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Healthy user bias is obvious in booster data as well
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Healthy user bias is obvious in booster data as well

T Coddington
Jan 13
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Healthy user bias is obvious in booster data as well
inumero.substack.com

Although I did not use the term at the time, a post I wrote six months ago was essentially about the so-called healthy-user bias.

I Numero
We don't know if COVID vaccinations prevent COVID severe disease and deaths
The COVID vaccines received emergency authorization approval based on the criteria of reducing symptomatic COVID. Testing reduction of severe cases (e.g. hospitalizations) and deaths was not part of the trial endpoints. Now that the vaccines have been used widely for ~18 months, it has become pretty clear to all but the most zealous of the vaccine suppo…
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6 months ago · 45 likes · 21 comments · T Coddington

Seems like our AI overlords at ChatGPT do a pretty good job of defining this bias:

In that post, I argued that the figures we hear from people on how effective the COVID vaccines are against hospitalization and death should not be taken at face value because they do not likely account for the fact that those who get vaccinated are likely to be healthier to begin with vs. those that don’t. Looking at vaccination rates by US County vs. a variety of statistics about those counties, I showed that higher vaxxed counties tended to be higher income, fewer smokers, less obese, more physically active, longer life expectancies, and lower death rates.

Recently, it seems that I am hearing a renewed effort to promote boosters & bivalent boosters. This tweet from the FDA commissioner is one example

Given this, I thought it would be a good idea to check whether the same healthy user bias is likely with the boosters. Below I plot the % of population boosted & bivalent boosted vs. the same factors mentioned above for each US county. Each circle represents a county, sized by population, and colored by Region. I have filtered out very small counties (<25K people) because I suspect this data is less reliable for them.

Starting with % of Smokers, % Physically Inactive, and % Adults with Obesity (**update- for clarity, the graphs on left are the “regular” booster %’s, the graphs on the right are the bivalent (omicron) booster %’s) :

We see that there is a strong relationship (p-value <0.001) whereby counties with higher rates of boosters also have less smokers, less people physically inactive, and less people obese.

Moving on, let’s look at Median Household Income, Life Expectancy, and Age-Adjusted Death Rate.

Again, strong relationships (p-value <0.001) across the board. Counties with higher rates of boosters also have higher incomes, longer life expectancies, and lower age adjusted death rates.

It is clear that there is a healthy user bias (at least in the US) with regards to outcomes of boosted vs. non-boosted populations. Randomized control trials (RCTs) are designed to eliminate this (and other) form of bias. There are no RCTs that demonstrate these vaccines to be effective against hospitalization and death. Claims about their effectiveness in this area are not based on sound statistical principles. It may be true, but we truly don’t know & it does not seem that the powers that be are interested in finding out.

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Data Sources:

  • Health characteristics of populations at the US county level. This dataset is provided by the University of Wisconsin Population of Health Institute.

  • CDC COVID Vaccinations by US County

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Healthy user bias is obvious in booster data as well
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24 Comments
Mark Kennard
Writes The Stone Tablet
Jan 13

I find it very interesting and what can be conferred from it. those with higher incomes have a different view of society. More likely to be part of the unconscious masses who believe what they are told without question. You’ve gotta ask whether their view of reality is mostly illusion. These are people who are our lawyers and judges so does their illusory view of reality spill over into how they do their job. From my experience it does. They are trained to believe experts and in this day and age that can be a very dangerous endeavour as the expert class of society have a twisted view of reality. Maybe this is how the meek inherit the earth. The lower class are much more aware of the realities of life in society and the dangers that need to be watched for

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KatBo
Jan 17Liked by T Coddington

Thank you! I have often wondered this. I live in Marin County, California. We have 93% Vax rate and are also one of the healthiest counties in the nation. Our Public Health Director always brags that the Vax has kept us out of trouble, but I've often asked if it's actually because we were such a healthy population to begin with. Ironic that this GMOFree and Organic County all happily rolled up their sleeves - and their kids. Mind boggling.

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