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Javier E

Genetic sequencing: U.S. lags behind in key tool against coronavirus mutations - The Wa... - 0 views

  • The lack of widespread genetic sequencing means the window is closing to find and slow the spread of variants such as the one first spotted in Britain, which appears to be much more transmissible, and those initially detected in Brazil and South Africa. All have been discovered in small numbers in the United States.
  • Now is when genetic sequencing — a process that maps out the genetic code of the particular virus that infected someone so it can be compared with others — would do the most good, while such variants are less prevalent in the U.S. population and action can be taken against them.
  • “We are in a race against time because of these mutations. And in that race, we are falling behind,”
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  • The problem echoes the country’s catastrophic stumbles early in the pandemic, when a lack of testing allowed the virus to spread widely. Currently, only a tiny fraction of all positive coronavirus tests in the United States are forwarded for further sequencing.
  • t if scientists don’t know what strains are moving through the population, the mutations that matter may pop up undetected.
  • For months, scientists have been sounding alarms and trying to ramp up genetic sequencing of test samples, but the effort has been plagued by a lack of funding, political will and federal coordination
  • Centers for Disease Control and Prevention Director Rochelle Walensky said Friday that the government is increasing the level of sequencing nationwide.“We have scaled up surveillance dramatically just in the last 10 days, in fact. But our plans for scaling up surveillance are even more than what we’ve done so far,”
  • Ultimately, the country needs real-time data — similar to the dashboards now used to track daily cases, hospitalizations and deaths — to track variants and their prevalence across the country
  • “None of that exists right now. We’re incredibly behind compared to other countries,”
  • The U.S. effort is so underdeveloped that it’s impossible to say exactly how many virus cases are sequenced daily.
  • The CDC has warned that the variant found in the United Kingdom — which British scientists said could be up to 70 percent more transmissible — could become dominant in the United States by March.
  • It also recently contracted with four private companies — Quest, Labcorp, Illumina and Helix — to conduct more sequencing. By mid-February, those contracts should hit full capacity, analyzing 6,000 samples per week, CDC officials said.
  • Illumina estimates that the country needs to sequence 5 percent of its coronavirus cases to detect a new variant when the variant represents about 0.1 percent to 1.0 percent of the country’s case
  • However, the United States so far has only sequenced about 0.32 percent of its total cases
  • the country ranks 38th out of 130 countries reporting whole-genome sequencing data.
  • The United States has sequenced 84,177 samples out of 25.7 million cases as of Friday, according to a Washington Post analysis. By comparison, the United Kingdom, in ninth place, has sequenced 214,000 genomes — almost 6 percent — of the country’s 3.7 million cases.
  • Unlike the United States, the U.K. invested in genetic sequencing early on in the pandemic, launching its genomics consortium in March with a $27 million investment and a multimillion-dollar boost late last year.
  • Even before the emergence of mutations such as the variants first discovered in South Africa and the United Kingdom, U.S. experts had been warning for months about the need for a national standard for genetic surveillance.
  • In May, the CDC launched a surveillance program for the coronavirus called SPHERES (SARS-CoV-2 Sequencing for Public Health Emergency Response, Epidemiology, and Surveillance). But, in practice, the program relied on a haphazard patchwork of academic labs contributing genetic sequencing on a volunteer basis.
  • A July report by the National Academies of Science said that “poor funding, coordination, and capacity” had led to a “patchy, typically passive, and reactive” U.S. sequencing effort.
Javier E

U.S. Is Blind to Contagious New Virus Variant, Scientists Warn - The New York Times - 0 views

  • With no robust system to identify genetic variations of the coronavirus, experts warn that the United States is woefully ill-equipped to track a dangerous new mutant, leaving health officials blind as they try to combat the grave threat.
  • it has the potential to explode in the next few weeks, putting new pressures on American hospitals, some of which are already near the breaking point.
  • About 1.4 million people test positive for the virus each week, but researchers are only doing genome sequencing — a method that can definitively spot the new variant — on fewer than 3,000 of those weekly samples. And that work is done by a patchwork of academic, state and commercial laboratories.
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  • Scientists say that a national surveillance program would be able to determine just how widespread the new variant is and help contain emerging hot spots, extending the crucial window of time in which vulnerable people across the country could get vaccinated.
  • That would cost several hundred million dollars or more. While that may seem like a steep price tag, it’s a tiny fraction of the $16 trillion in economic losses that the United States is estimated to have sustained because of Covid-19.
  • With such a system in place, health officials could warn the public in affected areas and institute new measures to contend with the variant — such as using better masks, contact tracing, closing schools or temporary lockdowns — and do so early, rather than waiting until a new surge flooded hospitals with the sick.
  • Experts point to Britain as a model for what the U.S. could do. British researchers sequence the genome — that is, the complete genetic material in a coronavirus — from up to 10 percent of new positive samples
  • But the U.S. falls far short of that goal now. Over the past month, American researchers have only sequenced a few hundred genomes a day,
  • In March, Britain started what many American experts yearn for: a well-run national program to track mutations of the new coronavirus. The country invested 20 million pounds — roughly $27 million — to create a scientific consortium that enlisted hospitals across the country, giving them standard procedures for sending samples to dedicated labs that would sequence their viruses.
  • Using cloud computing, experts analyzed the mutations and figured out where each lineage of the virus fit on an evolutionary tree.
  • “What the U.K. has done with sequencing is, to me, the moonshot of the pandemic,”
  • “They decided they were going to do sequencing and they just stood up an absolutely incredible program from scratch.”
  • In the U.S., a constellation of labs, mostly at universities, have been analyzing coronavirus genomes since the spring. Many of them spend their own modest funds to do the work
aidenborst

Tests Show Genetic Signature of Coronavirus That Likely Infected Trump - The New York T... - 0 views

