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		<title>HART - UnHerd</title>
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					<title>Is it worth vaccinating children?</title>
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						<![CDATA[Tom Chivers]]>
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							<![CDATA[It is easy to say 'even one death is too many' (Hesther Ng/SOPA Images/LightRocket via Getty Images)]]>
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							<![CDATA[<p><strong>Tom Chivers</strong> is a science writer. His second book, <em>How to Read Numbers</em>, is out now.</p>
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						<unherd:twitter_handle>TomChivers</unherd:twitter_handle>
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						<![CDATA[ is a science writer. His second book, <em>How to Read Numbers</em>, is out now.]]>
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										<pubDate>Tue, 25 Jan 2022 00:04:20 +0000</pubDate>
					<updated>Tue, 25 Jan 2022 12:48:43 +0000</updated>
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		<category><![CDATA[Children]]></category>
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								<![CDATA[It sounds cruel — but a small number of deaths would be worth it]]>
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								<![CDATA[<p><span style="font-weight: 400;">Like a number of the weird little pressure groups that sprung up over the pandemic, the modus operandi of the Health Advisory &amp; Recovery Team, or HART, is relatively straightforward: cobble together a bunch of people with vaguely academic credentials, put out scientific-sounding press releases that pander to one side or another’s prejudices, and </span><a href="https://www.telegraph.co.uk/news/2021/03/22/lockdown-proponents-assumed-worst-had-no-evidence/" target="_blank" rel="noopener"><span style="font-weight: 400;">get media attention</span></a><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">Its latest such gambit is </span><a href="https://www.hartgroup.org/press-release/" target="_blank" rel="noopener"><span style="font-weight: 400;">a claim</span></a><span style="font-weight: 400;"> that the Office for National Statistics’ data shows “a significant rise in the death rate for adolescent males over the last eight months”. HART have </span><a href="https://www.hartgroup.org/open-letter-to-the-mhra-regarding-child-death-data/" target="_blank" rel="noopener"><span style="font-weight: 400;">put together</span></a><span style="font-weight: 400;"> an “open letter to Sajid Javid, Chris Whitty, Patrick Vallance and the relevant public health bodies”, saying that “the concern is that this time period coincides with the rollout of vaccinations to this age group”.</span></p>
<p><span style="font-weight: 400;">There’s a saying in journalism that you should play the ball, not the man. And I will play the ball, but I want to play the man a bit first. HART has form for suggesting that vaccines kill people: on p35 of </span><a href="https://www.hartgroup.org/wp-content/uploads/2021/03/240321-Updated-HART-review.pdf" target="_blank" rel="noopener"><span style="font-weight: 400;">its ‘Covid-19 Response</span></a><span style="font-weight: 400;">’, still prominently linked on their website, they suggest that the second peak in deaths “coincided with the mass roll-out of novel mRNA/DNA vaccines” and that “whilst we cannot infer causation from correlation, the mRNA/DNA vaccines had not been tested on this cohort” and it would be “negligent” not to ask whether “the rise in deaths during this period is linked in some way to the vaccine roll-out”. (The second peak in deaths was, in fact, caused by the second peak in Covid cases which </span><a href="https://coronavirus.data.gov.uk/details/cases" target="_blank" rel="noopener"><span style="font-weight: 400;">preceded it by a fortnight or so</span></a><span style="font-weight: 400;">.)</span></p>
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<p><span style="font-weight: 400;">HART is populated by odd people who believe strange things: one of its </span><a href="https://www.hartgroup.org/bios/" target="_blank" rel="noopener"><span style="font-weight: 400;">publicly listed</span></a><span style="font-weight: 400;"> members worried, in a since-leaked private chat, that the vaccines were literally </span><a href="https://twitter.com/_johnbye/status/1421397013078360064" target="_blank" rel="noopener"><span style="font-weight: 400;">making people magnetic</span></a><span style="font-weight: 400;">. Other leaked messages show </span><a href="https://twitter.com/_johnbye/status/1428351884109123585" target="_blank" rel="noopener"><span style="font-weight: 400;">a member suggesting</span></a><span style="font-weight: 400;"> that the group “seed the thought that vaccines cause Covid”, and that the vaccine rollout is “</span><a href="https://twitter.com/_johnbye/status/1421397013078360064/photo/3" target="_blank" rel="noopener"><span style="font-weight: 400;">a crime against humanity</span></a><span style="font-weight: 400;">” and part of a plan for “</span><a href="https://twitter.com/_johnbye/status/1421397013078360064/photo/4" target="_blank" rel="noopener"><span style="font-weight: 400;">massive scale depopulation</span></a><span style="font-weight: 400;">”. It’s worth noting that while these people may seem to be cranks, they also seem </span><a href="https://twitter.com/_johnbye/status/1453838580976078850" target="_blank" rel="noopener"><span style="font-weight: 400;">to have some influence </span></a><span style="font-weight: 400;">with senior Tory backbenchers.</span></p>
