Rob Reid: The Existential Threat of Engineered Viruses and Lab Leaks | Lex Fridman Podcast #193
cuD9uNFXnU8 • 2021-06-21
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Kind: captions Language: en the following is a conversation with rob reed entrepreneur author and host of the after on podcast sam harris recommended that i absolutely must talk to rob about his recent work on the future of engineer pandemics i then listened to the four hours special episode of sam's making sense podcast with rob titled engineering the apocalypse and i was floored and knew i had to talk to him quick mention of our sponsors athletic greens volcano fund rise and netsuite check them out in the description to support this podcast as a side note let me say a few words about the lab leak hypothesis which proposes that covet 19 is a product of gain of function research on coronaviruses conducted at the wuhan institute of virology that was then accidentally leaked due to human error for context this lab is biosafety level 4 bsl4 and it investigates coronaviruses bsl4 is the highest level of safety but if you look at all the human in the loop pieces required to achieve this level of safety it becomes clear that even bsl4 labs are highly susceptible to human error to me whether the virus leaked from the lab or not getting to the bottom of what happened is about much more than this particular catastrophic case it is a test for our scientific political journalistic and social institutions of how well we can prepare and respond to threats that can cripple or destroy human civilization if we continue to gain a function research on viruses eventually these viruses will leak and they will be more deadly and more contagious we can pretend that won't happen or we can openly and honestly talk about the risks involved this research can both save and destroy human life on earth as we know it it's a powerful double-edged sword if youtube and other platforms censor conversations about this if scientists self-censored conversations about this would become merely victims of our brief homo sapiens story not its heroes as i said before too carelessly labeling ideas as misinformation and dismissing them because of that will eventually destroy our ability to discover the truth and without truth we don't have a fighting chance against the great filter before us this is the lex friedman podcast and here is my conversation with rob reed i have seen evidence on the internet that you have a sense of humor allegedly but you also talk and think about the destruction of human civilization what do you think of the elon musk hypothesis that the most entertaining outcome is the most likely and he i think followed on to say a scene from an external observer like if somebody was watching us it seems we come up with creative ways of progressing our civilization that's fun to watch yeah so he exactly he said from the standpoint of the observer not the participant right and so what's interesting about that this were i think just a couple of freestanding tweets and and delivered without a whole lot of rapper of context so it's left to the mind of the the reader of the tweets yes to infer what he was talking about but so that's kind of like it provokes some interesting thoughts like first of all it presupposes the existence of an observer and it also presupposes that the observer wishes to be entertained and has some mechanism of enforcing their desire to be entertained so there's like a lot underpinning that and to me that suggests particularly coming from elon that it's a reference to simulation theory that you know somebody is out there and has far greater insights and a far greater ability to let's say peer into a single individual life and find that entertaining and full of plot twists and surprises and either a happier tragic ending or they have a incredible meta view and they can watch the arc of civilization unfolding in a way that is entertaining and full of plot twists and surprises and a happy or unhappy ending so okay so we're presupposing an observer then on top of that when you think about it you're also presupposing a producer because the act of observation is mostly fun if there are plot twists and surprises and other developments that you weren't foreseeing i have re-read my own novels and that's fun because it's something i worked hard on and i slaved over and i love but there aren't a lot of surprises in there so now i'm thinking we need a producer and an observer for that to be true and on top of that it's got to be a very competent producer because elon said the most entertaining outcome is the most likely one so there's lots of layers for thinking about that and when you've got a producer who's trying to make it entertaining it makes me think of there was a south park episode in which earth turned out to be a reality show yeah and somehow we had failed to entertain the audience as much as we used to so the earth show was going to get cancelled et cetera so taking all that together and i'm obviously being a little bit playful and laying this out what is the evidence that we have that there we are in a reality that is intended to be most entertaining now you could look at that reality on the level of individual lives or the whole arc of civilization other lives you know levels as well i'm sure but just looking from my own life i think i'd make a pretty lousy show i spend an inordinate amount of time just looking at a computer i don't think that's very entertaining and there's just a completely inadequate level of shootouts and car chases in my life i mean i'll go weeks even months without a single shootout or car chase that just means that you're one of the non-player characters in this game you're just waiting you're an extra that waiting for you one opportunity for a brief moment to actually interact with one of the main um one of the main characters in the play just saying okay that's that's good so okay so we'll rule out me being the star of the show which i probably could have guessed at anyway but then even the arc of civilization yeah i mean there have been a lot of really intriguing things that have happened and a lot of astounding things that have happened but you know i would have some