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US to recommend COVID booster shots after 8 months: Who could get them and why – CNET

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Medical studies show vaccines still provide strong protection against the most serious effects of COVID-19, including variants. 


Sara Tew/CNET

For the most up-to-date news and information about the coronavirus pandemic, visit the WHO and CDC websites.

Following concerns that the protection coronavirus vaccines provide against serious infection may soon start to decrease for those who are fully vaccinated, the White House on Wednesday will announce plans for a booster vaccine shot as soon as this fall. A booster shot would help shore up protection from the virus for those who are fully vaccinated as the delta variant takes hold across the country.

The US Food and Drug Administration has already authorized a third dose of the Moderna and Pfizer vaccines for some immunocompromised people. The guidance on Wednesday from administration health and medical experts would recommend a booster shot for most Americans who are already vaccinated, starting with nursing-home residents and health care and emergency workers, according to the New York Times, with older adults and then the general population next in line.

The recommendation follows reports that the effectiveness of the vaccine starts to decline after eight months. According to the Times, the Biden administration will reportedly advise that those who are fully vaccinated will need a booster eight months after being fully vaccinated. In a briefing today, White House press secretary Jen Psaki said President Joe Biden and First Lady Jill Biden will follow government guidelines for booster shots once those guidelines are released.

What does all this mean in the US? Read on for what we know about COVID-19 booster shots today, including why they’re needed, how they relate to breakthrough infections and what the controversy has been surrounding third shots. We’ll be updating this as new information is released.

What could the Biden administration advise about coronavirus booster shots?

Health officials with the Biden administration are expected on Wednesday to recommend an additional shot for most Americans who are fully vaccinated. The guidance follows reports from Israel that the protection the Pfizer vaccine provides may start to decrease after eight months. The administration will reportedly recommend a booster vaccination eight months after becoming fully vaccinated, which for those who received their shots in January and February would be as early as mid-September.

“There is a concern that the vaccine may start to wane in its effectiveness over months,” Francis Collins, director of the National Institutes of Health, said on Fox News on Sunday.  “And delta is a nasty one for us to try to deal with. The combination of those two means we may need boosters, maybe beginning first with health care providers, as well as people in nursing homes, and then gradually moving forward.”

Will everyone who is fully vaccinated need a booster shot?

The Biden administration is expected to recommend that Americans who are fully vaccinated with the Pfizer or Moderna vaccines will need a third shot. The new recommendation will depend on the FDA’s authorization of additional shots, the New York Times reported.

The administration expects those who received the one-dose Johnson & Johnson vaccine will also need another jab, according to the Times.

Are COVID-19 booster shots available now?

Some who already are eligible under guidelines from the Centers for Disease Control and Prevention can now go out and get their third dose of a COVID-19 vaccine. The list of immunocompromised people who can get a third shot includes solid organ transplant recipients or people who have an “equivalent level of immunocompromise” and who have a reduced ability to fight off infections, making them more vulnerable to the coronavirus. Booster authorization hasn’t been expanded more broadly to those with other chronic medical conditions, but that might be next.

The CDC recommendation is for an additional dose of the two-shot vaccine for certain immunocompromised people, which is a small group. Within that category, the recommendation is for those 18 and older for the Moderna vaccine, and 12 and older for the Pfizer vaccine. The FDA didn’t authorize an additional dose of the Johnson & Johnson vaccine, and because of a lack of data the CDC doesn’t recommend a second dose for immunocompromised people who got the one-shot vaccine.

About 3% of US adults are immunocompromised, according to the CDC, but research suggests they account for about 44% of hospitalized breakthrough cases of COVID-19. Not only are they more likely to get very ill from COVID-19, they also have a lower antibody response to vaccines and are at a higher risk of transmitting the virus. 

Those with other conditions, like diabetes and heart disease, aren’t advised to get a booster, at least for now. Here’s a list of people the CDC recommends get an extra dose if they got the Pfizer or Moderna vaccine: 

  • Those with advanced or untreated HIV infection.
  • Cancer patients and transplant recipients who are taking certain immunosuppressive drugs.
  • Those receiving active cancer treatment for tumors or cancers of the blood.
  • Those with moderate or severe primary immunodeficiency. 
  • Patients being treated with high-dose corticosteroids or other drugs that may suppress immune response. 
  • People who received a stem cell transplant within the last two years and are taking certain drugs. The CDC says to talk to your medical provider about your health condition and whether a third shot is appropriate. 