<p><span style="font-weight: 400;">But let’s look at the ideas, as well as the people. After all, stopped clocks are right twice a day, and there have been plenty of stopped clocks in the pandemic. So: what’s the evidence that vaccines have been killing young people?</span></p>
<div class="ref-ar"><a href="https://unherd.com/2022/01/how-we-can-end-mandatory-isolation/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://unherd.com/2022/01/how-we-can-end-mandatory-isolation/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://unherd.com/wp-content/uploads/2022/01/2GettyImages-1216160888-scaled-1.jpg?w=300" /></a><div class="content"><a href="https://unherd.com/2022/01/how-we-can-end-mandatory-isolation/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">More from this author</span></a><a href="https://unherd.com/2022/01/how-we-can-end-mandatory-isolation/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>It&#039;s time to end mandatory isolation</h5></a><p class="author"><a href="https://unherd.com/2022/01/how-we-can-end-mandatory-isolation/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Tom Chivers</a></p></div></a></div>
<p><span style="font-weight: 400;">Here’s HART’s case. They say that according to ONS data, there were 402 deaths among 15 to 19-year-old boys between May and December last year, and that that’s about 65 more than the average for that period over the years 2015 to 2019. I’ve looked into it, and these numbers are about right. In fact, they are a slight understatement of reality: you can see the figures for 2021 </span><a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/weeklyprovisionalfiguresondeathsregisteredinenglandandwales" target="_blank" rel="noopener"><span style="font-weight: 400;">here</span></a><span style="font-weight: 400;">, and the five-year average </span><a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/adhocs/11485fiveyearaverageweeklydeathsbysexandagegroupenglandandwalesdeathsoccurringbetween2015and2019" target="_blank" rel="noopener"><span style="font-weight: 400;">here</span></a><span style="font-weight: 400;">. This is, the ONS acknowledges, a “statistically significant” increase.</span></p>
<p><span style="font-weight: 400;">HART thinks, or at least heavily hints, that the extra deaths are caused by myocarditis, an inflammation of the heart muscle </span><a href="https://www.gov.uk/government/publications/covid-19-vaccination-myocarditis-and-pericarditis-information-for-healthcare-professionals/information-for-healthcare-professionals-on-myocarditis-and-pericarditis-following-covid-19-vaccination" target="_blank" rel="noopener"><span style="font-weight: 400;">which has been seen in rare cases</span></a><span style="font-weight: 400;"> following vaccination with the Pfizer jab: “​​a connection cannot be excluded,” they say, and it would be “a grave dereliction of duty” not to investigate. They took the ONS to the High Court to get them to release more data, including the age, gender, and vaccination information of everyone who died between the age of 12 and 19 since 1 May last year[1. The ONS is looking into it, but they can’t release the data easily: so few people die at that age that if they gave much more information about them then individuals would be identifiable. The High Court agreed that they shouldn’t release it.].</span></p>
<p><span style="font-weight: 400;">HART are not the only people to worry about this. In the US, there are </span><a href="https://www.facebook.com/lairelightner/posts/3061479067442105" target="_blank" rel="noopener"><span style="font-weight: 400;">regular </span></a><a href="https://www.facebook.com/jessica.plant1/posts/10224238795331687" target="_blank" rel="noopener"><span style="font-weight: 400;">outbreaks</span></a><span style="font-weight: 400;"> of concern around the mRNA vaccines and myocarditis. But is there anything in it?</span></p>
<p><span style="font-weight: 400;">For the record, HART is right that the number of recorded deaths in that age category is unusually high. I spoke to the ONS, and they agree — a spokesperson told me that there has been an increase of recorded deaths, compared to the five-year average.</span></p>