  • President Trump’s illness from a coronavirus infection last month was the most significant health crisis for a sitting president in nearly 40 years. Yet little remains known about how the virus arrived at the White House and how it spread
  • The administration did not take basic steps to track the outbreak, limiting contact tracing, keeping cases a secret and cutting out the Centers for Disease Control and Prevention. The origin of the infections, a spokesman said, was “unknowable.”
  • The journalists, Michael D. Shear and Al Drago, both had significant, separate exposure to White House officials in late September, several days before they developed symptoms. They did not spend any time near each other in the weeks before their positive tests.
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  • The study reveals, for the first time, the genetic sequence of the virus that may have infected Mr. Trump and dozens of others, researchers said.
  • Viruses constantly mutate, picking up tiny, accidental alterations to their genetic material as they reproduce. Few mutations alter how a virus functions. But by comparing patterns of mutations across many genetic sequences, scientists can construct family trees of a virus, illuminating how it spreads.
  • The genomes believed by these researchers to be connected to the White House outbreak do not identify a recent geographic source, in part because they are unusual.
  • The results show that even weeks after it was identified, the White House outbreak would be better understood by sequencing samples of more people who were infected.
  • In a study released on Thursday, the C.D.C. cited genetic sequencing and intensive contact tracing that documented an super-spreading event at a high school retreat in Wisconsin.
  • But the Trump administration is not known to have conducted its own genetic analysis of people infected in the outbreak. The White House declined to respond to questions on genetic sequencing of Mr. Trump and the cluster of aides and officials who tested positive or became ill.
  • Scientists not involved in the research who reviewed the results agreed with the conclusion that the two samples sharing rare mutations strongly suggested they are part of the same outbreak.
  • “These genomes are probably going to be identical or nearly identical to the genome that infected the president,” said Michael Worobey, head of the department of ecology and evolutionary biology at the University of Arizona.
  • For months, the White House minimized the threat of the virus and eschewed basic safety precautions at official events, like wearing a mask or keeping people six feet apart.
  • At least 11 people who attended a Rose Garden celebration on Sept. 26 for Judge Barrett, which included an indoor event without masks, became infected with the coronavirus, including Mr. Trump.
  • The work is convincing, and it is the best way to piece together the progression of such an outbreak, said David Engelthaler, head of the infectious disease branch of the Translational Genomics Research Institute in Arizona, where he and colleagues have sequenced thousands of genomes to track the spread of the coronavirus, including devastating outbreaks at Native American reservations in the state.
Javier E

Health Experts Warily Eye XBB.1.5, the Latest Omicron Subvariant - The New York Times - 0 views

  • Most recombinant SARS-CoV-2 viruses have dwindled away in a matter of weeks or months, unable to outcompete other lineages. XBB, on the other hand, got a winning ticket in the genetic lottery.
  • From one parent, it gained a set of mutations that helped it evade antibodies from previous infections and vaccinations. From the other parent, it gained a separate set of mutations that made it even more evasive.
  • “XBB literally picked up the most possible mutations that it could possibly pick up from those two parents,” said Thomas Peacock, a virologist at Imperial College London. The new combination made XBB one of the most evasive Omicron subvariants in existence last summer.
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  • Recent experiments suggest that XBB paid a steep price for its power to evade immunity. The mutations allow it to escape antibodies by altering the shape of the protein, called spike, that covers its surface. But some of those mutations also make it harder for XBB spike proteins to grab tightly to cells — the first step required for an infection.
  • That loose grip may have lessened XBB’s advantage against other forms of the virus. In late 2022, it jostled alongside a number of other Omicron subvariants. In Singapore, XBB caused a surge in October, for example, while remaining rare in many other parts of the world.
  • As XBB multiplied, it continued to mutate into new forms. The earliest samples of XBB.1.5 were isolated in October in New York. The new subvariant gained one crucial mutation, known as F486P.
  • Yunlong Cao of Peking University and his colleagues tested out XBB.1.5 in dishes of cells, comparing how it fared against earlier forms of XBB. The researchers found that the F486P mutation allowed XBB.1.5 to grab tightly to cells again. But the new subvariant could still evade antibodies as well as earlier forms of XBB.
  • In Connecticut, for example, Nathan Grubaugh at Yale University and his colleagues found that by mid-December, other Omicron subvariants were falling. Only XBB.1.5 cases were growing. Dr. Grubaugh estimates that it is about 20 percent more transmissible than BQ.1, which had been the dominant form.
  • How severe XBB.1.5 infections are compared with other forms of the coronavirus is not yet clear. “It’s serious,” Dr. Grubaugh said. “I just don’t necessarily know if it’s really more serious than some of the other Omicron lineages in terms of the overall impact.”
  • XBB.1.5 has already spread to other countries, and is growing rapidly in Germany, Denmark and elsewhere in Europe
  • Scientists are already scanning new sequences being uploaded to an international database called GISAID in the hopes of spotting an upgraded version of XBB.1.5. But their job is getting harder because governments are pulling back on sequencing efforts. “Worldwide, sequencing has taken a real hit,” Dr. Peacock said.
  • The United States, which once lagged behind other nations, has managed to maintain a fairly strong sequencing effort. Without it, Dr. Peacock said, XBB.1.5 might have stayed below the radar for much longer. If XBB.1.5’s next generation is evolving somewhere with little sequencing, it may go undetected for some time to come.
  • Dr. Lemieux said that paring back on sequencing was a mistake, given how many infections and deaths the virus is still causing. “This is a part of public health,” he said.
Javier E

Scientists Hope to Sequence Genetic Code of Richard III - NYTimes.com - 0 views

  • About a year and a half after finding King Richard III’s corpse under a parking lot in Leicester, British scientists will proceed to grind up some of his bones to try to sequence his genetic code. They hope to discover his hair and eye color and see what kind of infectious bacteria he might have been hosting.
Javier E

Volkswagen, Johnson & Johnson, and Corporate Responsibility - The Atlantic - 0 views

