The AstraZeneca vaccine and over-65s: we may not have all the data yet, but limiting access could be counterproductive

Kylie Quinn, RMIT University

Last week, a German vaccine advisory committee recommended the AstraZeneca vaccine only be used in 18-64-year-olds, citing a lack of data on the efficacy of the vaccine in people over 65.

Subsequently, the European regulator, the European Medicines Agency, conditionally approved the vaccine for anyone over 18.

What can we make of this? Should we be giving this vaccine to older people or not?

While we don’t yet have all the data we’d like, we don’t have reason to believe this vaccine won’t be at least somewhat effective in older adults. To exclude them from receiving it wouldn’t necessarily be the right approach.

The recommendation

STIKO, a German vaccine advisory committee that reports to the country’s government, was responsible for the draft recommendation which caused the stir. It released a similar final recommendation at the weekend.

While the German government may elect to follow STIKO’s advice or the European Medicines Agency’s guidelines, the latter’s approval carries significant weight. Equivalent to the Therapeutic Goods Administration (TGA) in Australia, this body decides which vaccines may legally be supplied in Europe.

The AstraZeneca vaccine has already received approvals, not singling out older age groups, from multiple international regulators, including those in the United Kingdom, India and Mexico.

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Read more:
Germany may not give the Oxford-AstraZeneca vaccine to over-65s, but that doesn’t mean it won’t work

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Why did STIKO make this recommendation?

STIKO’s advice is based on the fact it didn’t have enough data to definitively say whether the vaccine will work in older people — not because it won’t.

According to the data we have so far from AstraZeneca’s phase 3 trials, only two out of 660 people in the trial aged over 65 got sick with COVID-19. Two sick people isn’t enough for a strong statistical analysis.

AstraZeneca initially enrolled younger people in its trials, with older people enrolled only later. So data on older people in the original trials and another trial in the United States are still on the way.

AstraZeneca’s early trials didn’t include as many older people as younger people.
Shutterstock

What do we know about the vaccine?

We have very good safety data for the AstraZeneca vaccine in older people. Older people actually have significantly lower levels of early side effects after vaccination. This makes sense, as older people’s immune systems don’t tend to react as strongly to vaccines, which would reduce many of these early side effects.

But the vaccine has been shown to induce strong immune responses in older people, which are likely to provide a degree of protection. The European Medicine Agency’s press release on their decision refers to a reasonable likelihood of protection based on this data.

So, just looking at immune responses, it’s reasonable to anticipate the AstraZeneca vaccine will be of some benefit, at least, to older people.

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Read more:
Why we should prioritise older people when we get a COVID vaccine

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What do we know from other vaccines?

Often, vaccines aren’t as effective in older people as compared to younger people, because their immune responses can be less robust. For example, in 2010-2011 in the US, the flu vaccine was 60% effective in the general population, but only 38% effective in people over 65.

There’s more information on efficacy in older people for other COVID-19 vaccines. Notably, the Pfizer vaccine maintained efficacy of 93.7% for people over 55, compared to 95% overall. Accordingly, it would be reasonable to prioritise the Pfizer vaccine for older people.

But we’re beginning to see that vaccine supply and distribution can be unpredictable, with supply issues for Pfizer and AstraZeneca starting to affect vaccine rollout.

Importantly, all COVID-19 vaccines assessed so far, including the AstraZeneca vaccine, provide a high level of protection against severe disease and death across variants of the SARS-CoV-2 virus.

Older people are more susceptible to the coronavirus.
Shutterstock

Limiting access limits options for older people

The question that advisory committees and regulators are weighing up is, should the AstraZeneca vaccine, or any vaccine, be recommended for older people if we know:

• the vaccine has low risk of side effects

• the vaccine has a fair but unconfirmed likelihood of providing some benefit

• COVID-19 has a higher likelihood of severe disease and death in the demographic.

