Science
As Virus Data Mounts, the J.&J. Vaccine Holds Its Own
Roughly 17 million Individuals acquired the Johnson & Johnson Covid vaccine, solely to be informed later that it was the least protecting of the choices obtainable in the US. However new knowledge recommend that the vaccine is now stopping infections, hospitalizations and deaths not less than in addition to the Pfizer-BioNTech and Moderna vaccines.
The explanations aren’t clear, and never all specialists are satisfied that the vaccine has vindicated itself. However the accumulating knowledge nonetheless supply appreciable reassurance to recipients of the vaccine and, if confirmed, have broad implications for its deployment in elements of the world.
In Africa, for instance, distribution of a single-dose vaccine that may be refrigerated for months is by far probably the most sensible possibility.
Johnson & Johnson has not less than briefly shut down the one plant making usable batches of the vaccine. However the South Africa-based Aspen Pharmacare is gearing as much as provide giant portions to the remainder of the continent. Solely about 13 % of Africans are absolutely vaccinated, and solely about 1 % have acquired a booster dose.
“Within the setting of Africa, the place we’ve got the necessity to rapidly get vaccines out, the one dose may be very thrilling,” mentioned Linda Gail-Bekker, director of the Desmond Tutu H.I.V. Middle on the College of Cape City, who has studied the vaccine’s effectiveness in South Africa.
The Johnson & Johnson vaccine was billed as a pretty possibility for communities with restricted entry to well being care, together with some inside the US, due to its ease of supply and gentle unwanted effects. But it surely has had a bumpy journey.
The shot appeared to provide a weaker preliminary immune response, and extra individuals who received the single-dose vaccine had breakthrough infections, in contrast with those that received two doses of Pfizer or Moderna, the mRNA vaccines.
In April, federal well being officers in the US and in South Africa paused the J.&J. vaccine’s distribution as they examined experiences of a uncommon blood-clotting dysfunction in girls. Although each nations resumed the rollouts quickly after, the vaccine’s status by no means absolutely recovered.
However the notion that the vaccine is inferior has grown outdated, some specialists mentioned: Newer knowledge recommend that it has greater than held its personal in opposition to its opponents.
“We’ve been conscious that J.&J. has been sort of downgraded in folks’s minds,” Dr. Gail-Bekker mentioned. However “it punches above its weight for a single-dose vaccine.”
Till final June, the cumulative knowledge from the C.D.C. confirmed that immunization with the Moderna vaccine resulted within the lowest charges of breakthrough infections; those that received Johnson & Johnson noticed the best charges, with Pfizer-BioNTech someplace within the center.
In the course of the summer season months, the gaps — notably between J. & J. and Pfizer — started to slender. By now, all of the vaccines appear to be performing about equally properly in opposition to coronavirus infections; in actual fact, Johnson & Johnson seems to be holding up barely higher.
As of Jan. 22, the newest knowledge obtainable, unvaccinated folks have been 3.2 instances as prone to turn into contaminated as those that acquired the single-dose Johnson & Johnson vaccine; they have been 2.8 instances as prone to turn into contaminated as those that acquired two doses of the Moderna vaccine and a couple of.4 instances as possible as these with two doses of Pfizer-BioNTech. Total, then, the Johnson & Johnson vaccine gave the impression to be considerably extra protecting in opposition to an infection than the 2 options.
Amongst Individuals who received booster doses, all of the vaccines appeared to have roughly the identical effectiveness in opposition to an infection. A booster shot didn’t add a lot to Johnson & Johnson’s earlier degree of safety (though the info don’t point out who acquired which kind of booster shot).
The info have been collected by the C.D.C. from 29 jurisdictions, representing 67 % of the inhabitants.
“The C.D.C. knowledge provides to the rising physique of proof indicating the Johnson & Johnson Covid-19 vaccine supplies sturdy safety in opposition to breakthrough an infection and hospitalization,” the corporate mentioned in an announcement.
