Health
To speed up access to the COVID-19 vaccine, Bay Area doctors suggest delaying a single dose and a second dose.
Currently, US health authorities are discussing this, but not everyone agrees.
Dr. Bob Wachter of the University of California, San Francisco School of Medicine claimed in a Twitter thread that he was in favor of the policy.
“It’s much better to have 100 million people who are 80% protected than 50 million people who are 95% protected, especially because we are facing smarter and more annoying enemies. That seems to me, “Wachter tweeted.
The United States is currently considering the idea of a single vaccination shot and has postponed shot # 2 until a few months later. Last week I thought it was a bad idea – the trial that found 95% efficacy was 2 shots. The complexity and the reason for adding a new curved ball. However, the facts in the field need to be reconsidered. (1/7)
–Bob Wachter (@Bob_Wachter) December 31, 2020
He didn’t think the idea was immediately feasible, but he changed his mind when he saw a slower development than expected, combined with the arrival of new, more transmissible variants.
He writes: A new curve ball. However, the facts in the field need to be reconsidered. “
Relation: UK approves use of COVID-19 vaccine developed by Oxford University and AstraZeneca
In the UK, regulators recently approved the Oxford / AstraZeneca vaccine. Test data showed that the recipient experienced 73% efficacy after the first shot. A second dose is also required, but the study found that it could be given at intervals of up to 12 weeks and maintained 70% efficacy.
“We recognize that extending to 12 weeks will allow more people to be vaccinated with the first vaccine and protect a larger part of the community,” said Chief Healthcare Officer at Brighton and Sussex Hospitals in the United Kingdom. Said George Findley.
However, there are only two FDA-approved vaccines in the United States for Pfizer / Biontech and Modana vaccines, and we are not convinced that all public health authorities should deviate from the prescribed regimen.
“This is an interesting idea, but there is really no evidence,” said Dr. Tyler Evans, Deputy Public Health Officer in Marin County, who is responsible for the distribution of the vaccine.
Relation:Police say pharmacists have been arrested for deliberately ruining the COVID-19 vaccine
He also argues that advance planning was difficult.
“Things are constantly changing, so I don’t know what’s going on in the next two weeks with regard to supply,” he said.
That uncertainty can throw a wrench in the process of expanding the window between doses.
“The problem with immunizing as many people as possible is that you may not be able to reach that second vaccination in a reasonable time frame,” Evans said.
Interactive: When is the COVID-19 vaccine available?Find the place where you are lined up
A single shot may protect some people, but its immunity weakens over time, creating a condition in which vaccinated people can still be infected with COVID-19. If it begins to happen to a sufficient number of people, he believes it can undermine confidence in the vaccine and cause more damage in the long run.
“It’s the most important issue and will earn the trust of the community and come back for a second dose.”
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