werewolves i'd have some zombies you know i would have some really improbable developments like maybe canada absorbing the united states you know so i don't know i'm not sure if we're necessarily designed for maximum entertainment but if we are uh that will mean that 2020 is just a prequel for even more bizarre years ahead so i i kind of hope that we're not designed for maximum entertainment well the night is still young in terms of canada but do you think it's possible for the observer and the producer to be kind of emergent so meaning it does seem when you kind of watch memes on the internet the funny ones the entertaining ones spread more efficiently they do i mean i don't know what it is about the human mind that soaks up on mass funny things much more sort of aggressively it's more viral like in in the full sense of that word is is there some sense that whatever this the evolutionary process that created our cognitive capabilities is the same process that's going to in an emergent way create the most entertaining outcome the most memorable outcome the most viral outcome if we were to share it on twitter yeah that's interesting um yeah we do have an incredible ability like i mean how many memes are created in a given day and the ones that go viral are almost uniformly funny at least to somebody with a particular sense of humor right um yeah i have to think about that we are definitely great at creating atomized units of funny like in the example that you used there are going to be x million brains parsing and judging whether this meme is retweetable or not yes and so that sort of atomic universe atomic element a funniness of entertainingness etc we definitely have an environment that's good at selecting for that and selective pressure and everything else that's going on but in terms of the entire ecosystem of conscious systems here on the earth driving through for a level of entertainment that is on such a much higher level that i don't know if that would necessarily follow directly from the fact that you know atomic units of entertainment are very very aptly selected for us i don't know do you find it compelling or useful to think about human civilization from the perspective of the ideas versus the perspective of the individual human brains so almost thinking about the ideas or the memes this is the dawkins thing as the organisms and then the humans as just like uh vehicles for briefly carrying those organisms as they jump around and spread yeah for propagating them mutating them putting selective pressure on them etc yeah um i mean i found um dawkins interpret or his his launching of the idea of memes is just kind of an afterthought to his unbelievably brilliant book about the selfish gene like what a ps to put at the end of a long chunk of writing profoundly interesting i view the relationship though between human and humans and memes is probably an oversimplification but maybe a little bit like the relationship between flowers and bees right do flowers have bees or do bees in a sense have flowers and the answer is it is a very very symbiotic relationship in which both have semi-independent roles that they play and both are highly dependent upon the other and so in the case of bees obviously you know you could see the flower as being this monolithic structure physically in relation to any given bee and it's the source of food and sustenance so you could kind of say well flowers have bees but on the other hand the flowers would obviously be doomed they weren't being pollinated by the bees so you could kind of say well you know bees you know flowers are really expression of what the bees need and the truth is a symbiosis so with with memes and human minds our brains are are clearly the petri dishes in which memes are either propagated or not propagated get mutated or don't get mutated if they are the venue in which competition selective competition plays out between different memes so all of that is very true and you could look at that and say really the human mind is a production of memes and ideas have us rather than us having ideas but at the same time let's take a catchy tune as an example of a meme um that catchy tune did originate in a human mind somebody had to structure that thing and as much as i like elizabeth gilbert's ted talk about how the universe i'm simplifying but you know kind of the ideas find their way in this beautiful ted talk it's very lyrical she talked about you know ideas and prose kind of beaming into our minds and you know she talked about needing to pull over the side of the road when she got inspiration for a particular paragraph or a particular idea and a burning need to write that down i love that i find that beautiful as a as a writer as a novelist uh myself i've never had that experience and i think that really most things that do become memes are the product of a great deal of deliberate and willful exertion of a conscious mind and so like the bees and the flowers i think there's a great symbiosis and they both kind of have one another ideas have us but we have ideas for real if we could take a little bit of a tangent stephen king on writing you as a great writer you you're dropping a hint here that the ideas don't come to you that it's a grind of sort of it's almost like you're mining for gold it's more of a very uh deliberate rigorous daily process so maybe can you talk about the writing process how do you write well and maybe if you want to step outside of yourself almost like give advice to an aspiring writer what does it take to write the best work of your life well it would be very different if it's fiction versus nonfiction and i've done both i've written two works of not two non-fiction books and two works of fiction two works of fiction being more recent i'm gonna focus on that right now because that's more toweringly on my mind there are amongst novelists again this is an oversimplification but there's kind of two schools of thought um some people really like to fly by the seat of their pants and some people really really like to to outline to plot you know so there's plotters and pantsers i guess is one way that people look at it and you know as with most things there is a great continuum in between and i'm