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    Experts divided over Covid booster shots days ahead of US rollout

    Biden administrationExperts divided over Covid booster shots days ahead of US rolloutHealth officials scramble to prepare for rollout despite a void of critical details amid chaos Alexandra VillarrealThu 16 Sep 2021 13.15 EDTLast modified on Thu 16 Sep 2021 13.29 EDTMere days ahead of the Biden administration’s self-imposed deadline to begin Covid-19 booster shots, experts remain deeply divided over the benefits of a third jab, while health officials are scrambling to prepare for the rollout despite a void of critical details.The vast majority of vaccinated adults in the United States want a booster, some so urgently that they are already fudging their vaccination records to get one.So – despite controversy and confusion about whether the additional shots are even necessary amid a global shortage – the White House is under immense political pressure to follow through with starting boosters next week.“Weeks ago, the administration decided that the public needs cake and deserves cake, and so shall have cake,” John P Moore, a virologist at Weill Cornell Medicine, told the New York Times. “Now, the public expects cake and would be very annoyed if its cake was taken away at this point.”Last month, the US’s top health officials announced a plan to officially greenlight boosters starting the week of 20 September, pending endorsement by the US Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC).Back then, they said Americans would qualify for a third dose of either the Pfizer-BioNTech or Moderna vaccine eight months after their second – a timeline that could make millions eligible next week.But Moderna didn’t provide adequate data on boosters, leaving only the Pfizer vaccine as a possibility in time for this month’s deadline. On Friday, an FDA advisory committee will consider Pfizer’s application concerning third doses for patients 16 and older.An advisory committee for the CDC – which usually dictates vaccination policy – is teed up for a meeting next week.Third doses of the Pfizer and Moderna vaccines are already available to those with compromised immune systems. But the plan for such an expansive booster rollout followed alarming reports of waning vaccine efficacy in Israel, where an urgent campaign to vaccinate quickly has made the country a data source for other parts of the world.It also coincided with yet another major uptick in US infections, driven by the highly infectious Delta variant. Those cases are currently on a downward trend.Joe Biden has described boosters as if they are a no-brainer and plans to get his own once they are widely available, according to Reuters.“As a simple rule – rule: eight months after your second shot, get a booster shot,” Biden said. “It will make you safer and for longer. And it will help us end the pandemic faster.”But some experts were upset by the administration’s perceived meddling in important health decisions, Politico reported.Earlier this week, two of the FDA’s top vaccine regulators – who are reportedly departing the agency at least in part because of opposition to the booster policy – joined an international group of experts in challenging the general population’s current need for additional protection.The vaccines remain highly effective against severe disease, they wrote in the Lancet, while boosters could pose risks if “widely introduced too soon, or too frequently”. “Current vaccine supplies could save more lives if used in previously unvaccinated populations than if used as boosters in vaccinated populations,” they wrote.As experts debate, state and local health officials are trying to get ready to possibly administer boosters next week. But amid the chaos, they are being left in the dark.“What is the interval for boosters? Is it any shorter than eight months at this point? What is the age cut-off? Will there be priority groupings?” Lori Tremmel Freeman, chief executive officer of the National Association of County and City Health Officials, told CNN.“We don’t want to appear uncoordinated on boosters.”TopicsBiden administrationCoronavirusUS politicsnewsReuse this content More

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    Covid kills a 9/11’s worth of Americans every three days. The vaccine mandate shouldn’t be controversial | Jill Filipovic

