The COVID Science Wars: Shutting down scientific debate is h

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The COVID Science Wars: Shutting down scientific debate is h

Postby admin » Sun Dec 06, 2020 12:56 am

The COVID Science Wars: Shutting down scientific debate is hurting the public health
by Jeanne Lenzer, Shannon Brownlee
Scientific American
November 30, 2020

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Swedes mostly don't wear masks. Credit: Jonathan Nackstrand Getty Images

When Max von Pettenkofer shot himself to death in 1901, he left behind a storied career as a hygienist and bitter opponent of Robert Koch, the German physician and microbiologist who discovered the cholera bacillus, Vibrio cholerae. Von Pettenkofer, the founder of the Institute of Hygiene in Munich, disputed Koch’s germ theory of disease, which held that a germ is both necessary and sufficient to cause illness. Von Pettenkofer asserted that germs could only cause disease in the presence of a “local” or environmental factor.

The battle between the two men exploded into a bitter divide over the question of the infectivity of cholera. Koch and his fellow contagionists maintained that the bacterium was spread through the water. Von Pettenkofer and his localists believed that cholera was inhaled as a miasma, which arose from earth contaminated by sewage. Anxious to prove his theory that germs alone don’t account for disease, and in the midst of one of the deadliest cholera pandemics of the 1800s, Von Pettenkofer, asked Koch to send him live cholera germs. Koch complied with a vial swarming with cholera bacilli. Von Pettenkofer swallowed the vial’s contents before witnesses. Several days later he reported that not only did he not die, he suffered no lasting effects.

Von Pettenkofer would be proven tragically wrong about cholera’s route of transmission when the city of Hamburg decided not to filter the city’s water, leading to nearly 9,000 deaths. Only a handful of residents died in nearby Altona, which filtered its water through sand. But while von Pettenkofer was wrong about how cholera was transmitted, he was right that a germ alone is often insufficient to account for infection, disease and death. As Paul de Kruif wrote in his famous 1926 book Microbe Hunters, “Murderous germs are everywhere, sneaking into all of us, yet they are able to assassinate only some of us.” Over the years, Koch’s postulates regarding infection would undergo several modifications, as it became clear that pathogens need a vulnerable host in order to cause serious harm, as von Pettenkofer predicted. His theories would also influence our understanding of the importance of environmental factors to public health.

All of this history should sound uncomfortably familiar to anyone who has been following the course of COVID-19’s murderous path through different populations and locations and the bitter debates about how to stop it. As in the cholera wars of the 1890s, different theories about the spread of COVID-19 and methods for reducing the death rate have been marked not only by by scientific conflicts, but also by an increasing distrustful public, political upheavals and even riots. The debates over COVID-19 and the arguments of the past, in which different sides have failed to perceive the possibility that they might not have the whole story, may hold vitally important lessons for President-elect Biden’s COVID-19 task force. Hardened positions, which leave little room for uncertainty and nuance, undermine public trust as various assertions prove wrong.

In today’s COVID-19 wars, the global scientific divide leans heavily in favor of active, and sometimes even draconian, public health interventions, including widespread locking down of nonessential business, mandating masks, restricting travel and imposing quarantines. On the other side, some doctors, scientists and public health officials are questioning the wisdom of this approach in the face of massive unknowns about their efficacy and in light of the clear and growing evidence that such measures may not be working in some cases, and may also be causing net harm. As people are thrown out of work as a direct result of lockdowns, and as more and more families find themselves unable to cover their rent or food, there have been sharp increases in domestic violence, homelessness and illegal drug use.

The two sides of the COVID-19 war are illustrated by two documents, the John Snow Memorandum and the Great Barrington Declaration, which were posted online in October. The former represents the majoritarian position, which supports strict measures to limit human contacts and movements across the board. In the U.S., this approach has included shutting down public gatherings, restricting hotels and numerous small businesses such as restaurants and shops, and throwing millions of Americans out of work. The Great Barrington Declaration, the minority view, advocates “focused protection,” allowing younger and healthier individuals to continue life, work and going to school, while aiming more protective measures at the most vulnerable to the virus—the elderly, the institutionalized and other high-risk individuals. This approach has been employed most fully in Sweden.


Advocates on both sides have dug in, hurling dismissive and vitriolic attacks at individuals in the other camp. These attacks have caused serious reputational harm in some cases and led at least a few scientists to self-censor and avoid publishing data that could inform efforts to dampen death rates from both the virus and its remedies.

The first reported instance of intimidation occurred in China in December 2019, when Li Wenliang, an ophthalmologist at Wuhan Central Hospital, warned of a new infectious outbreak, and urged his colleagues to take protective measures. According to an accounting of the events, Li was “censured by hospital leaders and summoned to the Public Security Bureau in Wuhan, where he was forced to sign a statement in which he was accused of spreading false rumors and disturbing the public order.” Li would die on February 7, of COVID-19.

In the U.S., John Ioannidis, an epidemiologist and professor of medicine at Stanford University, was subjected to attacks, not at the hands of public officials, but his fellow scientists. Ioannidis has authored some of the most cited journal articles in medical history and was praised in a 2010 article in The Atlanticas possibly “one of the most influential scientists alive.” Yet he was pilloried when he published an opinion essay expressing concerns that we lacked data on the efficacy of draconian responses to the outbreak, such as lockdowns, and that such measures could cause their own harms. We read some of the obscene and defamatory e-mails that were sent to Ioannidis and his administrators and colleagues at Stanford. Numerous misleading claims were advanced in the press, including the charge that he had a financial conflict of interest related to a study of the prevalence of COVID-19 that he co-authored. But a fact-finding review by an external legal firm determined that Ioannidis did not have a financial conflict. Ioannidis would come under more fire when he published an analysis showing that the infection fatality rate of COVID-19 was far lower than initially reported. Later, the Centers for Disease Control and Prevention published similarly low rates (which varied by age group, time and location) and the World Health Organization published updated research by Ioannidis showing a low overall infection fatality rate.

In Sweden, where the minority view of the Great Barrington Declaration has been put into practice, several doctors report being bullied and their jobs threatened for speaking out against their country’s approach. In another case, Lonni Besançon, a French postdoctoral fellow at Linköping University, in Sweden, received multiple death threats after he made comments about Didier Raoult, the French researcher who claimed that hydroxychloroquine was effective for the treatment of COVID-19 Besançon said Raoult violated editorial standards for a peer-reviewed research article that was published one day after submission and that Raoult’s team had editorial conflicts of interest . Raoult’s work would soon be shown to be shoddy and possibly fraudulent.

These attacks and others like them have led at least some scientists to self-censor, for fear their contrarian positions would leave them open to reputational damage that could potentially threaten their careers. One epidemiologist told us the environment was “too toxic” to talk to us, even anonymously. The British journalist Laurie Clarke reported similar difficulties when she tried to interview epidemiologists who questioned the majoritarian views regarding population-based lockdowns. One expert told her via e-mail that “putting your head above the parapet is a dangerous thing to do at the moment”.


Even when experts are willing to raise their heads, publication bias can further reinforce group think. Stefan Baral, an epidemiologist and associate professor at Johns Hopkins Center for Global Health, reports that a letter he wrote about the potential harms of population-wide lockdowns was rejected from more than 10 scientific journals and 6 newspapers in April. Baral, a highly published public health expert, said that the rejections could be, in his words, “because there was nothing useful in there.” But, he adds, “it was the first time in my career that I could not get a piece placed anywhere.”

The effects of public health interventions can be very difficult to assess, so evidence gleaned from the few instances of randomized controlled trials of such interventions become particularly important. Yet the highly anticipated results of the only randomized controlled trial of mask wearing and COVID-19 infection went unpublished for months. Researchers, anxious to learn of the results, contacted Thomas Lars Benfield, a lead investigator on the study of 6,000 community-dwelling residents in Denmark, about the delay in publication. Benfield responded that the results would be published, “As soon as a journal is brave enough to accept the paper.” The paper finally appeared, after a five-month delay, on November 18 in the Annals of Internal Medicine. It showed no clear benefit from mask wearing in the community setting. In an accompanying editorial, the editors recommended mask wearing while noting that any benefit is likely to be “small,” and adding, “With fierce resistance to mask recommendations by leaders and the public in some locales, is it irresponsible for Annals to publish these results, which could easily be misused by those opposed to mask recommendations? We think not. More irresponsible would be to not publish the results of carefully designed research because the findings were not as favorable or definitive as some may have hoped.”

In yet another instance, a research article reporting data on the benefits and harms of lockdowns based on epidemiologic data from Sweden and other countries sat for two months at one of the top four medical journals before being rejected. The importance of this article can’t be overstated; it reviews the utility of an empowerment approach relying on recommendations in Sweden as compared to a norm of police-enforced mandates. One might be tempted to think the delay resulted from the article lacking scientific merit. However, it will be published by the Annals of Epidemiology and readers will be able to judge for themselves. In light of episodes like these, a toxic environment, self-censoring and publication bias combine to explain the dearth of skeptical or heterodox findings and views regarding ways to control COVID-19.

The net effect of academic bullying and ad hominem attacks has been the creation and maintenance of “groupthink”—a problem that carries its own deadly consequences.
There is little doubt that as the world faces second and third waves of COVID-19, public health measures such as the various forms of lockdown can both save lives and cause deaths. Now, with news of vaccines released by Moderna and by Pfizer and Germany’s BioNTech, President-elect Biden’s COVID task force would do well to avoid making hurried assumptions about either vaccines or other public health measures. The task force should review all the data and address concerns about research rigor and transparency. And no matter how effective a vaccine may be, rolling it out is projected to take many months, a situation that could be exacerbated by the considerable vaccine resistance among members of the public.

That means there will still be a need for reasonable and effective public health measures for many months to come. An exhausted public is now fed up with conflicting messaging from the Trump White House and public health experts, as well as isolation and loss of income. People are becoming increasingly resistant to the prospect of more public health measures that restrict their lives. Silencing any science-based viewpoint that would lift some of the most oppressive aspects of controlling the spread of the virus could leave the public even more resistant to public health measures. The new administration will also need public health messaging that helps people understand the evidence and reasoning behind it.

Fortunately, some doctors and researchers are engaging in respectful dialogue. In October, a group of researchers with divergent views participated in a virtual debate between seemingly warring sides. The debate was the brainchild of Colleen Hanrahan, assistant scientist at Johns Hopkins Bloomberg School of Public Health. Hanrahan laughs as she recalls how she rounded up the participants, saying she told the experts that Johns Hopkins wanted a non-confrontational conversation, and she expected it to be “slightly more civil than the first presidential debate.”

Sponsored by Johns Hopkins University, the debate participants represented viewpoints aligned with both the John Snow Memorandum and the Great Barrington Declaration. It was notable not only for its civility, but also for the areas of agreement that emerged regarding lockdowns. Audience members were thrilled and submitted comments like this one: “If only our current culture encouraged reasonable evidence-based and scholarly discussion like this. The issue is nuanced and requires careful balance of all considerations, and you can't have that with closed minds, short attention spans, and personal insults being hurled. THANK YOU!”

The experts discussed everything from herd immunity to contact tracing, testing and isolation, as well as risk-based protections versus geographic lockdowns. While differences remained about how to focus lockdowns, all agreed that they should and could be avoided in many cases. Another area of agreement: the measure of successful interventions can’t rest solely on the number of deaths from COVID-19. The downstream harms of lockdowns must be included in the benefit-to-harm calculus.

It is critical that Biden’s task force avoid creating a majoritarian echo chamber and instead continues the approach pursued by the experts who convened for the Johns Hopkins debate. Only by entertaining a broader, scientifically informed view of what might work will the next phase of COVID-19 control be acceptable to a deeply divided public.

Clarification added after publication: the authors have collaborated in the past with both John Ioannidis and Vinay Prasad, who are discussed in this essay and in the accompanying sidebar.

