream of Christianity. Within both Catholicism and all the major Protestant denominations, no creed or Scripture in any way prohibits Christians from getting the vaccine. Even the sect of Christian Scientists, which historically has abstained from medical treatment, has expressed openness to vaccines for the sake of the wider community. The consensus of mainstream Christian leaders — from Pope Francis to Franklin Graham — is that vaccination is consistent with biblical Christian faith.

Biblically based arguments against vaccination have been rebutted. The project Christians and the Vaccine, which I helped to found, has created numerous explainer videos in an effort to refute attempts by anti-vax Christians to hijack pro-life values, to distort biblical references like the “mark of the beast” and to inflame fears about government control. Christians who request religious exemptions rarely even try to offer substantive biblical and theological reasoning. Rather, the drivers for evangelical resistance are nonreligious and are rooted in deep-seated suspicion of government and vulnerability to misinformation.
Chang is doing a good deed by pointing out the weakness of religious exemptions for vaccination, and by insisting that all employers should get rid of religious exemptions for coronavirus vaccines (he specifies “for Christians”, but I think no religious exemptions should be allowed).

That’s one way we differ. The other is that Chang appears to think that Christians have a “right” to refuse the vaccine in general, though not necessarily to be employed without it:

My plea to my fellow Christians: If you insist on refusing the vaccine, that is your right. But please do not bring God into it. Doing so is the very definition of violating the Third Commandment, “Thou shalt not take the name of the Lord thy God in vain.”

I don’t think there’s a “right” for Christians to refuse vaccines deemed essential by the state. They have no more right to do that than to refuse to pay taxes on religious grounds, nor to send their children to public schools without the required shots (except, of course, for those pesky exemptions).  And not paying taxes is far less harmful to society than walking around with a possibly infectious microbe.  Everyone should be vaccinated for diseases like Covid unless there are medical contraindications. I can see no reason not to. People may say that a few people may suffer serious side effects, but those are far less harmful than living through a pandemic.

Finally, many religious schools allow unvaccinated children to attend, and some parents are sending their children there, or homeschooling them, to get around the normal vaccine requirements (right now only older children must be vaccinated). For safe vaccines, as Covid-19 jabs will surely prove to be for younger children, all children everywhere must be vaccinated, just like adults. After all, even religious children mingle with the general public, and endanger them when they’re unvaccinated.

Of course given my view that religion is man-made and generally detrimental to society (this is of course demonstrated by the last chapter of my book), I would object to any favoritism based on religion that doesn’t apply to secular people. (This doesn’t mean, though, that I favor philosophical exemptions to vaccination!) But you don’t have to go that route when making the argument that nobody should be exempt from a Covid vaccination except on medical grounds. The public health argument is sufficient.

Perhaps you disagree, or have other views. By all means, use the comments to air your thoughts.