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There are several pre-clinical studies with live attenuated viral vectors and replicating viral vectors going on against SARS-CoV-2. https://www.who.int/blueprint/priority-diseases/key-action/l...

Developing attenuated-virus vaccines is by screening serially propagated SARS-CoV-2 for reduced pathogenity has also been suggested already.

1. The outbreak of SARS-CoV-2 pneumonia calls for viral vaccines https://www.nature.com/articles/s41541-020-0170-0

2. Regla-Nava, J. A. et al. Severe acute respiratory syndrome coronaviruses with mutations in the E protein are attenuated and promising vaccine candidates. J. Virol. 89, 3870–3887 (2015). https://www.ncbi.nlm.nih.gov/pubmed/25609816/

Authors idea of spreading the attenuated virus is based on the idea that if the immediate COVID-19 disease can be avoided, increasing viral load in population is smaller risk. I think that's the weak point. If the vaccine is developed and the virus establishes itself in the population, the number of people getting infected will be lower overall and less people will get severe disease due to natural immunity + vaccine.

ps.

> appears to be killing between 1% to 3.5% of the people it infects

Author is confusing case fatality rate (CFR) with infection fatality rate (IFR). Infection fatality ratio seems to be something like 0.6% according to recent estimates. IFR estimates seem to go down over time.



I think you mean infection fatality rate. You gave me a heart attack for a second as I wiki’d it.


This is not a proposal for a live attenuated vaccine.

These numbers on the death rate are not mine, but what has been reported in the scientific literature. Probably the best numbers come from South Korea where they have done a pretty good job of tracking down everyone infected. There the fatality rate is around 1.8%.

Even if the true death rate is 0.6% that still means the deaths of nearly 50 million people worldwide.


Even the sources you cite give case fatality rate not infection fatality rate. You are confusing the two.


The true infection rate is irrelevant. Nobody knows what it is right now and by the time we do it will be too late.


We are talking infection fatality rate not infection rate.

Infection fatality rate is number of people who die after they are infected. That's one of the most important numbers and it can be estimated. It's different from case fatality rate. Number of people diagnosed with COVID-19 who die.

You started your argument trying to argue based on your understanding of what the infection fatality rate is.


Nobody knows the true infection fatality rate. Probably the best estimate we can make is from South Korea where they have done a pretty good job of testing everyone infected. There the infection fatality rate is 1.8% and rising as the cases age out and people in the ICUs die.


> Nobody known the true infection fatality rate.

It can be estimated with increasing accuracy.

> There the infection fatality rate is 1.8% and rising as the cases age out and people in the ICUs die.

You continue citing case fatality rate (CFR) numbers and call them infection fatality rate numbers (IFR). Can you please go back to your sources and read what they say. I bet they are case fatality rates. In South Korea one IFR estimates put the number around 0.4 and 0.7%.

Here are some IFR estimates:

1. Estimating the infection fatality rate of COVID 19 in South Korea by using time series correlations https://figshare.com/articles/Estimating_the_infection_fatal...

2. Estimating the infection and case fatality ratio for coronavirus disease (COVID-19) using age-adjusted data from the outbreak on the Diamond Princess cruise ship, February 2020 https://www.eurosurveillance.org/content/10.2807/1560-7917.E...

3. Using early data to estimate the actual infection fatality ratio from COVID-19 in France https://www.medrxiv.org/content/10.1101/2020.03.22.20040915v...

4. Robust Estimation of Infection Fatality Rates during the Early Phase of a Pandemic https://www.medrxiv.org/content/10.1101/2020.04.08.20057729v...


These lower estimates are all estimates.

Really it is not important from the perspective of doing something about this pandemic as a huge number of people will die at all estimated levels.


Maybe you can now correct the "killing between 1% to 3.5% of the people it infects" part. It's horribly misleading.

IFR < CFR and IFR estimates go always down over time and never up due to the skewed nature of the data. Antibody tests are coming in already and based on them you get very accurate numbers.


I am going to update the post this morning - lots of good feedback from people here on which sections are confusing. I will update this section :)




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