  • The sociologist Diane Vaughan coined the phrase the normalization of deviance to describe a cultural drift in which circumstances classified as “not okay” are slowly reclassified as “okay.”
  • In the case of the Challenger space-shuttle disaster—the subject of a landmark study by Vaughan—damage to the crucial O‑rings had been observed after previous shuttle launches. Each observed instance of damage, she found, was followed by a sequence “in which the technical deviation of the [O‑rings] from performance predictions was redefined as an acceptable risk.”
  • Repeated over time, this behavior became routinized into what organizational psychologists call a “script.” Engineers and managers “developed a definition of the situation that allowed them to carry on as if nothing was wrong.” To clarify: They were not merely acting as if nothing was wrong. They believed it, bringing to mind Orwell’s concept of doublethink, the method by which a bureaucracy conceals evil not only from the public but from itself.
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  • If that comparison sounds overwrought, consider the words of Denny Gioia, a management professor at Penn State who, in the early 1970s, was the coordinator of product recalls at Ford. At the time, the Ford Pinto was showing a tendency to explode when hit from behind, incinerating passengers. Twice, Gioia and his team elected not to recall the car—a fact that, when revealed to his M.B.A. students, goes off like a bomb. “Before I went to Ford I would have argued strongly that Ford had an ethical obligation to recall,” he wrote in the Journal of Business Ethics some 17 years after he’d left the company. “I now argue and teach that Ford had an ethical obligation to recall. But, while I was there, I perceived no strong obligation to recall and I remember no strong ethical overtones to the case whatsoever.”
  • Executives are bombarded with information. To ease the cognitive load, they rely on a set of unwritten scripts imported from the organization around them. You could even define corporate culture as a collection of scripts.
  • back to Volkswagen. You cannot unconsciously install a “defeat device” into hundreds of thousands of cars. You need to be sneaky, and thus deliberate.
  • The most troubling thing, says Vaughan, is the way scripts “expand like an elastic waistband” to accommodate more and more divergence.
  • Embarrassed and unable to overturn the script they themselves had built in the preceding years, Morton-Thiokol’s brass buckled. The “no launch” recommendation was reversed to “launch.”
  • “It’s like losing your virginity,” a NASA teleconference participant later told Vaughan. “Once you’ve done it, you can’t go back.” If you try, you face a credibility spiral: Were you lying then or are you lying now?
  • Scripts are undoubtedly efficient. Managers don’t have to muddle through each new problem afresh, Gioia wrote, because “the mode of handling such problems has already been worked out in advance.” But therein lies the danger. Scripts can be flawed, and grow more so over time, yet they discourage active analysis
  • the final decision to deceive was, on an individual level, rational—the logical end to a long sequence.
  • This sequence of events fits a pattern that appears and reappears in corporate-misconduct cases, beginning with the fantastic commitments made from on high.
  • All of which placed personnel in a position of extreme strain.
  • We know what strain does to people. Even without it, they tend to underestimate the probability of future bad events. Put them under emotional stress, some research suggests, and this tendency gets amplified. People will favor decisions that preempt short-term social discomfort even at the cost of heightened long-term risk. Faced with the immediate certainty of a boss’s wrath or the distant possibility of blowback from a faceless agency, many will focus mostly on the former.
  • What James Burke, Johnson & Johnson’s CEO, did was anticipate the possible results of these pressures, well before they built up. He shared Henry James’s “imagination of disaster.” And it’s why he introduced, if you will, a set of counterscripts. It was a conscious effort to tinker with the unconscious criteria by which decisions at his company were made. The result was an incremental descent into integrity, a slide toward soundness, and the normalization of referencing “Our Credo” in situations that might otherwise have seemed devoid of ethical content.
  • This reaction isn’t excusable. But it is predictable.
  • What we know of Ferdinand Piëch, Volkswagen’s chairman before the scandal, is that he was no James Burke. At a 2008 corruption trial that sent one VW executive to jail, Piëch referred to alleged widespread use of VW funds on prostitutes as mere “irregularities,” and chided a lawyer for mispronouncing Lamborghini. (“Those who can’t afford one should say it properly” were his precise words.) This was around the time the emissions cheating began.
  • “Culture starts at the top,” a businessman recently said in an interview with the Association of Certified Fraud Examiners. “But it doesn’t start at the top with pretty statements. Employees will see through empty rhetoric and will emulate the nature of top-management decision making … A robust ‘code of conduct’ can be emasculated by one action of the CEO or CFO.”
Javier E

Most New York Coronavirus Cases Came From Europe, Genomes Show - The New York Times - 0 views

  • New research indicates that the coronavirus began to circulate in the New York area by mid-February, weeks before the first confirmed case, and that travelers brought in the virus mainly from Europe, not Asia.
  • The research revealed a previously hidden spread of the virus that might have been detected if aggressive testing programs had been put in place.
  • It would not be until late February that Italy would begin locking down towns and cities, and March 11 when Mr. Trump said he would block travelers from most European countries. But New Yorkers had already been traveling home with the virus.
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  • While conspiracy theories might falsely claim the virus was concocted in a lab, the virus’s genome makes clear that it arose in bats.
  • Sophisticated computer programs can then figure out how all of those mutations arose as viruses descended from a common ancestor. If they get enough data, they can make rough estimates about how long ago those ancestors lived. That’s because mutations arise at a roughly regular pace, like a molecular clock.
  • Tracking viral mutations demands sequencing all the genetic material in a virus — its genome. Once researchers have gathered the genomes from a number of virus samples, they can compare their mutations.
  • In January, a team of Chinese and Australian researchers published the first genome of the new virus. Since then, researchers around the world have sequenced over 3,000 more. Some are genetically identical to each other, while others carry distinctive mutations.
  • The most closely related coronavirus is in a Chinese horseshoe bat, the researchers found. But the new virus has gained some unique mutations since splitting off from that bat virus decades ago.
  • Dr. Boni said that ancestral virus probably gave rise to a number of strains that infected horseshoe bats, and perhaps sometimes other animals.
  • It’s entirely possible, Dr. Boni said, in the past 10 or 20 years, a hybrid virus arose in some horseshoe bat that was well-suited to infect humans, too. Later, that virus somehow managed to cross the species barrier.
  • already, the genomes of the virus are revealing previously hidden outlines of its history over the past few months.
  • While the coronavirus mutations are useful for telling lineages apart, they don’t have any apparent effect on how the virus works.
  • The deepest branches of the tree all belong to lineages from China. The Nextstrain team has also used the mutation rate to determine that the virus probably first moved into humans from an animal host in late 2019.
  • In January, as the scope of the catastrophe in China became clear, a few countries started an aggressive testing program. They were able to track the arrival of the virus on their territory and track its spread through their populations.
  • But the United States fumbled in making its first diagnostic kits and initially limited testing only to people who had come from China and displayed symptoms of Covid-19.“It was a disaster that we didn’t do testing,”
  • As new cases arose in other parts of the country, other researchers set up their own pipelines. The first positive test result in New York came on March 1, and after a couple of weeks, patients surged into the city’s hospitals.
  • Dr. Heguy and her colleagues found some New York viruses that shared unique mutations not found elsewhere. “That’s when you know you’ve had a silent transmission for a while,”
  • And researchers at Mount Sinai started sequencing the genomes of patients coming through their hospital. They found that the earliest cases identified in New York were not linked to later ones.“Two weeks later, we start seeing viruses related to each other,”
  • Dr. Gonzalez-Reiche and her colleagues found that these viruses were practically identical to viruses found around Europe.
  • hey write that the viruses reveal “a period of untracked global transmission between late January to mid-February.”
  • Dr. van Bakel and his colleagues found one New York virus that was identical to one of the Washington viruses found by Dr. Bedford and his colleagues. In a separate study, researchers at Yale found another Washington-related virus. Combined, the two studies hint that the coronavirus has been moving from coast to coast for several weeks.
  • Dr. Boni and his colleagues found that the genome of the new virus contains a number of mutations in common with strains of coronaviruses that infect bats.
  • Some viruses evolve so quickly that they require vaccines that can produce several different antibodies. That’s not the case for Covid-19. Like other coronaviruses, it has a relatively slow mutation rate compared to some viruses, like influenza.
rachelramirez