This is tricky to navigate and advice may differ across different vaccines and countries. For example, China is delaying vaccine rollout to older people while it waits for more data.

But conditional approval is a reasonable path to take. It allows for some uncertainty and maintains contact with the manufacturer. It also recognises that the likely benefit of giving older people any available vaccine could outweigh the hypothetical risk that it might not work in the midst of a crushing pandemic.

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Read more:
The Oxford vaccine has unique advantages, as does Pfizer’s. Using both is Australia’s best strategy

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In any case, approvals from regulators, such as the European Medicines Agency and the TGA, have the most impact — defining who the vaccine can be supplied to in a country.

If regulatory guidelines are kept open to all age groups above 18, it will facilitate access to vaccines for many people who could benefit from them. The next steps are distributing these vaccines, and educating and updating the public with the latest information as it comes to hand.

Crucially, we should support older people in vaccine decisions with two things; good information and easy access to an array of safe, protective vaccines.

Kylie Quinn, Vice-Chancellor’s Research Fellow, School of Health and Biomedical Sciences, RMIT University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Court in India Convicts Legislator in Second Murder Case

Manoj Pradhan arrested; three more cases pending against Hindu nationalist.

NEW DELHI, September 10 (CDN) — A Hindu nationalist legislator was arrested yesterday after a court pronounced him guilty of playing a major role in the murder of a Christian during anti-Christian carnage in Orissa state’s Kandhamal district in August 2008.

The Fast Track Court II in Kandhamal convicted Manoj Pradhan of the Hindu nationalist Bharatiya Janata Party (BJP) in the murder of a 30-year-old Christian, Bikram Nayak, who succumbed to head injuries two days after an attack by a mob in the Raikia area of Budedi village on Aug. 25, 2008.

Judge Chitta Ranjan Das sentenced Pradhan to six years of rigorous imprisonment for “culpable homicide not amounting to murder” under Section 304 of the Indian Penal Code and imposed a fine of 15,500 rupees (US$335) for setting houses ablaze.

Pradhan, who contested and won the April 2009 state assembly election from jail representing Kandhamal’s G. Udayagiri constituency, was not initially accused in the police complaint in Nayak’s murder, but his role emerged during the investigation, according to The Hindu.

One of the primary suspects in violence that followed the assassination of Hindu nationalist leader Swami Laxmanananda Saraswati on Aug. 23, 2008, Pradhan was initially arrested in Berhampur city in neighboring Ganjam district in December 2008. The violence began a day after Saraswati’s killing when Hindu nationalist groups blamed Christians for his murder, although Maoists (extreme Marxists) claimed responsibility for it.

In spite of this week’s conviction, the Orissa state unit of the BJP said the case against Pradhan was weak.

“The case is not strong,” Orissa BJP President Jual Oram told Compass by telephone. “Pradhan was merely present at the scene of crime.”

Pradhan was named in at least 12 police complaints concerning murder and arson. But after he won the election, he was released on bail.

This is the 36-year-old Pradhan’s second conviction. On June 29, Kandhamal’s Fast Track Court I sentenced him to seven years in jail in a case concerning the murder of another Christian, Parikhita Nayak, also from Budedi village, who was killed on Aug. 27, 2008. Though not convicted of murder, Pradhan was found guilty of rioting and causing grievous hurt in the Parikhita Nayak case.

The June 29 judgment led to his arrest, but the Orissa High Court granted him bail eight days later.

The BJP will challenge the convictions in a higher court, Oram said.

Last month Kanaka Rekha Nayak, widow of Parikhita Nayak, complained that despite the conviction of Pradhan and an accomplice, they were immediately given bail and continued to roam the area, often intimidating her.

Rekha Nayak was among 43 survivors who on Aug. 22-24 testified in Delhi before the National People’s Tribunal (NPT), a private hearing of victims of the Kandhamal violence organized by the National Solidarity Forum, a confederation of 60 non-profit groups and people’s movements.