ABOUT THE AUTHOR(S)
Jeanne Lenzer is a contributor to the medical journal The BMJ and author of The Danger Within Us; America's Untested, Unregulated Medical Device Industry and One Man's Battle to Survive It.
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Re: The COVID Science Wars: Shutting down scientific debate

Postby admin » Fri Jan 01, 2021 3:45 am

Mark Crispin Miller on Academic Freedom
by Matt Taibi and Katie Halper
Useful Idiots
Dec 31, 2020

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Re: The COVID Science Wars: Shutting down scientific debate

Postby admin » Sat Aug 21, 2021 1:48 am

Part 1 of 2

The origin of COVID: Did people or nature open Pandora’s box at Wuhan?
by Nicholas Wade
Bulletin of the Atomic Scientists
May 5, 2021

NOTICE: THIS WORK MAY BE PROTECTED BY COPYRIGHT

YOU ARE REQUIRED TO READ THE COPYRIGHT NOTICE AT THIS LINK BEFORE YOU READ THE FOLLOWING WORK, THAT IS AVAILABLE SOLELY FOR PRIVATE STUDY, SCHOLARSHIP OR RESEARCH PURSUANT TO 17 U.S.C. SECTION 107 AND 108. IN THE EVENT THAT THE LIBRARY DETERMINES THAT UNLAWFUL COPYING OF THIS WORK HAS OCCURRED, THE LIBRARY HAS THE RIGHT TO BLOCK THE I.P. ADDRESS AT WHICH THE UNLAWFUL COPYING APPEARED TO HAVE OCCURRED. THANK YOU FOR RESPECTING THE RIGHTS OF COPYRIGHT OWNERS.


The COVID-19 pandemic has disrupted lives the world over for more than a year. Its death toll will soon reach three million people. Yet the origin of pandemic remains uncertain: The political agendas of governments and scientists have generated thick clouds of obfuscation, which the mainstream press seems helpless to dispel.

In what follows I will sort through the available scientific facts, which hold many clues as to what happened, and provide readers with the evidence to make their own judgments. I will then try to assess the complex issue of blame, which starts with, but extends far beyond, the government of China.

By the end of this article, you may have learned a lot about the molecular biology of viruses. I will try to keep this process as painless as possible. But the science cannot be avoided because for now, and probably for a long time hence, it offers the only sure thread through the maze.

The virus that caused the pandemic is known officially as SARS-CoV-2, but can be called SARS2 for short. As many people know, there are two main theories about its origin. One is that it jumped naturally from wildlife to people. The other is that the virus was under study in a lab, from which it escaped. It matters a great deal which is the case if we hope to prevent a second such occurrence.

I’ll describe the two theories, explain why each is plausible, and then ask which provides the better explanation of the available facts. It’s important to note that so far there is no direct evidence for either theory. Each depends on a set of reasonable conjectures but so far lacks proof. So I have only clues, not conclusions, to offer. But those clues point in a specific direction. And having inferred that direction, I’m going to delineate some of the strands in this tangled skein of disaster.

A tale of two theories.

After the pandemic first broke out in December 2019, Chinese authorities reported that many cases had occurred in the wet market — a place selling wild animals for meat — in Wuhan. This reminded experts of the SARS1 epidemic of 2002, in which a bat virus had spread first to civets, an animal sold in wet markets, and from civets to people. A similar bat virus caused a second epidemic, known as MERS, in 2012. This time the intermediary host animal was camels.

The decoding of the virus’s genome showed it belonged a viral family known as beta-coronaviruses, to which the SARS1 and MERS viruses also belong. The relationship supported the idea that, like them, it was a natural virus that had managed to jump from bats, via another animal host, to people. The wet market connection, the major point of similarity with the SARS1 and MERS epidemics, was soon broken: Chinese researchers found earlier cases in Wuhan with no link to the wet market. But that seemed not to matter when so much further evidence in support of natural emergence was expected shortly.

Wuhan, however, is home of the Wuhan Institute of Virology, a leading world center for research on coronaviruses. So the possibility that the SARS2 virus had escaped from the lab could not be ruled out.
Two reasonable scenarios of origin were on the table.

From early on, public and media perceptions were shaped in favor of the natural emergence scenario by strong statements from two scientific groups. These statements were not at first examined as critically as they should have been.

“We stand together to strongly condemn conspiracy theories suggesting that COVID-19 does not have a natural origin,” a group of virologists and others wrote in the Lancet on February 19, 2020, when it was really far too soon for anyone to be sure what had happened. Scientists “overwhelmingly conclude that this coronavirus originated in wildlife,” they said, with a stirring rallying call for readers to stand with Chinese colleagues on the frontline of fighting the disease.

Contrary to the letter writers’ assertion, the idea that the virus might have escaped from a lab invoked accident, not conspiracy. It surely needed to be explored, not rejected out of hand. A defining mark of good scientists is that they go to great pains to distinguish between what they know and what they don’t know. By this criterion, the signatories of the Lancet letter were behaving as poor scientists: They were assuring the public of facts they could not know for sure were true.

It later turned out that the Lancet letter had been organized and drafted by Peter Daszak, president of the EcoHealth Alliance of New York. Daszak’s organization funded coronavirus research at the Wuhan Institute of Virology. If the SARS2 virus had indeed escaped from research he funded, Daszak would be potentially culpable. This acute conflict of interest was not declared to the Lancet’s readers. To the contrary, the letter concluded, “We declare no competing interests.”

Virologists like Daszak had much at stake in the assigning of blame for the pandemic. For 20 years, mostly beneath the public’s attention, they had been playing a dangerous game. In their laboratories they routinely created viruses more dangerous than those that exist in nature. They argued that they could do so safely, and that by getting ahead of nature they could predict and prevent natural “spillovers,” the cross-over of viruses from an animal host to people. If SARS2 had indeed escaped from such a laboratory experiment, a savage blowback could be expected, and the storm of public indignation would affect virologists everywhere, not just in China. “It would shatter the scientific edifice top to bottom,” an MIT Technology Review editor, Antonio Regalado, said in March 2020.


A second statement that had enormous influence in shaping public attitudes was a letter (in other words an opinion piece, not a scientific article) published on 17 March 2020 in the journal Nature Medicine. Its authors were a group of virologists led by Kristian G. Andersen of the Scripps Research Institute. “Our analyses clearly show that SARS-CoV-2 is not a laboratory construct or a purposefully manipulated virus,” the five virologists declared in the second paragraph of their letter.

Unfortunately, this was another case of poor science, in the sense defined above. True, some older methods of cutting and pasting viral genomes retain tell-tale signs of manipulation. But newer methods, called “no-see-um” or “seamless” approaches, leave no defining marks. Nor do other methods for manipulating viruses such as serial passage, the repeated transfer of viruses from one culture of cells to another. If a virus has been manipulated, whether with a seamless method or by serial passage, there is no way of knowing that this is the case. Andersen and his colleagues were assuring their readers of something they could not know.

The discussion part of their letter begins, “It is improbable that SARS-CoV-2 emerged through laboratory manipulation of a related SARS-CoV-like coronavirus.” But wait, didn’t the lead say the virus had clearly not been manipulated? The authors’ degree of certainty seemed to slip several notches when it came to laying out their reasoning.

The reason for the slippage is clear once the technical language has been penetrated. The two reasons the authors give for supposing manipulation to be improbable are decidedly inconclusive.

First, they say that the spike protein of SARS2 binds very well to its target, the human ACE2 receptor, but does so in a different way from that which physical calculations suggest would be the best fit. Therefore the virus must have arisen by natural selection, not manipulation.

If this argument seems hard to grasp, it’s because it’s so strained. The authors’ basic assumption, not spelt out, is that anyone trying to make a bat virus bind to human cells could do so in only one way. First they would calculate the strongest possible fit between the human ACE2 receptor and the spike protein with which the virus latches onto it. They would then design the spike protein accordingly (by selecting the right string of amino acid units that compose it). Since the SARS2 spike protein is not of this calculated best design, the Andersen paper says, therefore it can’t have been manipulated.

As a child may look upon his father, seeing in him an ideal, a unique model, a god-like personification of his own aspiration; the embodiment of perfection, of wisdom, of stability, glory, and virtue; the power which created him before his world began; which now preserves and sustains him; and in 'virtue' of which he exists; so Plato looks upon the Forms or Ideas. The Platonic Idea is the original and the origin of the thing; it is the rationale of the thing, the reason of its existence — the stable, sustaining principle in 'virtue' of which it exists. It is the virtue of the thing, its ideal, its perfection.

-- The Open Society and Its Enemies, by Karl R. Popper

But this ignores the way that virologists do in fact get spike proteins to bind to chosen targets, which is not by calculation but by splicing in spike protein genes from other viruses or by serial passage. With serial passage, each time the virus’s progeny are transferred to new cell cultures or animals, the more successful are selected until one emerges that makes a really tight bind to human cells. Natural selection has done all the heavy lifting. The Andersen paper’s speculation about designing a viral spike protein through calculation has no bearing on whether or not the virus was manipulated by one of the other two methods.

The authors’ second argument against manipulation is even more contrived. Although most living things use DNA as their hereditary material, a number of viruses use RNA, DNA’s close chemical cousin. But RNA is difficult to manipulate, so researchers working on coronaviruses, which are RNA-based, will first convert the RNA genome to DNA. They manipulate the DNA version, whether by adding or altering genes, and then arrange for the manipulated DNA genome to be converted back into infectious RNA.

Only a certain number of these DNA backbones have been described in the scientific literature. Anyone manipulating the SARS2 virus “would probably” have used one of these known backbones, the Andersen group writes, and since SARS2 is not derived from any of them, therefore it was not manipulated. But the argument is conspicuously inconclusive. DNA backbones are quite easy to make, so it’s obviously possible that SARS2 was manipulated using an unpublished DNA backbone.


And that’s it. These are the two arguments made by the Andersen group in support of their declaration that the SARS2 virus was clearly not manipulated. And this conclusion, grounded in nothing but two inconclusive speculations, convinced the world’s press that SARS2 could not have escaped from a lab. A technical critique of the Andersen letter takes it down in harsher words.

Science is supposedly a self-correcting community of experts who constantly check each other’s work. So why didn’t other virologists point out that the Andersen group’s argument was full of absurdly large holes? Perhaps because in today’s universities speech can be very costly. Careers can be destroyed for stepping out of line. Any virologist who challenges the community’s declared view risks having his next grant application turned down by the panel of fellow virologists that advises the government grant distribution agency.

The Daszak and Andersen letters were really political, not scientific, statements, yet were amazingly effective. Articles in the mainstream press repeatedly stated that a consensus of experts had ruled lab escape out of the question or extremely unlikely. Their authors relied for the most part on the Daszak and Andersen letters, failing to understand the yawning gaps in their arguments. Mainstream newspapers all have science journalists on their staff, as do the major networks, and these specialist reporters are supposed to be able to question scientists and check their assertions. But the Daszak and Andersen assertions went largely unchallenged.

Doubts about natural emergence.

Natural emergence was the media’s preferred theory until around February 2021 and the visit by a World Health Organization (WHO) commission to China. The commission’s composition and access were heavily controlled by the Chinese authorities. Its members, who included the ubiquitous Daszak, kept asserting before, during, and after their visit that lab escape was extremely unlikely. But this was not quite the propaganda victory the Chinese authorities may have been hoping for. What became clear was that the Chinese had no evidence to offer the commission in support of the natural emergence theory.

This was surprising because both the SARS1 and MERS viruses had left copious traces in the environment. The intermediary host species of SARS1 was identified within four months of the epidemic’s outbreak, and the host of MERS within nine months. Yet some 15 months after the SARS2 pandemic began, and after a presumably intensive search, Chinese researchers had failed to find either the original bat population, or the intermediate species to which SARS2 might have jumped, or any serological evidence that any Chinese population, including that of Wuhan, had ever been exposed to the virus prior to December 2019. Natural emergence remained a conjecture which, however plausible to begin with, had gained not a shred of supporting evidence in over a year.

And as long as that remains the case, it’s logical to pay serious attention to the alternative conjecture, that SARS2 escaped from a lab.

