Booster vaccines, eligibility and travel bookings

An article by Alan Cheng the outgoing co -chair of the Atagi Immunisation Group with some extra thoughts on why early boosters might not be the way to go.
Makes sense that the 1b who were given AZ are really only this month just eligible in mid December for the (then) 6 month booster but now 5 month booster, as being in the high risk group, they are given full opportunity to have the booster for the first few weeks and closures over Christmas and NY will only make access harder.
 
Sorry but Alan cheng is recognised as one of the better experts in Australia. What he says makes sense to me. I did post a trial from the UK that gave 3 doses of AZ. The highest antibody response was when the third dose was given > 6 months after the second.
I really worry when quite a few on here criticise ATAGI because they won't do what the poster wants. They operate according to the science which unfortunately isn't what some of us recent experts don't fully understand.

I wasn’t really having a go at Alan although re-reading I can see how it looks that way now / yes he is well respected but as many of us know there is a problem, either with the type of clinicians that are on the board at ATAGI or there is a problem with the actual remit of ATAGI…

I’m not a clinician, so I listen to the
ID clinicians we know who are also versed in public health and they have have been very critical of the AZ bungles and now the slowness on reacting to the booster intervals.

They are critical that ATAGI seems to be taking a purist clinician/scientist view (1-1 v population) of matters not allowing for public health views, is not fast enough to keep up with the context in which these decisions should be applied (eg their disastrous assumption that near covid zero would be maintained during the strollout- seriously flawed assumption!) and now they seem to be doing it yet again with the boosters.

Some defenders of the people on the ATAGI board actually say that it’s the remit / covenant of ATAGI that is the issue, that it actually doesn’t ALLOW the board to take into account many environmental factors and risks. Again - if this is the case the actual remit of ATAGI is seriously flawed because in a pandemic this is constantly changing and needs to be dynamically factored in. Many are suggesting their role needs to be changed or given support to assist. That or ATAGI isn’t used solely for these decisions.

Finally one big issue is that all this creates massive issues with our state based CHO’s some of who openly defied / were about to ignore ATAGI’s decisions. This really dented trust in them.

It also sets ATAGI up perfectly to be cannon fodder for the politicians, because they are being asked to make decisions they actually cannot make so the politicians have an easy get out blaming “the ‘slow, out of touch but expert panel’ which we unfortunately have to listen to but that’s why the vaccine rollout was so slow sorry, we’ve called the emergency Nat Cab today and we are pressuring our ‘slow, out of touch but expert panel’ to again drop the booster interval”.

ATAGI is absolutely needed but something isn’t quite working and it’s very clear.

But I agree with you - it won’t be decided on this forum that’s for sure 😂
 
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Booster done and dusted, i was 30 mins early but was waved straight in and left 10 minutes before my appointment time. Didnt even feel the needle go in, scored a free hand sanitiser on the way out.

Only complaint is that they were making everyone wear a surgical mask, i explained that my 3m N95 was superior so i wouldnt be downgrading to a less safe option, quick word with supervisor who agreed with me and in i went.
 
Sorry but Alan cheng is recognised as one of the better experts in Australia. What he says makes sense to me.
Being in Mel, I always much preferred when Alen Cheng was on the daily presser. Wasn't too often.

Spoke with a much more measured approach.
That article was a very good read. Thanks for sharing
 
Israel has approved a 4th jab

Only for oldies:

Israel announced it will offer a fourth dose of the COVID-19 vaccine to people older than 60, amid concern over the spread of the Omicron variant of the coronavirus.

A Health Ministry expert panel recommended the fourth shot, a decision that was swiftly welcomed by Prime Minister Naftali Bennett as "great news that will help us overcome the Omicron wave that is spreading around the world."

Although the decision is pending formal approval by senior health officials, Mr Bennett urged Israelis to get the dose as soon as possible, saying: "My message is — don't waste time, go get vaccinated."

The decision follows the first known death in Israel of a patient with the Omicron variant.

An Israeli hospital on Tuesday confirmed the death but said he had suffered from a number of serious pre-existing conditions.
 
Only for oldies:

Israel announced it will offer a fourth dose of the COVID-19 vaccine to people older than 60, amid concern over the spread of the Omicron variant of the coronavirus.

A Health Ministry expert panel recommended the fourth shot, a decision that was swiftly welcomed by Prime Minister Naftali Bennett as "great news that will help us overcome the Omicron wave that is spreading around the world."

Although the decision is pending formal approval by senior health officials, Mr Bennett urged Israelis to get the dose as soon as possible, saying: "My message is — don't waste time, go get vaccinated."

The decision follows the first known death in Israel of a patient with the Omicron variant.

An Israeli hospital on Tuesday confirmed the death but said he had suffered from a number of serious pre-existing conditions.
Have seen two seperate articles stating that the 60+ age group and medical personnel would be eligible first


 
Got my Covid booster from my GP surgery this morning (Pfizer to go with my 2 x AZ). Nowt else I can do for now.
Just got pinged that there was a covid positive person in the medical centre when I went for my booster - monitor for symptoms!
 
Reading the tea leaves it looks like they might use the Doherty modelling to strong arm ATAGI into shortening the interval…. The question is when, given the logistical issues.
 
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Reading the tea leaves it looks like they might use the Doherty modelling to strong arm ATAGI into shortening the interval…. The question is when, given the logistical issues.
In between booking for myself and my wife (3days apart) have seen how fast available appointments dry up. First available at our GP is 2 mths away and most places late Jan/early Feb and just as many simply no availability. Can’t really see that changing for at least a month, reducing the interval with no availability is just a recipe for a disgruntled public.
 
Reading the tea leaves it looks like they might use the Doherty modelling to strong arm ATAGI into shortening the interval…. The question is when, given the logistical issues.
The logistical issues of bring forward 10m people for immediate jabs when we previously struggled with that group over months is pretty immense.
 
In between booking for myself and my wife (3days apart) have seen how fast available appointments dry up. First available at our GP is 2 mths away and most places late Jan/early Feb and just as many simply no availability. Can’t really see that changing for at least a month, reducing the interval with no availability is just a recipe for a disgruntled public.

They are increasing the rebate back up for primary care and pharmac_ to help and also reopening state hubs (announced this arvo)
 
The main Sydney state run hubs never closed, there are appointments at Olympic Park available tomorrow, today they were validating parking so free to drive there too if not super close.
 
They are increasing the rebate back up for primary care and pharmac_ to help and also reopening state hubs (announced this arvo)
Sure, but as we all know an announcement is not the same as immediate action, this will have a benefit but not materially until well into Jan. Some might but I can’t see mass cancellations of Christmas plans, those who will make this happen have already had a hard couple of years and want (deserve?) their break.
 
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