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小罗伯特·肯尼迪的“疫苗研究神明”在几内亚比绍遭警方突袭RFK Jr’s ‘deities of vaccine research’ raided by police in Guinea-Bissau

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罗伯特·F·肯尼迪在华盛顿特区。摄影:吉姆·洛·斯卡尔佐/美国环保署Robert F Kennedy Jr in Washington DC. Photograph: Jim Lo Scalzo/EPA

这些备受争议的疫苗研究人员曾受到小罗伯特·F·肯尼迪以及美国卫生与公众服务部(HHS)部长的赞扬。据官员们称,几内亚比绍的司法警察突击搜查了他们的办公室,并没收了那里存放的乙肝疫苗。这些研究人员一直处于一场关于非洲新生儿疫苗研究的争议的核心位置;该研究得到了美国疾病控制与预防中心(CDC)提供的160万美元资助,同时还有Pershing Square基金会和Bluebell基金会的额外支持,总资助金额达到了320万美元。

Controversial vaccine researchers who have been praised by Robert F Kennedy Jr, the US Department of Health and Human Services (HHS) secretary, had their offices in Guinea-Bissau raided by judicial police, who seized doses of hepatitis B vaccines, officials said on The researchers have been at the heart of an ongoing dispute over research on African newborns, supported by $1.6m from the US Centers for Disease Control and Prevention (CDC) and matched by the Pershing Square Foundation and the Bluebell Foundation for a total of $3.2m.

根据从葡萄牙语翻译过来的社交媒体帖子,警方于周一进行了这次搜查,其目的是“查明与这些疫苗相关的情况”。声明中明确指出,没收这些疫苗并不意味着这些疫苗在质量、安全性或有效性方面存在问题。

The police search took place on Monday, involving “investigative procedures aimed at clarifying the circumstances related to the said batch of vaccines”, according to the social media post, which was translated from Portuguese. The announcement noted that seizing the immunizations did not point to “irregularities in the quality, safety, or effectiveness of the vaccines”.

Bandim Health Project组织最近公布了一封来自几内亚比绍公共卫生部国家伦理委员会的批准函,该函的日期为7月14日,由委员会主席Mouhammed Djicó Ould Ahmed签署。一个丹麦的研究伦理委员会也于本月早些时候批准了这项研究;不过该委员会为了能够审批这项临床试验,不得不修改了自己的相关规则。

The Bandim Health Project recently posted a letter of approval for the trial from Guinea-Bissau’s national ethics committee at the ministry of public health, dated 14 July and signed by the committee’s president, Mouhammed Djicó Ould Ahmed. A Danish research ethics committee, which had to change its rules to consider a clinical trial, also approved the study earlier this month.

几内亚比绍过渡政府的卫生部长Quinhin Nantote否认了有关该研究将继续进行的报道。他周四用葡萄牙语对《卫报》表示:“这种说法完全不属实。”

Quinhin Nantote, the health minister of Guinea-Bissau’s transitional government, disputed reports that the trial would move forward. “This is not even remotely true,” Nantote told the Guardian in Portuguese on Thursday.

虽然这项研究在夏季期间进行了重新设计,但它仍计划在婴儿出生后的前六周内拒绝为7000名新生儿接种乙肝疫苗。在几内亚比绍,大约五分之一的成年人携带乙肝病毒;乙肝病毒会导致慢性感染者中的15%至25%死亡,引发癌症或肝衰竭。新生儿尤其容易感染该病毒,而出生后24小时内接种疫苗不仅安全,而且对预防疾病具有极高的效果。

The study was redesigned over the summer, but it would still deny hepatitis B vaccines to 7,000 newborns in the first six weeks of life, in a country where about one in five adults have the virus. Hepatitis B kills 15% to 25% of people with chronic infections, causing cancer and liver failure, and newborns are particularly vulnerable – but vaccination within 24 hours of birth is safe and highly effective at preventing illness.

“任何会否绝对拒绝给受试者疫苗的研究都是‘不道德的,并对新生儿造成严重且可能不可逆的伤害’,世界卫生组织(WHO)发言人塔里克·雅沙雷维奇(Tarik Jašarević)说,称出生时接种乙肝疫苗是“至关重要的公共卫生干预措施”。

Any study that would deny the vaccine to participants was “unethical and exposes newborns to serious and potentially irreversible harm”, said Tarik Jašarević, a spokesperson for the World Health Organization (WHO), calling hepatitis B vaccination at birth an “essential public health intervention”.