Why would anyone want to create a novel virus capable of causing a pandemic? Ever since virologists gained the tools for manipulating a virus’s genes, they have argued they could get ahead of a potential pandemic by exploring how close a given animal virus might be to making the jump to humans. And that justified lab experiments in enhancing the ability of dangerous animal viruses to infect people, virologists asserted.

With this rationale, they have recreated the 1918 flu virus, shown how the almost extinct polio virus can be synthesized from its published DNA sequence, and introduced a smallpox gene into a related virus.

These enhancements of viral capabilities are known blandly as gain-of-function experiments. With coronaviruses, there was particular interest in the spike proteins, which jut out all around the spherical surface of the virus and pretty much determine which species of animal it will target. In 2000 Dutch researchers, for instance, earned the gratitude of rodents everywhere by genetically engineering the spike protein of a mouse coronavirus so that it would attack only cats.

Image Image
"In 2000 Dutch researchers, for instance, earned the gratitude of rodents everywhere by genetically engineering the spike protein of a mouse coronavirus so that it would attack only cats."
African Americans account for 26% of confirmed COVID-19 cases but 43% of COVID-19 deaths....COVID-19 mortality rates in predominantly black counties are 6-fold higher than that in predominantly white counties....

Current evidence supports the notion that the common ion channel variants p.Asp85Asn-KCNE1 and p.Ser1103Tyr-SCN5A confer an increased risk of DI-LQTS and DI-SCD (Table 1 ).13 Importantly, p.Ser1103Tyr-SCN5A is seen almost exclusively in individuals of African descent and its frequency in that population (∼8%) is higher than that of p.Asp85Asn-KCNE1 (0.2%–2.5% depending on ancestry; 0.2% in individuals of African origin)...
Heterozygous and homozygous carriers of SCN5A-p.Ser1103Tyr, a common genetic variant with functional effects among African-Americans, have an increased risk of sudden death.

-- SCN5Aallelic expression imbalance in African-Americans heterozygous for the common variant p.Ser1103Tyr, by Stacy AS Killen, Jennifer Kunic, Lily Wang, Adele Lewis, Bruce P Levy, Michael J Ackerman & Alfred L George Jr.

In individuals of African descent, the common SCN5A-encoded Nav1.5 sodium channel variant p.Ser1103Tyr-SCN5A has been associated with an increased risk of VA/SCD.14 , 15 , 17 Of note, this proarrhythmic potential has been reported to be enhanced by nongenetic risk factors known to reduce cardiac repolarization reserve (eg, hypokalemia and QTc-prolonging medication exposure....p.Ser1103Tyr-SCN5A is overrepresented in African American sudden infant death syndrome decedents...p.Ser1103Tyr-SCN5A confers an increased risk of sudden death in African Americans regardless of age....

Direct and/or indirect myocardial injury/stress, as assessed by cardiac biomarkers such as troponin I and brain-type natriuretic peptide, has emerged as both a prominent and a prognostic feature in COVID-19. Of note, in an adjusted Cox regression model, the mortality risk associated with elevated cardiac biomarkers/acute cardiac injury was more significant than age and high-risk comorbid conditions such as chronic obstructive/fibrotic pulmonary disease, diabetes, and a history of cardiovascular disease....

p.Ser1103Tyr-SCN5A could produce a similar African American–specific susceptibility to hypoxia-induced VA/SCD in the setting of SARS-CoV-2 infection/COVID-19....

Unfortunately, the increased risk of VA/SCD linked to the potentially proarrhythmic p.Ser1103Tyr-SCN5A common variant is likely not limited to the possibility of hypoxia-induced VA/SCD. As succinctly outlined in recent work by Lazzerini et al,27 the exaggerated immune response triggered by SARS-CoV-2 infection, specifically elevation of IL-6, likely increases arrhythmia risk via (1) modulation of cardiac ion channel expression/function leading to APD prolongation (eg, direct IL-6–mediated blockade of hERG/Kv11.1 potassium channels), (2) cardiac sympathetic nervous system hyperactivity, and (3) inhibition of cytochrome P450 enzymes involved in the metabolism of some QTc-prolonging drugs (eg, IL-6 and CYP3A4) (Figure 1). The latter effect of IL-6 is particularly important given that a number of COVID-19 pharmacotherapies (eg, hydroxychloroquine ± azithromycin and lopinavir/ritonavir) under investigation and/or in use clinically are known to prolong the QTc interval and predispose to DI-TdP/DI-SCD ...

these data suggest that 1 in 13 African Americans may be at a substantially increased risk of potentially lethal VAs, most notably DI-TdP, during the COVID-19 pandemic because of the perfect storm of (1) intrinsic genetic susceptibility (i.e., p.Ser1103Tyr-SCN5A), (2) modifiable environmental risk factors (eg, electrolyte abnormalities and concurrent QTc-prolonging drug use), and (3) COVID-19–specific risk factors (eg, profound hypoxemia and cytokine storm) (Figure 1). Whether population-specific genetic risk factors such as p.Ser1103Tyr-SCN5A are contributing to the spike in sudden deaths and racial health disparities observed in COVID-19 epicenters remains to be proven, and given the lack of banked DNA in these epicenters, this speculation may not even be testable.


Nevertheless, given the potential for COVID-19 to exacerbate known gene-environment interactions pertaining to the potentially proarrhythmic p.Ser1103Tyr-SCN5A common variant, it seems reasonable (1) to avoid using COVID-19–directed QTc-prolonging drugs (eg, hydroxychloroquine ± azithromycin and lopinavir/ritonavir)...

A potentially pro-arrhythmic common variant, p.Ser1103Tyr-SCN5A, present in 1 out of 13 individuals of African descent has the potential to increase the risk of drug- and hypoxia-induced ventricular arrhythmias/sudden cardiac death and contribute to observed racial health disparities in the COVID-19 pandemic. As such, the use of unproven, QTc-prolonging COVID-19-directed therapies, most notably the combination of hydroxychloroquine and azithromycin, should be limited.

-- Genetic susceptibility for COVID-19–associated sudden cardiac death in African Americans, by John R. Giudicessi, MD, PhD, Dan M. Roden, MD, Arthur A.M. Wilde, MD, PhD, and Michael J. Ackerman, MD, PhD

Virologists started studying bat coronaviruses in earnest after these turned out to be the source of both the SARS1 and MERS epidemics. In particular, researchers wanted to understand what changes needed to occur in a bat virus’s spike proteins before it could infect people.

Researchers at the Wuhan Institute of Virology, led by China’s leading expert on bat viruses, Shi Zheng-li or “Bat Lady,” mounted frequent expeditions to the bat-infested caves of Yunnan in southern China and collected around a hundred different bat coronaviruses.

Shi then teamed up with Ralph S. Baric, an eminent coronavirus researcher at the University of North Carolina. Their work focused on enhancing the ability of bat viruses to attack humans
so as to “examine the emergence potential (that is, the potential to infect humans) of circulating bat CoVs [coronaviruses].” In pursuit of this aim, in November 2015 they created a novel virus by taking the backbone of the SARS1 virus and replacing its spike protein with one from a bat virus (known as SHC014-CoV). This manufactured virus was able to infect the cells of the human airway, at least when tested against a lab culture of such cells.

The SHC014-CoV/SARS1 virus is known as a chimera because its genome contains genetic material from two strains of virus. If the SARS2 virus were to have been cooked up in Shi’s lab, then its direct prototype would have been the SHC014-CoV/SARS1 chimera, the potential danger of which concerned many observers and prompted intense discussion.

“If the virus escaped, nobody could predict the trajectory,” said Simon Wain-Hobson, a virologist at the Pasteur Institute in Paris.

Baric and Shi referred to the obvious risks in their paper but argued they should be weighed against the benefit of foreshadowing future spillovers. Scientific review panels, they wrote, “may deem similar studies building chimeric viruses based on circulating strains too risky to pursue.” Given various restrictions being placed on gain-of function (GOF) research, matters had arrived in their view at “a crossroads of GOF research concerns; the potential to prepare for and mitigate future outbreaks must be weighed against the risk of creating more dangerous pathogens. In developing policies moving forward, it is important to consider the value of the data generated by these studies and whether these types of chimeric virus studies warrant further investigation versus the inherent risks involved.”

That statement was made in 2015. From the hindsight of 2021, one can say that the value of gain-of-function studies in preventing the SARS2 epidemic was zero. The risk was catastrophic, if indeed the SARS2 virus was generated in a gain-of-function experiment.

Inside the Wuhan Institute of Virology.

Baric had developed, and taught Shi, a general method for engineering bat coronaviruses to attack other species. The specific targets were human cells grown in cultures and humanized mice. These laboratory mice, a cheap and ethical stand-in for human subjects, are genetically engineered to carry the human version of a protein called ACE2 that studs the surface of cells that line the airways.

Shi returned to her lab at the Wuhan Institute of Virology and resumed the work she had started on genetically engineering coronaviruses to attack human cells. How can we be so sure?

Because, by a strange twist in the story, her work was funded by the National Institute of Allergy and Infectious Diseases (NIAID), a part of the US National Institutes of Health (NIH). And grant proposals that funded her work, which are a matter of public record, specify exactly what she planned to do with the money.

The grants were assigned to the prime contractor, Daszak of the EcoHealth Alliance, who subcontracted them to Shi. Here are extracts from the grants for fiscal years 2018 and 2019. (“CoV” stands for coronavirus and “S protein” refers to the virus’s spike protein.)

“Test predictions of CoV inter-species transmission. Predictive models of host range (i.e. emergence potential) will be tested experimentally using reverse genetics, pseudovirus and receptor binding assays, and virus infection experiments across a range of cell cultures from different species and humanized mice.”

“We will use S protein sequence data, infectious clone technology, in vitro and in vivo infection experiments and analysis of receptor binding to test the hypothesis that % divergence thresholds in S protein sequences predict spillover potential.”

What this means, in non-technical language, is that Shi set out to create novel coronaviruses with the highest possible infectivity for human cells. Her plan was to take genes that coded for spike proteins possessing a variety of measured affinities for human cells, ranging from high to low. She would insert these spike genes one by one into the backbone of a number of viral genomes (“reverse genetics” and “infectious clone technology”), creating a series of chimeric viruses. These chimeric viruses would then be tested for their ability to attack human cell cultures (“in vitro”) and humanized mice (“in vivo”). And this information would help predict the likelihood of “spillover,” the jump of a coronavirus from bats to people.

The methodical approach was designed to find the best combination of coronavirus backbone and spike protein for infecting human cells. The approach could have generated SARS2-like viruses, and indeed may have created the SARS2 virus itself with the right combination of virus backbone and spike protein.

It cannot yet be stated that Shi did or did not generate SARS2 in her lab because her records have been sealed, but it seems she was certainly on the right track to have done so. “It is clear that the Wuhan Institute of Virology was systematically constructing novel chimeric coronaviruses and was assessing their ability to infect human cells and human-ACE2-expressing mice,” says Richard H. Ebright, a molecular biologist at Rutgers University and leading expert on biosafety.

“It is also clear,” Ebright said, “that, depending on the constant genomic contexts chosen for analysis, this work could have produced SARS-CoV-2 or a proximal progenitor of SARS-CoV-2.” “Genomic context” refers to the particular viral backbone used as the testbed for the spike protein.

The lab escape scenario for the origin of the SARS2 virus, as should by now be evident, is not mere hand-waving in the direction of the Wuhan Institute of Virology. It is a detailed proposal, based on the specific project being funded there by the NIAID.

Even if the grant required the work plan described above, how can we be sure that the plan was in fact carried out? For that we can rely on the word of Daszak, who has been much protesting for the last 15 months that lab escape was a ludicrous conspiracy theory invented by China-bashers.

On December 9, 2019, before the outbreak of the pandemic became generally known, Daszak gave an interview in which he talked in glowing terms of how researchers at the Wuhan Institute of Virology had been reprogramming the spike protein and generating chimeric coronaviruses capable of infecting humanized mice.

“And we have now found, you know, after 6 or 7 years of doing this, over 100 new SARS-related coronaviruses, very close to SARS,” Daszak says around minute 28 of the interview. “Some of them get into human cells in the lab, some of them can cause SARS disease in humanized mice models and are untreatable with therapeutic monoclonals and you can’t vaccinate against them with a vaccine. So, these are a clear and present danger….