If you’re unsure if you’re qualified, the CDC says to talk to your medical provider about your health condition and whether a third dose is appropriate. 

What’s behind the need for COVID-19 booster shots?

Calling the eradication of the COVID-19 virus “unlikely,” a UK scientific advisory group says (PDF) there’s a “realistic possibility” that a variant will emerge that is resistant to the current battery of vaccines. Governments, public health organizations and vaccine makers are all tracking developments in coronavirus variants like delta and lambda, hoping to determine if booster shots targeting new variants will be needed soon among the general population.

As of July, in the US, “breakthrough” coronavirus cases caused by the dominant delta variant amount to less than 1% of people who are fully vaccinated. Both the Moderna and Pfizer vaccines have proved to be more than 90% effective against hospitalizations and death. Nonetheless, a CDC study shows that vaccinated people can both contract the highly contagious delta variant and spread it. According to a widely reported internal CDC memo, the delta variant spreads as easily as chicken pox, which is considered more contagious than the flu but less contagious than measles

The surge in new COVID-19 cases is primarily affecting unvaccinated people and causing community spread, and in turn, prompting the return of mask mandates and guidance in hard-hit areas, even for people who have full vaccine protection. The debate over mask use and vaccine boosters underscores how scientists and other health experts continue to grapple with the uncertainties of COVID-19.

What’s the controversy over booster shots?

Israel has been administering third doses of the vaccine to those 60 and older, and the UK plans to do the same in September. However, this is resulting in a backlash among countries that are struggling to deliver first and second shots to residents. 

World Health Organization Director-General Tedros Adhanom Ghebreyesus called for a “moratorium” on booster shots in high-income countries, citing the global disparity in vaccine distribution. Of the 4 billion doses administered globally, 80% have gone to high- and upper-middle income countries that make up less than half the world’s population, he said. 

“We cannot accept countries that have already used most of the global supply of vaccines using even more of it, while the world’s most vulnerable people remain unprotected. We call on vaccine producers to prioritize Covax,” Tedros said, referring to the world’s COVID-19 vaccine distribution program.

Psaki on Tuesday said the US will have enough vaccines to both provide boosters for those who are fully vaccinated in the US and meet the global demand. “We have long planned from enough supply,” she said.

What’s the difference between boosters and a new COVID-19 vaccine?

Moderna’s and Pfizer’s current two-dose vaccine provide effective protection against all known variants of COVID-19, including the delta variant, according to ongoing studies and self-reported statistics. But Pfizer announced in July that a third dose of its vaccine is currently under development. The company said its own research showed a booster shot of its current vaccine increased antibody levels five to 10 times higher over its two-dose shots, noting that its results haven’t been published or peer-reviewed. This week, Pfizer submitted data to the FDA to receive approval for a booster shot.

What’s happening with Johnson & Johnson boosters?

At this time, the FDA and CDC haven’t extended the authorization and recommendation for an additional dose to the Johnson & Johnson vaccine, citing insufficient data. 

Residents in San Francisco who received Johnson & Johnson’s one-dose COVID-19 vaccine were given the green light to get a supplemental dose of an mRNA vaccine, though it still isn’t recommended by the city’s health department. Dr. Grant Colfax, San Francisco’s health director, said there isn’t conclusive evidence that getting a dose of Pfizer or Moderna benefits those who got the J&J shot, but there’s also no evidence to show it’s harmful, the San Francisco Chronicle reported. “If people received the Johnson & Johnson and are requesting a second shot, we will accommodate them, but our policy has not changed,” Colfax said.

San Francisco’s decision to legitimize Johnson & Johnson vaccine recipients getting an mRNA vaccine comes in light of a small study that suggests the vaccine isn’t nearly as effective against the delta variant as the other vaccines. (Another study suggests that Johnson & Johnson remains effective, and the drug-maker continues to assert that the vaccine is effective.) 

Biden press conferenceBiden press conference

The Biden administration says booster shots would be free.


Screenshot by Corinne Reichert/CNET

Would the booster shot be free?

