Across Europe, around a dozen countries have suspended the AstraZeneca vaccine following reports of blood clots occurring after vaccination. There’s no evidence the vaccine is the cause, and blood clots can have a variety of different causes, but investigations are ongoing, and so countries have paused the vaccine’s rollout as a precaution. They’re applying what’s known as the precautionary principle – or rather, as Anthony Cox argues, they’re misapplying it.

When used properly, a highly risk-averse strategy like this protects people from potential threats. But it requires stopping the potential threat to be less dangerous than letting it continue. With a COVID vaccine, that’s unlikely to be the case. Unlike the potential blood clot risk, the threat of COVID is known, and it is large. Pausing vaccine rollout, and delaying protection against the disease, is likely to pose a far greater risk.

Elsewhere, as we celebrate St Patrick’s day, we learn why so many US presidents have liked to claim Irish roots – and why this doesn’t necessarily affect their relationship with the UK.

Rob Reddick

Commissioning Editor, COVID-19

Wojciech Stróżyk/Alamy Stock Photo

Blood clot fears: how misapplication of the precautionary principle may undermine public trust in vaccines

Anthony R Cox, University of Birmingham

Suspensions of the AstraZeneca vaccine may dent confidence and will slow down coverage – arguably creating a greater risk to public health.

Blood clots can form in the lungs, brain, heart, or veins. SciePro/Shutterstock

Blood clots: five reasons they may happen

Adam Taylor, Lancaster University

Blood clots form to prevent blood loss both inside and outside the body. But they can become dangerous if they get dislodged from where they form.

EPA/PAUL MCERLANE

St Patrick’s day: why so many US presidents like to say ‘I’m Irish’

Richard Johnson, Queen Mary University of London

Joe Biden is just the latest in a long line of US presidents to trace their ancestry back to the Emerald Isle.

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