Nayak said local politicians, including Pradhan, hit her husband with an axe. Her husband’s body was later chopped into pieces, she recalled as she sobbed during testimony at the tribunal, headed by Justice A.P. Shah, former chief justice of Delhi High Court.

The fast track courts set up especially to hear cases related to the anti-Christian violence have acquitted Pradhan in seven cases for lack of evidence. Three more cases are pending against him.

The state BJP’s Oram said Christians had created “hype” about the cases against Pradhan to “trouble us.” He added, “The state government is not doing anything to arrest and try the killers of the Swami.”

 

Testimony

The NPT tribunal asserted that between August and December 2008, about 2,000 people were “forced to repudiate their Christian faith.”

The tribunal cited government figures asserting that during the violence from August to December 2008, more than 600 villages were ransacked, 5,600 houses were looted and burned, 54,000 people were left homeless, and 38 people were murdered in Kandhamal alone. It also noted that human rights groups estimated that over 100 people were killed, including women, disabled and aged persons and children, and “an un-estimated number suffered severe physical injuries and mental trauma.”

While there were reports of four women being gang-raped, many more victims of sexual assault were believed to have been intimidated into silence, the tribunal concluded.

As many as 295 church buildings and other places of worship, big and small, were destroyed, and 13 schools, colleges, and offices of five non-profit organizations damaged, it said, adding that about 30,000 people were uprooted and living in relief camps, with many of them still displaced.

“More than 10,000 children had their education severely disrupted due to displacement and fear,” it reported. “Today, after two years, the situation has not improved, although the administration time and again claims it is peaceful and has returned to normalcy.”

The Christian community was deliberately targeted by Hindu nationalist groups such as the Rashtriya Swayamsevak Sangh, the Vishwa Hindu Parishad (World Hindu Council), the Bajrang Dal and the active members of Bharatiya Janata Party,” the tribunal concluded.

The jury also observed that cries against religious conversions were used as for political mobilization and “to incite horrific forms of violence and discrimination against the Christians” of Dalit (formerly “untouchables” according the caste hierarchy in Hinduism) origin.

“The object is to dominate them and ensure that they never rise above their low caste status and remain subservient to the upper castes,” it added.

The jury accused police of complicity, which “was not an aberration of a few individual police men, but evidence of an institutional bias against the targeted Christian community.”

“The jury is constrained to observe that public officials have colluded in the destruction of evidence, and there is testimony directly implicating the District Collector [the administrative head of a district] in this misdemeanor.”

The jury expressed concern over the lack of mechanisms to protect victims “who have dared to lodge complaints and witnesses who have courageously given evidence in court,” as they “are unable to return to their homes.”

“There is no guarantee of safe passage to and from the courts. They are living in other cities and villages, many of them in hiding, as they apprehend danger to their lives.”

It also noted mental trauma in children.

“There has been no trauma counselling for the affected children and adolescents in Kandhamal. Even today they have nightmares of running in the jungle, with the killers in pursuit, are scared of any loud sound and are afraid of people walking in groups or talking loudly.”

Bollywood lyricist Javed Akhtar, who was part of the tribunal, said that incidents such as the Kandhamal carnage against religious minorities continued to happen with “alarming frequency” in India.

“As citizens of this democracy, we should hang our heads in shame,” he said.

Report from Compass Direct News

After two years in labor camp, Christian leader released

After two years of reeducation in a labor camp, Wusiman Yiming was finally released and reunited with his family, reports MNN.

In 2007, Wusiman was sentenced for "revealing state secrets" and "illegal proselytizing." ChinaAid Association says the sentence was a result of Wusiman’s Christian leadership in house churches among the Uyghur people in Xinjiang, China. Government officials originally planned to give Wusiman a 10-15 year sentence, but thanks to media coverage, it was only two years.

Wusiman is now back with his family, aged and fragile, but in good spirits. Alimujiang Yimiti, who was accused of the same things as Wusiman in the same court case, is still in custody.