The current one-dose vaccine shot from Johnson & Johnson and two-dose versions from Moderna and Pfizer are free to anyone who wants to get vaccinated. According to the Biden administration, COVID-19 booster shots will also be free, if and when they’re approved.

Is it OK to mix and match COVID-19 vaccines?

According to the Times, administration officials may recommend people get a booster for the same vaccine they originally received.

The CDC now says a third dose of a different vaccine brand is permitted if a dose of the same type isn’t available.

Other global health agencies and countries are testing administered vaccines from two different manufacturers. In the UK, for example, a recent study found that those who received a first dose of the AstraZeneca vaccine and a second of Pfizer had a higher immune response than those who received two doses of the AstraZeneca vaccine.

While we watch how the situation develops, here’s what we know about the delta variant, more about COVID-19 boosters and info on whether you need to continue to wear a mask.

The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives.

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US President Joe Biden urges Covid-19 booster shots for those now eligible – Times of India

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WASHINGTON: President Joe Biden on Friday urged those now eligible for Covid-19 booster shots to get the added protection a day after the Centers for Disease Control and Prevention endorsed the doses for millions of older or otherwise vulnerable Americans.
Opening a major new phase in the U.S vaccination drive against Covid-19, CDC Director Dr. Rochelle Walensky signed off on a series of recommendations from a panel of advisers late Thursday. Biden praised the decision and aimed to set aside any unease about the vaccination, saying that he would get his own booster soon.
“It’s hard to acknowledge I’m over 65, but I’ll be getting my booster shot,” Biden said. “It’s a bear, isn’t it?”
The advisers said boosters should be offered to people 65 and older, nursing home residents and those ages 50 to 64 who have risky underlying health problems. The extra dose would be given once they are at least six months past their last Pfizer shot.
However, Walensky decided to make one recommendation that the panel had rejected.
The panel on Thursday voted against saying that people can get a booster if they are ages 18 to 64 years and are health-care workers or have another job that puts them at increased risk of being exposed to the virus. But Walensky disagreed and put that recommendation back in, noting that such a move aligns with an FDA booster authorization decision earlier this week. The category she included covers people who live in institutional settings that increase their risk of exposure, such as prisons or homeless shelters, as well as health care workers.
An administration official said the White House did not have input in Walensky’s decision nor was given a heads-up. Biden on Friday said “the decision is left to the scientists and the doctors. That’s what happened here.”
The panel had offered the option of a booster for those ages 18 to 49 who have chronic health problems and want one. But the advisers refused to go further and open boosters to otherwise healthy front-line health care workers who aren’t at risk of severe illness but want to avoid even a mild infection.
The panel voted 9 to 6 to reject that proposal. Walensky decided to disregard the advisory committee’s counsel, issuing a statement saying she had restored the recommendation.
“As CDC Director, it is my job to recognize where our actions can have the greatest impact,” Walensky said late Thursday night. “At CDC, we are tasked with analyzing complex, often imperfect data to make concrete recommendations that optimize health. In a pandemic, even with uncertainty, we must take actions that we anticipate will do the greatest good.”
It’s rare for a CDC director to overrule the panel recommendation; experts said it has only happened once this century.
Experts say getting the unvaccinated their first shots remains the top priority, and the panel wrestled with whether the booster debate was distracting from that goal. Biden stressed that the administration’s focus remained on getting people to get their first shots and that he intended to keep rolling out “vaccination requirements wherever I can.”
“The refusal to get vaccinated have cost all of us,” the president said. “It is not hyperbole: it is literally a tragedy. Don’t let it be your tragedy.”
All three of the Covid-19 vaccines used in the US are still highly protective against severe illness, hospitalization and death, even with the spread of the extra-contagious delta variant. But only about 182 million Americans are fully vaccinated, or just 55% of the population.
“We can give boosters to people, but that’s not really the answer to this pandemic,” said Dr. Helen Keipp Talbot of Vanderbilt University. “Hospitals are full because people are not vaccinated. We are declining care to people who deserve care because we are full of unvaccinated Covid-positive patients.”
Thursday’s decision represented a dramatic scaling back of the Biden administration plan announced last month to dispense boosters to nearly everyone to shore up their protection. Late Wednesday, the Food and Drug Administration, like the CDC panel, signed off on Pfizer boosters for a much narrower slice of the population than the White House envisioned.
The booster plan marks an important shift in the nation’s vaccination drive. Britain and Israel are already giving a third round of shots over strong objections from the World Health Organization that poor countries don’t have enough for their initial doses.
Walensky opened Thursday’s meeting by stressing that vaccinating the unvaccinated remains the top goal “here in America and around the world.”
Walensky acknowledged that the data on who really needs a booster right away “are not perfect.” “Yet collectively they form a picture for us,” she said, “and they are what we have in this moment to make a decision about the next stage in this pandemic.”
The CDC panel stressed that its recommendations will be changed if new evidence shows more people need a booster.
The CDC advisers expressed concern over the millions of Americans who received Moderna or Johnson & Johnson shots early in the vaccine rollout. The government still hasn’t considered boosters for those brands and has no data on whether it is safe or effective to mix-and-match and give those people a Pfizer shot.
“I just don’t understand how later this afternoon we can say to people 65 and older, ‘You’re at risk for severe illness and death, but only half of you can protect yourselves right now,’” said Dr. Sarah Long of Drexel University.
About 26 million Americans got their last Pfizer dose at least six months ago, about half of whom are 65 or older. It’s not clear how many more would meet the CDC panel’s booster qualifications.
CDC data show the vaccines still offer strong protection against serious illness for all ages, but there is a slight drop among the oldest adults. And immunity against milder infection appears to be waning months after people’s initial immunization.
For most people, if you’re not in a group recommended for a booster, “it’s really because we think you’re well-protected,” said Dr. Matthew Daley of Kaiser Permanente Colorado.
Public health experts not involved in Thursday’s decision said it is unlikely people seeking third doses at a drugstore or other site will be required to prove they qualify.
Even with the introduction of boosters, someone who has gotten just the first two doses would still be considered fully vaccinated, according to the CDC’s Dr. Kathleen Dooling. That is an important question to people in parts of the country where you need to show proof of vaccination to eat in a restaurant or enter other places of business.
Among people who stand to benefit from a booster, there are few risks, the CDC concluded. Serious side effects from the first two Pfizer doses are exceedingly rare, including heart inflammation that sometimes occurs in younger men. Data from Israel, which has given nearly 3 million people — mostly 60 and older — a third Pfizer dose, has uncovered no red flags.
The U.S. has already authorized third doses of the Pfizer and Moderna vaccines for certain people with weakened immune systems, such as cancer patients and transplant recipients. Other Americans, healthy or not, have managed to get boosters, in some cases simply by asking.