“Interviewer: You say these are diverse coronaviruses and you can’t vaccinate against them, and no anti-virals — so what do we do?

“Daszak: Well I think…coronaviruses — you can manipulate them in the lab pretty easily. Spike protein drives a lot of what happen with coronavirus, in zoonotic risk. So you can get the sequence, you can build the protein, and we work a lot with Ralph Baric at UNC to do this. Insert into the backbone of another virus and do some work in the lab. So you can get more predictive when you find a sequence. You’ve got this diversity. Now the logical progression for vaccines is, if you are going to develop a vaccine for SARS, people are going to use pandemic SARS, but let’s insert some of these other things and get a better vaccine.” The insertions he referred to perhaps included an element called the furin cleavage site, discussed below, which greatly increases viral infectivity for human cells.

In disjointed style, Daszak is referring to the fact that once you have generated a novel coronavirus that can attack human cells, you can take the spike protein and make it the basis for a vaccine.

One can only imagine Daszak’s reaction when he heard of the outbreak of the epidemic in Wuhan a few days later. He would have known better than anyone the Wuhan Institute’s goal of making bat coronaviruses infectious to humans, as well as the weaknesses in the institute’s defense against their own researchers becoming infected.

But instead of providing public health authorities with the plentiful information at his disposal, he immediately launched a public relations campaign to persuade the world that the epidemic couldn’t possibly have been caused by one of the institute’s souped-up viruses. “The idea that this virus escaped from a lab is just pure baloney. It’s simply not true,” he declared in an April 2020 interview.


The safety arrangements at the Wuhan Institute of Virology.

Daszak was possibly unaware of, or perhaps he knew all too well, the long history of viruses escaping from even the best run laboratories. The smallpox virus escaped three times from labs in England in the 1960’s and 1970’s, causing 80 cases and 3 deaths. Dangerous viruses have leaked out of labs almost every year since. Coming to more recent times, the SARS1 virus has proved a true escape artist, leaking from laboratories in Singapore, Taiwan, and no less than four times from the Chinese National Institute of Virology in Beijing.

One reason for SARS1 being so hard to handle is that there were no vaccines available to protect laboratory workers. As Daszak mentioned in the December 19 interview quoted above, the Wuhan researchers too had been unable to develop vaccines against the coronaviruses they had designed to infect human cells.
They would have been as defenseless against the SARS2 virus, if it were generated in their lab, as their Beijing colleagues were against SARS1.

A second reason for the severe danger of novel coronaviruses has to do with the required levels of lab safety. There are four degrees of safety, designated BSL1 to BSL4, with BSL4 being the most restrictive and designed for deadly pathogens like the Ebola virus.

The Wuhan Institute of Virology had a new BSL4 lab, but its state of readiness considerably alarmed the State Department inspectors who visited it from the Beijing embassy in 2018. “The new lab has a serious shortage of appropriately trained technicians and investigators needed to safely operate this high-containment laboratory,” the inspectors wrote in a cable of January 19, 2018.

The real problem, however, was not the unsafe state of the Wuhan BSL4 lab but the fact that virologists worldwide don’t like working in BSL4 conditions. You have to wear a space suit, do operations in closed cabinets, and accept that everything will take twice as long.
So the rules assigning each kind of virus to a given safety level were laxer than some might think was prudent.

Before 2020, the rules followed by virologists in China and elsewhere required that experiments with the SARS1 and MERS viruses be conducted in BSL3 conditions. But all other bat coronaviruses could be studied in BSL2, the next level down. BSL2 requires taking fairly minimal safety precautions, such as wearing lab coats and gloves, not sucking up liquids in a pipette, and putting up biohazard warning signs. Yet a gain-of-function experiment conducted in BSL2 might produce an agent more infectious than either SARS1 or MERS. And if it did, then lab workers would stand a high chance of infection, especially if unvaccinated.

Much of Shi’s work on gain-of-function in coronaviruses was performed at the BSL2 safety level, as is stated in her publications and other documents. She has said in an interview with Science magazine that “[t]he coronavirus research in our laboratory is conducted in BSL-2 or BSL-3 laboratories.”

“It is clear that some or all of this work was being performed using a biosafety standard — biosafety level 2, the biosafety level of a standard US dentist’s office — that would pose an unacceptably high risk of infection of laboratory staff upon contact with a virus having the transmission properties of SARS-CoV-2,” Ebright says.

“It also is clear,” he adds, “that this work never should have been funded and never should have been performed.”

This is a view he holds regardless of whether or not the SARS2 virus ever saw the inside of a lab.

Concern about safety conditions at the Wuhan lab was not, it seems, misplaced. According to a fact sheet issued by the State Department on January 15, 2021, “The U.S. government has reason to believe that several researchers inside the WIV became sick in autumn 2019, before the first identified case of the outbreak, with symptoms consistent with both COVID-19 and common seasonal illnesses.”

David Asher, a fellow of the Hudson Institute and former consultant to the State Department, provided more detail about the incident at a seminar. Knowledge of the incident came from a mix of public information and “some high end information collected by our intelligence community,” he said. Three people working at a BSL3 lab at the institute fell sick within a week of each other with severe symptoms that required hospitalization. This was “the first known cluster that we’re aware of, of victims of what we believe to be COVID-19.” Influenza could not completely be ruled out but seemed unlikely in the circumstances, he said.

Comparing the rival scenarios of SARS2 origin.

The evidence above adds up to a serious case that the SARS2 virus could have been created in a lab, from which it then escaped. But the case, however substantial, falls short of proof. Proof would consist of evidence from the Wuhan Institute of Virology, or related labs in Wuhan, that SARS2 or a predecessor virus was under development there. For lack of access to such records, another approach is to take certain salient facts about the SARS2 virus and ask how well each is explained by the two rival scenarios of origin, those of natural emergence and lab escape. Here are four tests of the two hypotheses. A couple have some technical detail, but these are among the most persuasive for those who may care to follow the argument.

(1) The place of origin. Start with geography. The two closest known relatives of the SARS2 virus were collected from bats living in caves in Yunnan, a province of southern China. If the SARS2 virus had first infected people living around the Yunnan caves, that would strongly support the idea that the virus had spilled over to people naturally. But this isn’t what happened. The pandemic broke out 1,500 kilometers away, in Wuhan.

Beta-coronaviruses, the family of bat viruses to which SARS2 belongs, infect the horseshoe bat Rhinolophus affinis, which ranges across southern China. The bats’ range is 50 kilometers, so it’s unlikely that any made it to Wuhan. In any case, the first cases of the COVID-19 pandemic probably occurred in September, when temperatures in Hubei province are already cold enough to send bats into hibernation.

What if the bat viruses infected some intermediate host first? You would need a longstanding population of bats in frequent proximity with an intermediate host, which in turn must often cross paths with people. All these exchanges of virus must take place somewhere outside Wuhan, a busy metropolis which so far as is known is not a natural habitat of Rhinolophus bat colonies. The infected person (or animal) carrying this highly transmissible virus must have traveled to Wuhan without infecting anyone else. No one in his or her family got sick. If the person jumped on a train to Wuhan, no fellow passengers fell ill.

It’s a stretch, in other words, to get the pandemic to break out naturally outside Wuhan and then, without leaving any trace, to make its first appearance there.

For the lab escape scenario, a Wuhan origin for the virus is a no-brainer.
Wuhan is home to China’s leading center of coronavirus research where, as noted above, researchers were genetically engineering bat coronaviruses to attack human cells. They were doing so under the minimal safety conditions of a BSL2 lab. If a virus with the unexpected infectiousness of SARS2 had been generated there, its escape would be no surprise.

2) Natural history and evolution. The initial location of the pandemic is a small part of a larger problem, that of its natural history. Viruses don’t just make one time jumps from one species to another. The coronavirus spike protein, adapted to attack bat cells, needs repeated jumps to another species, most of which fail, before it gains a lucky mutation. Mutation — a change in one of its RNA units — causes a different amino acid unit to be incorporated into its spike protein and makes the spike protein better able to attack the cells of some other species.

Through several more such mutation-driven adjustments, the virus adapts to its new host, say some animal with which bats are in frequent contact. The whole process then resumes as the virus moves from this intermediate host to people.

In the case of SARS1, researchers have documented the successive changes in its spike protein as the virus evolved step by step into a dangerous pathogen. After it had gotten from bats into civets, there were six further changes in its spike protein before it became a mild pathogen in people. After a further 14 changes, the virus was much better adapted to humans, and with a further four, the epidemic took off.

[b]But when you look for the fingerprints of a similar transition in SARS2, a strange surprise awaits. The virus has changed hardly at all, at least until recently. From its very first appearance, it was well adapted to human cells.
Researchers led by Alina Chan of the Broad Institute compared SARS2 with late stage SARS1, which by then was well adapted to human cells, and found that the two viruses were similarly well adapted. “By the time SARS-CoV-2 was first detected in late 2019, it was already pre-adapted to human transmission to an extent similar to late epidemic SARS-CoV,” they wrote.[/b]

Even those who think lab origin unlikely agree that SARS2 genomes are remarkably uniform. Baric writes that “early strains identified in Wuhan, China, showed limited genetic diversity, which suggests that the virus may have been introduced from a single source.”

A single source would of course be compatible with lab escape, less so with the massive variation and selection which is evolution’s hallmark way of doing business.

The uniform structure of SARS2 genomes gives no hint of any passage through an intermediate animal host, and no such host has been identified in nature.


Proponents of natural emergence suggest that SARS2 incubated in a yet-to-be found human population before gaining its special properties. Or that it jumped to a host animal outside China.

All these conjectures are possible, but strained. Proponents of a lab leak have a simpler explanation. SARS2 was adapted to human cells from the start because it was grown in humanized mice or in lab cultures of human cells, just as described in Daszak’s grant proposal. Its genome shows little diversity because the hallmark of lab cultures is uniformity.

Proponents of laboratory escape joke that of course the SARS2 virus infected an intermediary host species before spreading to people, and that they have identified it — a humanized mouse from the Wuhan Institute of Virology.

3) The furin cleavage site. The furin cleavage site is a minute part of the virus’s anatomy but one that exerts great influence on its infectivity. It sits in the middle of the SARS2 spike protein. It also lies at the heart of the puzzle of where the virus came from.

The spike protein has two sub-units with different roles. The first, called S1, recognizes the virus’s target, a protein called angiotensin converting enzyme-2 (or ACE2) which studs the surface of cells lining the human airways. The second, S2, helps the virus, once anchored to the cell, to fuse with the cell’s membrane. After the virus’s outer membrane has coalesced with that of the stricken cell, the viral genome is injected into the cell, hijacks its protein-making machinery and forces it to generate new viruses.

But this invasion cannot begin until the S1 and S2 subunits have been cut apart. And there, right at the S1/S2 junction, is the furin cleavage site that ensures the spike protein will be cleaved in exactly the right place.

The virus, a model of economic design, does not carry its own cleaver.
It relies on the cell to do the cleaving for it.
Human cells have a protein cutting tool on their surface known as furin. Furin will cut any protein chain that carries its signature target cutting site. This is the sequence of amino acid units proline-arginine-arginine-alanine, or PRRA in the code that refers to each amino acid by a letter of the alphabet. PRRA is the amino acid sequence at the core of SARS2’s furin cleavage site.

Viruses have all kinds of clever tricks, so why does the furin cleavage site stand out? Because of all known SARS-related beta-coronaviruses, only SARS2 possesses a furin cleavage site. All the other viruses have their S2 unit cleaved at a different site and by a different mechanism.

How then did SARS2 acquire its furin cleavage site? Either the site evolved naturally, or it was inserted by researchers at the S1/S2 junction in a gain-of-function experiment.

Consider natural origin first. Two ways viruses evolve are by mutation and by recombination. Mutation is the process of random change in DNA (or RNA for coronaviruses) that usually results in one amino acid in a protein chain being switched for another. Many of these changes harm the virus but natural selection retains the few that do something useful. Mutation is the process by which the SARS1 spike protein gradually switched its preferred target cells from those of bats to civets, and then to humans.

