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Factbox: Countries respond to heart inflammation risk from mRNA shots

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Some countries have halted altogether or are giving only one dose of COVID shots based on so-called mRNA technology to teens following reports of possible rare cardiovascular side effects.

Europe’s drug regulator said in July it had found a possible link between a very rare inflammatory heart condition and COVID-19 vaccines from Pfizer/BioNTech and Moderna.

However, the benefits of mRNA shots in preventing COVID-19 continue to outweigh the risks, European and U.S. regulators and the World Health Organization have said.

Here are some of the steps some countries are taking:

CANADA

The Public Health Agency of Canada said data suggested that reported cases of rare heart inflammation were higher after Moderna’s COVID-19 vaccine compared with the Pfizer/BioNTech shots.

DENMARK

The Danish Health Agency said on Friday that it was continuing to offer Moderna’s COVID-19 vaccine to under-18s, and that a statement on Wednesday suggesting a suspension had in fact been a miscommunication.

FINLAND

Finland paused the use of Moderna’s vaccines for younger people and instead would give Pfizer’s vaccine to men born in 1991 and later. It offers shots to those aged 12 and over.

HONG KONG

A panel of health experts advising the Hong Kong government has recommended in September children aged 12-17 should get only one dose of BioNTech’s COVID-19 vaccine after reports of heart inflammation as a side effect.

NORWAY

Norway will hold off giving children aged 12-15 a second dose of a vaccine against COVID-19 until it has gathered more research. On Oct. 22 the health ministry said there was no urgency given that children have a low risk of falling seriously ill from COVID-19.

On Sep. 2 Norway decided on giving one dose of Pfizer/BioNTech vaccine to children aged 12-15.

SWEDEN

Sweden has extended the pause of Moderna COVID-19 vaccine beyond the original Dec. 1 deadline for people aged 30 and younger due to rare heart-related side-effects, the public health agency said on Oct. 21.

The agency said earlier in October that data pointed to an increase of myocarditis and pericarditis among youths and young adults vaccinated with Moderna vaccine Spikevax, and paused the use for all born 1991 or later.

SOUTH AFRICA

South Africa will start vaccinating children between 12 and 17 using the Pfizer vaccine, the health minister said, as the country looks to ratchet up inoculations ahead of final year examinations.

On the advice of its vaccine advisory committee the government would only give teenagers a single shot of Pfizer’s normal two-shot regime due to concerns that it may affect the heart.

UNITED KINGDOM

Britain has been offering all 12-15-year-olds a first a shot of the Pfizer/BioNTech vaccine. Second doses would not be offered to the age group until at least spring when there may be more data from around the world.

 

(Compiled by Antonis Triantafyllou; Editing by Joanna Jonczyk-Gwizdala and Tomasz Janowski)

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COVID-19 immunization clinics open to B.C. kids ages five to 11 today – Toronto Star

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VICTORIA – Children in British Columbia between five and 11 years old can start getting shots of a pediatric COVID-19 vaccine today.

Provincial health officer Dr. Bonnie Henry said last week that about 350,000 children are eligible to receive the modified dose of the Health Canada-approved Pfizer-BioNTech vaccine.

Health Canada approved the pediatric shot for use in Canada after an independent scientific review confirmed the first vaccine formulated for younger children is safe and effective.

Henry says the same vaccine has been administered to more than three million children in the United States and there have been no “safety signals” as a result.

She says the vaccine will help children and families safely return to activities that benefit physical and mental health.

Dr. Penny Ballem, the executive lead for B.C.’s vaccination drive, has said she expects the full children’s immunization effort including second doses to conclude by the end of January.

This report by The Canadian Press was first published Nov. 29, 2021.

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COVID-19 immunization clinics open to B.C. kids ages five to 11 today – Times Colonist

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VICTORIA — Children in British Columbia between five and 11 years old can start getting shots of a pediatric COVID-19 vaccine today. 