One Man Was Wrongly Blamed For Bringing AIDS to America - The Atlantic - 0 views

  • How One Man Was Wrongly Blamed for Bringing AIDS to America
  • One of those 40 cases was a Canadian flight attendant named Gaëtan Dugas.
  • “When the study got written up and was circulated beyond the immediate team to other people within the CDC, that ambiguous oval got interpreted by some as a zero,”
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  • As the 57th AIDS patient to reach the CDC team’s attention, Dugas was originally billed as Case 057. But since he came from outside California, and wasn’t even a U.S. resident, the investigators started referring to him offhandedly as the “Out-of-California patient”—or “Patient O” for short.
  • The CDC team did their best to naysay this misconception, but it gained steam globally in 1987, after the journalist Randy Shilts published his bestselling book And The Band Played On.
  • The idea fit with the prejudices of the day: Here was a modern Typhoid Mary, whose homosexuality and irresponsible promiscuity had brought a plague to American shores.
  • He sequenced the complete genomes of HIV taken from U.S. samples collected in the late 1970s, and showed that Dugas could not possibly have been the first AIDS patient in the U.S. Indeed, the disease likely entered the country from Haiti in 1971, flying under the radar for a decade before anyone realized what was happening.
  • HIV first started infecting humans somewhere in West Africa, having jumped into us from chimpanzees.
  • He also concluded that the virus must have arrived in the U.S. around 12 years before AIDS was formally recognized in 1981.
  • They reveal that HIV had spread from Africa to the Caribbean by around 1967, and had jumped into the U.S. by around 1971. It landed in New York City and began diversifying rapidly
  • By the time anyone noticed the first sign of AIDS in 1981, the virus had already hopped from coast to coast, and become genetically diverse.
  • This means that not only did Dugas not bring AIDS to America, but he didn’t spread it west either. He was a totally mundane part of a very unusual epidemic.
  • In 2010, evolutionary biologists used gene trees to prove that a man named Anthony Eugene Whitfield had knowingly infected many women with HIV. More recently, biologists used a pocket-sized DNA sequencer to track the evolution of Ebola in real-time, providing details about routes of transmission that helped to curtail the recent west African outbreak.
Javier E

Geneticist's Research Finds His Own Diabetes - NYTimes.com - 0 views

  • The research team monitored the molecular changes closely as the disease developed. The illness was treated successfully while in its early stages, long before it might have been if Dr. Snyder had relied on a conventional visit to the doctor.
  • Currently, the price of human genome sequencing is typically about $4,000, said George M. Church, a genetics professor at Harvard Medical School. But within a year, he said, it could be down to $1,000 or even less.
  • because he typically schedules checkups with his doctor only once every two or three years, the disease would have long remained undiagnosed had it not been for the case study. “Probably no one would have caught my glucose shooting up for at least 18 to 20 months,” he said. “By then, I could have had damage.”
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  • the cost to collect molecular data from each blood sample was about $2,500 — which did not include the cost of analysis. But the price for tests similar to Dr. Snyder’s will also decline in the future
  • Dr. Church looks forward to the day when current research becomes a routine clinical procedure that combines inherited genomic information with analyses of RNA, proteins, metabolites and microbes in our bodies.
  • Dr. Snyder is a co-founder of a company, Personalis, in Palo Alto, Calif., that is developing software and other tools to interpret genomes after sequencing
brookegoodman

Coronavirus vaccine: when will it be ready? | World news | The Guardian - 0 views

  • Even at their most effective – and draconian – containment strategies have only slowed the spread of the respiratory disease Covid-19. With the World Health Organization finally declaring a pandemic, all eyes have turned to the prospect of a vaccine, because only a vaccine can prevent people from getting sick.
  • This unprecedented speed is thanks in large part to early Chinese efforts to sequence the genetic material of Sars-CoV-2, the virus that causes Covid-19. China shared that sequence in early January, allowing research groups around the world to grow the live virus and study how it invades human cells and makes people sick.
  • Coronaviruses have caused two other recent epidemics – severe acute respiratory syndrome (Sars) in China in 2002-04, and Middle East respiratory syndrome (Mers), which started in Saudi Arabia in 2012. In both cases, work began on vaccines that were later shelved when the outbreaks were contained. One company, Maryland-based Novavax, has now repurposed those vaccines for Sars-CoV-2, and says it has several candidates ready to enter human trials this spring. Moderna, meanwhile, built on earlier work on the Mers virus conducted at the US National Institute of Allergy and Infectious Diseases in Bethesda, Maryland.
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  • All vaccines work according to the same basic principle. They present part or all of the pathogen to the human immune system, usually in the form of an injection and at a low dose, to prompt the system to produce antibodies to the pathogen. Antibodies are a kind of immune memory which, having been elicited once, can be quickly mobilised again if the person is exposed to the virus in its natural form.
  • Cepi’s original portfolio of four funded Covid-19 vaccine projects was heavily skewed towards these more innovative technologies, and last week it announced $4.4m (£3.4m) of partnership funding with Novavax and with a University of Oxford vectored vaccine project. “Our experience with vaccine development is that you can’t anticipate where you’re going to stumble,” says Hatchett, meaning that diversity is key. And the stage where any approach is most likely to stumble is clinical or human trials, which, for some of the candidates, are about to get under way.
  • An illustration of that is a vaccine that was produced in the 1960s against respiratory syncytial virus, a common virus that causes cold-like symptoms in children. In clinical trials, this vaccine was found to aggravate those symptoms in infants who went on to catch the virus. A similar effect was observed in animals given an early experimental Sars vaccine. It was later modified to eliminate that problem but, now that it has been repurposed for Sars-CoV-2, it will need to be put through especially stringent safety testing to rule out the risk of enhanced disease.
  • Once a Covid-19 vaccine has been approved, a further set of challenges will present itself. “Getting a vaccine that’s proven to be safe and effective in humans takes one at best about a third of the way to what’s needed for a global immunisation programme,” says global health expert Jonathan Quick of Duke University in North Carolina, author of The End of Epidemics (2018). “Virus biology and vaccines technology could be the limiting factors, but politics and economics are far more likely to be the barrier to immunisation.”
  • Because pandemics tend to hit hardest those countries that have the most fragile and underfunded healthcare systems, there is an inherent imbalance between need and purchasing power when it comes to vaccines. During the 2009 H1N1 flu pandemic, for example, vaccine supplies were snapped up by nations that could afford them, leaving poorer ones short. But you could also imagine a scenario where, say, India – a major supplier of vaccines to the developing world – not unreasonably decides to use its vaccine production to protect its own 1.3 billion-strong population first, before exporting any.
  • • This article was amended on 19 March 2020. An earlier version incorrectly stated that the Sabin Vaccine Institute was collaborating with the Coalition for Epidemic Preparedness Innovations (Cepi) on a Covid-19 vaccine.
carolinehayter