Mutation seems a less likely way for SARS2’s furin cleavage site to be generated, even though it can’t completely be ruled out. The site’s four amino acid units are all together, and all at just the right place in the S1/S2 junction. Mutation is a random process triggered by copying errors (when new viral genomes are being generated) or by chemical decay of genomic units. So it typically affects single amino acids at different spots in a protein chain. A string of amino acids like that of the furin cleavage site is much more likely to be acquired all together through a quite different process known as recombination.

Recombination is an inadvertent swapping of genomic material that occurs when two viruses happen to invade the same cell, and their progeny are assembled with bits and pieces of RNA belonging to the other. Beta-coronaviruses will only combine with other beta-coronaviruses but can acquire, by recombination, almost any genetic element present in the collective genomic pool.
What they cannot acquire is an element the pool does not possess. And no known SARS-related beta-coronavirus, the class to which SARS2 belongs, possesses a furin cleavage site.


Proponents of natural emergence say SARS2 could have picked up the site from some as yet unknown beta-coronavirus. But bat SARS-related beta-coronaviruses evidently don’t need a furin cleavage site to infect bat cells, so there’s no great likelihood that any in fact possesses one, and indeed none has been found so far.

The proponents’ next argument is that SARS2 acquired its furin cleavage site from people. A predecessor of SARS2 could have been circulating in the human population for months or years until at some point it acquired a furin cleavage site from human cells. It would then have been ready to break out as a pandemic.

If this is what happened, there should be traces in hospital surveillance records of the people infected by the slowly evolving virus. But none has so far come to light. According to the WHO report on the origins of the virus, the sentinel hospitals in Hubei province, home of Wuhan, routinely monitor influenza-like illnesses and “no evidence to suggest substantial SARSCoV-2 transmission in the months preceding the outbreak in December was observed.”

So it’s hard to explain how the SARS2 virus picked up its furin cleavage site naturally, whether by mutation or recombination.

That leaves a gain-of-function experiment. For those who think SARS2 may have escaped from a lab, explaining the furin cleavage site is no problem at all. “Since 1992 the virology community has known that the one sure way to make a virus deadlier is to give it a furin cleavage site at the S1/S2 junction in the laboratory,” writes Steven Quay, a biotech entrepreneur interested in the origins of SARS2. “At least 11 gain-of-function experiments, adding a furin site to make a virus more infective, are published in the open literature, including [by] Dr. Zhengli Shi, head of coronavirus research at the Wuhan Institute of Virology.”

4) A question of codons. There’s another aspect of the furin cleavage site that narrows the path for a natural emergence origin even further.

As everyone knows (or may at least recall from high school), the genetic code uses three units of DNA to specify each amino acid unit of a protein chain. When read in groups of 3, the 4 different kinds of DNA unit can specify 4 x 4 x 4 or 64 different triplets, or codons as they are called. Since there are only 20 kinds of amino acid, there are more than enough codons to go around, allowing some amino acids to be specified by more than one codon. The amino acid arginine, for instance, can be designated by any of the six codons CGU, CGC, CGA, CGG, AGA or AGG, where A, U, G and C stand for the four different kinds of unit in RNA.

Here’s where it gets interesting. Different organisms have different codon preferences. Human cells like to designate arginine with the codons CGT, CGC or CGG. But CGG is coronavirus’s least popular codon for arginine. Keep that in mind when looking at how the amino acids in the furin cleavage site are encoded in the SARS2 genome.

Now the functional reason why SARS2 has a furin cleavage site, and its cousin viruses don’t, can be seen by lining up (in a computer) the string of nearly 30,000 nucleotides in its genome with those of its cousin coronaviruses, of which the closest so far known is one called RaTG13. Compared with RaTG13, SARS2 has a 12-nucleotide insert right at the S1/S2 junction. The insert is the sequence T-CCT-CGG-CGG-GC. The CCT codes for proline, the two CGG’s for two arginines, and the GC is the beginning of a GCA codon that codes for alanine.

There are several curious features about this insert but the oddest is that of the two side-by-side CGG codons. Only 5 percent of SARS2’s arginine codons are CGG, and the double codon CGG-CGG has not been found in any other beta-coronavirus. So how did SARS2 acquire a pair of arginine codons that are favored by human cells but not by coronaviruses?


Proponents of natural emergence have an up-hill task to explain all the features of SARS2’s furin cleavage site. They have to postulate a recombination event at a site on the virus’s genome where recombinations are rare, and the insertion of a 12-nucleotide sequence with a double arginine codon unknown in the beta-coronavirus repertoire, at the only site in the genome that would significantly expand the virus’s infectivity.

“Yes, but your wording makes this sound unlikely — viruses are specialists at unusual events,” is the riposte of David L. Robertson, a virologist at the University of Glasgow who regards lab escape as a conspiracy theory. “Recombination is naturally very, very frequent in these viruses, there are recombination breakpoints in the spike protein and these codons appear unusual exactly because we’ve not sampled enough.”

Robertson is correct that evolution is always producing results that may seem unlikely but in fact are not. Viruses can generate untold numbers of variants but we see only the one-in-a-billion that natural selection picks for survival. But this argument could be pushed too far. For instance, any result of a gain-of-function experiment could be explained as one that evolution would have arrived at in time. And the numbers game can be played the other way. For the furin cleavage site to arise naturally in SARS2, a chain of events has to happen, each of which is quite unlikely for the reasons given above. A long chain with several improbable steps is unlikely to ever be completed.

For the lab escape scenario, the double CGG codon is no surprise. The human-preferred codon is routinely used in labs. So anyone who wanted to insert a furin cleavage site into the virus’s genome would synthesize the PRRA-making sequence in the lab and would be likely to use CGG codons to do so.

“When I first saw the furin cleavage site in the viral sequence, with its arginine codons, I said to my wife it was the smoking gun for the origin of the virus,” said David Baltimore, an eminent virologist and former president of CalTech. “These features make a powerful challenge to the idea of a natural origin for SARS2,” he said. [1]

Image
“When I first saw the furin cleavage site in the viral sequence, with its arginine codons, I said to my wife it was the smoking gun for the origin of the virus,” said David Baltimore, an eminent virologist and former president of CalTech. “These features make a powerful challenge to the idea of a natural origin for SARS2,” he said.

-- The origin of COVID: Did people or nature open Pandora’s box at Wuhan?, by Nicholas Wade
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Re: The COVID Science Wars: Shutting down scientific debate

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Part 2 of 2

A third scenario of origin.

There’s a variation on the natural emergence scenario that’s worth considering. This is the idea that SARS2 jumped directly from bats to humans, without going through an intermediate host as SARS1 and MERS did. A leading advocate is the virologist David Robertson who notes that SARS2 can attack several other species besides humans. He believes the virus evolved a generalist capability while still in bats. Because the bats it infects are widely distributed in southern and central China, the virus had ample opportunity to jump to people, even though it seems to have done so on only one known occasion. Robertson’s thesis explains why no one has so far found a trace of SARS2 in any intermediate host or in human populations surveilled before December 2019. It would also explain the puzzling fact that SARS2 has not changed since it first appeared in humans — it didn’t need to because it could already attack human cells efficiently.

One problem with this idea, though, is that if SARS2 jumped from bats to people in a single leap and hasn’t changed much since, it should still be good at infecting bats. And it seems it isn’t.

“Tested bat species are poorly infected by SARS-CoV-2 and they are therefore unlikely to be the direct source for human infection,” write a scientific group skeptical of natural emergence.


Still, Robertson may be onto something. The bat coronaviruses of the Yunnan caves can infect people directly. In April 2012 six miners clearing bat guano from the Mojiang mine contracted severe pneumonia with COVID-19-like symptoms and three eventually died. A virus isolated from the Mojiang mine, called RaTG13, is still the closest known relative of SARS2. Much mystery surrounds the origin, reporting and strangely low affinity of RaTG13 for bat cells, as well as the nature of 8 similar viruses that Shi reports she collected at the same time but has not yet published despite their great relevance to the ancestry of SARS2. But all that is a story for another time. The point here is that bat viruses can infect people directly, though only in special conditions.

So who else, besides miners excavating bat guano, comes into particularly close contact with bat coronaviruses? Well, coronavirus researchers do. Shi says she and her group collected more than 1,300 bat samples during some eight visits to the Mojiang cave between 2012 and 2015, and there were doubtless many expeditions to other Yunnan caves.

Imagine the researchers making frequent trips from Wuhan to Yunnan and back, stirring up bat guano in dark caves and mines, and now you begin to see a possible missing link between the two places. Researchers could have gotten infected during their collecting trips, or while working with the new viruses at the Wuhan Institute of Virology. The virus that escaped from the lab would have been a natural virus, not one cooked up by gain of function.


The direct-from-bats thesis is a chimera between the natural emergence and lab escape scenarios. It’s a possibility that can’t be dismissed. But against it are the facts that 1) both SARS2 and RaTG13 seem to have only feeble affinity for bat cells, so one can’t be fully confident that either ever saw the inside of a bat; and 2) the theory is no better than the natural emergence scenario at explaining how SARS2 gained its furin cleavage site, or why the furin cleavage site is determined by human-preferred arginine codons instead of by the bat-preferred codons.

Where we are so far. Neither the natural emergence nor the lab escape hypothesis can yet be ruled out. There is still no direct evidence for either. So no definitive conclusion can be reached.

That said, the available evidence leans more strongly in one direction than the other. Readers will form their own opinion. But it seems to me that proponents of lab escape can explain all the available facts about SARS2 considerably more easily than can those who favor natural emergence.

It’s documented that researchers at the Wuhan Institute of Virology were doing gain-of-function experiments designed to make coronaviruses infect human cells and humanized mice. This is exactly the kind of experiment from which a SARS2-like virus could have emerged. The researchers were not vaccinated against the viruses under study, and they were working in the minimal safety conditions of a BSL2 laboratory. So escape of a virus would not be at all surprising. In all of China, the pandemic broke out on the doorstep of the Wuhan institute. The virus was already well adapted to humans, as expected for a virus grown in humanized mice. It possessed an unusual enhancement, a furin cleavage site, which is not possessed by any other known SARS-related beta-coronavirus, and this site included a double arginine codon also unknown among beta-coronaviruses. What more evidence could you want, aside from the presently unobtainable lab records documenting SARS2’s creation?


Proponents of natural emergence have a rather harder story to tell. The plausibility of their case rests on a single surmise, the expected parallel between the emergence of SARS2 and that of SARS1 and MERS. But none of the evidence expected in support of such a parallel history has yet emerged. No one has found the bat population that was the source of SARS2, if indeed it ever infected bats. No intermediate host has presented itself, despite an intensive search by Chinese authorities that included the testing of 80,000 animals. There is no evidence of the virus making multiple independent jumps from its intermediate host to people, as both the SARS1 and MERS viruses did. There is no evidence from hospital surveillance records of the epidemic gathering strength in the population as the virus evolved. There is no explanation of why a natural epidemic should break out in Wuhan and nowhere else. There is no good explanation of how the virus acquired its furin cleavage site, which no other SARS-related beta-coronavirus possesses, nor why the site is composed of human-preferred codons. The natural emergence theory battles a bristling array of implausibilities.

The records of the Wuhan Institute of Virology certainly hold much relevant information. But Chinese authorities seem unlikely to release them given the substantial chance that they incriminate the regime in the creation of the pandemic. Absent the efforts of some courageous Chinese whistle-blower, we may already have at hand just about all of the relevant information we are likely to get for a while.

So it’s worth trying to assess responsibility for the pandemic, at least in a provisional way
, because the paramount goal remains to prevent another one. Even those who aren’t persuaded that lab escape is the more likely origin of the SARS2 virus may see reason for concern about the present state of regulation governing gain-of-function research. There are two obvious levels of responsibility: the first, for allowing virologists to perform gain-of-function experiments, offering minimal gain and vast risk; the second, if indeed SARS2 was generated in a lab, for allowing the virus to escape and unleash a world-wide pandemic. Here are the players who seem most likely to deserve blame.