The findings point out that the J.&J. vaccine deserves a better look, mentioned Dr. Larry Corey, an professional in vaccine improvement on the Fred Hutchinson Most cancers Analysis Middle in Seattle.
“This vaccine platform might have some stunning traits that we hadn’t anticipated,” he mentioned. The info “is attention-grabbing, provocative, and we should always spend extra time understanding it.”
Dr. Corey mentioned the outcomes jibe along with his expertise in H.I.V. analysis with the adenovirus that types the spine of the Johnson & Johnson vaccine. “It has for much longer sturdiness than nearly another platform that we’ve ever labored with,” he mentioned.
Scientists are solely starting to guess why the vaccine’s profile is enhancing with the passing months.
Ranges of antibodies skyrocket within the first few weeks after immunization, however then quickly wane. The J.&J. vaccine might produce antibodies that decline extra slowly than these produced by the opposite vaccines, some analysis suggests. Or these antibodies might turn into extra subtle over time, by way of a organic phenomenon referred to as affinity maturation.
Maybe, some researchers recommend, the vaccine supplied a extra sturdy protection in opposition to the Omicron variant, accountable for the large improve in infections over the previous few months. And research have proven that the vaccine trains different elements of the immune system not less than in addition to the opposite two vaccines.
Not everyone seems to be satisfied that the Johnson & Johnson vaccine is catching up. It might solely seem like efficient now as a result of many recipients received breakthrough infections early on, gaining further immunity, mentioned Natalie Dean, a biostatistician at Emory College. “They might have a special immunity profile,” she mentioned.
The an infection fee is now decrease amongst individuals who received the Johnson & Johnson vaccine however didn’t get a booster. Nonetheless, the dying fee is barely larger, in contrast with that amongst those that received the Pfizer-BioNTech and Moderna vaccines, Dr. Dean famous.
However the variations should not large, and disappeared amongst those that received booster pictures. The C.D.C.’s statistics on deaths solely run by way of Jan. 1, and the Johnson & Johnson vaccine’s edge might solely turn into obvious in knowledge from February or March, mentioned Dan Barouch, a virologist at Beth Israel Deaconess Medical Middle in Boston who collaborated with Johnson & Johnson within the improvement of the vaccine.
Deaths are inclined to lag infections, usually by weeks or months, “as a result of many deaths are after extended hospital programs,” he mentioned.
Dr. Dean mentioned for a clearer comparability of the vaccines, she want to see knowledge with info on particular person elements, like prior infections and different high-risk circumstances, fairly than the age-adjusted total numbers supplied by the C.D.C.
“It’s a disgrace that we don’t have extra direct research of outcomes amongst individuals who acquired J.&J.,” she mentioned. That’s partly as a result of fewer folks received the vaccine than the mRNA vaccines, she mentioned, but in addition “as a result of we’re counting on different nations producing knowledge.”
A few of that info has come from South Africa. In a single trial, referred to as Sisonke, Dr. Gail-Bekker and her colleagues evaluated one dose of the Johnson & Johnson vaccine in almost 500,000 well being care employees, and two doses in about 240,000 of these people.
Within the first a part of the trial, the researchers matched the recipients with a management group by age, intercourse, threat elements for Covid, socioeconomic standing and prior Covid an infection. When the Delta variant was dominant within the nation, they discovered that the vaccine had an effectiveness of about 67 % in opposition to hospitalization and about 82 % in opposition to dying. Safety in opposition to the Beta variant was related.
“Actually throughout the Beta and the Delta waves, the one dose labored very properly for extreme illness and dying,” Dr. Gail-Bekker mentioned.
When the Omicron variant started circulating in South Africa, the researchers supplied a booster of the identical vaccine to the contributors. Fewer than half of them agreed.
“It was extraordinary, the pushback,” Dr. Gail-Bekker mentioned. By that time, the notion was that the Pfizer-BioNTech and Moderna vaccines have been superior. “There was a sense once more that we have been providing a really second-rate possibility,” she recalled.
