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Health Canada authorizes Moderna’s COVID-19 vaccines for kids 12 to 17 years old – Vernon Morning Star

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Health Canada has finally given the green light for Moderna’s COVID-19 vaccine to be used to inoculate kids as young as 12.

The original approval for Moderna in December 2020 was only for people at least 18 years old.

Moderna applied for authorization for youth in early June, citing a clinical trial of 3,700 youth in which none of the teens who got two doses developed a COVID-19 infection.

Youth as young as 12 in Canada have been authorized to receive the vaccine from Pfizer-BioNTech since May 5.

As of mid-August, 75 per cent of kids in that age group had received at least one dose, and 59 per cent were fully vaccinated.

Health Canada also says the National Advisory Committee on Immunization is meeting next week to discuss whether booster shots should be offered to people with compromised immune systems.

Ontario has already begun to offer boosters to transplant recipients, people with some blood cancers and long-term care home residents.

Health Canada took only a few weeks to approve Pfizer for youth, and has not explained why the Moderna review took more than two months.

“After a thorough and independent scientific review of the evidence, Health Canada has determined that the vaccine is safe and effective at preventing COVID-19 in youth aged 12 to 17,” a spokeswoman wrote in an email Friday.

Europe approved the Moderna vaccine for children more than a month ago. The United States has not yet authorized it for teenagers.

The Pfizer vaccine however was approved for teens just as concerns were rising about rare instances of myocarditis — inflammation of the heart muscle — and pericarditis, inflammation of the sac around the heart — particularly in younger people.

In Canada, 557 cases of the two syndromes have now been diagnosed in people who had received one or two doses of a COVID-19 vaccine, 96 per cent of whom had received either Pfizer or Moderna. Half of the people who developed the syndrome were between 12 and 29 years old.

Overall the rate of the syndromes occurred in less than one in 100,000 people who received the vaccine.

The National Advisory Committee on Immunization said in a statement Friday that it recommended kids between 12 and 17 get both doses of either Pfizer or Moderna, noting that it had taken into account the concerns around myocarditis and pericarditis.

Chief public health officer Dr. Theresa Tam said in her weekly written update that since Pfizer has been used for the nearly two million teens already vaccinated, some provinces and territories might want to just keep using it since they are more familiar with its side-effects.

But she said Moderna is still safe to use for that age group.

Both Pfizer and Moderna are in the midst of trials of their vaccines for children younger than 12, with results expected sometime this fall.

—Mia Rabson, The Canadian Press

RELATED: B.C.’s daily COVID-19 case count keeps rising, 867 on Friday

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Chris Rock says he has COVID-19, urges vaccination – San Francisco Chronicle

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Sep. 19, 2021Updated: Sep. 19, 2021 11:45 a.m.

FILE – In this March 30, 2019 file photo, Chris Rock presents the award for outstanding comedy series at the 50th annual NAACP Image Awards at the Dolby Theatre in Los Angeles. Chris Rock on Sunday, Sept. 19, 2021 said he has been diagnosed with COVID-19 and sent a message to anyone still on the fence: “Get vaccinated.” (Photo by Chris Pizzello/Invision/AP, File)Chris Pizzello/Chris Pizzello/Invision/AP

NEW YORK (AP) — Chris Rock on Sunday said he has been diagnosed with COVID-19 and sent a message to anyone still on the fence: “Get vaccinated.”

The 56-year-old comedian wrote on Twitter: “Hey guys I just found out I have COVID, trust me you don’t want this. Get vaccinated.”

Rock has previously said he was vaccinated. Appearing on “The Tonight Show” in May, he called himself “Two-shots Rock” before clarifying that he received the one-shot Johnson & Johnson vaccine.

“You know, I skipped the line. I didn’t care. I used my celebrity, Jimmy,” he told host Jimmy Fallon. “I was like, ‘Step aside, Betty White. Step aside, old people. … I did ‘Pootie Tang.’ Let me on the front of the line.'”

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'Waning immunity?': Experts say term leads to false understanding of COVID-19 vaccines – CHEK

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The idea of waning immunity has picked up steam in recent weeks, with some countries using it to justify rolling out third-dose COVID-19 vaccine boosters to their populations.

But immunologists say the concept has been largely misunderstood.

While antibodies — proteins created after infection or vaccination that help prevent future invasions from the pathogen — do level off over time, experts say that’s supposed to happen.

And it doesn’t mean we’re not protected against COVID-19.

Jennifer Gommerman, an immunologist with the University of Toronto, said the term “waning immunity” has given people a false understanding of how the immune system works.

