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Friday, October 07, 2022

Do I have to lie to get vaccinated? No, and here’s why

Do I have to lie to get vaccinated? No, and here's why

If you listen to Governor Gavin Newsom, the question of whether you are eligible for the COVID-19 vaccine in California is very easy.

“If 6 months have passed since you received Pfizer / Moderna or 2 months have passed since [Johnson & Johnson], you can shoot “, – he tweeted tuesday morning… “It is so simple.”

However, a quick scan of the responses to his post reveals that things are still not going so smoothly for some. Eligibility questions still prevent people from getting appointments with major drugstore chains. Others say the state’s own online platform tells them they can’t take pictures.

As one user put it, “I tried to make an appointment last night and the site told me I was not qualified. There is no other choice but to lie … “

But do you really have to fake to get hit?

The stumbling block is the listed criteria for eligibility for revaccination when trying to make an appointment. Some have stated that they do not fit into any of the categories.

For example, on the government’s vaccination schedule website MyTurn.ca.gov, the site asks:

Are you in one of the following eligible groups?

  • Living in a long-term care facility (such as a nursing home or nursing home)
  • At high risk of COVID-19 complications
  • Are at high risk of contracting COVID-19 due to occupation or institutional setting
  • At high risk of social inequality (More)

If you say no, the website says that you are not currently eligible for a booster.

But there is actually one category that almost all adults fit into, according to a permissive interpretation recently formulated by health officials across California and elsewhere. New York

According to this interpretation, virtually all adults meet the criteria, as virtually all of them are “at high risk of contracting COVID-19 due to their profession or institutional environment.”

This confusing language on the California vaccination website is an abbreviation of the US Centers for Disease Control and Prevention, which sets out official guidelines for who is eligible for the vaccine.

All Johnson & Johnson vaccine recipients were advised to undergo booster vaccinations two months after their initial vaccination.

But for several weeks, the CDC website reported that among people vaccinated by Pfizer-BioNTech and Moderna, those eligible for booster vaccinations include adults “who work or live at high risk.” They can be workers in schools, hospitals, grocery stores, factories, and prisons.

But the CDC is also defiantly allowing vaccinated adults to use their own judgment to determine if they believe they are “at increased risk of contracting COVID-19.”

It is this loose interpretation that many states and local governments have resorted to as they urge all fully vaccinated adults to get boosted as soon as possible.

California health officer and director of public health Dr. Thomas Aragon said in a letter to vaccine providers that adults may decide to revaccinate if they feel they are at a higher risk of contracting the coronavirus simply by living in the area. hit hard by COVID-19, a criterion that can describe anyone around the world.

The letter said that vaccine providers: “Do not abandon a patient who asks for a booster vaccination” if enough time has passed since that person received the initial round of vaccinations.

Updates on the California timetable website may appear in a few days. On Tuesday morning, the MyTurn website was updated: “Announcement: Booster doses are now available for people aged 18+. Find a 24/7 clinic now or make an appointment at My Turn starting November 18th. ”

However, the old eligibility question still shows up when trying to make an appointment.

Some counties stopped asking confusing questions about eligibility at the end of last week. By Thursday evening, Santa Clara County – the most populous in Northern California – was no longer asked if those seeking booster vaccinations were members of the four CDC eligible groups.

San Francisco officials released a press release Friday night offering advice on how to fill out forms. While local city clinics are “ready to turn down no one,” it may take time for health systems and pharmacies to respond to the expansion of the booster vaccine. For example, patients may still see screening tools in use at the time of their appointment, asking them to confirm a narrower set of eligibility criteria. As systems upgrade, people should choose the least restrictive criteria that applies to them. Many workplaces and living quarters are at risk of contracting COVID. ”

Not only California and New York put forward arguments for this interpretation, but Colorado, which stated that “since COVID-19 is spreading rapidly across the state, Colorado is a high-risk place to live and work,” and thus everyone adults are eligible for revaccination.

New Mexico made the same interpretation when a senior state health official said that with high morbidity and out-of-capacity hospitals, the state was now in a “high-risk environment.”

As a result, many health officials say you can declare with a clear conscience that you are eligible for booster vaccinations because you are “at high risk of contracting COVID-19 due to your profession or institutional environment.”

What is the reason for this confusing situation?

This is largely due to a September debate by an advisory committee of scientists at the US Food and Drug Administration, which opposed the recommendation for all adults to receive booster vaccinations.

In August, members of President Biden’s COVID-19 task force said the federal government would be ready to offer booster vaccines to all vaccinated adults by the end of September if an independent review by the FDA and CDC leads to such a recommendation.

While there was widespread consensus that the elderly 65 and over and others at high risk of severe illness from COVID-19 should receive booster vaccinations, there has been much debate over whether the available evidence suggests that younger people should also be recommended and healthier adults.

But new federal guidelines may be coming soon. The FDA is currently reviewing a new Pfizer / BioNTech request for its vaccine as a booster for all adults.

A number of public health officials and experts have expressed their views on the broad importance of boosters in responding to the pandemic.

“We’re starting to see a decline in immunity against infection,” Dr. Anthony Fauci, Biden’s chief medical adviser on the COVID-19 pandemic, told The Daily podcast recently.

“And if you look at Israel, which has always been a month or a month and a half ahead of us in outbreak dynamics in their response vaccines and in all other elements of the outbreak, they see a weakening of immunity, not only against infection, but also against hospitalizations and, in some degree, from death, which is now beginning to cover all age groups. It’s not just the elderly, ”Fauci said.

Eventually, it may become clear that the booster shot will be defined as “an integral part of the primary [vaccination] a regime that people have to observe, ”Fauci said. “The promotion will be an absolutely critical component of our response. Not a bonus, not a luxury, but an absolutely necessary part of the program. “

Dr. Scott Gottlieb, a former FDA chief and board member of Pfizer, told CBS News on Face the Nation that the confusing booster message could be “one of the biggest missed opportunities in this pandemic.” “

“We now see very clear evidence of a decline in vaccine effectiveness over time. This may be for various reasons, but the trend is obvious, ”he said. “Anyone who is eligible for a booster — and most Americans are probably eligible for a booster at this point — should go and look for one. And this is the fastest way to increase the general immunity of the population “,

People who were vaccinated a long time ago “may have only 50% of its effectiveness left,” Gottlieb said, but a booster vaccine could restore up to 95% effectiveness “based on the data we saw – within a few days.”

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