Alimujiang has been arbitrarily detained at Kashi Municipal Center since January 12, 2008 even though no concrete sentence was made against him, and forged documents were used in court.

On October 27, 2009, Alimujiang was read his verdict and sentence. Alimujiang, his wife and his lawyer are still waiting for a printed document explaining an exact verdict. In the meantime, they have been told that the punishment will be severe.

ChinaAid says that Alimujiang is highly respected in the prison. Pray that he would continue to have opportunities to spread the Gospel and share the love of Christ even while imprisoned. Pray also that Alimujiang would be released and that justice would finally be brought to the situation.

Report from the Christian Telegraph 

Draft legislation in Russia might make evangelism impossible

A draft legislation introduced this month threatens to make evangelism nearly impossible in Russia. A date has not yet been released for further ruling on the law, but in the meantime, evangelicals express concern, reports MNN.

“Only religious groups that have been registered in Russia for at least 15 year will be allowed to engage in any evangelistic or missionary activity,” says Bob Provost of Slavic Gospel Association. “For example, if a North American church were to send a youth group over to help with a summer camp (which happens a lot), or if they were to send over a music group to help with evangelistic activity, it would not be allowed. Foreigners in Russia on a temporary visa would not be permitted.”

The legislation also outlaws indigenous churches from any missionary activity within hospitals, orphanages, or homes for the aged. Children, under the new legislation, will be prohibited from attending religious activities without specific permission by a parent or guardian. This part of the law, in particular, would devastate specific ministry opportunities.

“The single greatest evangelistic opportunity that the Church has there today comes at Christmas time when they’re able to hold Christmas events and invite children from the community,” explains Provost. “In many cases, parents and grandparents accompany their children to these meetings and find out that the lies that they’ve been hearing via the media or in the public schools against evangelical Christianity are not true.”

As if all of these restrictions were not limiting enough, the legislation forbids any “offers of material, social and other benefits,” leaving the range of prohibited activity almost completely open-ended.

If passed, anyone convicted of anything under this legislation (offering food to the poor, sharing the Gospel with a child, evangelizing on a short-term trip etc.) could be fined up to $517 USD. The Russian Union of Evangelical Christians-Baptists (RUECB) has responded to the absurdity of the open-endedness of the draft legislation, but it does not appear as though the government has not appeared to have made any movement.

With all of these objectives brewing, an explanation as to “why” is appropriate. But so far, there doesn’t appear to be substantial reasoning. Provost suggests that the legislation may be in defense of the Orthodox Church in Russia. Although the Baptist Church is not growing astronomically in Russia, it is growing and may well be considered a threat.

“It’s evident to me that president Putin, when he came into power, put the government’s arm around the Orthodox Church again in order to unify the country,” says Provost. As a result, “Any religion that starts to get in the way of the Orthodox Church is going to be considered a threat, and steps are being taken to remove it.”

Amid all of the concern, the Church continues to live on in Russia. “605 men have been set apart and are ready to be sent as missionaries all over the former Soviet Union. We’re praying for partners who would help us send them,” says Provost. “Nine out of ten communities are still waiting for a Gospel witness presence. In other words, nine out of ten communities have never had a Bible teaching church.”

The RUECB is asking churches in Russia to fast and pray that the legislation would not be passed in any of the stages toward becoming law. Please pray with them.

Slavic Gospel Association will continue their work in Russia and the former Soviet Union.

Report from the Christian Telegraph 

CHINA PASTOR RELEASED FROM PRISON AFTER INTERNATIONAL ATTENTION

A Chinese human rights watchdog organization says a Christian House Church leader has been freed by government authorities as the result of international pressure.

In a media release ChinaAid says that

at 6 p.m. on April 24, Pastor Lou Yuanqi of Xinjiang Uyghur Autonomous Region was released from prison under the provision of “bailed out waiting for trial, ” a legal procedure called “qu bao hou shen.”

