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By Peter A. McCullough, MD, MPH
Please enjoy this episode of βSplittinβ the Atomβ with Jen OβBrien. A central point made is the rationale against vaccination in a widely prevalent viral upper respiratory illness. Alter AI supported this statement.
Nonβsterilizing vaccinesβthose that prevent severe disease but fail to block infection or transmissionβcreate an environment ripe for pathogen evolution. In the context of highly transmissible upper respiratory viruses such as SARSβCoVβ2, widespread use of these vaccines imposes uneven immune pressure on the viral population. Breakthrough infections in vaccinated hosts expose the virus to subβneutralizing levels of systemic (not mucousal IgA) antibodies and memory immune responses that select for mutations capable of partial immune escape. These βescape variantsβ replicate despite prior immunity, gradually outcompeting strains that remain sensitive to vaccineβinduced responses.
Because vaccine immunity wanes rapidly, reinfection cycles continue, giving each viral generation further opportunity to adapt. Modeling studies show that vaccination can maximize antigenic escape pressure when vaccinated individuals contribute substantially to spread of the illness. Over time, this selective dynamic favors variants with altered epitopes, higher transmissibility, and resistance to monoclonal antibodiesβprecisely the trajectory seen as SARSβCoVβ2 evolved from Alpha through Omicron.
No one on Trumpβs coronavirus team in the fall of 2020 mentioned the possibility of viral resistance to the poorly conceived COVID-19 vaccines. This was a stupendous, massive public health blunder not yet recognized.
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Peter A. McCullough, MD, MPH
President, McCullough Foundation
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References:
Beukenhorst et al., Eur J Epidemiol, 2023; Rozhnova et al., Nat Commun Biol, 2023; Van Egeren et al., medRxiv, 2022; Bull et al., bioRxiv, 2024; Alizon and Sofonea, J Theor Biol, 2023.
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Author: Peter A. McCullough, MD, MPH
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