Nonetheless, the info up to now recommend that two doses of the J. & J. vaccine had an effectiveness of about 75 % in opposition to hospitalization with the Omicron variant, akin to the safety from the Pfizer-BioNTech vaccine. The researchers offered the findings final month on the Convention on Retroviruses and Opportunistic Infections in Denver.
Though the trial seemed solely at individuals who received two doses of the Johnson & Johnson vaccine, it means that the vaccine might make a wonderful booster for individuals who initially received two doses of an mRNA vaccine, specialists mentioned.
However in December, the C.D.C. really useful the mRNA vaccines over Johnson & Johnson’s for all adults, citing a threat of uncommon unwanted effects like blood clots and Guillain-Barré syndrome. The company discovered 4 circumstances of blood clots per million individuals who received the vaccine; girls ages 30 to 39 had the best incidence, at about 11 per million.
The mRNA vaccines, too, have been related to unusual unwanted effects. They’re thought to trigger about 11 circumstances of myocarditis, or irritation of the center, for each 100,000 vaccinated males aged 16 to 29 years.
Extra knowledge on totally different combos of vaccines might make clear which is the most secure and only in the long run, Dr. Dean mentioned. The arrival of recent variants can also give some vaccines an edge over others, she mentioned.
“I do preserve a really open thoughts about what may find yourself being one of the best vaccine routine for the long run,” she mentioned.
Science
How to protect yourself from the smoke caused by L.A. wildfires
You don’t have to live close to a wildfire to be affected by its smoke. With severe winds fanning the fires in and around Pacific Palisades, the Pasadena foothills and Simi Valley, huge swaths of the Southland are contending with dangerous air quality.
Wildfire smoke can irritate your eyes, nose, throat and lungs. The soot may contain all kinds of dangerous pollutants, including some that may cause cancer. The tiniest particles in smoke can travel deep into your lungs or even enter your bloodstream.
Conditions like these aren’t good for anyone, but they’re particularly bad for people in vulnerable groups, including children, those with asthma or other respiratory conditions, people with heart disease and those who are pregnant.
Here’s what you should know to keep yourself safe.
Stay indoors
Minimize your exposure to unhealthy air by staying inside and keeping your doors and windows shut.
If you have a central heating and air conditioning system, you can keep your indoor air clean by turning it on and keeping it running. Make sure the fresh-air intake is closed so that you’re not drawing in outdoor air.
Keep your pets inside
They shouldn’t breathe the unhealthy air either.
Check your air filters
Clean filters work better than dirty ones, and high-efficiency filters work better than regular ones. The California Air Resources Board and the South Coast Air Quality Management District recommend filters with a MERV rating of 13 or higher.
You might consider using portable high-efficiency air cleaner in a room where you spend the most time. The U.S. Environmental Protection Agency has information about them here, and CARB has a list of certified cleaning devices here.
Don’t pollute your indoor air
That means no burning candles or incense. If your power is out and you need to see in the dark, you’re much better off with a flashlight or headlamp.
If you’re cold, bundle up. This is not the time to start a cozy fire in the fireplace. Don’t use a gas stove or wood-fired appliances, since these will make your indoor air quality worse, not better, the AQMD says.
The CDC also advises against vacuuming, since it can stir up dust and release fine particles into the air.
Take care when cleaning up
You don’t want your skin to come into contact with wildfire ash. That means you should wear long sleeves, pants, gloves, socks and shoes. The AQMD even wants you to wear goggles.
If you’re sweeping up ash outdoors, get a hose and mist it with water first. That will keep it from flying up in the air as you move it around. Once the ash is wet, sweep it up gently with a broom or mop. Bag it up in a plastic bag and throw it away.
It’s a good idea to wash your vehicles and outdoor toys if they’re covered in ash. Try not to send ashy water into storm drains. Direct the dirty water into ground areas instead, the AQMD advises.
Those with lung or heart problems should avoid clean-up activities.
Discard spoiled food…
If you lost power for a significant length of time, the food in your refrigerator or freezer may be spoiled.
