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CaliforniaKarl | 29 days ago

I'm starting to think that we should be calling it "contained", not "eradicated". Eradication invites the question "Well then, why do we still need the vaccine?"

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dgacmu|29 days ago

It really is eradicated - it's the only human disease we've truly eradicated. There are literally no more cases of smallpox in the wild, period.

The problem is that there are samples of viable virus in the labs of the US and Russia. So - it's eradicated but we have to keep stockpiles of vaccine around anyway. But nobody gets vaccined for it any more; it has an unfavorable risk-benefit ratio when the virus simply does not circulate. Smallpox kills ~30% of people who get infected with it; the first-generation vaccine had a mortality rate of about 1 in 1,000,000.

(There are newer-generation vaccines developed and being developed that have an even better safety profile but we still wouldn't use them because the cost - the literal cost and the side effects and general "meh, why get another shot?"-ness outweighs the benefit of protection against something you don't need protection against.)

saalweachter|28 days ago

Actually, do we need to keep samples anymore?

mRNA vaccines go from sequenced DNA to vaccine without any need to store or culture the original virus in the lab.

We could destroy our existing stockpile of smallpox and be ready to produce vaccines based on it faster than we could thirty years ago.

We couldn't validate new vaccines without access to the live virus, but then, if we aren't willing to expose hopefully-volunteers to a disease with a 30% mortality rate, we weren't really validating it anyway.

But yeah, I think we could probably unilaterally "disarm" and destroy our smallpox samples, and from a national security standpoint, I don't think we'd be significantly worse off; if the weaponized strain is significantly different from the old strain, enough to bypass vaccination, we'd need samples of the new thing in any case.

I'm not even sure we'd be substantially limiting new research on it, given that smallpox doesn't infect animals, I'm not sure if there's even any animal testing we could do with a live virus.

So yeah. Destroy the samples already.

yen223|29 days ago

Most people nowadays are not vaccinated against smallpox anymore

ksenzee|29 days ago

This is tangential to your point, but smallpox vaccine protects against mpox (the virus formerly known as monkeypox) and the CDC still recommends it for people in certain mpox risk groups.

quesera|29 days ago

We don't vaccinate against smallpox, but keep in mind that at least two countries maintain live smallpox virus in government labs.

The bad actors are predictable. And I suspect at least two others are lying.