ChinaAid said: “Though this provision allows for future arrest and prosecution, Pastor Lou was released and permitted to return home. The provision’s purpose is also to prevent Pastor Lou or his family from filing an administrative lawsuit against the state for compensation for illegal detention time.”

The media release explains that Xinjiang authorities could not find evidence sufficient to continue his prosecution and indictment. According to family members, Pastor Lou looked fragile, because of the horrible conditions he suffered in prison. He suffers from hepatitis B, and is in great need of medical attention.

It adds: “Pastor Lou’s faith is very strong, and he, his wife Wang Wenxiu and their three children are overwhelmed by the response from the international community.”

According to ChinaAid, Pastor Lou was first detained on May 17, 2008 at 1 p.m. in Qingshuihe town, Huocheng county of Xinjiang Uyghur Autonomous Region. Pastor Lou stood trial on December 15, 2008 on charges of “utilizing superstition to undermine the law.”

ChinaAid stated: “Those close to the case say the authorities’ motivation for the charge was to stop Lou’s house church from meeting in his home. Immediately after Lou’s trial, his daughter, Lou Tiantian, 18, was beaten by court police when she tried to speak with her father as he was being put into a police car.”

ChinaAid says that later, the court issued a statement, declaring “the facts [in Pastor Lou’s case] unclear and the evidence insufficient.” Despite this ruling, Pastor Lou continued to be imprisoned until his release on April 24.

Two other Xinjiang Christians, Alimujiang Yimiti and Wusiman Yiming, are currently suffering in prison for their faith, according to the ChinaAid media release.

Alimujiang Yimiti, a Uyghur Christian, was first detained on the charge of “endangering the security of the state,” then was officially arrested on February 20, 2008 for “suspicion of inciting secession and organizing people in stealing, spying, buying and illegally providing state secrets or intelligence to overseas organizations.”

However, ChinaAid says sources say the real reason for his detention is because of his Christian faith and witness among the Uyghur people. Alimujiang was seen March 31 around 10 a.m. (local time) at Nongsanshi (Military Farm) Hospital in Kashgar. His hands were bound and he was observed being roughly escorted by police and a prison doctor while repeatedly crying out to onlookers in Chinese, “I’m sick. Tell my lawyer to come quickly to see me.”

Wusiman Yiming, another Uyghur Christian, was sentenced to two years of re-education through labor in September 2007 for “revealing state secrets” and “illegal proselytizing.”

ChinaAid sources say that he was, in fact, sentenced because of his boldness as a Christian and a leader in the Uyghur church. Sources report that he has aged dramatically in the labor camp and his health is deteriorating due to harsh conditions.

“We welcome the release of this innocent pastor who has been arbitrarily detained for more than a year simply for his Christian faith related activities,” said ChinaAid’s Bob Fu.

“We urge the Xinjiang authorities to release other innocent people of faith such as Alimujiang Yimiti and Wusiman Yiming.”

Report from the Christian Telegraph

CHINA: LEGAL WHEELS TURN SLOWLY FOR UYGHUR CHRISTIAN

Detained since January, Alimjan Yimit awaits new court date.

DUBLIN, November 11 (Compass Direct News) – Chinese officials have yet to declare a new court date for Alimjan Yimit, a Christian house church leader and ethnic Uyghur in China’s northwest province of Xinjiang detained since his arrest on Jan. 12.

Alimjan’s name appears as Alimujiang Yimiti in Chinese documents.

State prosecutors in mid-October returned Alimjan’s case to a Xinjiang court for consideration, China Aid Association (CAA) reported. Court officials have refused to release details of the case to the public, but sources told Compass that further legal action is expected imminently.

Charges against Alimjan include “inciting secessionist sentiment to split the country” and “collecting and selling intelligence for overseas organizations,” CAA reported in June. Officials have threatened to hand down a sentence ranging from as much as six years in prison to execution.