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B.C. records seven COVID-related deaths, 80% of those eligible fully vaccinated – News 1130

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VANCOUVER (NEWS 1130) – Seven more British Columbians have died due to COVID-19 in the past 24 hours, as Fraser Health once again recorded the most new cases in the province.

A total of 743 new infections were recorded on Friday, including 292 in Fraser Health and 177 in Interior Health. Vancouver Coastal Health recorded 111 cases and Northern Health saw 106. Island health recorded the remaining 57 cases.

Four of the latest deaths were within the Fraser Health Authority, while Interior Health, Northern Health, and Island Health recorded one each.

The Fraser Health region also has the most active cases, with 2,029 of the 5,979 province-wide.

Related articles: Province begins crack-down on businesses that ignore vaccine card enforcement

The province says 319 COVID-19 patients are in the hospital, including 149 in the ICU.

Earlier Friday, the health ministry issued a statement, confirming all COVID-19 patients who are hospitalized are counted in the daily totals once they enter the facility, but are removed from the total even if they remain hospitalized but are no longer infectious.

“Once a patient in critical care is no longer infectious with COVID-19, the patient is removed from daily critical-care totals. However, for planning purposes, these patients are still included in the overall COVID-19 counts for the hospital,” the ministry added in a statement.

It says some patients need to stay in the hospital for “difficulties with other health conditions … that are no longer directly tied to COVID-19,” or because they may have caught the virus while in the hospital and still need care for the original issue they were admitted for.

“This means some patients who entered hospital or critical care as a COVID-19 patient may no longer be counted as COVID-19 patients once they are no longer infectious, even though they remain in hospital.”

It says as of Sept. 21, 2021, there were 152 patients in B.C. hospitals in that category. “Discontinued isolation,” which is usually over after 10 days if the patient doesn’t have a fever and their symptoms are improving.