1. Chinese virologists. First and foremost, Chinese virologists are to blame for performing gain-of-function experiments in mostly BSL2-level safety conditions which were far too lax to contain a virus of unexpected infectiousness like SARS2. If the virus did indeed escape from their lab, they deserve the world’s censure for a foreseeable accident that has already caused the deaths of three million people. True, Shi was trained by French virologists, worked closely with American virologists and was following international rules for the containment of coronaviruses. But she could and should have made her own assessment of the risks she was running. She and her colleagues bear the responsibility for their actions.

I have been using the Wuhan Institute of Virology as a shorthand for all virological activities in Wuhan. It’s possible that SARS2 was generated in some other Wuhan lab, perhaps in an attempt to make a vaccine that worked against all coronaviruses. But until the role of other Chinese virologists is clarified, Shi is the public face of Chinese work on coronaviruses, and provisionally she and her colleagues will stand first in line for opprobrium.

2. Chinese authorities. China’s central authorities did not generate SARS2, but they sure did their utmost to conceal the nature of the tragedy and China’s responsibility for it. They suppressed all records at the Wuhan Institute of Virology and closed down its virus databases. They released a trickle of information, much of which may have been outright false or designed to misdirect and mislead. They did their best to manipulate the WHO’s inquiry into the virus’s origins, and led the commission’s members on a fruitless run-around. So far they have proved far more interested in deflecting blame than in taking the steps necessary to prevent a second pandemic.

3. The worldwide community of virologists. Virologists around the world are a loose-knit professional community. They write articles in the same journals. They attend the same conferences. They have common interests in seeking funds from governments and in not being overburdened with safety regulations.

Virologists knew better than anyone the dangers of gain-of-function research. But the power to create new viruses, and the research funding obtainable by doing so, was too tempting. They pushed ahead with gain-of-function experiments. They lobbied against the moratorium imposed on Federal funding for gain-of-function research in 2014, and it was raised in 2017.

The benefits of the research in preventing future epidemics have so far been nil, the risks vast. If research on the SARS1 and MERS viruses could only be done at the BSL3 safety level, it was surely illogical to allow any work with novel coronaviruses at the lesser level of BSL2. Whether or not SARS2 escaped from a lab, virologists around the world have been playing with fire.

Their behavior has long alarmed other biologists. In 2014 scientists calling themselves the Cambridge Working Group urged caution on creating new viruses. In prescient words, they specified the risk of creating a SARS2-like virus. “Accident risks with newly created ‘potential pandemic pathogens’ raise grave new concerns,” they wrote. “Laboratory creation of highly transmissible, novel strains of dangerous viruses, especially but not limited to influenza, poses substantially increased risks. An accidental infection in such a setting could trigger outbreaks that would be difficult or impossible to control.”

When molecular biologists discovered a technique for moving genes from one organism to another, they held a public conference at Asilomar in 1975 to discuss the possible risks. Despite much internal opposition, they drew up a list of stringent safety measures that could be relaxed in future — and duly were — when the possible hazards had been better assessed.

When the CRISPR technique for editing genes was invented, biologists convened a joint report by the US, UK and Chinese national academies of science to urge restraint on making heritable changes to the human genome. Biologists who invented gene drives have also been open about the dangers of their work and have sought to involve the public.

You might think the SARS2 pandemic would spur virologists to re-evaluate the benefits of gain-of-function research, even to engage the public in their deliberations. But no. Many virologists deride lab escape as a conspiracy theory, and others say nothing. They have barricaded themselves behind a Chinese wall of silence which so far is working well to allay, or at least postpone, journalists’ curiosity and the public’s wrath. Professions that cannot regulate themselves deserve to get regulated by others, and this would seem to be the future that virologists are choosing for themselves.


4. The US role in funding the Wuhan Institute of Virology.[2] From June 2014 to May 2019, Daszak’s EcoHealth Alliance had a grant from the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, to do gain-of-function research with coronaviruses at the Wuhan Institute of Virology. Whether or not SARS2 is the product of that research, it seems a questionable policy to farm out high-risk research to foreign labs using minimal safety precautions. And if the SARS2 virus did indeed escape from the Wuhan institute, then the NIH will find itself in the terrible position of having funded a disastrous experiment that led to the death of more than 3 million worldwide, including more than half a million of its own citizens.

The responsibility of the NIAID and NIH is even more acute because for the first three years of the grant to EcoHealth Alliance there was a moratorium on funding gain-of-function research.
When the moratorium expired in 2017, it didn’t just vanish but was replaced by a reporting system, the Potential Pandemic Pathogens Control and Oversight (P3CO) Framework, which required agencies to report for review any dangerous gain-of-function work they wished to fund.

The moratorium, referred to officially as a “pause,” specifically barred funding any gain-of-function research that increased the pathogenicity of the flu, MERS or SARS viruses. It defined gain-of-function very simply and broadly as “research that improves the ability of a pathogen to cause disease.”

But then a footnote on p.2 of the moratorium document states that “[a]n exception from the research pause may be obtained if the head of the USG funding agency determines that the research is urgently necessary to protect the public health or national security.”

This seemed to mean that either the director of the NIAID, Anthony Fauci, or the director of the NIH, Francis Collins, or maybe both, would have invoked the exemption in order to keep the money flowing to Shi’s gain-of-function research, and later to avoid notifying the federal reporting system of her research.

“Unfortunately, the NIAID Director and the NIH Director exploited this loophole to issue exemptions to projects subject to the Pause –- preposterously asserting the exempted research was ‘urgently necessary to protect public health or national security’—thereby nullifying the Pause,” Dr. Richard Ebright said in an interview with Independent Science News.

But it’s not so clear that the NIH thought it necessary to invoke any loopholes. Fauci told a Senate hearing on May 11 that “the NIH and NIAID categorically has not funded gain-of-function research to be conducted in the Wuhan Institute of Virology.”

This was a surprising statement in view of all the evidence about Shi’s experiments with enhancing coronaviruses and the language of the moratorium statute defining gain-of-function as “any research that improves the ability of a pathogen to cause disease.”

The explanation may be one of definition. Daszak’s EcoHealth Alliance, for one, believes that the term gain-of-function applies only to enhancements of viruses that infect humans, not to animal viruses. “So gain-of-function research refers specifically to the manipulation of human viruses so as to be either more easily transmissible or to cause worse infection or be easier to spread,” an Alliance official told The Dispatch Fact Check.

If the NIH shares the EcoHealth Alliance view that “gain of function” applies only to human viruses, that would explain why Fauci could assure the Senate it had never funded such research at the Wuhan Institute of Virology. But the legal basis of such a definition is unclear, and it differs from that of the moratorium language which was presumably applicable.


Definitions aside, the bottom line is that the National Institutes of Health was supporting research of a kind that could have generated the SARS2 virus, in an unsupervised foreign lab that was doing work in BSL2 biosafety conditions.


In conclusion.

If the case that SARS2 originated in a lab is so substantial, why isn’t this more widely known? As may now be obvious, there are many people who have reason not to talk about it. The list is led, of course, by the Chinese authorities. But virologists in the United States and Europe have no great interest in igniting a public debate about the gain-of-function experiments that their community has been pursuing for years.

Nor have other scientists stepped forward to raise the issue. Government research funds are distributed on the advice of committees of scientific experts drawn from universities. Anyone who rocks the boat by raising awkward political issues runs the risk that their grant will not be renewed and their research career will be ended. Maybe good behavior is rewarded with the many perks that slosh around the distribution system. And if you thought that Andersen and Daszak might have blotted their reputation for scientific objectivity after their partisan attacks on the lab escape scenario, look at the second and third names on this list of recipients of an $82 million grant announced by the National Institute of Allergy and Infectious Diseases in August 2020.

The US government shares a strange common interest with the Chinese authorities: Neither is keen on drawing attention to the fact that Shi’s coronavirus work was funded by the US National Institutes of Health. One can imagine the behind-the-scenes conversation in which the Chinese government says, “If this research was so dangerous, why did you fund it, and on our territory too?” To which the US side might reply, “Looks like it was you who let it escape. But do we really need to have this discussion in public?”


Fauci is a longtime public servant who served with integrity under President Trump and has resumed leadership in the Biden Administration in handling the COVID-19 epidemic. Congress, no doubt understandably, may have little appetite for hauling him over the coals for the apparent lapse of judgment in funding gain-of-function research in Wuhan.

To these serried walls of silence must be added that of the mainstream media. To my knowledge, no major newspaper or television network has yet provided readers with an in-depth news story of the lab escape scenario, such as the one you have just read, although some have run brief editorials or opinion pieces. One might think that any plausible origin of a virus that has killed three million people would merit a serious investigation. Or that the wisdom of continuing gain-of-function research, regardless of the virus’s origin, would be worth some probing. Or that the funding of gain-of-function research by the NIH and NIAID during a moratorium on such funding would bear investigation. What accounts for the media’s apparent lack of curiosity?

The virologists’ omertà is one reason. Science reporters, unlike political reporters, have little innate skepticism of their sources’ motives; most see their role largely as purveying the wisdom of scientists to the unwashed masses. So when their sources won’t help, these journalists are at a loss.

Another reason, perhaps, is the migration of much of the media toward the left of the political spectrum. Because President Trump said the virus had escaped from a Wuhan lab, editors gave the idea little credence. They joined the virologists in regarding lab escape as a dismissible conspiracy theory. During the Trump administration, they had no trouble in rejecting the position of the intelligence services that lab escape could not be ruled out. But when Avril Haines, President Biden’s director of national intelligence, said the same thing, she too was largely ignored. This is not to argue that editors should have endorsed the lab escape scenario, merely that they should have explored the possibility fully and fairly.

People round the world who have been pretty much confined to their homes for the last year might like a better answer than their media are giving them. Perhaps one will emerge in time. After all, the more months pass without the natural emergence theory gaining a shred of supporting evidence, the less plausible it may seem. Perhaps the international community of virologists will come to be seen as a false and self-interested guide. The common sense perception that a pandemic breaking out in Wuhan might have something to do with a Wuhan lab cooking up novel viruses of maximal danger in unsafe conditions could eventually displace the ideological insistence that whatever Trump said can’t be true.

And then let the reckoning begin.


Notes

[1] This quotation was added to the article after initial publication.

[2] Section revised May 18, 2021

Acknowledgements

The first person to take a serious look at the origins of the SARS2 virus was Yuri Deigin, a biotech entrepreneur in Russia and Canada. In a long and brilliant essay, he dissected the molecular biology of the SARS2 virus and raised, without endorsing, the possibility that it had been manipulated. The essay, published on April 22, 2020, provided a roadmap for anyone seeking to understand the virus’s origins. Deigin packed so much information and analysis into his essay that some have doubted it could be the work of a single individual and suggested some intelligence agency must have authored it. But the essay is written with greater lightness and humor than I suspect are ever found in CIA or KGB reports, and I see no reason to doubt that Deigin is its very capable sole author.

In Deigin’s wake have followed several other skeptics of the virologists’ orthodoxy. Nikolai Petrovsky calculated how tightly the SARS2 virus binds to the ACE2 receptors of various species and found to his surprise that it seemed optimized for the human receptor, leading him to infer the virus might have been generated in a laboratory. Alina Chan published a paper showing that SARS2 from its first appearance was very well adapted to human cells.

One of the very few establishment scientists to have questioned the virologists’ absolute rejection of lab escape is Richard Ebright, who has long warned against the dangers of gain-of-function research. Another is David A. Relman of Stanford University. “Even though strong opinions abound, none of these scenarios can be confidently ruled in or ruled out with currently available facts,” he wrote. Kudos too to Robert Redfield, former director of the Centers for Disease Control and Prevention, who told CNN on March 26, 2021 that the “most likely” cause of the epidemic was “from a laboratory,” because he doubted that a bat virus could become an extreme human pathogen overnight, without taking time to evolve, as seemed to be the case with SARS2.