Once a Muslim, Alimjan converted to Christianity more than 10 years ago and became active in the growing Uyghur church. Friends said they believe his faith is the real reason for his arrest.

His wife Gulnur has consistently proclaimed his innocence, pointing out that as an agricultural worker he had no access to information affecting national security and therefore could not be guilty of leaking such information.

Alimjan’s hair, dark when police arrested him on Jan. 12, is now graying as a result of harsh conditions in detention, sources said.

During Alimjan’s employment with two foreign-owned companies, officials from the State Security Bureau (SSB) regularly called him in for interrogation, forbidding him to discuss the questioning with anyone.

In September 2007, they closed the business Alimjan worked for and accused him of using it as a cover for “preaching Christianity among people of Uyghur ethnicity.”

Lawyers had hoped for an early acquittal for Alimjan based on evidence of unfair treatment due to his Christian beliefs. A lengthy bureaucratic process, however, has dimmed these hopes.

A trial was initially scheduled for April but postponed while court documents – including interrogation records from the Xinjiang SSB – were translated from Uyghur into Chinese.

When the case was heard on May 27, court officials allowed Alimjan’s two lawyers to be present but banned his wife from entering the courtroom due to the “sensitivity” of the case. After deliberations the court returned the case to state prosecutors citing insufficient evidence. (See Compass Direct News, “Court Cites ‘Insufficient Evidence’ in Christian’s Trial,” May 30.)

In September, Public Security Bureau officers in Xinjiang returned the case to state prosecutors, who again presented it to the court for consideration in October.

 

Another Uyghur Christian’s Appeal Denied

A second Uyghur Christian, Osman Imin, has aged dramatically and his health has deteriorated due to conditions in a labor camp where he is forced to work 12 to 15 hours per day.

In Chinese documents, Osman’s name appears as Wusiman Yaming.

The State Security Bureau in Hetian City, Xinjiang in September 2007 sentenced Osman to two years of re-education through labor for “revealing state secrets” and “illegal proselytizing.” Associates, however, said his arrest had nothing to do with disclosure of state secrets but with the fact that he was an outspoken Christian and a leader in the Uyghur church.

Authorities first arrested Osman in October 2004, holding him in a detention center in Hotan, southern Xinjiang, for an unspecified “violation of law,” according to CAA.

During his initial detention, Osman was chained to a metal bed and beaten repeatedly during interrogations, a source that spoke on condition of anonymity told Compass. (See Compass Direct News, “Uyghur Christians Arrested, Jailed in Xinjiang,” February 11.)

Osman was released on bail on Nov. 18, 2004 and bail was canceled in October 2006. On July 26, 2007, however, he was again placed under supervised house arrest and finally detained by police on Nov. 19 for allegedly leaking state secrets.

Officials had called for a 10- to 15-year criminal sentence, but after international media attention they reduced the term to two years in labor camp.

When Osman’s lawyer Liang Xiaojun appealed his sentence in June, court authorities insisted on a closed hearing on grounds that the case involved confidential information, CAA reported. They turned down the appeal, refusing to explain why and denying Osman proper access to his lawyer, which violated normal court procedure.

Compass previously reported that officials had arrested and detained a third Uyghur believer, a woman from southern Xinjiang. Further investigation revealed that both she and her husband were arrested on charges of theft.

Report from Compass Direct News

FAITH AND ASSURANCE: Bishop J. C. Ryle

READER,

If you are a thoughtless, careless man about your soul, you will take no interest in the subject of this tract. Faith and assurance are mere names and words to you: they are neither land, nor money, nor horses, nor dress, nor meat, nor drink: like Gallio, you care not for them. Alas, poor soul! I mourn over you. The day will come when you will think differently.

Reader, if you really desire to go to heaven, and to go there in the Bible way you will find the subject of this tract of the deepest importance. Believe me, your own comfort in religion, and your peace of conscience, depend exceedingly on understanding the matter about which I am going to speak. I say then, that faith in Christ, and a full assurance of being saved by Christ, are two distinct things.

