The Return of Death in Times of Uncertainty:A Sketchy Diagnosis of Death in the Contemporary ‘Corona Crisis’

For most parts of human history, death was an integral part of life, something that prehistoric and premodern man had no other option than to live with as best as possible. According to historians, death was familiar and tamed, it was at the center of social and cultural life. With the coming of modern secular society, death was increasingly sequestrated and tabooed, moved to the outskirts of society, made invisible and forbidden. Death became a stranger, and the prevalent attitude towards death was that of alienation. At the threshold of the 21st century, the topic of death again began to attract attention, becoming part of a revived death attitude described as ‘Spectacular Death’. In the article, the authors diagnose, analyze, and discuss the impact of the return of death during the current ‘Corona Crisis’, arguing that despite the fact that the concern with death is at the very core of the management of the crisis, death as such remains largely invisible. In order to provide such a diagnosis of the times, the authors initially revisit the prevailing death attitudes in the Western world from the Middle Ages to the present day

Vaccine safety issues at the turn of the 21st century

Global gains in vaccination coverage during the early 21st century have been threatened by the emergence of antivaccination groups that have questioned the effectiveness of vaccines to generate public distrust of vaccines and immunisation programmes. This manuscript summarises six key topics that have been at the centre of global discussions on vaccine safety during the early 21st century: thiomersal in multi-dose non-live vaccines, aluminium adjuvants used with several non-live vaccines, autism and auto-immune conditions as possible consequences of vaccination, a risk of immune overload with increasing numbers of vaccinations, and detrimental non-specific effects (NSEs) of vaccination. For each topic, we describe the hypothesis behind the public concern, the evidence reviewed by the WHO's Global Advisory Committee for Vaccine Safety (GACVS) during 1999-2019, and any significant new data that has emerged since GACVS conclusions were made. Although the scientific evidence on these issues overwhelmingly supports the safety of vaccines, communication messages to caregivers and providers need to condense and convey scientific information in an appropriate way to address concerns contributing to vaccine distrust. In addition, there is need for further studies specifically designed to address both positive and negative NSE of vaccination. The role of GACVS will be increasingly important in evaluating the evidence and engaging the global community in promoting and assuring the safety of vaccines in the decades to come as we move into an era in which we use new vaccination platforms, antigens and formulations