Steven Quay, a physician-researcher, has applied statistical and bioinformatic tools to ingenious explorations of the virus’s origin, showing for instance how the hospitals receiving the early patients are clustered along the Wuhan №2 subway line which connects the Institute of Virology at one end with the international airport at the other, the perfect conveyor belt for distributing the virus from lab to globe.

In June 2020 Milton Leitenberg published an early survey of the evidence favoring lab escape from gain-of-function research at the Wuhan Institute of Virology.


Many others have contributed significant pieces of the puzzle. “Truth is the daughter,” said Francis Bacon, “not of authority but time.” The efforts of people such as those named above are what makes it so.
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Re: The COVID Science Wars: Shutting down scientific debate

Postby admin » Mon Aug 23, 2021 3:37 am

Chapter 1: The Madness Years: China, 1967, Excerpt from "The Three-Body Problem"
by Cixin Liu
translated by Ken Liu
© 2006 by Liu Cixin
English translation © 2014 by China Educational Publications Import & Export Corp., Ltd.
[G]iven how aggressively China blocked efforts at a transparent investigation, and in light of its government’s own history of lying, obfuscating, and crushing dissent, it’s fair to ask if Shi Zhengli, the Wuhan Institute’s lead coronavirus researcher, would be at liberty to report a leak from her lab even if she’d wanted to....

In January 2020, a Wuhan ophthalmologist named Li Wenliang, who’d tried to warn his colleagues that the pneumonia could be a form of SARS was arrested, accused of disrupting the social order, and forced to write a self-criticism. He died of COVID-19 in February....

There is reason to believe she was hardly free to speak her mind or follow a scientific path that didn’t conform to China’s party line. Though Shi had planned to share isolated samples of the virus with her friend James LeDuc in Galveston, Beijing officials blocked her.

Under scrutiny from governments including her own... she began lashing out at critics. “The 2019 novel coronavirus is a punishment from nature for humanity’s uncivilized habits,” she wrote in a February 2 post on WeChat, a popular social media app in China. “I, Shi Zhengli, guarantee on my life that it has nothing to do with our lab. May I offer some advice to those people who believe and spread bad media rumors: shut your dirty mouths.”


-- The Lab-Leak Theory: Inside the Fight to Uncover COVID-19’s Origins: Throughout 2020, the notion that the novel coronavirus leaked from a lab was off-limits. Those who dared to push for transparency say toxic politics and hidden agendas kept us in the dark. by Katherine Eban


1: The Madness Years

China, 1967


The Red Union had been attacking the headquarters of the April Twenty-eighth Brigade for two days. Their red flags fluttered restlessly around the brigade building like flames yearning for firewood.

The Red Union commander was anxious, though not because of the defenders he faced. The more than two hundred Red Guards of the April Twenty-eighth Brigade were mere greenhorns compared with the veteran Red Guards of the Red Union, which was formed at the start of the Great Proletarian Cultural Revolution in early 1966. The Red Union had been tempered by the tumultuous experience of revolutionary tours around the country and seeing Chairman Mao in the great rallies in Tiananmen Square.

But the commander was afraid of the dozen or so iron stoves inside the building, filled with explosives and connected to each other by electric detonators. He couldn't see them, but he could feel their presence like iron sensing the pull of a nearby magnet. If a defender flipped the switch, revolutionaries and counter-revolutionaries alike would all die in one giant ball of fire.

And the young Red Guards of the April Twenty-eighth Brigade were indeed capable of such madness. Compared with the weathered men and women of the first generation of Red Guards, the new rebels were a a pack of wolves on hot coals, crazier than crazy.

The slender figure of a beautiful young girl emerged at the top of the building, waving the giant red banner of the April Twenty-eighth Brigade. Her appearance was greeted immediately by a cacophony of gunshots. The weapons attacking her were a diverse mix: antiques such as American carbines, Czech-style machine guns, Japanese Type-38 rifles; newer weapons such as standard-issue People's Liberation Army rifles and submachine guns, stolen from the PLA after the publication of the "August Editorial"1 [Translator's Note: This refers to the August 1967 editorial in Red Flag magazine (an important source of propaganda during the Cultural Revolution), which advocated for "pulling out the handful [of counter-revolutionaries] within the army." Many read the editorial as tacitly encouraging Red Guards to attack military armories and seize weapons from the PLA, further inflaming the local civil wars waged by Red Guard factions.]; and even a few Chinese dadao swords and spears. Together, they formed a condensed version of modern history.

Numerous members of the April Twenty-eighth Brigade had engaged in similar displays before. They'd stand on top of the building, wave a flag, shout slogans through megaphones, and scatter flyers at the attackers below. Every time, the courageous man or woman had been able to retreat safely from the hailstorm of bullets and earn glory for their valor.

The new girl clearly thought she'd be just as lucky. She waved the battle banner as though brandishing her burning youth, trusting that the enemy would be burnt to ashes in the revolutionary flames, imagining that an ideal world would be born tomorrow from the ardor and zeal coursing through her blood ...... She was intoxicated by her brilliant, crimson dream until a bullet pierced her chest.

Her fifteen-year-old body was so soft that the bullet hardly slowed down as it passed through it and whistled in the air behind her. The young Red Guard tumbled down along with her flag, her light form descending even more slowly than the piece of red fabric, like a little bird unwilling to leave the sky.

The Red Union warriors shouted in joy. A few rushed to the foot of the building, tore away the battle banner of the April Twenty-eighth Brigade, and seized the slender, lifeless body. They raised their trophy overhead and flaunted it for a while before tossing it toward the top of the metal gate of the compound.

Most of the gate's metal bars, capped with sharp tips, had been pulled down at the beginning of the factional civil wars to be used as spears, but two still remained. As their sharp tips caught the girl, life seemed to return momentarily to her body.

The Red Guards backed up some distance and began to use the impaled body for target practice. For her, the dense storm of bullets was now no different from a gentle rain, as she could no longer feel anything. From time to time; her vinelike arms jerked across her body softly, as though she were flicking off drops of rain.

And then half of her young head was blown away, and only a single, beautiful eye remained to stare at the blue sky of 1967. There was no pain in that gaze, only solidified devotion and yearning.

And yet, compared to some others, she was fortunate. At least she died in the throes of passionately sacrificing herself for an ideal.

Battles like this one raged across Beijing like a multitude of CPUs working in parallel, their combined output, the Cultural Revolution. A flood of madness drowned the city and seeped into every nook and cranny.

At the edge of the city, on the exercise grounds of Tsinghua University, a mass "struggle session" attended by thousands had been going on for nearly two hours. This was a public rally intended to humiliate and break down the enemies of the revolution through verbal and physical abuse until they confessed to their crimes before the crowd.

As the revolutionaries had splintered into numerous factions, opposing forces everywhere engaged in complex maneuvers and contests. Within the university, intense conflicts erupted between the Red Guards, the Cultural Revolution Working Group, the Workers' Propaganda Team, and the Military Propaganda Team. And each faction divided into new rebel groups from time to time, each based on different backgrounds and agendas, leading to even more ruthless fighting.

But for this mass struggle session, the victims were the reactionary bourgeois academic authorities. These were the enemies of every faction, and they had no choice but to endure cruel attacks from every side.

Compared to other "Monsters and Demons,"2 [Translator's Note: Originally a term from Buddhism, "Monsters and Demons" was used during the Cultural Revolution to refer to all the enemies of the revolution.] reactionary academic authorities were special: During the earliest struggle sessions, they had been both arrogant and stubborn. That was also the stage in which they had died in the largest numbers. Over a period of forty days, in Beijing alone, more, than seventeen hundred victims of struggle sessions were beaten to death. Many others picked an easier path to avoid the madness: Lao She, Wu Han, Jian Bozan, Fu Lei, Zhao Jiuzhang, Yi Qun, Wen Jie, Hai Mo, and other once-respected intellectuals had all chosen to end their lives.3 [Translator's Note: These were some of the most famous intellectuals who committed suicide during the Cultural Revolution. Lao She: writer; Wu Han: historian; Jian Bozan: historian; Fu Lei: translator and critic; Zhao Jiuzhang: meteorologist and geophysicist; Yi Qun: writer; Wen Jie: poet; Hai Mo; screenwriter and novelist.]

Those who survived that initial period gradually became numb as the ruthless struggle sessions continued. The protective mental shell helped them avoid total breakdown. They often seemed to be half asleep during the sessions and would only startle awake when someone screamed in their faces to make them mechanically recite their confessions, already repeated countless times.

Then, some of them entered a third stage. The constant, unceasing struggle sessions injected vivid political images into their consciousness like mercury, until their minds, erected upon knowledge and rationality, collapsed under the assault. They began to really believe that they were guilty, to see how they had harmed the great cause of the revolution. They cried, and their repentance was far deeper and more sincere than that of those Monsters and Demons who were not intellectuals.

For the Red Guards, heaping abuse upon victims in those two latter mental stages was utterly boring. Only those Monsters and Demons who were still in the initial stage could give their overstimulated brains the thrill they craved, like the red cape of the matador. But such desirable victims had grown scarce. In Tsinghua there was probably only one left. Because he was so rare, he was reserved for the very end of the struggle session.

Ye Zhetai had survived the Cultural Revolution so far, but he remained in the first mental stage. He refused to repent, to kill himself, or to become numb. When this physics professor walked onto the stage in front of the crowd, his expression clearly said: Let the cross I bear be even heavier.

The Red Guards did indeed have him carry a burden, but it wasn't a cross. Other victims wore tall hats made from bamboo frames, but his was welded from thick steel bars. And the plaque he wore around his neck wasn't wooden, like the others, but an iron door taken from a laboratory oven. His name was written on the door in striking black characters, and two red diagonals were drawn across them in a large X.

Twice the number of Red Guards used for other victims escorted Ye onto the stage: two men and four women. The two young men strode with confidence and purpose, the very image of mature Bolshevik youths. They were both fourth-year students4 [Translator's Note: Chinese colleges (and Tsinghua in particular) have a complicated history of shifting between four-year, five-year, and three-year systems up to the time of the Cultural Revolution. I've therefore avoided using American terms such as "freshman," "sophomore," "junior," and "senior" to translate classes of these students.] majoring in theoretical physics, and Ye was their professor. The women, really girls, were much younger, second-year students from the junior high school attached to the university.5 [Translator's Note: In the Chinese education system, six years in primary school are typically followed by three years in junior high school and three years in high school. During the Cultural Revolution, this twelve-year system was shortened to a nine- or ten-year system, depending on the province or municipality. In this case, the girl Red Guards are fourteen.] Dressed in military uniforms and equipped with bandoliers, they exuded youthful vigor and surrounded Ye Zhetai like four green flames.

His appearance excited the crowd. The shouting of slogans, which had slackened a bit, now picked up with renewed force and drowned out everything else like a resurgent tide.

After waiting patiently for the noise to subside, one of the male Red Guards turned to the victim; "Ye Zhetai, you are an expert in mechanics. You should see how strong the great unified force you're resisting is. To remain so stubborn will lead only to your death! Today, we will continue the agenda from the last time. There's no need to waste words. Answer the following question without your typical deceit: Between the years of 1962 and 1965, did you not decide on your own to add relativity to the intro physics course?"

"Relativity is part of the fundamental theories of physics," Ye answered. "How can a basic survey course not teach it?"

"You lie!" a female Red Guard by his side shouted. "Einstein is a reactionary academic authority. He would serve any master who dangled money in front of him. He even went to the American Imperialists and helped them build the atom bomb! To develop a revolutionary science, we must overthrow the black banner of capitalism represented by the theory of relativity!"

Ye remained silent. Enduring the pain brought by the heavy iron hat and the iron plaque hanging from his neck, he had no energy to answer questions that were not worth answering. Behind him, one of his students also frowned. The girl who had spoken was the most intelligent of the four female Red Guards, and she was clearly prepared, as she had been seen memorizing the struggle session script before coming onstage.

But against someone like Ye Zhetai, a few slogans like that were sufficient. The Red Guards decided to bring out the new weapon they had prepared against their teacher. One of them waved to someone offstage. Ye's wife, physics professor Shao Lin, stood up from the crowd's front row. She walked onto the stage dressed in an ill-fitting green outfit, clearly intended to imitate the military uniform of the Red Guards. Those who knew her remembered that she had often taught class in an elegant qipao, and her current appearance felt forced and awkward.