Messenger RNA vaccines: Now proven against coronavirus, the technology can do so much m... - 0 views

  • This astonishing efficacy has held up in real-world studies in the US, Israel and elsewhere. The mRNA technology -- developed for its speed and flexibility as opposed to expectations it would provide strong protection against an infectious disease -- has pleased and astonished even those who already advocated for it.
  • it's a technology that researchers had been betting on for decades. Now those bets are paying off, and not just by turning back a pandemic that killed millions in just a year.
  • showing promise against old enemies such as HIV, and infections that threaten babies and young children, such as respiratory syncytial virus (RSV) and metapneumovirus. It's being tested as a treatment for cancers, including melanoma and brain tumors. It might offer a new way to treat autoimmune diseases. And it's also being checked out as a possible alternative to gene therapy for intractable conditions such as sickle cell disease.
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  • "If you want to make a new influenza vaccine using the traditional methods, you have to isolate the virus, learn how to grow it, learn how to inactivate it, and purify it. That takes months. With RNA, you only need the sequence,"
  • "When the Chinese released the sequence of the SARS-CoV-2 virus, we started the process of making RNA the next day. A couple weeks later, we were injecting animals with the vaccine."
  • Weissman's lab is now working on a universal coronavirus vaccine that would protect against Covid-19, SARS, MERS, coronavirus that cause the common cold -- and future strains.
  • "We started working on a pan-coronavirus vaccine last spring," Weissman said. "There have been three coronavirus epidemics in the past 20 years. There are going to be more."
  • The mRNA approach promises to send instructions for making the healthy version of a protein, and Weissman sees special promise in treating sickle cell disease, in particular.
  • Different tumor cell types have various, recognizable structures on the outside that the immune system can recognize. "You can imagine being able to inject someone with an mRNA that encodes an antibody that specifically targets that receptor," McLellan said.
  • "We identify mutations found on a patient's cancer cells," the company says on its website. Computer algorithms predict the 20 most common mutations. "We then create a vaccine that encodes for each of these mutations and load them onto a single mRNA molecule," Moderna says.
  • BioNtech has been working with academic researchers to use mRNA to treat mice genetically engineered to develop a disease similar to multiple sclerosis -- an autoimmune disease that starts when the immune system mistakenly attacks the myelin, a fatty covering of the nerve cells.In the mice, the treatment appeared to help stop the attack, while keeping the rest of the immune system intact.
  • The idea behind gene therapy is to replace a defective gene with one that works properly.
  • Another obvious use for mRNA technology is to fight cancer. The human body fights off cancer every day, and using mRNA could help it do so even better.
  • "It's gene therapy without the half a million dollar price tag," he added. "It should be just an IV injection and that's it."
  • "The idea there is if you are immune to tick saliva proteins, when the tick bites you, the body produces inflammation and the tick falls off," Weissman said.
martinelligi

Lebanon: 'mafias' and 'militias' run the country, activists and journalist say - CNN - 0 views

  • Lebanon is facing economic collapse. Since late 2019, the country's currency has lost over 90% of its value, and people's life savings are locked up in banks that have imposed discretionary capital controls. The financial meltdown has pushed half of Lebanon's population below the poverty line, according to the
  • Political turmoil has exacerbated the crisis. The government resigned after hundreds of tons of ammonium nitrate -- neglected and mismanaged for years by Beirut port officials -- exploded, leaving more than 200 people dead and thousands more injured. The heart of the city still stands disfigured with countless buildings damaged and destroyed.
  • The latest political dispute is between Prime Minister-designate Saad Hariri and President Michel Aoun. Hariri has promised, once he finally has a government in place, to stop Lebanon's collapse and restart negotiations with the International Monetary Fund (IMF) over a desperately needed bailout.
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  • According to Transparency International's Corruption Perception Index, Lebanon ranks 149 out of 180 countries, indicating high corruption levels. And the World Bank has blamed the economic depression on a "deliberate lack of effective policy action by authorities," according to its fall 2020 report.
Javier E

Ancient human migration into Europe revealed via genome analysis | Anthropology | The G... - 0 views

  • Genetic sequencing found the remains came from individuals who were more closely linked to present-day populations in east Asia and the Americas than populations in Europe.
  • All the “Bacho Kiro cave individuals have Neanderthal ancestors five-seven generations before they lived, suggesting that the admixture [mixing] between these first humans in Europe and Neanderthals was common,” said Hajdinjak.
  • Previous evidence for early human-Neanderthal mixing in Europe came from a single individual called the Oase 1, dating back 40,000 years and found in Romania.
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  • “We do not know who the first Europeans were that ventured into an unknown land,” he said.“By analysing their genomes, we are figuring out a part of our own history that has been lost in time.”
katherineharron

US Coronavirus: As US inches closer to 350,000 Covid-19 deaths, one model projects abou... - 0 views

