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Comment by ttul | Hacker News Reader

Pushed reply too soon. Children are at low risk, but not no risk. To the extent that kids are running around with infections, they’re transmitting virus to others and providing a reservoir for mutation. That is not productive.

Let’s get the kids vaccinated. It’s the cheapest way out of this thing.

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I don’t buy the “unvaccinated as a reservoir for mutation” line of thinking. For one, there are many, many countries with a low vaccination rate and it’s going to be like that for a long time.

Also, I haven’t see data on what the R0 is from vaccinated person to vaccinated person with Delta. If it’s above 1 then all we’re doing is creating immense selective pressure for vaccine escape.

The latter seems likely to me. I don’t understand how anyone thinks the blame for mutations lies solely or even mostly with the unvaccinated. Vaccines, distributed in a pandemic, are likely to cause immense selective pressure, and that is one of the reasons that the WHO originally planned on non-vaccine herd immunity when they wrote their respiratory pandemic game-plan prior to 2020.

I’m fully vaccinated, not anti-vax, and not an expert. This is just my understanding based on what I’ve read.

Has there ever been a vaccination program that was so successful, so fast, that we reached nearly 100% vaccination in less than what, a year or so? Why wouldn't every other virus simply mutate in these "reservoirs" and make vaccines a failed idea?

Not all viruses are created equal; some are much more prone to mutation than others. And indeed, vaccines for highly mutation-prone ones do "fail" in some sense -- that's why we need flu shots every year but one or two doses of the chickenpox vaccine are preventative for a lifetime: the flu is an RNA virus and also has a mechanism for swapping genes between different strains infecting an individual organism (including animals), so it changes a lot, and vaccines only last until the in-the-wild flu changes out from under them, whereas chickenpox/varicella is a DNA virus that's much more genetically stable.

> Not all viruses are created equal

Emphasis on created

* Flu, which has a particularly high mutation rate, does exactly that: in some years the flu vaccine is only 10% effective.

* Most viruses are less infectious than covid, especially delta covid.

* The covid vaccines are novel, targeting a specific protein. Natural immunity targets more than one protein, I've heard up to 28 in case of covid. This should make vaccine escape much harder, as it is significantly more difficult to mutate around 28 proteins at the same time. By 'natural immunity' I mean immunity gained by exposure to the natural pathogen, either through live infection or an inactivated pathogen vaccine.

> To the extent that kids are running around with infections, they’re transmitting virus to others and providing a reservoir for mutation

Can make the same argument for the vaccinated people. Vaccines don’t prevent infection, they reduce symptoms. So by same logic they run around with the infection spreading it to everyone.

Vaccines don't 100% prevent infections, but there's strong evidence that they both significantly reduce the rate at which people become infected and, should they become infected, the rate at which they can retransmit the virus to others, and we have no reason to believe they wouldn't do the same in children. It's not an all-or-nothing affair.

> It’s the cheapest way out of this thing.

I think we should be wary of those "easy way outs", because nothing seems to indicate that vaccines are a panacea. They are of course the best that us adults can do right now to protect ourselves, but if restrictions get too relaxed simultaneously, then we ve just created pressure on the virus to create a variant that will escape completely. This is a marathon and we are not yet done. a combination of vaccines with distancing will be required for a long time. Humans are adaptible, the earlier we start the better.

(Also, we shouldn't argue in absolutes, it s not going to fix anything)

Some children are at greater risk from the vaccine than covid so it seems reckless to just push vaccines. You will quite possibility kill more kids by pushing the vaccine on them.

https://www.theguardian.com/world/2021/sep/10/boys-more-at-r...

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