Food kept in a fridge should stay safe for up to four hours if you’ve kept the door closed. If you’ve been without power for longer than that, you’ll need to toss all perishable items, including meat, poultry, fish, eggs, milk and cut fruits and vegetables. Anything with “an unusual smell, color, or texture” should be thrown out as well, according to the U.S. Centers for Disease and Control Prevention.
Refrigerated medicines should be OK unless the power was out for more than a day. Check the label to make sure.
…even if it was in the freezer
Your freezer may be in better shape, especially if it’s well-stocked. Items in a full freezer may be safe for up to 48 hours if it’s been kept shut, and a half-full freezer may be OK for up to 24 hours. (The frozen items help keep each other cold, so the more the better.)
If items have remained below 40 degrees Fahrenheit (4 degrees Celsius) or you can still see ice crystals in them, they may be OK to use or refreeze, according to the federal government’s food safety website.
Ice cream and frozen yogurt should be thrown out if the power goes out for any amount of time. Meat, poultry, seafood, eggs, milk and most other dairy products need to go if they were exposed to temperatures above 40 degrees F for two hours or longer. The same goes for frozen meals, casseroles, soups, stews and cakes, pies and pastries with custard or cheese fillings.
Fruit and fruit juices that have started to thaw can be refrozen unless they’ve started to get moldy, slimy or smell like yeast. Vegetables and vegetable juices should be discarded if they’ve been above 40 degrees F for six hours or more, even if they look and smell fine.
Breakfast items like waffles and bagels can be refrozen, as can breads, rolls, muffins and other baked goods without custard fillings.
Consider alternative shelter
If you’ve done everything you can but your eyes are still watering, you can’t stop coughing, or you just don’t feel well, seek alternative shelter where the air quality is better.
Hold off on vigorous exercise
Doing anything that would cause you to breathe in more deeply is a bad idea right now.
Mask up outdoors
If you need to be outside for an extended time, be sure to wear a high-quality mask. A surgical mask or cloth mask won’t cut it — health authorities agree that you should reach for an N95 or P-100 respirator with a tight seal.
Are young children at greater risk of wildfire smoke?
Very young children are especially vulnerable to the effects of wildfire smoke because their lungs are still rapidly developing. And because they breathe much faster than adults, they are taking in more toxic particulate matter relative to their tiny bodies, which can trigger inflammation, coughing and wheezing.
Any kind of air pollution can be dangerous to young children, but wildfire smoke is about 10 times as toxic for children compared to air pollution from burning fossil fuels, said Dr. Lisa Patel, clinical associate professor of pediatrics at Stanford Children’s Health. Young children with preexisting respiratory problems like asthma are at even greater risk.
Patel advises parents to keep their young children indoors as much as possible, create a safe room in their home with an air purifier, and try to avoid using gas stoves to avoid polluting the indoor air.
Children over the age of 2 should also wear a well-fitting KN95 mask if they will be outdoors for a long period of time. Infants and toddlers younger than that don’t need to mask up because it can be a suffocation risk, Patel said.
What are the risks for pregnant people?
Pregnant people should also take extra precautions around wildfire smoke, which can cross the placenta and affect a developing fetus. Studies have found that exposure to wildfire smoke during pregnancy can increase the risk of premature birth and low birth weight. Researchers have also linked the toxic chemicals in smoke with maternal health complications including hypertension and preeclampsia.
What about other high-risk populations?
Certain chronic diseases including asthma, chronic obstructive pulmonary disease or other respiratory conditions can also make you particularly vulnerable to wildfire smoke. People with heart disease, diabetes and chronic kidney disease should take extra care to breathe clean air, the CDC says. The tiny particles in wildfire smoke can aggravate existing health problems, and may make heart attacks or strokes more likely, CARB warns.
Get ready for the next emergency
Living in Southern California means another wildfire is coming sooner or later. To prepare for the bad air, you can:
- Stock up on disposable respirators, like N95 or P-100s.
- Have clean filters ready for your A/C system and change them out when things get smoky.
- Know how to check the air quality where you live and work. The AQMD has an interactive map that’s updated hourly. Just type in an address and it will zoom in on the location. You can also sign up to get air quality alerts by email or on your smartphone.
