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Scientists Press Case In opposition to the Covid Lab Leak Concept

In the recent debate on the origins of the coronavirus, a group of scientists this week presented an overview of scientific findings that they believe show that natural spread from animals to humans is a far more likely cause of the pandemic than a laboratory incident.

The scientists refer, among other things, to a recent report showing that markets in Wuhan, China, had sold live animals susceptible to the virus, including civet cats and raccoon dogs, in the two years before the pandemic began. They observed the striking similarity of the appearance of Covid-19 to other viral diseases caused by natural spillovers and pointed to a variety of newly discovered viruses in animals that are closely related to the virus that caused the new pandemic.

The back and forth among scientists takes place as intelligence agencies work with a deadline for the end of summer to give President Biden an assessment of the origin of the pandemic. There is now disagreement among intelligence officials as to which scenario is more likely for a viral origin.

The new paper, which went online on Wednesday but has yet to be published in a scientific journal, was written by a team of 21 virologists. Four of them also worked on a 2020 paper in Nature Medicine that largely ruled out the possibility that laboratory manipulation could turn the virus into a human pathogen.

In the new paper, the scientists provided further evidence that the virus was spilled from an animal host outside of a laboratory. Joel Wertheim, a virologist at the University of California, San Diego and co-author, said a key point in support of natural origin is the “uncanny similarity” between the Covid and SARS pandemics. Both viruses appeared in China in late autumn, he said, with the first known cases emerging near animal markets in cities – Wuhan in the case of Covid and Shenzen in the case of SARS.

In the SARS epidemic, the new paper suggests that scientists will eventually trace its origin back to viruses that infected bats far from Shenzen.

Due to the spread of viruses similar to the new coronavirus in Asia, Dr. Wertheim and his colleagues predict that the origin of SARS-CoV-2 will also be a long way from Wuhan.

Since first surfacing in the final months of 2019, the viral culprit of this pandemic has not yet been found in any animal.

In May, another team of 18 scientists published a letter arguing that the possibility of a laboratory leak must be taken seriously due to insufficient evidence of a natural origin for the coronavirus or a leak from a laboratory. Wuhan, where the pandemic was first documented, is home to the Wuhan Institute of Virology, WIV for short, where researchers have been studying coronaviruses from bats for years.

One of the signatories of the May 2021 letter, Michael Worobey of the University of Arizona, co-authored the new paper, which advocates natural spillover.

He said his views evolved as more information emerged. Among other reasons for Dr. Worobey’s shift was the growing evidence of the Huanan animal market in Wuhan. When the pandemic first appeared in Wuhan, Chinese officials tested hundreds of samples from animals sold in the market and did not find the coronavirus in any of them.

But last month, a team of researchers presented an inventory of 47,381 animals from 38 species that were sold in Wuhan’s markets between May 2017 and November 2019. This included species such as civets and raccoon dogs, which can act as intermediate hosts for coronaviruses.

Dr. Worobey called this study “a groundbreaking paper”.

He also pointed out the timing of the earliest cases of Covid in Wuhan. “The Huanan market is right in the epicenter of the outbreak, with later cases radiating into space from there,” said Dr. Worobey in an email.

“No early cases cluster near the WIV, which has been the focus of most speculation about a possible lab escape,” he said.

However, other scholars say that such arguments are speculative and that the new review is mostly a repetition of what is already known.

“Basically, it really boils down to an argument that because almost all previous pandemics have been natural in origin, it must be,” said David Relman, a Stanford University microbiologist who organized the May Letter to Science.

He noted that he does not reject the natural origin hypothesis as a plausible explanation for the pandemic jump. But dr. Relman believes the new paper is “a selective sample of outcomes to be used to argue one side”.

Dr. In their new paper, Worobey and his colleagues also presented evidence against the notion that so-called gain-of-function research, which intentionally changes the function of a virus, may have played a role in the pandemic. The researchers argue that the coronavirus genome does not have mandatory signatures of manipulation. And the diversity that coronavirus scientists have discovered in Asian bats could serve as an evolutionary source for Covid-19.

But Richard Ebright, a molecular biologist at Rutgers University and a staunch critic of attempts to reduce the likelihood of a laboratory leak, said this was a straw man argument.

Dr. Ebright said it was possible that a WIV laboratory worker caught the coronavirus on a field expedition to examine bats or while processing a virus in the laboratory. The new paper, he argued, did not address such possibilities.

