The vaccine alternatives for people with compromised immune systems


Drug makers are increasingly turning to monoclonal antibodies to protect the millions of people who can't use vaccines. But questions swirl about their cost and long-term viability.


COVID-19 image

Covid-19 vaccin, source : LD people



AS THE COVID-19 vaccine rollout gathers pace, a population is at risk of being left behind: the millions of people around the globe who lack fully functional immune systems. While the exact number of the immunocompromised worldwide is unknown, estimates suggest that about 10 million live in the U.S. alone, or around 3 percent of the national population.

The number encompasses a diverse range of vulnerabilities, including rare genetic immune deficiencies, chronic illnesses that impair the immune system such as rheumatoid arthritis, and cancer and organ-transplant patients who must take immune-suppressing medications. For them, vaccines will not be effective, because they are incapable of making their own antibodies to neutralize the SARS-CoV-2 virus. Instead, pharmaceutical companies around the world are racing to develop alternative treatments that bypass the immune system altogether.

The most common option is called monoclonal antibody treatments. These artificially generated antibodies mimic the body’s natural immune response by binding to key sites on the virus’ spike protein, preventing it entering cells and reproducing. Companies including AstraZeneca, Regeneron, and Eli Lilly are currently testing whether monoclonal antibodies can protect immunocompromised people from SARS-CoV-2.

“You often find that patients who have had bone marrow transplants end up getting terrible flu and other infections, which they can’t clear without additional help,” says Nicky Longley, an infectious diseases consultant at University College London Hospitals. “It was these heavily immune-suppressed populations who did very badly during the first wave of COVID-19.” In addition, preventing immunocompromised people from getting infected will be a key part of keeping the disease in check in the long run, says Andrew Ustianowski, an infectious disease specialist at the U.K.’s National Institute for Health Research.

“If we want to control this virus and get back into normal life, then being able to protect everybody, so we don’t have ongoing transmission in subgroups of the population, is important,” he says. But while many scientists are excited about the potential of monoclonal antibodies to address gaps in the world’s vaccination programs, questions remain. The coming months will tell us whether these treatments are sufficiently cost-effective to be used on a large scale, if they can really provide adequate protection for months at a time, and whether using monoclonal antibodies may inadvertently do more harm than good.

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The biggest owl is endangered but it’s not too late to save it


Found throughout Russia and parts of Asia, Blakiston’s fish owl is declining due to habitat loss and climate change. Sitting motionless on  a fallen tree trunk, Rada Surmach strained o hear the mournful echo of nesting owls, deep in the Tunsha River Valley of the Russian Far East.

Owl in flight, source : BBC Earth



In the twilight, she finally heard it: The duet of the Blakiston’s fish owl, an endangered species whose six-foot wingspan makes it the world’s biggest owl. These haunting duets, rare among owl species, reinforce pair bonds. It’s as if the male is calling out to his mate, “I’m here!” to which the female responds in a lower tone, “I’m here too!”

Perched high in the forest canopy, fish owl pairs perform a four-note duet of synchronized calls that can last up to two hours. These raptors, known for their intense yellow eyes and showy ear tufts, nest in cavities of old-growth trees among the wooded river valleys of the Russian Far East, where boreal and temperate rainforests meet the Sea of Japan and the Sea of Okhotsk.

Named after 19th-century English naturalist Thomas W. Blakiston, the owl is divided into two subspecies: Bubo blakistoni doerriesi, found on the Russian mainland and likely northeastern China, and Bubo blakistoni blakistoni, which lives in Hokkaido, Japan, Russia’s southern Kuril Islands. (Take our poll and pick your favorite superb owl.) In Hokkaido, people put out food for the Blakiston’s fish owls and manage their populations; in Primorye Province, the mated pairs that remain—fewer than 200—are truly wild. The global population of the owls is estimated at 1,000 to 1,900 individuals.