“Waning has this connotation that something’s wrong and there isn’t,” she said. “It’s very normal for the immune system to mount a response where a ton of antibodies are made and lots of immune cells expand. And for the moment, that kind of takes over.

“But it has to contract, otherwise you wouldn’t have room for subsequent immune responses.”

Antibody levels ramp up in the “primary response” phase after vaccination or infection, “when your immune system is charged up and ready to attack,” said Steven Kerfoot, an associate professor of immunology at Western University.

They then decrease from that “emergency phase,” he added. But the memory of the pathogen and the body’s ability to respond to it remains.

Kerfoot said B-cells, which make the antibodies, and T-cells, which limit the virus’s ability to cause serious damage, continue to work together to stave off severe disease long after a vaccine is administered. While T-cells can’t recognize the virus directly, they determine which cells are infected and kill them off quickly.

Recent studies have suggested the T-cell response is still robust several months following a COVID-19 vaccination.

“You might get a minor infection … (but) all of those cells are still there, which is why we’re still seeing very stable effectiveness when it comes to preventing severe disease,” Kerfoot said.

A pre-print study released this week by Public Health England suggested protection against hospitalization and death remains much higher than protection against infection, even among older adults.

So the concept of waning immunity depends on whether you’re measuring protection against infection or against severe disease, Kerfoot said.

Ontario reported 43 hospitalized breakthrough cases among the fully vaccinated on Friday, compared to 256 unvaccinated hospitalized infections. There were 795 total new cases in the province that day, 582 among those who weren’t fully vaccinated or had an unknown vaccination status.

British Columbia, meanwhile, saw 53 fully vaccinated COVID-19 patients hospitalized over the last two weeks, compared to 318 unvaccinated patients.

“You’ll hear people say that vaccines aren’t designed to protect infection, they’re designed to prevent severe disease,” Kerfoot said. “I wouldn’t say necessarily it’s the vaccine that’s designed to do one or another … that’s just how the immune system works.”

Moderna released real-world data this week suggesting its vaccine was 96 per cent effective at preventing hospitalization, even amidst the more transmissible Delta variant, and 87 per cent effective at preventing infection — down from the 94 per cent efficacy seen in the clinical trials last year.

Moderna CEO Stephane Bancel said that dip “illustrates the impact of waning immunity and supports the need for a booster to maintain high levels of protection.”

Pfizer-BioNTech has argued the same with its own data, and an advisory panel to the U.S.-based Food and Drug Administration voted Friday to endorse third doses for those aged 65 and older, or at high risk for severe disease.

However, the panel rejected boosters for the general population, saying the pharmaceutical company had provided little safety data on extra jabs.

Gommerman said the efficacy data presented by Moderna doesn’t signal the need for a third dose.

“The fact it protects 87 per cent against infection, that’s incredible,” she said. “Most vaccines can’t achieve that.”

Bancel said Moderna’s research, which has yet to be peer reviewed, suggested a booster dose could also extend the duration of the immune response by reupping neutralizing antibody levels.

But Dr. Sumon Chakrabarti, an infectious physician in Mississauga, Ont., said looking solely at the antibody response is misleading, and could be falsely used as justification for an infinite number of boosters.

Israel, which has opened third doses for its citizens, recently talked about administering fourth doses in the near future.

“This idea of waning immunity is being exploited and it’s really concerning to see,” Chakrabarti said. “There’s this idea that antibodies mean immunity, and that’s true … but the background level of immunity, the durable T-cell stuff, hasn’t been stressed enough.”

While some experts maintain boosters for the general population are premature, they agree some individuals would benefit from a third jab.

The National Advisory Committee on Immunization has recommended boosters for the immunocompromised, who don’t mount a robust immune response from a two-dose series.

Other experts have argued residents of long-term care, who were prioritized when the rollout began last December, may also soon need a third dose. The English study suggests immunity could be waning in older groups but not much — if at all — among those under age 65.

Chakrabarti said a decrease in protection among older populations could be due more to “overlapping factors,” including their generally weaker immune systems and congregate-living situations for those in long-term care.

“These are people at the highest risk of hospitalization,” he said. “Could (the length of time that’s passed following their doses) be playing a role? Yeah, maybe.”

While we still don’t know the duration of the immune response to COVID-19 vaccination, Gommerman said immune cells typically continue to live within bone marrow and make small amounts of antibodies for “decades.”

“And they can be quickly mobilized if they encounter a pathogen,” she said.

Melissa Couto Zuber/The Canadian Press

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Chris Rock gets COVID, urges vaccine – South Coast Register

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