  • The US topped 20 million total infections and inched closer to 350,000 Covid-19 deaths on the first day of 2021 -- proof of a grim reality continuing into the new year.
  • 115,000 could die over the next month
  • The US topped 20 million total infections and inched closer to 350,000 Covid-19 deaths on the first day of 2021 -- proof of a grim reality continuing into the new year.
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  • more than 77,500 died in December, the country's deadliest month.
  • The US reported a record 125,379 hospitalized Covid-19 patients nationwide Thursday, according to the Covid Tracking Project. That number dipped slightly Friday, with 125,057 hospitalizations reported -- about an 163% increase from two months ago.
  • "We're also worried that at some point soon we're going to have a really tough time finding the space and the staff to take care of all the sick patients coming in with Covid-19 who really need our help," said Dr. Nicole Van Groningen of Cedars-Sinai Medical Center in Los Angeles.
  • Experts fear that in the coming weeks -- following holiday travel and gatherings -- the US could see another surge of cases that could drive hospitalizations and deaths even higher.
  • Georgia announced Friday a total of more than 8,700 new Covid-19 cases in the state -- a new high. Maryland on the same day reported its second-highest number of daily cases. New York, meanwhile, added nearly 16,500 new cases -- a day after it hit its highest ever one-day case count.
  • Texas health officials reported record-high Covid-19 hospitalizations across the state for the fifth day in a row, with more than 12,400 patients.
  • ICU capacity in many parts of the state remains dangerously low. In Southern California and the San Joaquin Valley, zero beds are available. One health official said earlier this week the surge of patients has been pushing hospitals to the "brink of catastrophe."
  • The variant has been found in at least 30 countries and has also been detected in Colorado, California and Florida.
  • "The discovery of the additional cases leads county health officials to believe that the new strain of the virus is widespread in the community," a county spokesperson said.The new cases were found in two men in their 40s and a man in his 50s, officials said.
  • "Currently, the US is doing less sequencing than many other countries -- a recent report from (genomics database) GISAID estimated that the US is sequencing 0.3% of positive cases versus the UK that's at about 7%."
  • the vaccines approved in the US require two doses based a few weeks apart. And the nation will continue to do it that way and will not follow the UK's decision to potentially delay second doses, Fauci told CNN on Friday.
  • "The fact is we want to stick with what the science tells us, and the data that we have for both [vaccines] indicate you give a prime, followed by a boost in 21 days with Pfizer and 28 days with Moderna. And right now, that's the way we're going with it, and that's the decision that is made," Fauci said. "We make decisions based on data. We don't have any data of giving a single dose and waiting for more than the normal period of time" to give the second dose, he added.
Javier E

How Facebook Warps Our Worlds - The New York Times - 0 views

  • THOSE who’ve been raising alarms about Facebook are right: Almost every minute that we spend on our smartphones and tablets and laptops, thumbing through favorite websites and scrolling through personalized feeds, we’re pointed toward foregone conclusions. We’re pressured to conform
  • We’re the real culprits. When it comes to elevating one perspective above all others and herding people into culturally and ideologically inflexible tribes, nothing that Facebook does to us comes close to what we do to ourselves.
  • I’m talking about how we use social media in particular and the Internet in general — and how we let them use us. They’re not so much agents as accomplices, new tools for ancient impulses, part of “a long sequence of technological innovations that enable us to do what we want
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  • “And one of the things we want is to spend more time with people who think like us and less with people who are different,” Haidt added. “The Facebook effect isn’t trivial. But it’s catalyzing or amplifying a tendency that was already there.”
  • prevalent for many users are the posts we see from friends and from other people and groups we follow on the network, and this information is utterly contingent on choices we ourselves make
  • The Internet isn’t rigged to give us right or left, conservative or liberal — at least not until we rig it that way. It’s designed to give us more of the same, whatever that same is
  • there’s no argument that in an era that teems with choice, brims with niche marketing and exalts individualism to the extent that ours does, we’re sorting ourselves with a chillingly ruthless efficiency. We’ve surrendered universal points of reference. We’ve lost common ground.
  • this colors our days, or rather bleeds them of color, reducing them to a single hue.
  • So it goes with the fiction we read, the movies we watch, the music we listen to and, scarily, the ideas we subscribe to. They’re not challenged. They’re validated and reinforced.
  • Carnival barkers, conspiracy theories, willful bias and nasty partisanship aren’t anything new, and they haven’t reached unprecedented heights today. But what’s remarkable and sort of heartbreaking is the way they’re fed by what should be strides in our ability to educate ourselves.
  • The proliferation of cable television networks and growth of the Internet promised to expand our worlds, not shrink them. Instead they’ve enhanced the speed and thoroughness with which we retreat into enclaves of the like-minded.
  • We construct precisely contoured echo chambers of affirmation that turn conviction into zeal, passion into fury, disagreements with the other side into the demonization of it
  • Marc Dunkelman, adding that it also makes it easier for us to avoid “face-to-face interactions with diverse ideas.” He touched on this in an incisive 2014 book, “The Vanishing Neighbor,” which belongs with Haidt’s work and with “Bowling Alone,” “Coming Apart” and “The Fractured Republic” in the literature of modern American fragmentation, a booming genre all its own.
  • We’re less committed to, and trustful of, large institutions than we were at times in the past. We question their wisdom and substitute it with the groupthink of micro-communities, many of which we’ve formed online, and their sensibilities can be more peculiar and unforgiving.
  • Facebook, along with other social media, definitely conspires in this. Haidt noted that it often discourages dissent within a cluster of friends by accelerating shaming. He pointed to the enforced political correctness among students at many colleges.
  • It’s not about some sorcerer’s algorithm. It’s about a tribalism that has existed for as long as humankind has and is now rooted in the fertile soil of the Internet, which is coaxing it toward a full and insidious flower
Javier E

Why Trump's Inaugural Celebration Rings Hollow - The Atlantic - 0 views

  • The real message of today is that the system has failed. The challenge of the morrow is to know what to do to save the remainder.
  • The message will be stated and restated this day: For the 58th time, the system has worked, and power has smoothly transferred from one heir of George Washington to another.
  • The truth is not so happy. With full advance notice, and despite the failure to gain a plurality of the nation’s vote, the United States will soon inaugurate someone who owes his office in some large part to a hostile foreign intelligence operation. Who is, above and beyond that, a person whose character that leaves him unqualified to hold the presidency, and threatens the country with an impending sequence of financial and espionage scandals—a constitutional crisis on two legs.
Javier E