A man may have saving faith in Christ, and yet never enjoy an assured hope, like the Apostle Paul. To believe, and have a glimmering hope of acceptance, is one thing; to have joy and peace in our believing, and abound in hope, is quite another. All God’s children have faith: not all have assurance. I think this ought never to be forgotten.

I know some great and good men have held a different opinion: I believe that many excellent ministers do not allow the distinction I have stated; but I desire to call no man master. I dread as much as anyone the idea of healing the wounds of conscience slightly; but I should think any other view than that I have given a most uncomfortable gospel to preach, and one very likely to keep souls back a long time from the gate of life.

I would not desire to make one contrite heart sad that God has not made sad, or to discourage one fainting child of God, or to give a soul the impression that you have no part or lot in Christ, except you feel assurance. I do not shrink from saying, that by grace a man may have sufficient faith to flee to Christ, really to lay hold on Him, really to trust in Him, really to be a child of God, really to be saved; and yet to his last day be never free from much anxiety, doubt, and fear.

“A letter,” says an old writer, “may be written which is not sealed; so grace may be written in the heart, yet the Spirit may not set the seal of assurance to it.”

A child may be born heir to a great fortune, and yet never be aware of his riches, live childish, die childish, and never know the greatness of his possessions.

And so also a man may be a babe in Christ’s family; think as a babe, speak as a babe, and, though saved, never enjoy a lively hope, or know the full privileges of his inheritance.

Faith in the Lord Jesus Christ a man must have, beyond all question, if he is to be saved. I know no other way of access to the Father: I see no intimation of mercy excepting through Christ. A man must feel his sins and lost estate, must come to Jesus for pardon and salvation, must rest his hope on Him and on Him alone. But if he only have faith to do this, however weak and feeble that faith may be, I will engage, from Scripture warrants, he shall not miss heaven. Never, never let us curtail the freeness of the glorious gospel, or clip its fair proportions. Never let us make the gate more strait, and the way more narrow, than pride or love of sin have made it already. The Lord Jesus is very pitiful and of tender mercy. He does not regard the quantity of faith, but the quality He does not measure its degree, but its truth. He will not break any bruised reed, nor quench any smoking flax. He will never let it be said that any perished at the foot of the cross. “Him that cometh unto Me,” He says, “I will in no wise cast out” (John vi. 37). 1

Yes, reader! though a man’s faith be no bigger than a grain of mustard seed, if it only brings him to Christ, and enables him to touch the hem of His garment, he shall be saved: saved as surely as the oldest saint in paradise; saved as completely and eternally as Peter, or John, or Paul. There are degrees in our sanctification: in our justification there are none. What is written is written, and shall never fail: “Whosoever believeth on Him,” not whosoever has a strong and mighty faith, “Whosoever believeth on Him shall not be ashamed” (Rom. x. 11).

But all this time, I would have you take notice, the poor soul may have no full assurance of his pardon and acceptance with God. He may be troubled with fear upon fear, and doubt upon doubt. He may have many a question and many an anxiety, many a struggle, and many a misgiving, clouds and darkness, storm and tempest to the very end.

I will engage, I repeat, that bare simple faith in Christ shall save a man, though he may never attain to assurance; but I will not engage it shall bring him to heaven, with strong and abounding consolations. I will engage it shall land him safe in harbour, but I will not engage he shall enter that harbour under full sail, confident and rejoicing. I shall not be surprised if he reaches his desired haven weather-beaten and tempest-tossed, scarcely realising his own safety till he opens his eyes in glory.

Reader, I believe it is of great importance to keep in view this distinction between faith and assurance. It explains things which an inquirer in religion some times finds it hard to understand.

Faith, let us remember, is the root, and assurance is the flower. Doubtless you can never have the flower without the root; but it is no less certain you may have the root and not the flower.