Provincial health officer Dr. Bonnie Henry said last week that about 350,000 children are eligible to receive the modified dose of the Health Canada-approved Pfizer-BioNTech vaccine.

Health Canada approved the pediatric shot for use in Canada after an independent scientific review confirmed the first vaccine formulated for younger children is safe and effective. 

Henry says the same vaccine has been administered to more than three million children in the United States and there have been no “safety signals” as a result.

She says the vaccine will help children and families safely return to activities that benefit physical and mental health.

Dr. Penny Ballem, the executive lead for B.C.’s vaccination drive, has said she expects the full children’s immunization effort including second doses to conclude by the end of January.

This report by The Canadian Press was first published Nov. 29, 2021.

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COVID-19: Children between five and 11 are eligible for vaccinations starting Monday – Vancouver Sun

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Health Canada approved the Pfizer vaccine for children aged five to 11 on Nov. 19. This vaccine uses a lower dose of 10 micrograms — one-third of the dose given to older children and adults

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Children in B.C. between five and 11 years old start receiving the first doses of their COVID-19 vaccines on Monday.

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More than 90,000 out of the 350,000 eligible children, or 26 per cent, in that age category were registered a week before the rollout, according to the B.C. government.

The government’s own surveys show that most parents support getting vaccines for their young children, but there are some whose views might keep the vaccination rate lower for this age category.

Of B.C. parents who responded, 58 per cent will register to vaccinate their children right away, while another 18 per cent planned to wait, and nearly 25 per cent said they are not sure they will do it, according to Penny Ballem, the executive lead for B.C.’s immunization efforts.

A parent or legal guardian has to give verbal consent ahead of a child being vaccinated, according to Ballem.

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Health Canada approved the Pfizer vaccine for children aged five to 11 on Nov. 19. This vaccine uses a lower dose of 10 micrograms that is one-third of the dose given to older children and adults.

COVID-19 information from the B.C. Centre for Disease Control from Nov. 25 shows that 80 per cent of British Columbians at the next age group up, aged 12 to 17, are now fully vaccinated and more than 87 per cent have a first dose.

There are varying rates in different health authorities, however. In Fraser, Vancouver Coastal and Vancouver Island, it is higher at 82 per cent, 89 per cent and 83 per cent, respectively. In Interior, it was 70 per cent and in Northern, it was 59 per cent.

Within authorities, there is also a wide spectrum. As of Nov. 23, Enderby and Kettle Creek in the Interior authority had only 38 per cent of 12- to 17-year-olds double vaccinated, while Kimberley posted 80 per cent. In Vancouver Coastal, Bella Coola Valley had 59 per cent of 12- to 17-year-olds double vaccinated, while North Vancouver was at 93 per cent.

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Between Oct. 27 to Nov. 25, the number of average daily cases per 100,000 people among the double vaccinated for this 12 to 17 age group across B.C. was 2.5. Among those who had one vaccination, the number of average daily cases per 100,000 people was 8.2. And for the unvaccinated, the figure was 46.8 per 100,000.

For that same period, in the category of 0-11 year olds, who are all unvaccinated, the number of average daily cases per 100,000 people was 16.8.

“I think the most important thing is that vaccinations be readily available for all children and families,” said Teri Mooring, president of the B.C. Teachers’ Federation.

“For families where it’s not convenient for them to book an appointment in a separate clinic or perhaps they work long hours or there are other various individual circumstances, we think there should be an option (for COVID-19 vaccination) in schools as well.”

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Mooring said that “it was a concern with the 12- to 17-year-olds as well and what we’re seeing in some parts of the province, where we have vaccine hesitancy, we are still those (vaccination) numbers lag behind. We don’t want that to be the case for the five to 11-year-olds.”

Youth aged 12 to 18 have to carry a B.C. Vaccine card, or have a trusted adult carry one for them, to go to restaurants and attend indoor, organized events. Unlike adults, they don’t have to also show government-issued identification. Children aged five to 11 are not be required to show proof of vaccination.

jlee-young@postmedia.com

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