A Future Without Jobs? Two Views of the Changing Work Force - The New York Times - 0 views

  • Eduardo Porter: I read your very interesting column about the universal basic income, the quasi-magical tool to ensure some basic standard of living for everybody when there are no more jobs for people to do. What strikes me about this notion is that it relies on a view of the future that seems to have jelled into a certainty, at least among the technorati on the West Coast
  • the economic numbers that we see today don’t support this view. If robots were eating our lunch, it would show up as fast productivity growth. But as Robert Gordon points out in his new book, “The Rise and Fall of American Growth,” productivity has slowed sharply. He argues pretty convincingly that future productivity growth will remain fairly modest, much slower than during the burst of American prosperity in mid-20th century.
  • it relies on an unlikely future. It’s not a future with a lot of crummy work for low pay, but essentially a future with little or no paid work at all.
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  • The former seems to me a not unreasonable forecast — we’ve been losing good jobs for decades, while low-wage employment in the service sector has grown. But no paid work? That’s more a dream (or a nightmare) than a forecast
  • Farhad Manjoo: Because I’m scared that they’ll unleash their bots on me, I should start by defending the techies a bit
  • They see a future in which a small group of highly skilled tech workers reign supreme, while the rest of the job world resembles the piecemeal, transitional work we see coming out of tech today (Uber drivers, Etsy shopkeepers, people who scrape by on other people’s platforms).
  • Why does that future call for instituting a basic income instead of the smaller and more feasible labor-policy ideas that you outline? I think they see two reasons. First, techies have a philosophical bent toward big ideas, and U.B.I. is very big.
  • They see software not just altering the labor market at the margins but fundamentally changing everything about human society. While there will be some work, for most nonprogrammers work will be insecure and unreliable. People could have long stretches of not working at all — and U.B.I. is alone among proposals that would allow you to get a subsidy even if you’re not working at all
  • If there are, in fact, jobs to be had, a universal basic income may not be the best choice of policy. The lack of good work is probably best addressed by making the work better — better paid and more skilled — and equipping workers to perform it,
  • The challenge of less work could just lead to fewer working hours. Others are already moving in this direction. People work much less in many other rich countries: Norwegians work 20 percent fewer hours per year than Americans; Germans 25 percent fewer.
  • Farhad Manjoo: One key factor in the push for U.B.I., I think, is the idea that it could help reorder social expectations. At the moment we are all defined by work; Western society generally, but especially American society, keeps social score according to what people do and how much they make for it. The dreamiest proponents of U.B.I. see that changing as work goes away. It will be O.K., under this policy, to choose a life of learning instead of a low-paying bad job
  • Eduardo Porter: To my mind, a universal basic income functions properly only in a world with little or no paid work because the odds of anybody taking a job when his or her needs are already being met are going to be fairly low.
  • The discussion, I guess, really depends on how high this universal basic income would be. How many of our needs would it satisfy?
  • You give the techies credit for seriously proposing this as an optimal solution to wrenching technological and economic change. But in a way, isn’t it a cop-out? They’re just passing the bag to the political system. Telling Congress, “You fix it.
  • the idea of the American government agreeing to tax capitalists enough to hand out checks to support the entire working class is in an entirely new category of fantasy.
  • paradoxically, they also see U.B.I. as more politically feasible than some of the other policy proposals you call for. One of the reasons some libertarians and conservatives like U.B.I. is that it is a very simple, efficient and universal form of welfare — everyone gets a monthly check, even the rich, and the government isn’t going to tell you what to spend it on. Its very universality breaks through political opposition.
  • Eduardo Porter: I guess some enormous discontinuity right around the corner might vastly expand our prosperity. Joel Mokyr, an economic historian that knows much more than I do about the evolution of technology, argues that the tools and techniques we have developed in recent times — from gene sequencing to electron microscopes to computers that can analyze data at enormous speeds — are about to open up vast new frontiers of possibility. We will be able to invent materials to precisely fit the specifications of our homes and cars and tools, rather than make our homes, cars and tools with whatever materials are available.
  • The question is whether this could produce another burst of productivity like the one we experienced between 1920 and 1970, which — by the way — was much greater than the mini-productivity boom produced by information technology in the 1990s.
  • investors don’t seem to think so. Long-term interest rates have been gradually declining for a fairly long time. This would suggest that investors do not expect a very high rate of return on their future investments. R.&D. intensity is slowing down, and the rate at which new businesses are formed is also slowing.
  • Little in these dynamics suggests a high-tech utopia — or dystopia, for that matter — in the offing
Javier E