通过其在几内亚比绍的国家办事处,世卫组织及其合作伙伴一直在向卫生部提供关于计划引入乙肝疫苗以及该研究可能产生的影响的咨询,雅沙雷维奇补充道。

Through its country office in Guinea-Bissau, the WHO and its partners have been advising the ministry of health on the planned introduction of the hepatitis B vaccine and the potential impact of this study, Jašarević added.

巴迪姆健康项目由人类学家彼得·阿贝(Peter Aaby)于1978年创立,现由其妻子、流行病学家克里斯汀·斯塔贝尔·本(Christine Stabell Benn)共同领导。

The Bandim Health Project was founded by anthropologist Peter Aaby in 1978, and it is now co-led by his wife, Christine Stabell Benn, an epidemiologist.

肯尼迪多次赞扬他们的工作,在一次反疫苗会议上称他们是“疫苗研究的神祇”。他多次提及他们对破伤风-白喉-pertussis(DTP)疫苗的研究结果,该研究后续再次进行,却得出截然不同的结果。尽管如此,2023年肯尼迪在乔·罗根的播客中称阿贝是“非常著名”的研究者,并在终止对加维(Gavi,疫苗联盟)的美国资金时引用了其研究。

Kennedy has repeatedly praised their work, calling them “the deities of vaccine research” at a recent anti-vaccine conference. He has several times referenced the results of a study they conducted on the diphtheria-tetanus-pertussis (DTP), which the same researchers later conducted again and found completely different results. Even so, Kennedy called Aaby a “very famous” researcher on Joe Rogan’s podcast in 2023 and cited his research when he halted US funding to Gavi, the Vaccine Alliance.

斯塔贝尔·本曾是美国疫苗接种实践咨询委员会(ACIP)乙肝工作组成员,帮助向美国委员会提供证据,该委员会曾投票结束对疫苗的普遍出生推荐,但相关决定随后被联邦法官中止。斯塔贝尔·本还主持了一档播客,邀请了前美国食品药品管理局(FDA)高级官员特蕾西·贝斯·霍格(Tracy Beth Høeg),后者表示希望终止“必要的”疫苗。

Stabell Benn was a member of the hepatitis B working group of the Advisory Committee on Immunization Practices (ACIP), helping present evidence to the US committee that voted to end the universal birth recommendation before such decisions on vaccines were stayed by a federal judge. Stabell Benn also hosted a podcast with Tracy Beth Høeg, a former top official with the US Food and Drug Administration (FDA) who said she wanted to end “unnecessary” vaccines.

阿贝、斯塔贝尔·本以及项目负责人弗雷德里克·舒尔茨-布赫霍尔泽(Frederik Schaltz-Buchholzer)均未回应《卫报》关于该试验及警方搜查的提问。

Aaby, Stabell Benn and Frederik Schaltz-Buchholzer, the lead researcher on the project, did not respond to the Guardian’s questions about the trial and the police search.

非营利组织“为科学挺身而出”(Stand Up for Science,简称SUFS)的一份报告指出,Bandim组织虽在几内亚比绍深耕五十年,却鲜有作为来提升该国的卫生与科研能力。该组织目前正在筹款,以帮助在全国范围内为所有新生儿推行出生即接种疫苗的计划。

The Bandim organization is deeply enmeshed in Guinea-Bissau but has done little to improve the country’s health and research capacities in five decades of operation, according to a report from the non-profit Stand Up for Science (SUFS). The organization is now fundraising to help roll out the vaccines at birth to all newborns in the country.

“我们的调查员遭遇了几内亚比绍民众对Bandim组织的严重不信任,”美国健康研究员、SUFS创始人Colette Delawalla表示。“然而,由于缺乏公共卫生基础设施,在民众急需获得任何形式医疗救助的情况下,Bandim往往是唯一的选择。”Delawalla说,警方突击搜查凸显了几内亚比绍是一个“不稳定”的国家,不到一年前该国刚经历过一次军事政变。她补充道,该国缺乏开展临床试验所需的稳定性。

“Our investigator encountered significant distrust of Bandim by the citizenry of Guinea-Bissau,” said Colette Delawalla, an American health researcher and founder of SUFS. “However, because of the lack of public health infrastructure, Bandim is often the only option in situations where people are desperate to access medical care of any kind.”The police raid underlines the fact that Guinea-Bissau is a “fragile” nation that experienced a military coup less than a year ago, Delawalla said. The country lacks the stability needed for clinical trials, she added.

“几内亚比绍正处于艰难境地,试图利用其拥有的筹码,保护本国青年、保护未来,免受两个强大西方国家的剥削,”Delawalla说。

“Guinea-Bissau is in the difficult situation of trying to protect their youth, their future, from exploitation by two powerful western nations and they are using what leverage they have to do so,” Delawalla said.

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