somewhere on that continuum but i lean i guess a little bit a little bit more toward the plotter and so when i do start a novel i have a pretty strong point of view about how it's going to end and i have a very strong point of view about how it's going to begin and i do try to make an effort of making an outline that i know i'm going to be extremely unfaithful to in the actual execution of the story but trying to make an outline that gets us from here to there and notion of subplots and beats and rhythm and different characters and and so forth but then when i get into the process that outline particularly the center of it ultimately inevitably morphs a great deal and i think if i were personally a rigorous outliner i would not allow that to happen i also would make a much more vigorous skeleton before i start so i think people who are really in that plotting outlining mode are people who write page turners people who write you know spy novels or you know supernatural adventures where you really want a relentless pace of events action plot twists conspiracy etc and that is really the bone that's that's really the you know the skeletal structure so i think folks who write that kind of book are really very much on the outlining side and i think people who write um what's often referred to as literary fiction for lack of a better term where it's more about you know sort of aura and ambiance and character development and experience and inner experience and inner journey and so forth i think that group is more likely to fly by the seat of their pants and i know people who start with a blank page and just see where it's going to go i'm a little bit more on the plotting side now you asked what makes something at least in the mind of the writer as great as it can be for me it's an astonishingly high percentage of it is editing as opposed to the initial writing for every hour that i spend writing new pros you know like new pages new paragraphs stuff that you know new bits of the book i probably spend i mean i wish i i wish i kept a count like i wish i had like one of those pieces of software that lawyers use to decide how much time i've been doing this that but i would say it's at least four or five hours and maybe as many as 10 that i spend editing and so it's relentless for me for each one hour of writing i'd say that for wow i mean i i write because i edit and i spend just relentlessly polishing and pruning and sometimes on the micro level of just like did the does the rhythm of the sentence feel right do i need to carve a syllable or something so it can land like as micro as that to his macro as like okay i'm done but the book is 750 pages long and it's way too bloated i need to lop a third out of it problems on you know those two orders of magnitude and everything in between that is an enormous amount of my time and i also um i also write music write record and produce music and there the the ratio is even higher of every minute that i spend or my band spends laying down that original audio it's a very high proportion of hours that go into just making it all hang together and sound just right so i think that's true of a lot of creative processes i i know it's true of sculpture um i believe it's true of woodwork my dad was an amateur woodworker and he spent a huge amount of time on sanding and polishing at the end so i think a great deal of the sparkle comes from that part of the process any creative process can i ask about the psychological the demon side of that picture in the editing process you're ultimately judging the initial piece of work and you're judging and judging and judging how much of your time do you spend hating your work how much time do you spend in gratitude impressed thankful for how good the work that you will put together is um i spend almost all the time in a place that's intermediate between those but leaning toward gratitude i spend almost all the time in a state of optimism that this thing that i have i like i like quite a bit and i can make it better and better and better with every time i go through it so i spend most of my time in a state of optimism i think i i personally oscillate much more aggressively between those two where i wouldn't be able to find the average i i go pretty deep um marvin minsky from mit had this advice i guess to uh what it takes to be successful in science and research is to hate everything you do you've ever done in the past i mean at least he was speaking about himself that the key to his success was to uh hate everything he's ever done i have a little marvin minsky there in me too to sort of uh always be exceptionally self-critical but almost like self-critical about the work but grateful for the chance to be able to do the work yeah that makes sense it makes perfect sense but that you know each one of us have have to strike a certain kind of a certain kind of balance but back to the uh destruction of human civilization if humans destroy ourselves in the next hundred years what will be the most likely source the the most like the reason that we destroy ourselves well let's see 100 years it's hard for me to comfortably predict out that far and it's something to give a lot more thought to i think than you know normal folks simply because i am a science fiction writer and you know i feel with the acceleration of technological progress it's really hard to foresee out more than just a few decades i mean comparing today's world to that of 1921 where we are right now a century later it's been so unforeseeable and i just don't know what's going to happen particularly with exponential technologies i mean our intuitions reliably defeat ourselves with exponential technologies like computing and synthetic biology and you know how we might destroy ourselves in the 100 year time frame might have everything to do with breakthroughs in nanotechnology 40 years from now and then how rapidly those breakthroughs accelerate but in the nearer term that i'm comfortable predicting let's say 30 years i would say the most likely route to self-destruction would be synthetic biology and i always say that with the gigantic caveat and very important one that i find and i'll abbreviate synthetic biology to sin bio just to save us some syllables