What's Wrong With the Teenage Mind? - WSJ.com - 1 views

  • What happens when children reach puberty earlier and adulthood later? The answer is: a good deal of teenage weirdness. Fortunately, developmental psychologists and neuroscientists are starting to explain the foundations of that weirdness.
  • The crucial new idea is that there are two different neural and psychological systems that interact to turn children into adults. Over the past two centuries, and even more over the past generation, the developmental timing of these two systems has changed. That, in turn, has profoundly changed adolescence and produced new kinds of adolescent woe. The big question for anyone who deals with young people today is how we can go about bringing these cogs of the teenage mind into sync once again
  • The first of these systems has to do with emotion and motivation. It is very closely linked to the biological and chemical changes of puberty and involves the areas of the brain that respond to rewards. This is the system that turns placid 10-year-olds into restless, exuberant, emotionally intense teenagers, desperate to attain every goal, fulfill every desire and experience every sensation. Later, it turns them back into relatively placid adults.
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  • adolescents aren't reckless because they underestimate risks, but because they overestimate rewards—or, rather, find rewards more rewarding than adults do. The reward centers of the adolescent brain are much more active than those of either children or adults.
  • What teenagers want most of all are social rewards, especially the respect of their peers
  • In contemporary life, the relationship between these two systems has changed dramatically. Puberty arrives earlier, and the motivational system kicks in earlier too. At the same time, contemporary children have very little experience with the kinds of tasks that they'll have to perform as grown-ups.
  • The second crucial system in our brains has to do with control; it channels and harnesses all that seething energy. In particular, the prefrontal cortex reaches out to guide other parts of the brain, including the parts that govern motivation and emotion. This is the system that inhibits impulses and guides decision-making, that encourages long-term planning and delays gratification.
  • This control system depends much more on learning. It becomes increasingly effective throughout childhood and continues to develop during adolescence and adulthood, as we gain more experience.
  • Expertise comes with experience.
  • In gatherer-hunter and farming societies, childhood education involves formal and informal apprenticeship. Children have lots of chances to practice the skills that they need to accomplish their goals as adults, and so to become expert planners and actors.
  • In the past, to become a good gatherer or hunter, cook or caregiver, you would actually practice gathering, hunting, cooking and taking care of children all through middle childhood and early adolescence—tuning up just the prefrontal wiring you'd need as an adult. But you'd do all that under expert adult supervision and in the protected world of childhood
  • there is more and more evidence that genes are just the first step in complex developmental sequences, cascades of interactions between organism and environment, and that those developmental processes shape the adult brain. Even small changes in developmental timing can lead to big changes in who we become.
  • The experience of trying to achieve a real goal in real time in the real world is increasingly delayed, and the growth of the control system depends on just those experiences.
  • Becoming an adult means leaving the world of your parents and starting to make your way toward the future that you will share with your peers. Puberty not only turns on the motivational and emotional system with new force, it also turns it away from the family and toward the world of equals.
  • An ever longer protected period of immaturity and dependence—a childhood that extends through college—means that young humans can learn more than ever before. There is strong evidence that IQ has increased dramatically as more children spend more time in school
  • children know more about more different subjects than they ever did in the days of apprenticeships.
  • Wide-ranging, flexible and broad learning, the kind we encourage in high-school and college, may actually be in tension with the ability to develop finely-honed, controlled, focused expertise in a particular skill, the kind of learning that once routinely took place in human societies.
  • this new explanation based on developmental timing elegantly accounts for the paradoxes of our particular crop of adolescents.
  • First, experience shapes the brain.
  • the brain is so powerful precisely because it is so sensitive to experience. It's as true to say that our experience of controlling our impulses make the prefrontal cortex develop as it is to say that prefrontal development makes us better at controlling our impulses
  • Second, development plays a crucial role in explaining human nature
  • Today's adolescents develop an accelerator a long time before they can steer and brake.
  • Brain research is often taken to mean that adolescents are really just defective adults—grown-ups with a missing part.
  • But the new view of the adolescent brain isn't that the prefrontal lobes just fail to show up; it's that they aren't properly instructed and exercised
  • Instead of simply giving adolescents more and more school experiences—those extra hours of after-school classes and homework—we could try to arrange more opportunities for apprenticeship
  • Summer enrichment activities like camp and travel, now so common for children whose parents have means, might be usefully alternated with summer jobs, with real responsibilities.
  •  
    The two brain systems, the increasing gap between them, and the implications for adolescent education.
  •  
    "In gatherer-hunter and farming societies, childhood education involves formal and informal apprenticeship" (Gopnik). Similarly to the way that Marx pointed out the economic shift from hunter-gatherer to farmer to (eventually) capitalist societies, Gopnik underlines the societal shift- especially in teenagers. While I think that some of the changes in teenagers are due to evolution and development (as proven through some of the medical tests mentioned in the article), I think that this issue may relate back to parenting. As the article about French parenting pointed out, it has become a very obvious fact that many (specifically American) parents simply do not have good techniques, and this could effect the way that their child develops and behaves. I also think that another possible explanation to this issue is that there is more expected of teenagers, scholarly, then before; however, as the article mentioned, the real-world experience is lacking. By raising the academic bar higher and higher, it may actually cause more students to, essentially, "burn out" before everything that they have learned can be applied: "What happened to the gifted, imaginative child who excelled through high school but then dropped out of college, drifted from job to job and now lives in his parents' basement?" (Gopnik)
Javier E

Tests of Parents Are Used to Map Genes of a Fetus - NYTimes.com - 0 views

  • researchers have determined virtually the entire genome of a fetus using only a blood sample from the pregnant woman and a saliva specimen from the father
  • That would allow thousands of genetic diseases to be detected prenatally. But the ability to know so much about an unborn child is likely to raise serious ethical considerations as well. It could increase abortions for reasons that have little to do with medical issues and more to do with parental preferences for traits in children.
  • The process is not practical, affordable or accurate enough for use now, experts said. The University of Washington researchers estimated that it would cost $20,000 to $50,000 to do one fetal genome today. But the cost of DNA sequencing is falling at a blistering pace, and accuracy is improving as well. The researchers estimated that the procedure could be widely available in three to five years. Others said it would take somewhat longer.
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  • Such information would allow detection of so-called Mendelian disorders, like cystic fibrosis, Tay-Sachs disease and Marfan syndrome, which are caused by mutations in a single gene.
B Mannke

Lone Survivor's Takeaway: Every War Movie Is a Pro-War Movie - Calum Marsh - The Atlantic - 0 views

  • The point of this sequence, it seems, is to show how exceptional the real-life SEALs are before introducing SEALs as characters. With soldiers’ conviction and might thus demonstrated, the film can then whisk a few of them off on a mission that, as the title suggests, does not end particularly well.
  • Many of its more aggressively nationalistic elements are just a matter of following genre protocol.
  • They are, in other words, ordinary guys, totally down-to-earth despite being the best at what they do.
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  • This is cartoon villainy—the realm of the black hat and the twirling moustache. Such gestures serve a straightforward dramatic purpose: They align the audience with the heroes while encouraging them to dislike the bad guys, so that when the battle finally ignites, the viewer’s sympathies have already been sorted out.
  • We need to believe, even subconsciously, that while the Americans are three-dimensional characters to whom we can relate, the seemingly endless droves of attackers who besiege them are not—they’re merely The Enemy, a faceless mass, a manifestation of evil
  • it’s doubtful that even the most outrageously jingoistic war films are actually dangerous in any meaningful sense
  • Not asking is its own kind of answer. It tells us to focus elsewhere: on the heroism of these men, on the bravery of their actions. The moral issues are for another day.
  • But it’s important to remember that despite their moralizing, war films are still essentially action films—blockbuster spectacles embellished by the verve and vigor of cutting-edge special effects. They may not strictly glorify. But they almost never discourage.
  • War isn’t great; war makes you great. What is such a sentiment if not pro-war?
  • He grumbled that it was just “another goddamned recruiting film.” And maybe that’s all they’ll ever be
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