COVID five year retrospective
the current pandemic has killed more than 20 million people worldwide.
What follows is an attempt to put COVID-19 in context based on a focused consideration of a coronavirus literature that has become quite large (and intractable) in the past five years. My priors are that the only way to address a scientific problem correctly is to go back to the beginnings so that the foundation of current research is as strong as possible.
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Research is beginning to show that T-cell exhaustion and long-term immune system damage follows SARS-CoV-2 infection, especially in people with long Covid. Moreover, the proper testing of candidate SARS and by extension SARS-CoV-2 vaccines would require an animal model that reproduces severe coronavirus disease in humans. During the initial research on a SARS vaccine, macaques were used after being used to confirm Koch’s final postulate that SARS-CoV is the etiologic agent of SARS. [4] However, these monkeys did not always recapitulate the disease state in humans. Early research on the COVID-19 mRNA vaccines used rhesus macaques as the experimental nonhuman primate.
Where do we go from here? None of the foregoing is meant to cast aspersions, but it must be noted that the current COVID-19 vaccines are a rushed and unlikely technical fix for a problem that did not necessarily have to exist. COVID-19 is the third serious coronavirus outbreak since 2002. As has been noted by many, there was every reason to expect another coronavirus outbreak, one that could be worse than SARS or MERS. So far, SARS-CoV-2 is the agent of a worldwide pandemic, and new mutations that make the virus more transmissible and/or virulent have been identified. Given the apparent unpredictability of the course of a coronavirus infection (the sniffles of a common cold, enduring widespread and long-term organ damage, death) there is no good reason that coronaviruses have not remained a continuing commitment in biomedical research since the original SARS outbreak.