There will be no voluntary second dose AstraZeneca vaccination for those under 60 years of age. 43,762 people in this group have received a first dose of this drug in the Region, according to data from the Ministry of Health. The Ministry of Health categorically rejects this option for the more than 2 million essential workers who have not reached six decades of life and who were inoculated with the first dose of prophylaxis from the University of Oxford and to whom the health authorities now they veto the second punctures due to the problems of thrombi detected among more than two hundred citizens of the European Union under 45 years of age.
The sixth update of the vaccination plan against covid, which the department headed by Carolina Darias has published this morning after yesterday’s agreement by the Health Commission, cuts to the roots the debate on the voluntary option of the second dose as they have raised several communities. “It must be remembered once again that the choice of the vaccine cannot be established by individual choices, but must be based on efficacy and indication for different population groups,” says the text.
“It also does not seem appropriate at the present time to offer the Vaxzevria vaccine [nueva denominación de la fórmula de AstraZeneca] to people under 60 years of age who voluntarily want to be vaccinated. The proposal may not only contradict the ethical principles on which the strategy itself is based, but also, if there is still not enough information available to make the most appropriate decision, the value of informed consent as a guarantee of a autonomous decision, it would be highly debatable, “says the report.
«The vaccine to be administered to people under 60 years of age who were vaccinated with the first dose will be decided shortly – continues the text – as well as the moment in which this second dose will be received, as the scientific evidence is updated and expanded, EMA evaluations and in communication with other EU countries ”.
After ruling out voluntary inoculation, the three options that the Vaccine Report continues to consider for those two million essential workers (mainly teachers, police, military and firefighters) are now three: leave them without the second inoculation and rely on 70% immunity that trusts a single dose; administer the second AstraZeneca puncture to everyone on a non-voluntary basis; or inject a second dose of one of the two messenger RNA vaccines already available on the market, Pifzer or Moderna.
The problem is that, at the moment, the Public Health Commission specialists do not have sufficient data on the effectiveness or contraindications of a ‘cocktail’ of vaccines from different commercial brands and technologies (AstraZeneca’s is based on adenovirus) .
For this reason, the Carlos III Institute launched an express study this week to evaluate the effects of Pfizer’s second vaccine. 600 people under 60 years of age participate in this investigation against the clock as a sample of those 2 million essential workers to whom Health has decided to deny the second dose, ignoring for the first time in this health crisis the European Medicines Agency (EMA), that the The only lower time limit that he set was 18 years. The trial – which will be carried out in the hospitals of La Paz and Clínico San Carlos in Madrid, the Vall D’Hebrón and the Clínic in Barcelona, and the Hospital de Cruces de Vizcaya – should be completed by the beginning of May, since it is from that moment when the first inoculated and after the 12 mandatory weeks, they should be punctured with the second feeding.
Thus, according to the new update approved by Health, the AstraZeneca vaccine, for the moment, will continue to have an excessively adjusted use for the current demand for prophylaxis. According to this document, after finishing the few «essential workers» who are over 60 with the second dose, it will only be used, as is currently done, for the so-called group 8 «people between 60 and 65 years of age ( born between 1956 and 1961, inclusive) »that are being inoculated starting with those born in 1956« advancing in the year of birth according to the availability of doses ».
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