“The review does not advance the discussion,” said Dr. Ebright.

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Health

Moderna says Covid vaccine exhibits promise in a lab setting towards variants, together with delta

A healthcare worker prepares a dose of Moderna Inc.’s Covid-19 vaccine on Tuesday February 9, 2021 at the Pacheco Vaccination Center in Brussels, Belgium.

Geert Vanden Wijngaert | Bloomberg | Getty Images

Moderna said Tuesday that its Covid-19 vaccine showed promise against coronavirus variants, including the highly contagious Delta variant, first identified in India in a laboratory setting.

The two-dose mRNA vaccine produced neutralizing antibodies against Delta as well as Beta and Eta, variants that Moderna said were first found in South Africa and Nigeria, respectively.

The company said the results were based on blood serum from eight participants one week after receiving the second dose of the vaccine. The data has not yet been reviewed by experts. The results, while promising, may not reflect how the vaccines actually perform against the variants in real-world scenarios.

Moderna shares rose more than 4% in intraday trading after the lab results were announced.

“We continue to strive to investigate new variants, generate data and share them as they become available,” said Stephane Bancel, CEO of Moderna, in a press release. “These new data are encouraging and reinforce our belief that the Moderna COVID-19 vaccine should continue to protect against newly discovered variants.”

Moderna’s update comes days after World Health Organization officials urged fully vaccinated people to continue wearing masks, maintain social distance, and practice other pandemic safety measures as the delta spreads rapidly across the world.

Delta, now present in at least 92 countries including the United States, is expected to become the predominant variant of the disease worldwide. In the US, the prevalence of the variant doubles about every two weeks.

WHO officials said Friday that they are urging fully vaccinated people to continue to “play it safe” as much of the world remains unvaccinated and highly contagious variants like Delta spread in many countries and cause outbreaks.

The comments were a departure from the Centers for Disease Control and Prevention, which said fully vaccinated Americans can be maskless in most environments.

“People can’t feel safe just because they got the two doses. They still need to protect themselves,” said Dr. Mariangela Simao, WHO Deputy Director General for Access to Medicines and Health Products, during a press conference.

Approved vaccines from Moderna, Pfizer-BioNTech, and Johnson & Johnson have been shown to be highly effective in preventing Covid, particularly against serious illness and death.

Some variants, including Delta, have shown the vaccines to be slightly less effective, and WHO officials said they fear people vaccinated could become part of the chains of transmission.

The Wall Street Journal reported Friday that about half of the adults infected in a Delta variant outbreak in Israel were fully vaccinated with the Pfizer vaccine, prompting the local government to reintroduce indoor masking and other measures.

In the United States, President Joe Biden warned that unvaccinated people are particularly at risk of contracting Delta.

He said the number of Covid deaths would continue to increase across the country due to the spread of the “dangerous” variant, calling this a “serious concern”.

“More than six hundred thousand Americans have died, and with this variant of the Delta, you know there will be others too. You know it will happen. We need to vaccinate young people,” Biden said Thursday at a community center in Raleigh, NC

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Health

Republicans name for Fauci’s termination over shifting place on Wuhan lab funding

Dr. Anthony Fauci is facing increasing calls from Republican lawmakers for his termination over what they say is a shift in his position on whether the U.S. government funded research at the Wuhan Institute of Virology.

Fauci, the chief medical advisor to the White House, told lawmakers Tuesday that the National Institutes of Health funded the Wuhan Institute of Virology through the nonprofit EcoHealth Alliance with $600,000 over a period of five years. Funding to the nonprofit was eventually halted by the NIH.

He denied that the funding was specifically used for so-called gain of function research, which is altering a virus to make it either more transmissible or deadly to better predict new pathogens and ways to fight them.

On Wednesday during a Senate hearing, Sen. John Kennedy, R-La., further questioned Fauci’s faith in the Wuhan lab’s scientists. “How do you know they didn’t lie to you and use the money for gain of function research anyway?” Kennedy asked Fauci.

Fauci said there was no way to guarantee that the scientists and grantees did not lie. “You never know,” he said.

He added that scientists at the lab are “trustworthy” and that he would expect they complied with the conditions of the grant, which was to study the transmission of coronaviruses from bats to humans to better understand the SARS-CoV-1 epidemic in the early 2000s.