i believe synbio offers us simply stunning promise that we would be fools to deny ourselves so i'm not an anti-sin bio person by any stretch i mean sin bio has unbelievable odds of helping us beat cancer helping us rescue the environment helping us do things that we would currently find imponderable so it's electrifying the field but in the wrong hands those hands either being incompetent or being malevolent in the wrong hand synthetic biology to me has a much much greater odds has much greater odds of leading to our self-destruction than something running amok with super ai which i believe is a real possibility and one we need to be concerned about but in the 30-year time frame i think it's a lesser one or nuclear weapons or anything else that i can think of can you explain that a little bit further so your concern is on the man-made versus the natural side of the pandemic front here so we humans engineering pathogens engineering viruses is the concern here yeah and maybe how do you see the possible trajectories happening here in terms of mo is it malevolent or is it um accidents oops little mistakes or unintended consequences of particular actions that are ultimately lead to unexpected mistakes well both of them are in danger and i think the question of which is more likely has to do with two things one do we take a lot of methodical affordable four-sided steps that we are absolutely capable of taking right now to first all the risk of a bad actor infecting us with something that could have annihilating impacts and in the the episode you referenced with sam we talked a great deal about that so do we take those steps and if we take those steps i think the danger of malevolent rogue actors doing us in with sin bio couldn't plummet but you know it's always a question of if and we have a bad bad and very long track record of hitting the snooze bar after different natural pandemics have attacked have attacked us so that's variable number one variable number two is how much experimentation and pathogen development do we as a society decide is acceptable in the realms of academia government or private industry and if we decide as a society that it's perfectly okay for people with varying research agendas to create pathogens that if released could wipe out humanity if we think that's fine and if that kind of work starts happening in you know one lab five labs 50 labs 500 labs in one country than 10 countries then 70 countries or whatever that risk of a boo-boo starts rising astronomically and this won't be a spoiler alert based on the way that i presented those two things but i think it's unbelievably important to manage both of those risks the easier one to manage although it wouldn't be simple by any stretch because it would have to be something that all nations agree on but the easiest way the easier risk to manage is that of hey guys let's not develop pathogens that if they escape from a lab could annihilate us there's no line of research that justifies that and in my view i mean that's the point of perspective we need to have we'd have to collectively agree that there's no line of research that justifies that the reason why i believe that would be a highly rational conclusion is even the highest level of biosafety lab in the world biosafety lab level four and they're not a lot of bsl4 labs in the world there have there are things can can and have leaked out of bsl4 labs and some of the work that's been done with potentially annihilating pathogens which we can talk about is actually done at bsl3 and so fundamentally any lab can leak we have proven ourselves to be incapable of creating a lab that is utterly impervious to leaks so why in the world would we create something where if god forbid it leaked could annihilate us all and by the way almost all of the measures that are taken in biosafety level anything labs are designed to prevent accidental leaks what happens if you have a malevolent insider and we could talk about the psychology and the motivations of what would make a malevolent insider who wants to release something and not annihilating in a bit i'm sure that we will but what if you have a malevolent insider virtually none of the standards that go into biosafety level one two three and four are about preventing somebody hijacking the process i mean some of them are but they're mainly designed against accidents they're imperfect against accidents and if this kind of work starts happening in lots and lots of labs with every lab you add the odds of there being a malevolent insider naturally increase arithmetically as the number of labs goes up now on the front of somebody outside of a government academic or scientific traditional government science academic scientific environment creating something malevolent again there's protections that we can take both at the level of sin bio architecture the sin hardening the entire sin bio ecosystem against terrible things being made that we don't want to have out there by rogue actors to early detection to lots and lots of other things that we can do to dramatically mitigate that risk and i think we do both of those things decide that no we're not going to experimentally make annihilating pathogens in leaky labs and b yes we are going to take counter measures that are costs going to cost a fraction of our annual defense budget to to preclude their creation then i think both that both both risks get managed down but if you take one set of precautions and not the other then the the thing that you have not taken precautions against immediately becomes the more likely outcome so can we talk about this kind of research and what's actually done and what are the positives and negatives of it so if we look at gain of function research and the kind of stuff that's happening level three and level four bsl labs what's the whole idea here is it trying to engineer viruses to understand how they behave you want to understand the dangerous ones yeah so that that would be the logic behind doing it and so gain a function can mean a lot of different things um viewed through a certain lens gain-to-function research could be what you do when you create you know gmos when you create you know hearty strains of corn that are resistant