Biden Administration The decision to provide Covid boosters to healthy and fully vaccinated Americans has caused an unusually broad and sharp response among researchers and policy makers. They believe that this subverts conventional decision-making, relies on data that appears to be more dramatic than the actual situation, and undermines the United States’ commitment to other countries to support vaccine delivery so that more people in the world can get vaccinated faster.

Director, Africa Department, World Health Organization Call it “A mockery of vaccine fairness.” For American ethicists and scientists, it seems to have abandoned the public health ethics leadership that was a national trademark throughout the 20th century. They want to see an adjusted decision, although it may be irreversible.

“The Americans led the fight against AIDS; we led the fight to eradicate smallpox,” said Lawrence Gostin, director of the O’Neill Institute of National and Global Health Law at Georgetown University. “I found it really shocking. In a truly unprecedented global crisis, we did not choose to lead in the same way.”

Recap: The White House Announced on Wednesday Anyone 18 years of age or older who has received two doses of Pfizer or Moderna mRNA vaccine is eligible to receive a third dose, the booster dose, eight months after the last injection. These vaccines will first be used by health care workers, the elderly, nursing homes and long-term care workers, but they are designed to increase the immunity of anyone who chooses to get vaccinated. According to the White House, the campaign is scheduled to begin at 80,000 vaccination sites on September 20.

According to the members of the White House Covid-19 Working Group who spoke at the briefing, the trigger for the decision was Some Pieces of Research Released by the Centers for Disease Control and Prevention that morning. The study showed that in several groups—inpatients, nursing home residents, and adults with vaccinations recorded in several New York State registries—mRNA vaccines are becoming less and less effective in preventing Covid-19 infection. (The study was conducted by CDC scientists and academic medical groups, and was published in the institution’s Morbidity and Mortality Weekly Report. The report was reviewed by researchers and editors, but without formal peer review.)

Infect Is the key word here. These three studies found that the effectiveness of vaccines against infections dropped from the 95% level observed in clinical trials to 84% of hospitalized patients, 79.8% of New Yorkers, and 53% of nursing home residents. But the researchers pointed out that the original intention of the vaccine campaign, as captured in the clinical trials that allowed the formulation to be authorized, was to prevent serious illness, hospitalization, and death-and the new study does not determine whether these have been reduced. For example, New Yorkers in the Vaccine Registry are protected from 91.9% to 95.3% and will not suffer from diseases that are severe enough to require hospitalization.

In other words, the booster case may be based on the prevention of a disease classified as “mild” by the health authorities-that is, not severe enough to require hospitalization. However, the federal representative who proposed the strengthening decision predicts that vaccine protection may be further weakened: “Although this new data confirms that the vaccine’s protection against the worst outcome of COVID is still high, we are worried that the decline pattern we are seeing will be in the future. In a few months, this may lead to reduced protection against serious illness, hospitalization and death,” surgeon Vivek Murthy said at the briefing.

This decision is a slap in the face of WHO. The Director-General of WHO has urged rich countries to postpone the intensified injections until late September so that poor countries can protect their most vulnerable residents first. Mike Ryan, Executive Director of the World Health Organization’s Emergency Health Program, knew that the decision was coming, Described it At a press conference held a few hours in advance like this: “We plan to distribute additional life jackets to those who already have life jackets, while letting others drown.” Globally, more than 5 billion people are still unvaccinated. .

Source link