“I don’t have enough insight into the Communist Party in China to know the interactions between them and the scientists,” Fauci said when asked whether the Chinese government influences its scientists. He also said he has no way of knowing the influence of the Chinese government on the World Health Organization after Kennedy implied that the WHO is in the pocket of the Chinese government.

President Joe Biden announced Wednesday that he has ordered a closer intelligence review of what he said were two equally plausible scenarios of the origins of the Covid-19 pandemic — that it originated in a lab or from an animal. The director of national intelligence previously agreed that the two scenarios are equally likely.

Biden revealed that he tasked the intelligence community earlier this year with preparing “a report on their most up-to-date analysis of the origins of Covid-19, including whether it emerged from human contact with an infected animal or from a laboratory accident.”

“As of today, the U.S. Intelligence Community has ‘coalesced around two likely scenarios’ but has not reached a definitive conclusion on this question,” Biden said in a statement.

Federal health officials maintain that it is more likely that the virus has a natural origin, but do not exclude a lab leak as a possibility.

Rep. Warren Davidson, R-Ohio, recently introduced the Fauci Incompetence Requires Early Dismissal Act, which called for Fauci’s termination.

“Dr. Fauci represents everything that President Eisenhower warned us about in his farewell address: the scientific-technical elite steering the country toward their own ends,” Davidson said in a statement.

The Republican lawmakers also said they believe Fauci misled the American people early in the pandemic in regard to mask guidance. Fauci said in early March 2020: “Right now in the United States, people should not be walking around with masks.” He later clarified he meant that masks should be prioritized for health workers, but Republican lawmakers maintain that Fauci lied.

GOP lawmakers also claim that Fauci misled Americans when he said there would be an explosion of coronavirus cases after Texas lifted its mask mandate.

“It is long past time for Dr. Fauci to stop talking to the American public. Fauci should resign or be fired immediately,” said Rep. Guy Reschenthaler, R-Pa.

Correction: Warren Davidson, R.-Ohio, is a member of the House of Representatives. An earlier version misstated his title.

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Scientists Don’t Need to Ignore the Wuhan ‘Lab Leak’ Concept, Regardless of No New Proof

As scientists find more animal coronaviruses, they can recognize more and more pieces of SARS-CoV-2 spread out among them. Researchers have also been able to reconstruct some of the evolutionary steps by which SARS-CoV-2 evolved into a potential human pathogen while it was still infecting animals.

This pattern is probably one that’s been followed by many viruses that are now major burdens on human health. H.I.V., for example, most likely had its origin in the early 1900s, when hunters in West Africa got infected with viruses that infected chimpanzees and other primates.

But some scientists thought it was too soon to conclude something similar happened in the case of SARS-CoV-2. After all, the coronavirus first came to light in the city of Wuhan, home to the Wuhan Institute of Virology, where researchers study dozens of strains of coronaviruses collected in caves in southern China.

Still, that a top lab studying this family of viruses happens to be located in the same city where the epidemic emerged could very well be a coincidence. Wuhan is an urban center larger than New York City, with a steady flow of visitors from other parts of China. It also has many large markets dealing in wildlife brought from across China and beyond. When wild animals are kept in close quarters, viruses have an opportunity to jump from species to species, sometimes resulting in dangerous recombinations that can lead to new diseases.

That lab’s research began after another coronavirus led to the SARS epidemic in 2002. Researchers soon found relatives of that virus, called SARS-CoV, in bats, as well as civet cats, which are sold in Chinese markets. The discovery opened the eyes of scientists to all the animal coronaviruses with the potential of spilling over the species line and starting a new pandemic.

Virologists can take many measures to reduce the risk of getting infected with the viruses they study. But over the years, some accidents have happened. Researchers have gotten sick, and they’ve infected others with their experimental viruses.

In 2004, for example, a researcher at the National Institute of Virology in Beijing got infected with the coronavirus that causes SARS. She passed it on to others, including her mother, who died from the infection.

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Politics

Biden orders nearer evaluation of Covid origins as U.S. intel weighs Wuhan lab leak concept

Security personnel stand guard outside the Wuhan Institute of Virology in Wuhan as members of the World Health Organization (WHO) team investigating the origins of the COVID-19 coronavirus make a visit to the institute in Wuhan in China’s central Hubei province on February 3, 2021.