to pesticides i mean you could view that as gain of function so i'm going to refer to gain of function in a relatively narrow sense which is actually the sense that the term is usually used which is in some way magnifying capabilities of microorganisms to make them more dangerous whether it's more transmissible or more deadly and in that line of research i'll use an example from 2011 because it's very illustrative and it's also very chilling back in 2011 two separate labs independently of one another i assumed there was some kind of communication between them but they were basically independent projects one in holland and one in wisconsin did gain a function research on something called h5n1 flu h5n1 is you know something that at least on a lethality basis makes kovad look like a kitten you know coveted according to the world health organization has a case fatality rate somewhere between half a percent and one percent h5n1 is closer to sixty percent six zero and so that's actually even slightly more lethal than ebola it's a very very very scary pathogen the good news about h5n1 it is that it is barely barely contagious and i believe it is in no way contagious human to human it requires um you know very very very deep contact uh with birds in most cases chickens and so if you're a chicken farmer and you spend an enormous amount of time around them and perhaps you get into situations in which you get a break in your skin and you're interacting intensely with with fowl who as it turns out have h5n1 that's when the jump comes um but it's not there's no airborne transmission that we're aware of human human i mean they're not that way it just doesn't exist um i think the world health organization did a relentless survey of the number of h5n1 cases i think they do it every year i saw one 10-year series where i think it was like 500 fatalities over the course of a decade and that's a drop in the bucket kind of fun fun fact i believe the typical lethality from lightning over 10 years is 70 000 deaths so we think getting struck by lightning pretty low risk h5n1 much much lower than that what happened in these experiments is the experimenters in both cases um set out to make h5n1 that would be contagious that could create airborne transmission and so they basically passed it i think in both cases they passed it through a large number of ferrets and so this wasn't like crispr there wasn't even a crisper back in those days this was relatively straightforward you know selecting for a particular outcome and after guiding the path and passing them through again i believe it was a series of ferrets they did in fact come up with a version of h5n1 that is capable of airborne transmission now they didn't unleash it into the world they didn't inject it into humans to see what would happen and so for those two reasons we don't really know how contagious it might have been but you know if it was as contagious as covid that could be a civilization threatening pathogen and why would you do it well the people who did it were good guys they were virologists i believe their agendas they explained it was much as you said let's figure out what a worst case scenario might look like so we can understand it better but my understanding is in both cases it was done in by bsl3 labs and so potential of leak uh significantly non-zero hopefully way below one percent but significantly non-zero and when you look at the consequences of an escape in terms of human lives destruction of a large portion of the economy etc and you do an expected value calculation on whatever fraction of one percent that was you would come up with a staggering cost staggering expected cost for this work so it should never it should never have been carried out now you might make an argument if you said if you believed that h5n1 in nature is on an inevitable path to airborne transmission and it's only going to be a small number of years a and b if it makes that transition there is you know one set of changes to its metabolic pathways and you know it's genomic code and so forth one that we have discovered so it is going to go from point a which is where it is right now to point b we have reliably engineered point b that is the destination and we need to start fighting that right now because this is five years or less away now that'd be very different world that'd be like spotting an asteroid that's coming toward the earth and is five years off and yes you marshal everything you can to resist that but there's two problems with that perspective the first is in however many thousands of generations that humans have been inhabiting this planet there has never been a transmissible form of h5n1 and influenza has been around for a very long time so there is no case for inevitability of this kind of a jump to airborne transmission so we're not on a freight train to that outcome and if there was inevitability around that it's not like there's just one set of genetic code that would get there they're just there's there's all kinds of different mutations that could conceivably result in that kind of an outcome unbelievable diversity of mutations and so we're not actually creating something we're inevitably going to face uh but we are creating something we are creating a very powerful and unbelievably negative card and injecting in the deck that nature never put into the deck so in that case um i just don't see any moral or scientific justification for that kind of work and interestingly there was quite a bit of excitement and concern about this when the work came out one of the teams was going to publish their results in science the other in nature and there were a lot of editorials and a lot of scientists are saying this is crazy and publication of those papers did get suspended and not long after that there was a pause put on u.s government funding nih funding on gain of function research but both of those speed bumps were ultimately removed those papers did ultimately get published and that pause on funding you know ceased long ago and in fact those two very projects my understanding has resumed their funding got their government funding back i don't know why a dutch project's getting nih funding but whatever about a year and a half ago