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Morning Briefing

Summaries of health policy coverage from major news organizations

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Monday, Jan 11 2021

Full Issue

Idea Of Delaying Second 'Booster' Shots Sparks Debate

While the World Health Organization approved an extension of up to 6 weeks, other scientists and health expert warn that the potential consequences from such a move are unknown and too risky,

Experts at the World Health Organization on Friday approved delaying the times between doses of Pfizer and BioNTech鈥檚 coronavirus vaccine. The organization鈥檚 Strategic Advisory Group of Experts on immunization published guidance stating that the interval between doses 鈥渕ay be extended up to 42 days (6 weeks), on the basis of currently available clinical trial data,鈥 The Associated Press reported. (Williams, 1/8)

As for whether or not the U.S. should follow the lead of countries like the U.K. and Denmark, Norman Baylor, former director of the U.S. Food and Drug Administration (FDA), called the plan 鈥渧ery risky鈥 on CNBC.聽鈥淚 understand some of the rationale to do this, but again, it鈥檚 not really data driven,鈥澛燘aylor said. 鈥淚t鈥檚 a very risky venture because if it fails, you鈥檙e in worse shape.鈥 (Kelley, 1/7)

One issue in considering the reduced dosage is that an immune response is not the same thing as proven protection against a disease, warns Paul Offit, director of the Vaccine Education Center at the Children鈥檚 Hospital of Philadelphia and a government adviser on vaccine policy. While the presence of antibodies often means that a patient has developed some immune protection, it鈥檚 not a given. For example, people can have antibodies against HIV without being protected from the disease. To say that immune response means protection, Offit says, 鈥渋s to ignore history.鈥 (Kramer, 1/8)

Both the Covid-19 vaccine from Pfizer Inc. and Germany鈥檚 BioNTech SE and the one from Moderna Inc. require two doses, administered three or four weeks apart. In the U.S., President-elect Joe Biden plans to release all available doses right away, rather than holding back supplies for a second shot. The proposed departure from the Trump administration鈥檚 policy comes as U.K. authorities have decided to delay the second shot. ere is what we know and don鈥檛 know about deviating from the recommended schedule. (Hopkins and Sugden, 1/8)

Also 鈥

As states try to broaden the reach of their coronavirus vaccination campaigns and navigate uncertain supply chains, many of the first people to receive their shots are just now completing the final act of immunity, the second dose, which boosts the efficacy of both available U.S. vaccines to about 95%.Many health care workers and others at high risk who had the Pfizer shots in mid December lined up for their "booster" shot this week, due to be given 21 days after the initial dose. (Stone, 1/9)

The roll-out of coronavirus vaccines in many countries will not provide herd immunity from the global pandemic this year, several health experts said on Monday, citing limited access for poor countries, community trust problems and potential virus mutations. 鈥淲e won鈥檛 get back to normal quickly,鈥 Dale Fisher, chairman of the World Health Organization鈥檚 (WHO) Outbreak Alert and Response Network, told the Reuters Next conference. (Wardell, 1/11)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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