Hector Retamal | AFP | Getty Images

WASHINGTON – President Joe Biden on Wednesday announced that he has ordered a closer intelligence review of what he said were two equally plausible scenarios of the origins of the Covid-19 pandemic.

Biden revealed that earlier this year he tasked the Intelligence Community with preparing “a report on their most up-to-date analysis of the origins of Covid-19, including whether it emerged from human contact with an infected animal or from a laboratory accident.”

“As of today, the U.S. Intelligence Community has ‘coalesced around two likely scenarios’ but has not reached a definitive conclusion on this question,” Biden said in a statement.

“Here is their current position: ‘while two elements in the IC leans toward the former scenario and one leans more toward the latter – each with low or moderate confidence – the majority of elements do not believe there is sufficient information to assess one to be more likely than the other,” said the president.

Biden used the Intelligence Community’s traditional language when they provide assessments to a president. This includes explaining to the president when different agencies within the IC disagree, and always giving the president the level of confidence they have in the accuracy of the raw intelligence.

Biden issued the new directives as the origins of the coronavirus pandemic, still officially unknown, come under increasing scrutiny.

The hypothesis that the virus may have escaped from a laboratory, while initially dismissed by some as a conspiracy theory, has in recent months gained more mainstream traction.

Centers for Disease Control and Prevention Director Dr. Rochelle Walensky last week said in Senate testimony that a lab-leak origin “certainly” was “one possibility.”

White House officials told reporters Tuesday that China hasn’t been “completely transparent” in the global investigation into the origins of Covid-19, and that a full investigation is needed to determine whether the virus that’s killed almost 3.5 million people came from nature or a lab.

“We need to get to the bottom of this, whatever the answer may be,” White House senior covid-19 advisor Andy Slavitt told reporters at a covid briefing Tuesday. “We need a completely transparent process from China, we need the [World Health Organization] to assist in that matter and we don’t feel like we have that now.”

The World Health Organization said in March that it was “extremely unlikely” that the virus was introduced to humans through an accidental lab leak. But that report was heavily criticized by scientists who said the WHO gave the possibility of a lab accident short shrift compared with a natural-origin scenario..

“The report lacks crucial data, information, and access. It represents a partial and incomplete picture,” White House press secretary Jen Psaki said at the time when asked about WHO’s stance on Covid’s origins.

The Office of the Director of National Intelligence, which leads the nation’s 18 intelligence agencies, did not immediately respond to CNBC’s request for comment.

The Chinese Embassy in Washington, D.C., did not immediately respond to CNBC.

This is breaking news. Please check back for updates.

—- CNBC’s Kevin Breuninger and Amanda Macias contributed to this story.

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U.S. ought to dig deeper into concept that Covid originated in a Wuhan lab, ex-Clinton official says

The U.S. should play a bigger role in getting to the bottom of the theory that Covid-19 first leaked from a virology lab in Wuhan, China, Atlantic Council senior fellow Jamie Metzl told CNBC on Monday.

“Right now the World Health Assembly is meeting and the United States should do everything possible with our allies to demand a full investigation into the origin of Covid with full access to all records, samples and staff in China and beyond,” said Metzl former national security officer in the Clinton administration, said in The News with Shepard Smith.

“If China wants to turn its nose to the rest of the world despite more than 3 million deaths, let them make that statement,” he said.

White House press secretary Jen Psaki said Monday that the determination of the origin of Covid-19 is subject to an international investigation by the World Health Organization and that the U.S. cannot conduct its own investigation.

Metzl organized a group of scientists and academics last year to call for a deeper investigation into the origins of Covid. He told host Shepard Smith that it was “critically important” to find answers to the causes of the pandemic, because if we do not, everyone would be “unnecessarily at risk”.

The White House did not immediately respond to CNBC’s request for comment.

A previously unpublished US intelligence report found that researchers at the Wuhan Institute of Virology were seeking treatment in hospital after an illness, “with symptoms consistent with both Covid-19 and common seasonal illnesses,” the Wall Street Journal reported on Sunday and quoted from the report.

The World Health Organization has repeatedly said that the virus most likely jumped from bats to humans through another animal. It has described the theory that the virus leaked from a laboratory as “extremely unlikely” but has not ruled it out. Metzl said he thought the theory was a “likely hypothesis”.