Faith is that poor trembling woman who came behind Jesus in the press and touched the hem of His garment (Mark v. 25). Assurance is Stephen standing calmly in the midst of his murderers, and saying, “I see the heavens opened, and the Son of man standing on the right hand of God” (Acts vii. 56). Faith is the penitent thief crying, “Lord, remember me” (Luke xxiii. 42). Assurance is Job sitting in the dust, covered with sores, and saying, “I know that my Redeemer liveth” (Job xix. 25). “Though He slay me, yet will I trust in Him” (Job xiii. 13).

Faith is Peter’s drowning cry as he began to sink: “Lord, save me!” (Matt. xiv. 30). Assurance is the same Peter declaring before the Council, in after times, “This is the stone which was set at nought of you builders, which is become the head of the corner. Neither is there salvation in any other: for there is none other name under heaven given among men, whereby we must be saved” (Acts iv. 11,12).

Faith is the anxious, trembling voice: “Lord, I believe; help my unbelief” (Mark ix. 24). Assurance is the confident challenge: “Who shall lay anything to the charge of God’s elect? Who is he that condemneth?” (Rom. viii. 33, 34).

Faith is Saul praying in the house of Judas at Damascus, sorrowful, blind, and alone (Acts ix. 11). Assurance is Paul, the aged prisoner, looking calmly into the grave, and saying, “I know Whom I have believed,” “There is laid up for me a crown” (2 Tim. i. 12; iv. 8).

Faith is life. How great the blessing! Who can tell the gulf between life and death? And yet life may be weak, sickly, unhealthy, painful, trying, anxious, worn, burdensome, joyless, and smileless to the very end.

Assurance is more than life. It is health, strength, power, vigour, activity, energy, manliness, and beauty.

Reader, it is not a question of saved or not saved that lies before us, but of privilege or no privilege, it is not a question of peace or no peace, but of great peace or little peace, it is not a question between the wanderers of this world and the school of Christ, it is one that belongs only to the school, it is between the first form and the last.

He that has faith does well. Happy should I be if I thought all readers of this tract had it. Blessed, thrice blessed are they that believe: they are safe; they are washed; they are justified. They are beyond the power of hell. Satan, with all his malice, shall never pluck them out of Christ’s hands. But he that has assurance does far better, sees more, feels more, knows more, enjoys more, has more days like those spoken of in Deuteronomy, even “the days of heaven upon the earth” (Deut. xi. 21). 2

Reader, whoever you may be, I exhort you never to be satisfied with anything short of a full assurance of your own salvation. With faith, no doubt, you must begin, with simple, child-like faith: “Believe on the Lord Jesus Christ, and thou shalt be saved.” But from faith go on to assurance. Rest not till you can say, “I know Whom I have believed.”

Believe me, believe me, assurance is worth the seeking. You forsake your own mercies when you rest content without it. The things I speak are for your peace. It is good to be sure in earthly things; how much better is it to be sure in heavenly things!

Make it then your daily prayer that you may have an increase of faith. According to your faith will be your peace. Cultivate that blessed root more, and sooner or later, by God’s blessing, you may hope to have the flower. You may not perhaps attain to full assurance at once: it is good sometimes to be kept waiting; we do not value things that we get without trouble. But though it tarry, wait for it. Seek on, and expect to find.

 

FOOTNOTES:

1 “He that believeth on Jesus shall never be confounded. Never was any; neither shall you, if you believe. It was a great word of faith spoken by a dying man, who had been converted in a singular way, betwixt his condemnation and execution: his last words were these, spoken with a mighty shout ‘Never man perished with his face towards Jesus Christ.'”  Traill.

2 “The greatest thing that we can desire, next to the glory of God, is our own salvation; and the sweetest thing we can desire is the assurance of our salvation. In this life we cannot get higher than to be assured of that which in the next life is to be enjoyed. All saints shall enjoy a heaven when they leave this earth: some saints enjoy a heaven while they are here on earth.” Joseph Carlyle. 1658.