so as far as the us government and regulators are concerned it's also systems go for gain of function at this point which i i find very troubling now i'm a little bit of an outsider from this field but it has echoes of the same kind of problem i see in the ai world with autonomous weapon systems nobody in my colleagues my colleagues friends as far as i can tell people in the ai community are not really talking about autonomous weapons systems as now us and china are full steam ahead on the development of both right and that seems to be a similar kind of thing on getting a function i've uh you know have friends in the biology space and they don't want to talk about gain of function publicly it and i don't that makes me very uncomfortable from an outsider perspective in terms of gain of function it makes me very uncomfortable from the insider perspective on autonomous weapon systems i'm not sure how to communicate exactly about autonomous weapon systems and i certainly don't know how to communicate effectively about getting a function what is the right path forward here should we seize all gain of function research is that is that really the solution here well again i'm going to use gain of function in the relatively narrow context of overview because you could say almost you know anything that you do to make biology more effective is gain a function so within the narrow confines of what we're discussing i think it would be easy enough for level-headed people in all of the countries level had any governmental people in all the countries that realistically could support such a program to agree we don't want this to happen because all labs leak i mean and you know an example that i i use i actually didn't use it in the piece i did with sam harris as well um is the anthrax attacks in the united states in 2001 i mean talk about an example of the least likely lab leaking into the least likely place shortly after 9 11 for folks who don't remember it and it was a very very lethal strand of anthrax that as it turned out based on the for forensic genomic work that was done and so forth absolutely leaked from a high-security u.s army lab probably the one at fort detrick in maryland it might have been another one but who cares it absolutely leaked from a high security u.s army lab and where did it leak to this highly dangerous substance that was kept under lock and key by a very security-minded organization well it leaked to places including the senate majority leader's office tom daschle's office i think it was senator leahy's office certain publications including bizarrely the national enquirer but let's go to the senate majority leader's office it is hard to imagine a more security-minded country than the united states two weeks after the 911 attack i mean you it doesn't get more security-minded than that and it's also hard to imagine a more security capable organization than the united states military we can joke all we want about inefficiencies in the military and you know 24 000 wrenches and so forth but pretty capable when it comes to that despite that level of focus and concern and competence just a days after the 9 11 attacks something comes from the inside of our military industrial compacts and ends up you know in the office of someone i believe the senate majority leader somewhere in the line of presidential succession it tells us everything can leak so again think of a level-headed conversation between powerful leaders in a diversity of countries thinking through like i can imagine a very simple powerpoint revealing you know just discussing briefly things like the anthrax leak um things like uh this this foot and mouth disease outbreak that or leaking that came out of a bsl four-level lab in the uk several other things talking about the utter virulence that could result from gain of function and say folks can we agree that this just shouldn't happen i mean if we were able to agree on the nuclear non-proliferation treaty which we were by a weapons convention which we did agree on we the world for the most part i believe agreement could be found there but it's going to take people in leadership of a couple of very powerful countries to get to consensus amongst them and then to decide we're going to get everybody together and browbeat them into banning this stuff now that doesn't make it entirely impossible that somebody might do this but in well-regulated you know carefully watched over fiduciary environments like federally funded academic research anything going on in the government itself you know things going on in you know companies that have investors who don't want to go to jail for the rest of their lives i think that would have a major major dampening impact on it but there is a particular possible catalyst in this time we live in which is uh for really kind of raising the question of gain of function research for the application of virus making viruses more dangerous is the question of whether covid leaked from a lab sort of not even answering that question but even asking that question is a very it seems like a very important question to ask to uh catalyze the conversation about the whether we should be doing gain of function research i mean from a high level uh why do you think people even colleagues of mine are not comfortable asking that question and two do you think that the answer could be that it did leak from a lab i i think the mere possibility that it did leak from a lab is evidence enough again for the hypothetical rational national leaders watching this simple powerpoint if you could put the possibility at one percent and you look at the unbelievable destructive power that covet had that should be an overwhelmingly powerful argument for excluding it now as to whether or not that was a leak some very very level i don't i don't know enough about all of the factors in the bayesian analysis and so forth that has gone into people making the pro argument of that so i don't pretend to be an expert on that and i i don't have a point of view i i just don't know but what i what we can say is it is entirely possible for a couple of reasons one is that there is a bsl4 lab in wuhan the wahan institute of virology i believe it's the the only bsl4 in china