- Know where your fire extinguisher is and keep it handy.
- If you have a heart or lung condition, keep at least five days’ worth of medication on hand.
Times staff writer Karen Garcia contributed to this report.
Science
Punk and Emo Fossils Are a Hot Topic in Paleontology
Mark Sutton, an Imperial College London paleontologist, is not a punk.
“I’m more of a folk and country person,” he said.
But when Dr. Sutton pieced together 3-D renderings of a tiny fossil mollusk, he was struck by the spikes that covered its wormlike body. “This is like a classic punk hairstyle, the way it’s sticking up,” he thought. He called the fossil “Punk.” Then he found a similar fossil with downward-tipped spines reminiscent of long, side-swept “emo” bangs. He nicknamed that specimen after the emotional alt-rock genre.
On Wednesday, Dr. Sutton and his colleagues published a paper in the journal Nature formally naming the creatures as the species Punk ferox and Emo vorticaudum. True to their names, these worm-mollusks are behind something of an upset (if not quite “anarchy in the U.K.”) over scientists’ understanding of the origins of one of the biggest groups of animals on Earth.
In terms of sheer number of species, mollusks are second only to arthropods (the group that contains insects, spiders and crustaceans). The better-known half of the mollusk family tree, conchiferans, contains animals like snails, clams and octopuses. “The other half is this weird and wacky group of spiny things,” Dr. Sutton said. Some animals in this branch, the aculiferans, resemble armored marine slugs, while others are “obscure, weird molluscan worms,” he said.
Punk and Emo, the forerunners of today’s worm-mollusks, lived on the dark seafloor amid gardens of sponges, nearly 200 million years before the first dinosaurs emerged on land. Today, their ancient seafloor is a fossil site at the border between England and Wales.
The site is littered with rounded rocky nodules that “look a bit like potatoes,” Dr. Sutton said. “And then you crack them open, and some of them have got these fossils inside. But the thing is, they don’t really look like much at first.”
While the nodules can preserve an entire animal’s body in 3-D, the cross-section that becomes visible when a nodule is cracked open can be difficult to interpret “because you’re not seeing the full anatomy,” Dr. Sutton said.
Paleontologists can use CT scans to see parts of fossils still hidden in rock, essentially taking thousands of X-rays of the fossil and then stitching those X-ray slices together into one digital 3-D image. But in these nodules, the fossilized creatures and the rock surrounding them are too similar in density to be easily differentiated by X-rays. Instead, Dr. Sutton essentially recreated this process of slicing and imaging by hand.
“We grind away a slice at a time, take a photo, repeat at 20-micron intervals or so, and basically destroy but digitize the fossil as we go,” Dr. Sutton said. At the end of the process, the original fossil nodule is “a sad-looking pile of dust,” but the thousands of images, when painstakingly digitally combined, provide a remarkable picture of the fossil animal.
Punk and Emo’s Hot Topic-worthy spikes set them apart from other fossils from the aculiferan branch of the mollusk family. “We don’t know much about aculiferans, and it’s unusual to find out we’ve suddenly got two,” Dr. Sutton said.
Stewart Edie, the curator of fossil bivalves at the Smithsonian National Museum of Natural History, said that Punk and Emo’s bizarre appearances shook up a long-held understanding of how mollusks evolved. Traditionally, scientists thought that the group of mollusks containing snails, clams and cephalopods “saw all of the evolutionary action,” said Dr. Edie, who was not involved with the new discovery. “And the other major group, the aculiferans, were considerably less adventurous.” But Punk and Emo “buck that trend,” he said.
The new alt-rock aculiferans reveal the hidden diversity of their group in the distant past and raise questions about why their descendants make up such a small part of the mollusk class today. “This is really giving us an almost unprecedented window into the sorts of things that were actually around when mollusks were getting going,” Dr. Sutton said. “It’s just this little weird, unexpected, really clear view of what was going on in the early history of one of the most important groups of animals.”
