SARS-CoV-2 mRNA疫苗“95%有效”:这意味着什么?

Colin A. Ross
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引用次数: 1

摘要

C4591001临床试验组成员Polack等[1]在最近的一篇论文中指出,辉瑞公司的SARS-CoV-2疫苗有效率为95%。临床试验组和他们的论文由BioNTech和辉瑞公司资助。辉瑞公司和现代制药公司生产的新型冠状病毒mRNA疫苗有效率达95%的说法,在媒体和美国疾病控制与预防中心(CDC)、NIAID等医生和公共卫生当局的负责人中被无数次提及。但“95%有效”到底是什么意思呢?这是一个相对的风险数字。Polack等人[1]报告的原始数据是什么?在他们的试验中,21720名参与者接种了活性疫苗,21728名参与者接种了安慰剂。安慰剂组总共有162名参与者患上了COVID-19疾病,而疫苗组只有8名;安慰剂组有9名参与者患上了严重的COVID-19疾病,而疫苗组只有1名。这意味着COVID-19发病率降低了95%(疫苗组的发病率为8/162 =安慰剂组的5%)。两组均无死亡病例。这意味着没有证据表明mRNA疫苗可以降低COVID-19疾病的死亡风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
mRNA Vaccines for SARS-CoV-2 are “95% Effective”: What Does That Mean?
J Neurol Neurocrit Care, Volume 3(4): 1–1, 2020 In a recent paper, Polack et al. [1], who are members of the C4591001 Clinical Trial Group, stated that the Pfizer vaccine for SARS-CoV-2 is 95% effective. The Clinical Trial Group and their paper are funded by BioNTech and Pfizer. The statement that the mRNA vaccines for SARS-CoV-2 manufactured by Pfizer and Modern are 95% effective has been made countless times in the media and by the heads of the CDC and NIAID and other physicians and public health authorities. But what does “95% effective” actually mean? It is a relative risk number. What are the raw data reported by Polack et al. [1]? In their trial, 21,720 participants received the active vaccine and 21,728 received placebo. Altogether, 162 participants in the placebo group developed COVID-19 illness compared to 8 in the vaccine group; 9 participants in the placebo group developed severe COVID-19 disease compared to 1 in the vaccine group. This is a reduction in COVID-19 illness of 95% (the rate of illness in the vaccine group was 8/162 = 5% of the rate in the placebo group). There were no deaths in either group. This means that there is no evidence that mRNA vaccines reduce the risk of death from COVID-19 illness.
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