i could be wrong about that but it definitely had a history that alarmed very sophisticated uh u.s diplomats and others who were in contact with the lab and were aware of what it was doing uh long before covid uh coveted um hit the world and so there are diplomatic cables that have been declassified i believe one sophisticated scientist or other observer said that wiv is a ticking time bomb and i believe it's also been pretty reasonably established that coronaviruses were a topic of great interest at wiv sars obviously came out of china and that's a that's a coronavirus that would make an enormous amount of sense for it to be studied there um and there is so much opacity about what happened in the early days and weeks after the outbreak that's basically been imposed by the chinese government that we just don't know so it feels like a substantially or greater than one percent possibility to me looking at it from the outside and that's something that one could imagine now we're going to the realm of thought experiment not me decreeing this is what happened but you know if they're studying coronavirus at the wuhan institute of virology um and there is this precedent of gain of function research that's been done on something that is remarkably uncontagious to humans whereas we know coronavirus is contagious to humans i could definitely and there is this global consensus you know certainly was the case you know two or three years ago when this work might have started this seems to be this global consensus that gain a function is fine the u.s paused funding for a little while but paused funding they never said private actors couldn't do it it was just the pause of nih funding and then that pause was lifted so again none of this is irrational you could certainly see the folks at wiv saying gain a function interesting vector coronovice virus unlike h5n1 very contagious uh we are in a a nation that has had terrible run-ins with coronavirus why don't we do a little getting function on this and then like all labs at all levels one can imagine this lab leaking so it's not an impossibility and very very level-headed people have said that you know who've looked at it much more deeply do believe in that outcome uh why is it such a threat to power the idea that leaked from a lab why is it so threatening i don't maybe understand this point exactly like is it just that as governments and especially the chinese government is really afraid of admitting mistakes that everybody makes so this is a horrible mystery like uh chernobyl is a good example i come from the soviet union i mean well major mistakes were made in chernobyl i would argue for a lab league to happen the the the scale of the mistake is much smaller um right there the the depth and the breadth of rot that in bureaucracy that led to chernobyl is much bigger than anything that could lead to a lab leak because it could literally just be i mean i'm sure there's security very careful security procedures even in level three labs but it uh i i imagine maybe you can correct me it's all it takes is the incompetence of a small number of individuals or even one yeah one individual on a particular a couple weeks three weeks period as opposed to a multi-year bureaucratic failure of the entire government right well certainly the magnitude of mistakes and compounding mistakes that went into chernobyl was far far far greater but the consequence of kovitt outweighs that the consequence of chernobyl to a tremendous degree and you know i think that that particularly um authoritarian governments are unbelievably uh reluctant to admit to any fallibility whatsoever there's a long long history of that across dozens and dozens of authoritarian governments and to be transparent again this is in the hypothetical world in which this was a leak which again i don't have i don't personally have enough sophistication to have an opinion on the on the likelihood but in the hypothetical world in which it was a league the global reaction and the amount of global animus and the amount of you know the decline in global respect that would happen toward china because every country suffered massively from this unbelievable damages in terms of human lives and economic activity disrupted the world would in some way present china with that bill and when you take on top of that the natural disinclination for any authoritarian government to admit any fallibility and tolerate the possibility of any fallibility whatsoever and you look at the relative opacity even though they let a world health organization group in you know a couple months ago to run around they didn't give that who group anywhere near the level of access it would be necessary to definitively say x happened versus y the level of opacity that surrounds those opening weeks and months of covet in china we just don't know if you were to kind of look back at 2020 and maybe broadening it out to future pandemics that could be much more dangerous what kind of response how do we fail in the response and how could we do better so the gain of function research is discussing which you know the the question of we should not be creating viruses that are both exceptionally contagious and exceptionally deadly to humans but if it does happen perhaps the natural evolution natural mutation is there interesting technological responses on the testing side on the vaccine development side on the collection of data or on the basic sort of policy response side or the sociological the psychological side yeah there's all kinds of things and most of what i've thought about and written about and again discussed in that long bit with with sam is dual use so most of the countermeasures that i've been thinking about and advocating for would be every bit as effective against zoonotic disease a natural pandemic of some sort as an artificial one the the risk of an artificial one even the near-term risk of an artificial one ups the urgency around these measures immensely but but most of them would be broadly applicable and so i think the first thing that we really want to do on a global scale is have a far far far more robust and globally transparent system of detection and that can happen on a number of levels the most obvious