“Why should there be a bat coronavirus outbreak in Wuhan and not in southern China where the horseshoe bats are? And what we know they are in Wuhan is China’s only level 4 virology institute with the largest in the world Collection of bats coronaviruses that did aggressive research to make these pathogens more dangerous, “Metzl said.

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Lab origin of Covid ‘one risk,’ animal host is most typical

The director of the Centers for Disease Control and Prevention (CDC), Dr. Rochelle Walensky testified during a Senate Funds Subcommittee hearing to consider fiscal 2022 budget application for the Centers for Disease Control and Prevention on May 19, 2021 in Washington, DC.

Jim Lo Scalzo | AFP | Getty Images

The director of the Centers for Disease Control and Prevention, Dr. Rochelle Walensky, on Wednesday, did not rule out the possibility that Covid-19 could have come from a laboratory, saying it was “certainly” “a possibility”.

However, most coronaviruses “are generally of animal origin,” Walensky said on the Senate testimony after saying she hadn’t seen enough data to give her opinion on how the current pandemic was created.

The statements by the Biden government’s chief health official came amid growing calls to investigate whether the virus was zoonotic, animal, or from a laboratory in Wuhan, China.

The World Health Organization said in a report in March that it was “extremely unlikely” that the virus was transmitted to humans through an accidental laboratory leak. However, this conclusion has been heavily criticized, and other scientists have since called for further investigation.

“Theories about accidental release from a laboratory and about zoonotic overflows are still viable,” said a letter from 18 scientists published last week in Science. Other scholars have criticized this letter for drawing the wrong equivalence between the likelihood of a laboratory leak and a natural-origin scenario, the New York Times reported.

The CDC website currently states that while the exact source of the outbreak is unknown, “we do know that it originally came from an animal, likely a bat”.

Covid-19 was first discovered in Wuhan in the Chinese province of Hubei.

The emergence of the virus has also become a hotly debated topic in American politics.

At Wednesday’s hearing on the CDC’s budget for the next fiscal year beginning October 1, Senator John Kennedy, R-La., Asked Walensky for her opinion on where the pandemic began.

“I don’t think I’ve seen enough data, individual data, to comment on this,” said Walensky.

When asked about the possibilities, Walensky said, “Certainly the possibilities from which most of the coronaviruses known to us that have infected the population – SARS CoV-1, MERS – are generally of animal origin.”

Kennedy replied, “Are there any other options?”

“Surely a laboratory-based provenance is a possibility,” said Walensky.

Covid-19 turned into a pandemic in March 2020. The virus has now infected more than 164 million people and killed more than 3.4 million people worldwide, according to Johns Hopkins University.

Robert Redfield, the former CDC director who worked on the U.S.’s response to the pandemic under ex-President Donald Trump, said in March he believed the coronavirus came from a Wuhan laboratory.

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Airstrike Damages Gaza’s Solely Covid-19 Testing Lab, Officers Say

Since Covid-19 first appeared in the blocked Gaza Strip, the authorities have only been able to conduct a relatively small number of coronavirus tests due to the lack of medical care.

Now the only laboratory in Gaza processing test results is temporarily inoperable after an Israeli air strike nearby on Monday, Gaza officials said.

The strike, which targeted a separate building in Gaza City, sent splinters and debris flying across the street and damaged the laboratory and administrative offices of the Hamas-led health ministry, said Dr. Majdi Dhair, Director of the Department of Preventive Medicine at the Ministry.

A ministry official was hospitalized and in serious condition after being hit in the head by a splinter, said Dr. Dhair on Tuesday in a telephone interview.

“This attack was barbaric,” he said. “There’s no way to justify it.”

The Israeli army did not immediately respond to a request for comment on the strike. Since Israel began its bombing campaign in Gaza on May 10, the army has declared that its air strikes are aimed exclusively at militants and their infrastructure.

Dr. Dhair said he believed the equipment in the lab was intact, but stressed that it would take at least a day to clean up the damage and prepare him to run coronavirus tests again. In the meantime, the medical teams would stop doing tests.

Rami Abadla, director of the Infection Control Department of the Gaza Ministry, said the laboratory will also temporarily not be able to process results for other tests related to HIV, hepatitis C and other diseases.