<p><span style="font-weight: 400;">That said, it’s not clear that the rise is </span><i><span style="font-weight: 400;">real</span></i><span style="font-weight: 400;">. The ONS only becomes aware of deaths when they are officially registered, which — if the death is referred to a coroner — could be weeks or months after the death itself. Young people’s deaths are much more likely to be referred to the coroner, and in 2020, coroners’ offices were under enormous strain from the pandemic. The spokesman also speculated that there might be a simple backlog from the previous year. There may be all sorts of other reasons, and until the coroners’ reports are in we won’t know.</span></p>
<div class="ref-ar"><a href="https://unherd.com/2022/01/my-predictions-for-2022/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://unherd.com/2022/01/my-predictions-for-2022/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://unherd.com/wp-content/uploads/2022/01/3GettyImages-1236900701-scaled-1.jpg?w=300" /></a><div class="content"><a href="https://unherd.com/2022/01/my-predictions-for-2022/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">More from this author</span></a><a href="https://unherd.com/2022/01/my-predictions-for-2022/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Is the pandemic over?</h5></a><p class="author"><a href="https://unherd.com/2022/01/my-predictions-for-2022/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Tom Chivers</a></p></div></a></div>
<p><span style="font-weight: 400;">Another problem for the myocarditis hypothesis is that, although HART says that the “time period coincides with the rollout of vaccinations to this age group”, it doesn’t really. The first mass vaccinations for under-18s </span><a href="https://www.bbc.com/news/health-57885845" target="_blank" rel="noopener"><span style="font-weight: 400;">didn’t start until August</span></a><span style="font-weight: 400;">, and even then only began relatively slowly: only about 40,000 people a day were being </span><a href="https://coronavirus.data.gov.uk/details/vaccinations?areaType=overview&amp;areaName=United%20Kingdom" target="_blank" rel="noopener"><span style="font-weight: 400;">given first doses </span></a><span style="font-weight: 400;">in that period, down from a high of 600,000 in March. HART also says that the real risk is second doses, and under-18s wouldn’t have received those until September. Admittedly, 18 and 19-year-olds would have had their jabs somewhat earlier, but not </span><i><span style="font-weight: 400;">that</span></i><span style="font-weight: 400;"> much earlier: even 30-year-olds were unable to have theirs </span><a href="https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2021/07/COVID-19-weekly-announced-vaccinations-01-July-2021.pdf" target="_blank" rel="noopener"><span style="font-weight: 400;">until the end of May</span></a><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">And looking at the data that HART themselves cite, there doesn’t seem to be an obvious spike after younger people get the vaccine: while the number of deaths does seem to go up after about May, there’s no spike in August when large numbers of young people started getting vaccinated.</span></p>
<p><span style="font-weight: 400;">The ONS spokesperson said that there have been adverse vaccine reactions mentioned on death certificates — but only 13 of them, and the ages ranged from 35 to 94. Perhaps there’s been a rash of unreported myocarditis cases, or other vaccine reactions, among young men, but it would be a bit surprising given the attention on the issue.</span></p>
<p><span style="font-weight: 400;">But let’s grant HART’s premise. Let’s imagine that some percentage of these excess deaths are not statistical artefacts, and are caused by myocarditis. What would that mean?</span></p>
<p><span style="font-weight: 400;">The main conclusion wouldn’t change: vaccines save lives. Look at </span><a href="https://ourworldindata.org/covid-deaths-by-vaccination" target="_blank" rel="noopener"><span style="font-weight: 400;">this Our World in Data page</span></a><span style="font-weight: 400;"> on the risk of death for vaccinated vs unvaccinated people, in various countries. </span>An unvaccinated American is around <a href="https://ourworldindata.org/grapher/united-states-rates-of-covid-19-deaths-by-vaccination-status?time=latest&amp;country=~All+ages">100 times as likely to die</a> as a triple-vaccinated one; an unvaccinated Swiss is <a href="https://ourworldindata.org/grapher/switzerland-covid-19-weekly-death-rate-by-vaccination-status?time=2022-01-08&amp;facet=none&amp;country=~All+ages">about 165 times as likely to die</a>.<span style="font-weight: 400;"> Similar if less extreme numbers can be seen in </span><a href="https://ourworldindata.org/grapher/chile-covid-19-mortality-rate-by-vaccination-status?time=latest&amp;country=~All+ages" target="_blank" rel="noopener"><span style="font-weight: 400;">Chile</span></a><span style="font-weight: 400;"> and </span><a href="https://ourworldindata.org/grapher/england-covid-19-mortality-rate-by-vaccination-status?time=latest&amp;country=~All+ages" target="_blank" rel="noopener"><span style="font-weight: 400;">England</span></a><span style="font-weight: 400;">, although OWID doesn&#8217;t yet have data on the effects of boosters in England.</span></p>