one is you know just in the blood of people who come into clinics exhibiting signs of illness and there we are certainly at a point now with we're at with relatively minimal investment we could develop in clinic diagnostics that would be unbelievably effective at pinpointing what's going on in almost any disease when somebody walks into a doctor's office or a clinic and better than that um this is a little bit further off further off but it wouldn't cost tens of billions in research dollars it would be you know a relatively modest and affordable budget in relation to the threat at home diagnostics that can really really pinpoint you know okay particularly with respiratory infections because that is generally almost universally the mechanism of transmission for any serious pandemic so somebody has a respiratory infection is it one of the you know significantly large handful of rhinoviruses coronaviruses and other things that cause common cold uh or is it influenza if it's influenza is it influenza a versus b um or is it you know a small handful of other more exotic but nonetheless sort of common respiratory infections that are out there developing a diagnostic panel to pinpoint all of that stuff that's something that's well within our capabilities that's much less a lift than creating mrna vaccines which obviously we proved capable of when we put our minds to it so do that on a global basis and i don't think that's irrational because the best prototype for this than i'm aware of isn't currently rolling out in atherton california or fairfield county connecticut or some other wealthy place the best prototype that i'm aware of this is rolling out right now in nigeria and it's a project that came out of the broad institute which as as i'm sure you know but uh some listeners may not is kind of like an academic joint venture between harvard and mit the program is called sentinel and their objective is and their plan and is a very well conceived plan a methodical plan is to do just that in areas of nigeria that are particularly vulnerable to zoonotic diseases making the jump from animals to humans but also there's just an unbelievable public health benefit from that and it's sort of a three-tier system where clinicians in the field could very rapidly determine do you have one of the infections of acute interest here either because it's very common in this region so we want to diagnose as many as things as we can at the front line or because it's uncommon but unbelievably threatening like ebola so frontline worker can make that determination very very rapidly if it comes up as a we don't know they bump it up to a level that's more like at a fully configured doctor's office or local hospital and if it's still it we don't know it gets bumped up to a national level and that and it gets bumped very very rapidly so if this can be done in nigeria and it seems that it can be there shouldn't be any inhibition for it to happen in most other places and it should be affordable from a budgetary standpoint and based on sentinel's budget and adjusting things for things like you know very different cost of living larger population etc i did a back of the envelope calculation that doing something like sentinel in the u.s would be in the low billions of dollars and you know wealthy countries middle-income countries can't afford such a thing lower income companies in income countries should certainly be helped with that but start with that level of detection and then layer on top of that other interesting things like you know monitoring search engine traffic search engine queries for evidence that strange clusters of symptoms are starting to rise in different places there's been a lot of work done with that most of it kind of like academic and experimental but some of it has been powerful enough to suggest that this could be a very powerful early warning system there's a guy named bill lampos at university college london who basically did a very rigorous analysis that showed that symptom searches reliably predicted coveted outbreaks in the early days of the pandemic in given countries by as much as 16 days before the evidence started to crew at a public health level 16 days of forewarning can be monumentally important in the early days of an outbreak and this is you know a very very talented but nonetheless very resource constrained academic project imagine if that was something that was done with a norad like budget yeah yeah so i mean starting with detection that's something we could do radically radically better so aggregating multiple data sources in order to create something i mean this is really exciting to me the possibility that i've heard inklings of of creating almost like a weather map of pathogens like basically aggregating all of these data sources scaling many orders of magnitude up at home testing and all kinds of testing that doesn't just try to test for the particular pathogen of worry now but everything like a full spectrum of things that could be dangerous to the human body and thereby be able to create these maps like that are dynamically updated on an hourly basis of the of how viruses travel throughout the world and so you can respond like you can then integrate just like you do when you check your weather map and it's raining or not of course not perfect but it's very good predictor whether it's going to rain or not uh and use that to then make decisions about your own life ultimately give the power information to individuals to respond and if it's a super dangerous like if it's acid rain versus regular rain you might want to really stay inside as opposed to risking it i mean that um just like you said if i think it's not very expensive relative to all the things that we do in this world but it does require bold leadership and there's another dark thing which really is bothering me about 2020 which it requires is it requires trust in institutions to carry out these kinds of programs and it requires trust and science and engineers and uh sort of centralized organizations that would operate at scale here and much of that trust has been um at least in the united states diminished it feels like not exactly sure where
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