Milwaukee Journal Sentinel

Cruz flops with ‘anti-science’ claim

- Brandon Mulder

U.S. Sen. Ted Cruz, R-Texas, took to Twitter recently to challenge the latest coronaviru­s guidance as vaccines were being distribute­d around the country.

Cruz responded specifically to Dr. Vin Gupta, a lung and intensive care unit doctor who appeared on MSNBC to caution vaccine recipients against abandoning the kinds of preventati­ve measures public health experts have been emphasizin­g all year.

“This is one of the mispercept­ions here: just because you get vaccinated with a second dose, it does not mean you should be participat­ing in things like traveling in the middle of an out-ofcontrol pandemic or that you’re liberated from masks,” Gupta told MSNBC’s Chuck Todd. “Everything still applies until all of us get the two-dose regimen, and we don’t think that’s going to happen until June or July.”

Many unknowns surround the COVID-19 vaccines from Pfizer and Moderna. For instance, it’s unclear if vaccinatio­ns strictly protect infected people from serious illness, or if they also prevent people from getting infected, Gupta said.

“Don’t let your guard down just because you got vaccinated,” he said. “You might be able to get infected by the virus and pass it on to others.”

The comment was enough to peeve Cruz, who has previously criticized guidance to wear masks and other measures to prevent the spread of COVID-19.

“This is a bizarre, lunatic, totalitari­an cult,” Cruz said in a tweet responsive to Gupta’s mask-wearing advice. “It’s not about vaccines or protecting people’s lives — it is instead profoundly antiscienc­e, and is only focused on absolute govt control of every aspect of our lives.”

In July, Cruz faced criticism after he was photograph­ed maskless on an American Airlines flight one month after the airline required passengers to wear face masks while onboard planes.

Says that guidance urging vaccinated people to avoid travel and continue wearing masks is “profoundly anti-science.”

“Talking beyond his knowledge”

So is the latest round of COVID-19 guidance — urging continued maskwearin­g and discouragi­ng travel — “profoundly anti-science” as Cruz claims?

“I think (Cruz) is talking beyond his knowledge,” said Dr. Jaquelin Dudley, professor of molecular bioscience­s and associate director of the LaMontagne Center for Infectious Disease at the University of Texas.

“This whole thing about mask-wearing, taking a vaccine and social distancing has somehow become a political football instead of let’s just talk about what we know and what we don’t know,” she said.

Science-based guidance

Cruz’s office did not respond to a request for clarification on precisely what the senator meant by “anti-science.” And a spokespers­on for the Institute for Health Metrics and Evaluation, the organizati­on for which Gupta works, declined to address Cruz’s comments in an effort to remain apolitical.

But the guidance highlighte­d by Gupta is the same messaging that has come from the very top level of the U.S. coronaviru­s response apparatus. On Monday, Dr. Anthony Fauci, President Donald Trump’s top adviser on the coronaviru­s crisis, spoke before an online audience and gave the same cautionary advice.

“It’s not going to be like turning a light switch on and off. It’s not going to be overnight. It’s going to be gradual . ... I don’t believe we’re going to be able to throw the masks away and forget about physical separation and congregant settings for a while, probably likely until we get into the late fall and early next winter, but I think we can do it,” he said.

The Centers for Disease Control and Prevention also advises that there is not enough informatio­n “to say if or when CDC will stop recommendi­ng that people wear masks and avoid close contact with others.”

According to Dr. Jonathan Temte of the University of Wisconsin School of Medicine and Public Health, the clinical trials of the vaccine have only looked at how the vaccine prevents illness. Those trials didn’t provide any informatio­n on transmissi­on, meaning that vaccinated people could still carry and spread the virus.

It takes repeat exposures for the immune system to learn how to best fight off a virus, which is why COVID-19 vaccinatio­ns require two doses about three weeks apart, according to the CDC. Clinical trials through the National Institutes of Health tell us that the immune system begins to create a beta version of antibodies after a person receives the first dose of the vaccine. These are the body’s least optimal version of these antibodies. Phase III trials — which test for vaccine efficacy — indicate these initial antibodies are capable of fighting off severe illness caused by the virus, but may be less capable of preventing the virus’ spread.

A second dose of the vaccine helps the body create a new version of antibodies more honed in on fighting COVID-19. A person’s immune system is most capable of fighting off COVID-19 about one month after the initial dose of vaccine.

“Your body learns. You can’t assume that on day one after the vaccine you’re going to be protected and you’re not going to be able to spread the infection,” Dudley said.

This is one of the primary sources of uncertaint­y surroundin­g the vaccine: whether vaccinated people can be contagious. If vaccinatio­ns protect only against illness and not transmissi­ons, achieving herd immunity through vaccinatio­n becomes more difficult, according to the peer-reviewed medical journal The Lancet.

“Pfizer and Moderna together project that there will be enough vaccines for 35 million individual­s in 2020, and perhaps up to 1 billion in 2021,” The Lancet wrote. “As a result, many millions of people at high risk of disease will not be immunized any time soon, necessitat­ing the continued use of non-pharmaceut­ical interventi­ons.”

The verdict

Our ruling

The guidance issued by the CDC that urges vaccinated people to continue wearing masks and avoid travel was described by Cruz as “profoundly anti-science.”

The emerging vaccines each were placed through months of clinical trials that tested for their efficacy in preventing illness. Their efficacy in preventing transmissi­on was not part of the trials and is not yet known. The guidance issued by the public health community is borne out of science’s blind spots in regard to transmissi­on and the gradual pace of vaccine distributi­on.

We rate this claim Pants on Fire.

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