Over the past week, Gaza authorities tested an average of 515 Palestinians for the virus every day. According to official data, only 1.9 percent of the two million people in Gaza were fully vaccinated on Monday, compared with 56 percent in Israel.

After an increase in cases in April, mainly due to the highly communicable coronavirus variant first identified in the UK, new infections in Gaza have recently dropped to manageable levels, health experts said. But with Israeli air strikes destroying buildings, causing widespread damage and killing more than 200 people by Monday, United Nations officials have warned coronavirus cases could re-emerge.

Unvaccinated Palestinians crowded into schools operated by the United Nations Relief Society in Gaza, turning them into de facto air raid shelters. Matthias Schmale, the head of operations at the UN agency, said last week that these schools “could become mass disseminators”.

Mr Schmale and the World Health Organization’s chief official in Gaza, Sacha Bootsma, also said that all vaccinations stopped when hostilities broke out and that any vaccine supply in the territory had been delayed by the closure of the border crossings in the Gaza Strip.

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Health

Scientific Trials Are Shifting Out of the Lab and Into Individuals’s Houses

When the pandemic hit last year, clinical trials were affected. Universities closed and hospitals focused on fighting the new disease. Many studies that required repeated personal visits to volunteers have been delayed or canceled.

However, some scientists found creative ways to continue their research even when the personal interaction was inherently risky. They sent medicines Tests conducted via video chat and asked patients to monitor their own vital signs at home.

Many scientists say this shift towards virtual studies is long overdue. If these practices persist, they could make clinical trials cheaper, more efficient and fairer, and provide cutting-edge research opportunities to people who otherwise would not have the time or resources to use them.

“We’ve found that we can do things differently and I don’t think we’ll be going back to the way we used to know,” said Dr. Mustafa Khasraw, a Medical oncologist and clinical trial specialist at Duke University.

According to one analysis, nearly 6,000 studies have been registered on ClinicalTrials.gov stopped between January 1 and May 31, roughly twice as many as in times without a pandemic.

For example, at Johns Hopkins University, researchers delayed their study of how adults ages 65 to 80 metabolized tenofovir, a drug used to prevent and treat HIV

“The idea of ​​recruiting older people who we know are at particular risk – recruiting them to answer a fundamental question that doesn’t immediately change care or affect their health – just didn’t seem like it what we should do, “said Dr. Namandje Bumpus, the pharmacologist leading the study, which is on hold.

In Flint, Michigan, researchers had to stop admitting emergency patients for a hypertension study. Other volunteers dropped out or were difficult to contact.

“Their phone service is down, or they have very different schedules, or they are harder to reach because they care about someone,” said Dr. Lesli Skolarus, a stroke neurologist at the University of Michigan who is leading the study.

Dr. Skolarus and her colleagues have continued the process, albeit with a few changes. Most importantly, they canceled their personal follow-up exams and instead asked participants to take blood pressure cuffs with them and send photos of the readings via SMS.

Other research teams made similar adjustments. Neurologists at Massachusetts General Hospital in Boston revised a pilot study of methylphenidate, the active ingredient in Ritalin, in seniors with mild dementia or cognitive impairment. Instead of going to the hospital every two weeks, study participants now receive their medication in the mail, take cognitive assessments via video conferencing, play brain games on their computers, and conduct daily surveys at home.

“In essence, it is now an entirely virtual study,” said Dr. Steven Arnold, the neurologist who led the study.

Updated

Apr. 18, 2021, 12:04 p.m. ET

Even when scientists can’t eliminate personal visits, they find ways to reduce them. When Lorraine Wilner, a 78-year-old retiree with metastatic breast cancer, first started a clinical trial at Duke University last summer, she had to take a three-hour drive to the Durham, NC campus every four weeks for blood tests and occasionally other tests. She said she always left with a full gas tank. “So I don’t have to stop at a gas station or touch things or go to places where half of the people don’t wear a mask,” she said.

She can now have her blood drawn at a laboratory near her home in Lancaster, SC. The researchers then review the results with her over a video call. She still has to drive to Duke for regular scans, but the reduced travel has been a huge relief. “It makes it a lot more convenient,” she said.

Distance learning is likely to continue in a post-pandemic period, researchers say. Reducing face-to-face visits could make patient recruitment easier and lower dropout rates, which could lead to faster and cheaper clinical trials, said Dr. Ray Dorsey, a neurologist at the University of Rochester who has done remote research for years.