Science
FDA sets limits for lead in many baby foods as California disclosure law takes effect
The U.S. Food and Drug Administration this week set maximum levels for lead in baby foods such as jarred fruits and vegetables, yogurts and dry cereal, part of an effort to cut young kids’ exposure to the toxic metal that causes developmental and neurological problems.
The agency issued final guidance that it estimated could reduce lead exposure from processed baby foods by about 20% to 30%. The limits are voluntary, not mandatory, for food manufacturers, but they allow the FDA to take enforcement action if foods exceed the levels.
It’s part of the FDA’s ongoing effort to “reduce dietary exposure to contaminants, including lead, in foods to as low as possible over time, while maintaining access to nutritious foods,” the agency said in a statement.
Consumer advocates, who have long sought limits on lead in children’s foods, welcomed the guidance first proposed two years ago, but said it didn’t go far enough.
“FDA’s actions today are a step forward and will help protect children,” said Thomas Galligan, a scientist with the Center for Science in the Public Interest. “However, the agency took too long to act and ignored important public input that could have strengthened these standards.”
The new limits on lead for children younger than 2 don’t cover grain-based snacks such as puffs and teething biscuits, which some research has shown contain higher levels of lead. And they don’t limit other metals such as cadmium that have been detected in baby foods.
The FDA’s announcement comes just one week after a new California law took effect that requires baby food makers selling products in California to provide a QR code on their packaging to take consumers to monthly test results for the presence in their product of four heavy metals: lead, mercury, arsenic and cadmium.
The change, required under a law passed by the California Legislature in 2023, will affect consumers nationwide. Because companies are unlikely to create separate packaging for the California market, QR codes are likely to appear on products sold across the country, and consumers everywhere will be able to view the heavy metal concentrations.
Although companies are required to start printing new packaging and publishing test results of products manufactured beginning in January, it may take time for the products to hit grocery shelves.
The law was inspired by a 2021 congressional investigation that found dangerously high levels of heavy metals in packaged foods marketed for babies and toddlers. Baby foods and their ingredients had up to 91 times the arsenic level, up to 177 times the lead level, up to 69 times the cadmium level, and up to five times the mercury level that the U.S. allows to be present in bottled or drinking water, the investigation found.
There’s no safe level of lead exposure for children, according to the U.S. Centers for Disease Control and Prevention. The metal causes “well-documented health effects,” including brain and nervous system damage and slowed growth and development. However, lead occurs naturally in some foods and comes from pollutants in air, water and soil, which can make it impossible to eliminate entirely.
The FDA guidance sets a lead limit of 10 parts per billion for fruits, most vegetables, grain and meat mixtures, yogurts, custards and puddings and single-ingredient meats. It sets a limit of 20 parts per billion for single-ingredient root vegetables and for dry infant cereals. The guidance covers packaged processed foods sold in jars, pouches, tubs or boxes.
Jaclyn Bowen, executive director of the Clean Label Project, an organization that certifies baby foods as having low levels of toxic substances, said consumers can use the new FDA guidance in tandem with the new California law: The FDA, she said, has provided parents a “hard and fast number” to consider a benchmark when looking at the new monthly test results.
But Brian Ronholm, director of food policy for Consumer Reports, called the FDA limits “virtually meaningless because they’re based more on industry feasibility and not on what would best protect public health.” A product with a lead level of 10 parts per billion is “still too high for baby food. What we’ve heard from a lot of these manufacturers is they are testing well below that number.”
The new FDA guidance comes more than a year after lead-tainted pouches of apple cinnamon puree sickened more than 560 children in the U.S. between October 2023 and April 2024, according to the CDC.
The levels of lead detected in those products were more than 2,000 times higher than the FDA’s maximum. Officials stressed that the agency doesn’t need guidance to take action on foods that violate the law.
Aleccia writes for the Associated Press. Gold reports for The Times’ early childhood education initiative, focusing on the learning and development of California children from birth to age 5. For more information about the initiative and its philanthropic funders, go to latimes.com/earlyed.
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