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AstraZeneca or Moderna? Sinopharm or artificial satellite?

in order to More than 500 American universities It is planned to require students enrolled in this fall to receive the COVID-19 vaccine. A major challenge will be to implement this requirement for international students who may not be able to obtain one of the three vaccines currently authorized by the US Food and Drug Administration.

Some of these students may have obtained different vaccines authorized by different national regulatory agencies in their country, or they may not be able to obtain the COVID-19 vaccine at all.

“It covers the entire field,” said Edythe-Anne Cook, deputy director of administrative services at the American University Student Health Center in Washington, DC. “As you can imagine, every country has its own access to vaccines, and they also have their own vaccines. Distribution policy And plan.”

In terms of COVID-19 vaccine requirements, Americans accept Any COVID-19 vaccine authorized by the FDA for emergency use-Moderna, Pfizer, and Johnson & Johnson vaccines-or any Listed as an emergency vaccine by the World Health Organization, Including AstraZeneca vaccine and Sinopharm and Huaxing vaccine, both of which are manufactured in China, and so on.

A review of the mandatory vaccine policies of dozens of universities shows that many universities are taking the route of receiving FDA or WHO authorized vaccines in the United States.This is the same as Temporary guide The US Centers for Disease Control and Prevention provides vaccines to individuals who are vaccinated outside the United States. The center stated that people who have received all the recommended doses of COVID-19 vaccine listed by the World Health Organization for emergency use do not require additional doses of FDA authorization vaccine. In contrast, those who have been vaccinated with a vaccine not authorized by the FDA or WHO “may receive a complete COVID-19 vaccine series authorized by the FDA”, assuming that at least 28 days have passed since the last time a different vaccine was given. vaccine.

According to the CDC, for the purpose of public health guidance, only people who have received all the recommended doses of the vaccines listed by the FDA or WHO can be considered fully vaccinated.

Gerri Taylor, co-chair of the COVID-19 working group of the American University Health Association, said that universities have a record of accepting international versions of vaccines to meet longer-term vaccine needs, such as vaccines against meningitis, measles, mumps and mumps. rubella.

Taylor said: “Each university must make its own decision. Both WHO and CDC are a good standard.” “If we follow their advice, I think the school will be in good condition.”

Not all vaccines available internationally are recommended by WHO for emergency use: well-known vaccines not currently listed by WHO include Covaxin, which is available in India, and Sputnik V, which is available in Russia. Many universities have plans to help students who cannot get the vaccine approved by the WHO or FDA before coming to campus get vaccinated upon arrival.

But this raises the question of what special precautions students may need to take in the weeks before they are fully vaccinated: According to CDCA person is considered to be fully vaccinated two weeks after a single dose of Johnson & Johnson vaccine or two weeks after a second dose of Moderna or Pfizer vaccine. Taylor of the American College Health Association said that universities with COVID vaccination requirements are trying to figure out how to accommodate students who have not been fully vaccinated for any reason.

“This is not just an international issue; it’s all students,” Taylor said. “Do you live with people who have been vaccinated with people who have not been vaccinated? ACHA is currently in discussions, trying to make a decision on what to recommend in this regard.

The university is taking a different approach.

Washington Whitman College, Release guide It was stated last week that “students who cannot be vaccinated against COVID in the community before entering the campus will receive isolation housing, provided they agree to cooperate with the college to get the vaccine as soon as possible.”

A Whitman spokesperson said that whether these students can participate in face-to-face courses will be determined on an individual basis. “We are working hard to get students in this situation into the campus as early as possible so that they can be fully vaccinated at the beginning of the semester,” he said. “For those who cannot enter the campus as early as possible, we will work closely with them and their professors to find individual solutions that will not expose our students, faculty and staff to additional risks.”

US Student Health Center administrator Cook said that the university will allow international students who have not yet been vaccinated to enter the dormitory and participate in face-to-face courses, but they must wear masks and participate in surveillance tests. They will also comply with any municipal health department requirements related to COVID testing and activity restrictions on arrival. She said these students will be able to participate in face-to-face courses after being vaccinated.

Cook said: “We know that some members of the campus community are not vaccinated immediately, but we believe they will agree to continue to abide by health and safety guidelines to ensure everyone’s safety.”

Boston University plans to accept any COVID-19 vaccine, including vaccines that have not been authorized or approved by the WHO or FDA.But the university noticed Its website “Although BU will receive all vaccines, current Centers for Disease Control (CDC) guidelines only exempt fully vaccinated individuals who have been vaccinated with WHO/FDA authorization or approval from having to isolate after traveling or in close contact with people diagnosed with COVID -19. If this is still the case in autumn, students arriving on campus with vaccines from other countries/regions may still be subject to close contact isolation, travel isolation or other requirements set by the Commonwealth [of Massachusetts]. “

David Hamer, professor of global health and medicine at BU School of Public Health and BU School of Medicine, cited several reasons for BU’s decision to accept all COVID-19 vaccines to meet its institutional vaccination requirements.

“One is that we worry about what the students will get,” he said. “If we do not receive certain vaccines, then when they arrive, they must be basically in isolation and cannot attend classes until they are fully vaccinated. This may take three to four weeks. This means that those students may be unable to The risk of starting the semester on time, unless they come early, may increase the cost.”

“Another reason is that we don’t know enough about mixing different vaccines,” Hammer said. “When we don’t know the response to a series of vaccines, we don’t want to force people to get a second vaccine.”

Some smaller universities are considering the situation of each international student individually. This is the case at Albion College in Michigan, where COVID-19 Coordinator, Associate Dean of Health and Sports Director Matt Arend said the college expects to recruit about 30 international students this fall. student.

“We are indeed evaluating on a case-by-case basis,” he said. “We are working with the local health department to try to evaluate the different vaccines available.”

Sudhanshu Kaushik, executive director of the North American Indian Student Association, urged universities to “be more empathetic and more background to understand” what their vaccine requirements mean for international students.

“Just put it on them and say that you must get this vaccine, otherwise you will not be allowed to enter the campus or participate in face-to-face courses” is inappropriate, he believes, and pointed out that this is in the past year and a half Happened afterwards. Many international students who pay for tuition attend classes remotely.

Cheryl Matherley, vice president and deputy provost for international affairs at Lehigh University in Pennsylvania, said that the question about Lehigh’s vaccination requirements is “the biggest problem we get from international students.”

She said that Lehigh officials are answering questions from Indian students, for example, they can get one dose of COVID vaccine before they travel to the United States, but they cannot get the second dose, and they are questioning whether they should get the first dose. University officials also got many questions from students about isolation and what it means: Students who have not received FDA or WHO-approved vaccines need to arrive on campus 7 days before isolation training on August 15th.

In addition, Matherley said that students from many countries find it difficult to find affordable flights to the United States.

She said: “Some of us are trying to balance quarantine time and flight availability.”

“Every work must be queued for the students to arrive here, which requires us to handle the orientation from the arrival date to the accommodation to how we will handle the orientation and even start the course,” Matherley said. “In the final analysis, as an institution, we must be completely flexible.”

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