In fact, its inclusion in one of his recent virtual studies tracking people with a genetic predisposition to Parkinson’s actually spike this past spring. “While most clinical trials were suspended or delayed, ours accelerated amid the pandemic,” he said.

Moving to virtual trials could also help diversify clinical research and encourage low-income and rural patients to enroll, said Dr. Hala Borno, oncologist at the University of California at San Francisco. The pandemic, she said, “really allows us to step back and reflect on the burdens we have placed on patients for a long time.”

Virtual trials are not a panacea. Researchers need to ensure that they can thoroughly monitor the volunteer’s health without personal visits and be aware of the fact that not all patients have access to or are familiar with technology.

In some cases, scientists have yet to demonstrate that remote testing is reliable. While Dr. Arnold is optimistic that home cognitive testing could offer a better window into how his patients work on a daily basis, he noted that environments at home are uncontrolled. “Maybe a cat is crawling on you or grandchildren in the next room,” he said.

There is also the unpredictable nature of human behavior. Dr. Brennan Spiegel, gastroenterologist and director of health research at Cedars-Sinai Health System, often uses Fitbits to remotely monitor subjects. But one participant once put the device on a dog. A few others sent their Fitbits through the laundry. “You suddenly get a lot of steps – thousands and thousands of steps,” he said.

And some treatments may not work as well remotely. Last January, Clay Coleman Jr., a 61-year-old Chicago resident, took part in a clinical trial to treat his peripheral artery disease, which caused severe pain with every attempt to walk. “It was very difficult,” said Mr. Coleman, who is not driving. “My legs are very important to me because this is how I get around.”

He hoped the study of taking blood pressure medication and participating in a supervised exercise program could get him back in shape. Three times a week he traveled to a local gym for a structured treadmill workout with an instructor. “I was there maybe six weeks before this virus thing came up,” he said.

Suddenly the gym was out. Instead, Mr. Coleman’s trainer called him regularly and encouraged him to keep moving.

Dr. Mary McDermott, a The general internist at Northwestern University running the study isn’t sure how effective this type of remote coaching will be. “We cannot assume that remote intervention will be the same,” she said. “Or that remote measurements replace everything we have personally done.”

Still, the pandemic has shown that there is room for reform. Dr. Deepak Bhatt, a cardiologist at Brigham and Women’s Hospital in Boston, is part of a team that will start a study of an injectable blood thinner later this year. After the first personal visit to the doctor, the appointments are virtual.

“I’m pretty sure if Covid hadn’t occurred we would have done things the usual way,” he said. Sometimes he added, “It takes a crisis to provoke change.”

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W.H.O. consultants investigating the origin of the virus go to a lab in Wuhan.

A team of experts from the World Health Organization studying the causes of the pandemic visited a research center in Wuhan, China on Wednesday that has been the subject of several unsubstantiated theories about the coronavirus.

WHO scientists met with staff at the center, the Wuhan Institute of Virology, which houses a state-of-the-art laboratory known for its research on coronaviruses.

The institute came under scrutiny last year when the Trump administration advocated the unsubstantiated theory that the virus may have leaked from a government-run laboratory in China. But many high-ranking American officials have privately said that evidence suggesting a laboratory accident is primarily circumstantial.

Most scientists agree that the coronavirus most likely occurred in nature and spread from animals to humans. Peter Daszak, one of the experts on the WHO team, described the conversation on Wednesday at the Wuhan Institute as open. “Important questions asked and answered,” he wrote on Twitter, without giving details.

One of the people the WHO team met was Shi Zhengli, known as China’s “bat woman” for her study of coronaviruses found in bats. In June, Dr. Shi first voiced fears that the virus may have leaked from the lab, according to an interview with Scientific American. Later checks showed that none of the gene sequences matched the viruses examined by the staff.

Separately, China announced on Wednesday that it would provide 10 million Covid-19 vaccines to Covax, a global body promoting equitable access to coronavirus vaccinations.

The decision is “another important step China has taken to promote fair distribution of vaccines,” said Wang Wenbin, a foreign ministry spokesman.

He also said the World Health Organization has started reviewing emergency vaccine approval. It was unclear what vaccines Mr. Wang was referring to. Two vaccines – manufactured by Chinese companies Sinovac and Sinopharm – have been approved for use in China.