<p><span style="font-weight: 400;">Of course, that’s across all ages. But when you look at </span><a href="https://web.archive.org/web/20220122142056/https://ourworldindata.org/covid-deaths-by-vaccination" target="_blank" rel="noopener"><span style="font-weight: 400;">12 to 17-year-olds in the US</span></a><span style="font-weight: 400;"> (the only country where there’s a reasonable amount of data), about one in every 100,000 unvaccinated died each week. That would be about 250 a week, if everyone were unvaccinated. It’s well over ten times the risk to vaccinated children of that age.</span></p>
<div class="ref-ar"><a href="https://unherd.com/2022/01/we-need-to-talk-about-the-vaccines/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://unherd.com/2022/01/we-need-to-talk-about-the-vaccines/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://unherd.com/wp-content/uploads/2022/01/2GettyImages-1232332333-scaled-1.jpg?w=300" /></a><div class="content"><a href="https://unherd.com/2022/01/we-need-to-talk-about-the-vaccines/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://unherd.com/2022/01/we-need-to-talk-about-the-vaccines/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>We need to talk about the vaccines</h5></a><p class="author"><a href="https://unherd.com/2022/01/we-need-to-talk-about-the-vaccines/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Vinay Prasad</a></p></div></a></div>
<p><span style="font-weight: 400;">The US CDC </span><a href="https://www.chop.edu/news/health-tip/myocarditis-and-covid-19-get-facts" target="_blank" rel="noopener"><span style="font-weight: 400;">assesses the risk like this</span></a><span style="font-weight: 400;">: if 100,000 children are vaccinated, they’d expect around five to seven cases of myocarditis, likely mild. But if they </span><i><span style="font-weight: 400;">weren’t </span></i><span style="font-weight: 400;">vaccinated, they’d expect about 5,500 of them to be infected with Covid in the following three months, and about 50 of them to be hospitalised. Out of </span><a href="https://www.childstats.gov/americaschildren/tables/pop1.asp" target="_blank" rel="noopener"><span style="font-weight: 400;">the 25 million or so</span></a><span style="font-weight: 400;"> 12 to 17-year-olds in the US, that would be around 12,000 hospitalisations in three months. Perhaps ironically, a fair number of them would develop myocarditis: </span><a href="https://www.gov.uk/government/publications/covid-19-vaccination-myocarditis-and-pericarditis-information-for-healthcare-professionals/information-for-healthcare-professionals-on-myocarditis-and-pericarditis-following-covid-19-vaccination" target="_blank" rel="noopener"><span style="font-weight: 400;">the UK government says</span></a><span style="font-weight: 400;"> about 18% of hospitalised Covid patients suffer myocardial injury.</span></p>
<p><span style="font-weight: 400;">The point is: even if</span> <span style="font-weight: 400;">some non-trivial number of young people have died of myocarditis because of the vaccine, the odds are that more would have died without it — and likely very many more would have suffered a really nasty illness and ended up with some quite long-term effects from it. And, of course, they’d have been more likely to pass it on to other, more vulnerable, people, including their own families.</span></p>
<p><span style="font-weight: 400;">It is easy to say “even one death is too many”. Of course, each death is a tragedy; but two deaths is twice as big a tragedy, all else being equal. I hope that the ONS is able to find some hint of what caused the apparent increase in deaths among adolescent males; I sincerely doubt that it’s the Pfizer vaccine. But even if it is, the likelihood is that it saved many more lives than it cost. </span></p>
<p>Luckily, I think the battle over vaccines has largely been won — more than 90% of UK adults are now vaccinated. But groups like HART have influence over serious people on the fringes of real power, despite being deeply strange people who think those who advocate vaccines for children “<a href="https://twitter.com/_johnbye/status/1421397302468567040/photo/3" target="_blank" rel="noopener">need shooting</a>”.</p>
<p>The trouble is, HART’s data is superficially convincing, and takes work to rebut. There are still many thousands of children, and others, who have yet to have their vaccine: if some of them die unnecessarily because of this nonsense, that really would be a tragedy.</p>
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