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CDC recommends 2nd COVID boosters for some older and immunocompromised people
The Centers for Disease Control and prevention is now recommending that certain immunocompromised individuals and people over the age of 50 who received an initial Moderna or Pfizer-BioNTech booster dose at least four months ago are now eligible2 for another shot of either vaccine3.
The public health agency also said adults who received a primary vaccine and booster dose of Johnson & Johnson's Janssen COVID-19 vaccine at least four months ago may now receive a second booster dose of either the Moderna or Pfizer-BioNTech COVID-19 vaccine.
The moves follow the Food and Drug Administration's authorization4 of the second booster doses earlier Tuesday.
"These updated recommendations acknowledge the increased risk of severe disease in certain populations including those who are elderly or over the age of 50 with multiple underlying5 conditions, along with the currently available data on vaccine and booster effectiveness," the agency said in a statement.
The recommendation comes as BA.2, an even more contagious6 version of the omicron variant7, continues to spread in the U.S., and concern mounts that it could fuel another surge. BA.2 is now the dominant8 strain in the U.S., making up 54.9% of cases, according to the CDC.
"Current evidence suggests some waning9 of protection over time against serious outcomes from COVID-19 in older and immunocompromised individuals. Based on an analysis of emerging data, a second booster dose of either the Pfizer-BioNTech or Moderna COVID-19 vaccine could help increase protection levels for these higher-risk individuals," said Peter Marks, M.D., Ph.D., director of the FDA's Center for Biologics Evaluation10 and Research.
"Additionally, the data show that an initial booster dose is critical in helping11 to protect all adults from the potentially severe outcomes of COVID-19. So, those who have not received their initial booster dose are strongly encouraged to do so," Marks said.
Dr. Eric Topol, founder12 and director of the Scripps Research Translational Institute, supported the FDA's authorization, saying there are many people who are at least four to six months past their third shot.
"Without protection against the omicron variant, particularly now we're confronting BA.2, there's a very high risk of hospitalization and death," he said.
But others question the plan. The vaccines13 are still doing a good job of protecting people from getting seriously ill. Critics say there just isn't enough evidence yet that another shot is needed and that it would provide stronger protection that would last.
"From a scientific perspective, we still don't have definitive14 evidence that giving a second booster dose is the right way to go in older people," said Dr. Celine Gounder, an infectious disease specialist and a senior fellow and editor at Kaiser Health News.
She said data out of Israel shows an additional booster dose does reduce the risk of severe disease, hospitalization and death for people over the age of 60. But she pointed15 out it's unclear how long that extra protection actually lasts.
"I don't think it hurts," Dr. Carlos del Rio, an infectious disease researcher at Emory University told NPR. "But the reality is the benefit against infection will be short lived and thus likely of little benefit for most people." He also cited the Israeli data showing benefits for those 60 and older.
Administration officials said it's important to give people the option of a second booster as quickly as possible. The plan to offer it to people younger than 60 was made to ensure that more vulnerable people, particularly people of color who are more likely to suffer other health problems that put them at risk, also have the option of an additional booster.
But other infectious disease specialists said the administration should be focusing on getting people their primary doses and first boosters.
"What concerns me is that we are not investing in increasing the coverage16 of booster doses and even the primary doses," said Dr. Saad Omer, the director of the Yale Institute for Global Health. "These are the things that are not receiving enough attention."
1 transcript | |
n.抄本,誊本,副本,肄业证书 | |
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2 eligible | |
adj.有条件被选中的;(尤指婚姻等)合适(意)的 | |
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3 vaccine | |
n.牛痘苗,疫苗;adj.牛痘的,疫苗的 | |
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4 authorization | |
n.授权,委任状 | |
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5 underlying | |
adj.在下面的,含蓄的,潜在的 | |
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6 contagious | |
adj.传染性的,有感染力的 | |
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7 variant | |
adj.不同的,变异的;n.变体,异体 | |
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8 dominant | |
adj.支配的,统治的;占优势的;显性的;n.主因,要素,主要的人(或物);显性基因 | |
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9 waning | |
adj.(月亮)渐亏的,逐渐减弱或变小的n.月亏v.衰落( wane的现在分词 );(月)亏;变小;变暗淡 | |
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10 evaluation | |
n.估价,评价;赋值 | |
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11 helping | |
n.食物的一份&adj.帮助人的,辅助的 | |
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12 Founder | |
n.创始者,缔造者 | |
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13 vaccines | |
疫苗,痘苗( vaccine的名词复数 ) | |
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14 definitive | |
adj.确切的,权威性的;最后的,决定性的 | |
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15 pointed | |
adj.尖的,直截了当的 | |
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16 coverage | |
n.报导,保险范围,保险额,范围,覆盖 | |
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