Osterholm: Americans will be living with the coronavirus for decades
Michael Osterholm: Everyone is looking at the vaccine as being a light switch: on or off. And I look at it as a rheostat, that’s going to take a long time, from turning it on from its darkest position to a lightest position. If you’re anticipating a light switch, you’re going to be concerned, confused, and in some cases very disappointed in what it might look like in those first days to months with a vaccine.
MarketWatch: I saw a
piece in The Atlantic this week and I thought they positioned it well. They described it as the beginning of the end.
Osterholm: It won’t be. We will be dealing with this virus forever. Effective and safe vaccines and hopefully ones with some durability will be very important, even critical tools, in fighting it. But the whole world is going to be experiencing COVID-19 ‘til the end of time. We’re not going to be vaccinating our way out of this to eight-plus billion people in the world right now. And if we don’t get durable immunity, we’re potentially looking at revaccination on a routine basis, if we can do that. We’ve really got to come to grips with actually living with this virus, for at least my lifetime, and at the same time, it doesn’t mean we can’t do a lot about it.
MarketWatch: Do you think we’re going to see some of these vaccines fail in clinical studies?
Osterholm: One of the challenges we have is: what do we mean by fail? What’s the definition? Some people right now have a view that any vaccine that isn’t like the measles vaccine is going to be a challenge, meaning they’ve got to work 93% to 98% of the time. I don’t think there’s any sense that that’s going to happen with this vaccine. That doesn’t mean that there isn’t going to be an effective vaccine
at 50%, 60% or 70%. We have to keep watching for safety signals. We have to make sure that over time we can assure the public with open and transparent data that: This is what you can expect in terms of reactions, this is what might have any long-term complications.