Rada Surmach, a Ph.D. candidate and researcher at the Federal Scientific Center of the East Asia Terrestrial Biodiversity in Vladivostok, has created a long-term conservation plan to reintroduce captive-bred fish owls to the Land of the Leopard National Park in southern Primorye, a relatively developed region where the fish owl once lived. Surmach believes that the impressive bird of prey has potential as a flagship species for raising public awareness, similar to the role played by the Siberian tiger, or Amur tiger. “Every time I explain this is the biggest owl and it lives in our forest,” she says, “people get really excited.”

Fish owls face two main threats: Habitat loss and the effects of climate change. True to their names, fish owls hunt for salmon, trout, and lamprey in icy rivers during the winter. Come springtime, the male fish owl adds amphibians to the menu to feed his mate and their single fluffy hatchling. A changing climate could shift spring’s arrival, causing frogs to emerge too early or too late to sustain hungry fish owl chicks, says wildlife biologist Jonathan C. Slaght, the Wildlife Conservation Society’s Russia and Northeast Asia coordinator. The results of such a shift—called a trophic mismatch—could be catastrophic, starving owlets to death and contributing to an eventual population decline, says Slaght, who published the book Owls of the Eastern Ice: A Quest to Find and Save the World’s Largest Owl in 2020 with the hopes of raising public interest in this unique owl.

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A ruthless African king knew Rome was for sale. He bought it


Jugurtha, king of Numidia, murdered rivals and bribed Roman officials to look the other way, sparking a war and exposing the republic's corruption.


Struggling to subdue the people of Spain in 134 B.C., Roman general Scipio Aemilianus realized he needed more troops. He turned to Numidia, a North African ally whose ruler, Micipsa, was glad to provide Numidian soldiers.

A loyal ally of Rome in its recent victory over Carthage, Numidia (located in parts of modern Algeria, Tunisia, and Libya) had an underlying motive for helping Rome: Micipsa could send his nephew Jugurtha to command Numidia’s forces.

But Jugurtha did return after a decisive Roman victory at Numantia with a glowing letter of recommendation from Scipio. His military and political reputation enhanced, Jugurtha had also established valuable Roman connections. brothers.

To diminish his threat to the throne, King Micipsa decided to adopt his nephew and include him in a three-way split of the kingdom with his biological sons, Hiempsal and Adherbal. Jugurtha’s ambition was undeniable, and he would not be content to co-rule with his adoptive

Most of what is known about Jugurtha’s life comes from two Roman historians: Sallust and Plutarch, who recorded how he employed bribery, treachery, and murder in ruthless pursuit of sole control of Numidia. The civil conflict, the Jugurthine War, would turn into a costly distraction for Rome that exposed the corruption eating away at the heart of the Roman Republic.

Numidian coin bearing the image of Jugurtha. National Library, Paris:



Numidian coin bearing the image of Jugurtha. National Library, Paris

Family affairs

After the death of Micipsa, Jugurtha immediately contested the division of power. Gathering his soldiers, he sent them to Hiempsal’s quarters where they ransacked the house, killed anyone who resisted, and discovered Hiempsal hiding in the cell of a maidservant. As ordered by Jugurtha, they cut off Hiempsal’s head.

Adherbal fled to Rome, where he declared to the Senate that Jugurtha was a traitor and had murdered his own brother. He demanded punishment, and the Senate set up a commission to investigate. Quoted in Sallust’s first-century B.C. work, Jugurtha describes Rome as “urbem venalem et mature perituram, si emptorem invenerit—a city for sale and doomed to speedy destruction if it finds a purchaser”—a valuable lesson he learned during his time with Roman troops in Spain. To fight his adoptive brother’s accusations, Jugurtha applied this lesson and bribed his friends in the Senate. The commission decided to split Numidia between Jugurtha and Adherbal, each man in charge of his own section. Jugurtha’s role in the assassination of Hiempsal was overlooked.

Being ordered by the senate to leave Italy. After going out of the gates, it is said that [Jugurtha] looked back at Rome in silence and finally said, 'A city for sale and doomed to speedy destruction if it finds a purchaser!'


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