B.C. reaches 80% mark for those with two vaccine doses

In the past day, 7,858 British Columbians aged 12 and up received their second dose of a COVID-19 vaccine, bringing the total to an even 80 per cent. Another 6,778 people received their first dose bringing that percentage up to 87.5.

According to the province, people not fully vaccinated accounted for 75 per cent of cases between Sept. 16 and Sept. 22. It also says they accounted for 81.9 per cent of hospitalizations between Sept. 9 and Sept. 22.

Related articles:

There are 21 active outbreaks at health-care facilities:

Long-term care: Northcrest Care Centre, Westminster House, Menno Terrace East (Fraser Health), Arbutus Care Centre, Louis Brier Home and Hospital (Vancouver Coastal Health), Village at Mill Creek – second floor, Cottonwoods Care Centre, Spring Valley Care Centre, Kamloops Seniors Village, Hillside Village, The Hamlets at Westsyde, Joseph Creek Care Village, Overlander (Interior Health), Jubilee Lodge (Northern Health), and Victoria Chinatown Care Centre (Island Health)

Acute care: Chilliwack General Hospital (Fraser Health) and Fort St. John Hospital (Northern Health)

Assisted or independent living: Sunset Manor (Fraser Health), David Lloyd Jones, Sun Pointe Village, and Hardy View Lodge (Interior Health)

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Rodents on the rise: How to avoid an infestation this fall

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Rodents have become a larger problem for Canadian homeowners since the beginning of the Covid-19 pandemic. The pests that lived near bars and restaurants moved into residential neighbourhoods during lockdowns, spreading out their colonies and causing trouble.

With colder weather just around the corner, these rodents are likely to break into people’s homes. Invasions are especially common in the fall and winter when pests seek a warmer place to stay. Mice sneak in via the holes in the wall, and rats dig underground and into the basement.

While many homeowners deal with mice every year, it is important that they be kept out. Rodents are potential carriers of disease, and they will damage the home’s interior. The following tips, when used together, will help ensure that your home is pest-free this winter.

Block Entry Points

Rodents come from outside. While it may seem like they appear out of thin air, rodents find openings in the outer walls of the home and sneak their way inside. Wall vents, cracked window frames, and doors that have been left open are often to blame.

Examine your home’s exterior very carefully and use caulking or mesh to block the openings you find. Check between the layers of your siding, underneath your deck, and along the edges of your soffits for openings of 5mm or more. Put weatherstripping on the bottoms of your doors and seal cracks in the foundation with epoxy.

If you’re not sure you got them all, contact a mice exterminator for an inspection and pest-proofing service. Professionals offer complete pest-proofing in addition to pest control. They can find the entry points you missed and close them for you. If you know that there are rats in your neighbourhood, a professional can protect your foundation by digging a trench and attaching a mesh to its sides. This will prevent rats from digging into the basement.

Do Some Fall Cleaning

Spring isn’t the only time of year for cleaning. Mice, rats, ants, and other pests can smell the food you keep, and they will want their share. Deep clean the kitchen this fall and maintain it to keep pests out when it gets cold. Vacuum everywhere and clean the floors beneath your major appliances. Keep surfaces clean and store food in airtight containers to reduce odours. Never leave dirty dishes out overnight and use lidded garbage cans.

In addition to food, pests love clutter. Rodents like to hide in quiet, cluttered areas, like messy basements and storage rooms. This way, they can hide as they move from place to place. Get organized this fall and get rid of what you don’t need. Move objects off the floor and create space so there is nowhere for pests to hide.

Tidy up the Yard

Because rodents love food and clutter, it is important that you maintain the yard, as well. Trim back the vines, bushes, and plants that grow around the walls of the home to reduce the number of potential hiding spots. Move patio furniture and firewood away from the sides of the home, as well. Mow the lawn, rake the leaves, and bag all your organic materials for collection.

Pest control experts recommend getting rid of the bird feeder because it attracts rodents. While it is unfortunate, bird feeders are magnets of animal activity. Consider getting rid of it when the temperature cools or switch to one that hangs far away. Harvest your apples and home-grown produce on time, and secure your garbage cans with bungee cords or tight locks.

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