"Ye Zhetai!" She was clearly unused to such theater, and though she tried to make her voice louder, the effort magnified the tremors in it. "You didn't think I would stand up and expose you, criticize you? Yes, in the past, I was fooled by you. You covered my eyes with your reactionary view of the world and science! But now I am awake and alert. With the help of the revolutionary youths, I want to stand on the side of the revolution, the side of the people!"

She turned to face the crowd. "Comrades, revolutionary youths, revolutionary faculty and staff, we must clearly understand the reactionary nature of Einstein's theory of relativity. This is most apparent in general relativity: Its static model of the universe negates the dynamic nature of matter. It is anti-dialectical! It treats the universe as limited, which is absolutely a form of reactionary idealism ..."

As he listened to his wife's lecture, Ye allowed himself a wry smile. Lin, I fooled you? Indeed, in my heart you've always been a mystery. One time, I praised your genius to your father -- he's lucky to have died early and escaped this catastrophe -- and he shook his head, telling me that he did not think you would ever achieve much academically. What he said next turned out to be so important to the second half of my life: "Lin is too smart. To work in fundamental theory, one must be stupid."

In later years, I began to understand his words more and more. Lin, you truly are too smart. Even a few years ago, you could feel the political winds shifting in academia and prepared yourself. For example, when you taught, you changed the names of many physical laws and constants: Ohm's law you called resistance law, Maxwell's equations you called electromagnetic equations, Planck's constant you called the quantum constant. ... You explained to your students that all scientific accomplishments resulted from the wisdom of the working masses, and those capitalist academic authorities only stole these fruits and put their names on them.

But even so, you couldn't be accepted by the revolutionary mainstream. Look at you now: You're not allowed to wear the red armband of the "revolutionary faculty and staff"; you had to come up here empty-handed, without the status to carry a Little Red Book.... You can't overcome the fault of being born to a prominent family in pre-revolutionary China and of having such famous scholars as parents.

But you actually have more to confess about Einstein than I do. In the winter of 1922, Einstein visited Shanghai. Because your father spoke fluent German, he was asked to accompany Einstein on his tour. You told me many times that your father went into physics because of Einstein's encouragement, and you chose physics because of your father's influence. So, in a way, Einstein can be said to have indirectly been your teacher. And you once felt so proud and lucky to have such a connection.

Later, I found out that your father had told you a white lie. He and Einstein had only one very brief conversation. The morning of November 13, 1922, he accompanied Einstein on a walk along Nanjing Road. Others who went on the walk included Yu Youren, president of Shanghai University, and Cao Cubing, general manager of the newspaper Ta Kung Pao. When they passed a maintenance site in the road bed, Einstein stopped next to a worker who was smashing stones and silently observed this boy with torn clothes and dirty face and hands. He asked your father how much the boy earned each day. After asking the boy, he told Einstein: five cents.

This was the only time he spoke with the great scientist who changed the world. There was no discussion of physics, of relativity, only cold, harsh reality. According to your father, Einstein stood there for a long time after hearing the answer, watching the boy's mechanical movements, not even bothering to smoke his pipe as the embers went out. After your father recounted this memory to me, he sighed and said, "In China, any idea that dared to take flight would only crash back to the ground. The gravity of reality is too strong."


"Lower your head!" one of the male Red Guards shouted. This may actually have been a gesture of mercy from his former student. All victims being struggled against were supposed to lower their heads. If Ye did lower his head, the tall, heavy iron hat would fall off, and if he kept his head lowered, there would be no reason to put it back on him. But Ye refused and held his head high, supporting the heavy weight with his thin neck.

"Lower your head, you stubborn reactionary!" One of the girl Red Guards took off her belt and swung it at Ye. The copper belt buckle struck his forehead and left a clear impression that was quickly blurred by oozing blood. He swayed unsteadily for a few moments, then stood straight and firm again.

One of the male Red Guards said, "When you taught quantum mechanics, you also mixed in many reactionary ideas." Then he nodded at Shao Lin, indicating that she should continue.

Shao was happy to oblige. She had to keep on talking, otherwise her fragile mind, already hanging on only by a thin thread, would collapse completely. "Ye Zhetai, you cannot deny this charge! You have often lectured students on the reactionary Copenhagen interpretation of quantum mechanics."

"It is, after all, the explanation recognized to be most in line with experimental results." His tone, so calm and collected, surprised and frightened Shao Lin.

"This explanation posits that external observation leads to the collapse of the quantum wave function. This is another expression of reactionary idealism, and it's indeed the most brazen expression."

"Should philosophy guide experiments, or should experiments guide philosophy?" Ye's sudden counterattack shocked those leading the struggle session. For a moment they did not know what to do.

"Of course it should be the correct philosophy of Marxism that guides scientific experiments!" one of the male Red Guards finally said.

"Then that's equivalent to saying that the correct philosophy falls out of the sky. This is against the idea that the truth emerges from experience. It's counter to the principles of how Marxism seeks to understand nature."

Shao Lin and the two college student Red Guards had no answer for this. Unlike the Red Guards who were still in junior high school, they couldn't completely ignore logic.

But the four junior high girls had their own revolutionary methods that they believed were invincible. The girl who had hit Ye before, took out her belt and whipped Ye again. The other three girls also took off their belts to strike at Ye. With their companion displaying such revolutionary fervor, they had to display even more, or at least the same amount. The two male Red Guards didn't interfere. If they tried to intervene now, they would be suspected of being insufficiently revolutionary.

"You also taught the big bang theory. This is the most reactionary of all scientific theories." One of the male Red Guards spoke up, trying to change the subject.

"Maybe in the future this theory will be disproven. But two great cosmological discoveries of this century -- Hubble's law, and observation of the cosmic microwave background -- show that the big bang theory is currently the most plausible explanation for the origin of the universe."

"Lies!" Shao Lin shouted. Then she began a long lecture about the big bang theory, remembering to splice in insightful critiques of the theory's extremely reactionary nature. But the freshness of the theory attracted the most intelligent of the four girls, who couldn't help but ask; "Time began with the singularity? So what was there before the singularity?"

"Nothing," Ye said, the way he would answer a question from any curious young person. He turned to look at the girl kindly. With his injuries and the tall iron hat, the motion was very difficult.

"No ... nothing? That's reactionary! Completely reactionary!" the frightened girl shouted. She turned to Shao Lin, who gladly came to her aid.

"The theory leaves open a place to be filled by God." Shao nodded at the girl.

The young Red Guard, confused by these new thoughts, finally found her footing. She raised her hand, still holding the belt, and pointed at Ye. "You: you're trying to say that God exists?"

"I don't know."

"What?"

"I'm saying I don't know. If by 'God' you mean some kind of super-consciousness outside the universe, I don't know if it exists or not. Science has given no evidence either way." Actually, in this nightmarish moment, Ye was leaning toward believing that God did not exist.

This extremely reactionary statement caused a commotion in the crowd. Led by one of the Red Guards on stage, another tide of slogan-shouting exploded.

"Down with reactionary academic authority Ye Zhetai!"

"Down with all reactionary academic authorities!"

"Down with all reactionary doctrines!"

Once the slogans died down, the girl shouted, "God does not exist. All religions are tools concocted by the ruling class to paralyze the spirit of the people!"

"That is a very one-sided view," Ye said calmly.

The young Red Guard, embarrassed and angry, reached the conclusion that, against this dangerous enemy, all talk was useless. She picked up her belt and rushed at Ye, and her three companions followed. Ye was tall, and the four fourteen-year-olds had to swing their belts upward to reach his head, still held high. After a few strikes, the tall iron hat, which had protected him a little, fell off. The continuing barrage of strikes by the metal buckles finally made him fall down.

The young Red Guards, encouraged by their success, became even more devoted to this glorious struggle. They were fighting for faith, for ideals. They were intoxicated by the bright light cast on them by history, proud of their own bravery ....

Ye's two students had finally had enough. "The chairman instructed us to 'rely on eloquence rather than violence'!" They rushed over and pulled the four semicrazed girls off Ye.

But it was already too late. The physicist lay quietly on the ground, his eyes still open as blood oozed from his head. The frenzied crowd sank into silence. The only thing that moved was a thin stream of blood. Like a red snake, it slowly meandered across the stage, reached the edge, and dripped onto a chest below. The rhythmic sound made by the blood drops was like the steps of someone walking away.

A cackling laugh broke the silence. The sound came from Shao Lin, whose mind had finally broken. The laughter frightened the attendees, who began to leave the struggle session, first in trickles, and then in a flood. The exercise grounds soon emptied, leaving only one young woman below the stage.

She was Ye Wenjie, Ye Zhetai's daughter.

As the four girls were taking her father's life, she had tried to rush onto the stage. But two old university janitors held her down and whispered into her ear that she would lose her own life if she went. The mass struggle session had turned into a scene of madness, and her appearance would only incite more violence. She had screamed and screamed, but she had been drowned out by the frenzied waves of slogans and cheers.

When it was finally quiet again, she was no longer capable of making any sound. She stared at her father's lifeless body, and the thoughts she could not voice dissolved into her blood, where they would stay with her for the rest of her life. After the crowd dispersed, she remained like a stone statue, her body and limbs in the positions they were in when the two old janitors had held her back.

After a long time, she finally let her arms down, walked slowly onto the stage, sat next to her father's body, and held one of his already-cold hands, her eyes staring emptily into the distance. When they finally came to carry away the body, she took something from her pocket and put it into her father's hand: his pipe.

Wenjie quietly left the exercise grounds, empty save for the trash left by the crowd, and headed home. When she reached the foot of the faculty housing apartment building, she heard peals of crazy laughter coming out of the second-floor window of her home. That was the woman she had once called mother.

Wenjie turned around, not caring where her feet would carry her.

Finally, she found herself at the door of Professor Ruan Wen. Throughout the four years of Wenjie's college life, Professor Ruan had been her advisor and her closest friend. During the two years after that, when Wenjie had been a graduate student in the Astrophysics Department, and through the subsequent chaos of the Cultural Revolution, Professor Ruan remained her closest confidante, other than her father.

Ruan had studied at Cambridge University, and her home had once fascinated Wenjie: refined books, paintings, and records brought back from Europe; a piano; a set of European-style pipes arranged on a delicate wooden stand, some made from Mediterranean briar, some from Turkish meerschaum. Each of them seemed suffused with the wisdom of the man who had once held the bowl in his hand or clamped the stem between his teeth, deep in thought, though Ruan had never mentioned the man's name. The pipe that had belonged to Wenjie's father had in fact been a gift from Ruan.

This elegant, warm home had once been a safe harbor for Wenjie when she needed to escape the storms of the larger world, but that was before Ruan's home had been searched and her possessions seized by the Red Guards. Like Wenjie's father, Ruan had suffered greatly during the Cultural Revolution. During her struggle sessions, the Red Guards had hung a pair of high heels around her neck and streaked her face with lipstick to show how she had lived the corrupt lifestyle of a capitalist.

Wenjie pushed open the door to Ruan's home, and she saw that the chaos left by the Red Guards had been cleaned up: The torn oil paintings had been glued back together and rehung on the walls; the toppled piano had been set upright and wiped clean, though it was broken and could no longer be played; the few books left behind had been put back neatly on the shelf ...

Ruan was sitting on the chair before her desk, her eyes closed. Wenjie stood next to Ruan and gently caressed her professor's forehead, face, and hands -- all cold. Wenjie had noticed the empty sleeping pill bottle on the desk as soon as she came in.

She stood there for a while, silent. Then she turned and walked away. She could no longer feel grief. She was now like a Geiger counter that had been subjected to too much radiation, no longer capable of giving any reaction, noiselessly displaying a reading of zero.

But as she was about to leave Ruan's home, Wenjie turned around for a final look. She noticed that Professor Ruan had put on makeup. She was wearing a light coat of lipstick and a pair of high heels.
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