    OpinionCoronavirusCovid kills a 9/11’s worth of Americans every three days. The vaccine mandate shouldn’t be controversialJill FilipovicTrue leadership means making the right decision even when it’s unpopular. Biden’s vaccine rule will save lives and get the economy on track Wed 15 Sep 2021 06.15 EDTLast modified on Wed 15 Sep 2021 11.15 EDTThe Biden administration’s decision to require vaccinations for large segments of the workforce has been predictably controversial among Trump loyalists, vaccine deniers and rightwing media.It’s also the strongest moment of Joe Biden’s presidency.Leadership and strength are defined by moments like this one: a leader doing the right and necessary thing even when they know they will face criticism and possibly political consequences. Too many politicians follow rather than lead; they listen to the loudest voices and cow to the most aggressive bullies. This is today’s Republican party, with its many officeholders who have spent the years since November 2016 demonstrating that there is no bottom to the humiliations they are willing to endure and the compromises they are willing to make if it means they will keep their seats, prostrating themselves before the altar of Trumpism.Biden, like every politician, no doubt fears losing power. But he’s shown here that he has the integrity to put American lives and the stability of the nation ahead of his own professional ambitions. By one estimate, the Biden vaccine mandate will mean 12 million more Americans get the jab. That’s 12 million more people who will then be extremely unlikely to be hospitalized or die of Covid-19. It’s 12 million more people who can help keep the US economy afloat, and who are helping to keep their communities safe.The new Biden vaccine rules also reflect this administration’s insistence on responding effectively to a complicated reality instead of reacting to those who yell the loudest. It is true that there is a subset of the US population – disproportionately white, Trump-voting evangelicals – who strongly object to the Covid vaccine and say they will refuse to get it, requirements be damned. But there’s also a group of people who simply haven’t gotten their act together, or haven’t felt incentivized to get inoculated. There’s a lot to say about these folks – that they’re selfishly putting their communities at risk, that they aren’t being good citizens – and each of us is certainly entitled to our own moral judgments.But the Biden administration isn’t in the business of finger-wagging; it’s in charge of making effective policy. And the vaccine rule is exactly that: it gives people an excellent reason to choose vaccination, and gives many (although not all) categories of workers the alternative of a weekly Covid test – an inconvenience, to be sure, but hardly an unfair imposition in the face of a pandemic that is killing a 9/11’s worth of Americans every three days. Significantly, the vaccine rule also mandates time off work for vaccination and recovery from any side-effects.Resurgent Covid numbers are dragging the US economy down, and Biden is looking at a dark winter if more Americans don’t vax up. March 2020 kicked off an unprecedented financial disaster, with scores of people (a huge number of them mothers) losing their jobs as bars and restaurants shuttered, travel ground to a halt, schools closed and sent young children home, and we collectively understood that there was a “before time” and we were now living in the after. We know now that lockdowns didn’t primarily cause this massive economic contraction; fear of Covid did. And we know that the economic growth we’ve seen since Biden took office is partly credited to his administration’s massive vaccine rollout coupled with much-needed financial assistance to most Americans, which got inoculations into arms and people back into the streets, on to airplanes, and into restaurants with money to spend.The vaccine rollout gave Americans the choice to get the jab and protect their communities and their country, or forego it out of political obstinacy. (Some people, of course, cannot get the vaccine for health reasons, but those people are a small minority and not the ones dragging down the US’s stagnated vaccination numbers.) Shamefully, a huge number of Americans have refused to do the right thing. Some rely on arguments about individual freedom, and don’t seem to connect their individual decision to a collective problem – viruses, after all, don’t respect declarations of bodily autonomy and “my body, my choice”.And those refusing vaccination are also putting our collective livelihoods and our country’s economic wellbeing at risk: as the Delta variant continues to rage, more Americans are staying home. That means they are no longer supporting local businesses as often. Some are making the difficult decision to quit or scale back their own work so they can keep their unvaccinated kids at home instead of risking sending them to schools unmasked and with unvaccinated adults. All of those seemingly individual decisions add up to a bigger and much more troubling whole.So the Biden administration decided to take bold and decisive action, even though officials surely knew there would be outcry. One has to imagine they’re gambling on a payoff – an economy that doesn’t crash, for example, or the quieter majority of Americans who support vaccination and really want to see the pandemic get under control – but they are taking a risk nonetheless. Doing the right thing isn’t exactly an act of valor, but in today’s political universe of reactionary rightwing cowards, it is laudable.Yet many mainstream media sources have focused on the objections and the potential political blowback instead of the necessity of this rule, and the leadership that implementing it exemplifies.That’s a choice, too. Cynical conservatives have realized they can turn even the most commonsense measures into convenient political footballs, sending political reporters and talking heads scrambling to analyze the political fallout of rational rules and good policy. That in turn only reinforces the power of these bad actors.We don’t have to fall for it. Many Americans would surely agree that we want leaders who follow the scientific consensus and make decisions based on what is best for public health and the country’s economic wellbeing, even when those decisions are hard. Most of us would surely agree that we want leaders who lead instead of spinelessly acquiescing to the whims of those who throw the biggest tantrums.Joe Biden is leading despite the very predictable conservative outbursts. He’s refusing to keep the nation held hostage to the least informed but most self-righteous among us.That’s leadership, even if the Fox News crowd doesn’t like it.
    Jill Filipovic is the author of OK Boomer, Let’s Talk: How My Generation Got Left Behind
    TopicsCoronavirusOpinionUS politicsInfectious diseasesJoe BidencommentReuse this content More