美国国家公共电台 NPR--Summer boosters for people under 50 shelved in favor of updated boosters in the fall

Summer boosters for people under 50 shelved in favor of updated boosters in the fall

Transcript¹

The Food and Drug Administration is shelving plans to let more younger adults get second COVID-19 boosters this summer. Instead, officials are planning to speed up availability of the next generation of boosters in the fall, three administration officials confirmed to NPR.

The new strategy came after a debate within the administration about trying to balance protecting people this summer with keeping people safe next winter, when the country will probably get hit by yet another surge, according to the officials familiar with the discussion.

Some officials wanted to launch a new booster campaign this summer to encourage more people to get boosted and more boosted people to get double-boosted to protect them against the highly contagious² BA.5 subvariant driving a surge this summer.

But others worried that would interfere³ with a booster campaign in the fall with what will hopefully be a superior booster specifically targeting BA.5.

One concern was that giving two boosters so close together could increase the risk for a rare heart inflammation called myocarditis. Another concern was that giving them so close together could blunt the protection from the second booster.

There was also fear two booster campaigns too close together would increase the vaccine⁴ fatigue⁵ already making it hard to convince people to get boosters.

The dilemma⁶ facing the administration is that the immunity⁷ many people have gotten from getting vaccinated⁸ or infected has been wearing off. At the same time, the most contagious version of the virus to emerge yet — the omicron subvariant BA.5 — is making people even more vulnerable.

So as COVID is starting to become more serious than a cold or flu again, most people younger than age 50 aren't eligible⁹ for second boosters to protect themselves.

In response, the FDA was considering opening up eligibility¹⁰ for second boosters for all adults. But then the concerns arose that letting more people get boosted with the original vaccine now could interfere with plans to boost them with the updated, hopefully more protective vaccines¹¹ in the fall. The hope is those boosters will blunt the toll¹² of what could be a worse winter surge.

Moderna and Pfizer-BioNTech were already scrambling¹³ to comply with the FDA's request to get new, "bivalent" boosters ready by October or November that target both the original strain of the virus and omicron subvariants BA.4 and BA.5.

But the FDA received assurances from the companies they could deliver the new boosters even sooner — in September, according to a federal official familiar with the situation who is not authorized¹⁴ to talk about it publicly. The hope is to make the new boosters available to those 12 and older in early September, and children after that.

The possibility of the shift provoked mixed reactions earlier this week.

Some think it is the smartest strategy. Three shots are still protecting most younger, otherwise healthy people against serious illness, they say. And boosting people again now, and then so soon again in the fall, could confuse people, potentially eroding¹⁵ their willingness to get any boosters, according to some experts.

"I think this will increase trust," Dr. Monica Gandhi, a professor of medicine at the University of California, San Francisco, wrote in an email to NPR. "We can't give a booster now and then again in 1.5 months or two months – that will decrease trust."

And giving two shots too close together could actually backfire from a health perspective, according to some experts.

"I think this is the right call," Dr. Celine Gounder, a senior fellow at the Kaiser Family Foundation, said during an interview with NPR. "If you get a booster now with the original formulation of the vaccine, this may in fact be counter-productive. It may prevent the second booster dose given this fall from taking and from you developing an immune response to that booster."

But others aren't so sure. They say the new vaccines may not be significantly better.

"People should not regard them as some sort of magic bullet that gives them super-strong protection," says Dr. John Moore, an immunologist at Weill Cornell Medicine. "These are not going to be magic bullet game-changers because they're not that much better than the already available vaccine boosters."

It's also unclear whether the new boosters can be ready by September. And who knows if BA.5 will even been the main virus by the fall and winter?

"I don't see the benefit waiting for a BA.5-specific booster since BA.5 may be in the rearview mirror and well past us by the time that's available," says Dr. Peter Hotez, dean of the Baylor College of Medicine National School of Tropical Medicine.

People younger than 50 should at least have the option to protect themselves now, especially with BA.5 already surging, some say.

"You're talking about you know literally¹⁶ hundreds of millions of people who are at a higher risk than they need to be for months," says Dr. Robert Wachter, chair of the department of medicine at the University of California, San Francisco.

"And that will mean potentially millions of preventable infections, certainly thousands of preventable hospitalizations, and probably hundreds of preventable deaths."

1 transcript   

n.抄本，誊本，副本，肄业证书

参考例句：

• A transcript of the tapes was presented as evidence in court.一份录音带的文字本作为证据被呈交法庭。
• They wouldn't let me have a transcript of the interview.他们拒绝给我一份采访的文字整理稿。

2 contagious   

adj.传染性的，有感染力的

参考例句：

• It's a highly contagious infection.这种病极易传染。
• He's got a contagious laugh.他的笑富有感染力。

3 interfere   

v.(in)干涉，干预；(with)妨碍，打扰

参考例句：

• If we interfere, it may do more harm than good.如果我们干预的话，可能弊多利少。
• When others interfere in the affair,it always makes troubles. 别人一卷入这一事件，棘手的事情就来了。

4 vaccine   

n.牛痘苗，疫苗；adj.牛痘的，疫苗的

参考例句：

• The polio vaccine has saved millions of lives.脊髓灰质炎疫苗挽救了数以百万计的生命。
• She takes a vaccine against influenza every fall.她每年秋季接种流感疫苗。

5 fatigue   

n.疲劳，劳累

参考例句：

• The old lady can't bear the fatigue of a long journey.这位老妇人不能忍受长途旅行的疲劳。
• I have got over my weakness and fatigue.我已从虚弱和疲劳中恢复过来了。

6 dilemma   

n.困境，进退两难的局面

参考例句：

• I am on the horns of a dilemma about the matter.这件事使我进退两难。
• He was thrown into a dilemma.他陷入困境。

7 immunity   

n.优惠；免除；豁免，豁免权

参考例句：

• The law gives public schools immunity from taxation.法律免除公立学校的纳税义务。
• He claims diplomatic immunity to avoid being arrested.他要求外交豁免以便避免被捕。

8 vaccinated   

[医]已接种的，种痘的，接种过疫菌的

参考例句：

• I was vaccinated against tetanus. 我接种了破伤风疫苗。
• Were you vaccinated against smallpox as a child? 你小时候打过天花疫苗吗？

9 eligible   

adj.有条件被选中的；(尤指婚姻等)合适(意)的

参考例句：

• He is an eligible young man.他是一个合格的年轻人。
• Helen married an eligible bachelor.海伦嫁给了一个中意的单身汉。

10 eligibility   

n.合格，资格

参考例句：

• What are the eligibility requirements? 病人被选参加试验的要求是什么？ 来自英汉非文学 - 生命科学 - 回顾与展望
• Eligibility for HINARI access is based on gross national income (GNI). 进入HINARI获取计划是依据国民总收入来评定的。

11 vaccines   

疫苗，痘苗( vaccine的名词复数 )

参考例句：

• His team are at the forefront of scientific research into vaccines. 他的小组处于疫苗科研的最前沿。
• The vaccines were kept cool in refrigerators. 疫苗放在冰箱中冷藏。

12 toll   

n.过路(桥)费；损失，伤亡人数；v.敲(钟)

参考例句：

• The hailstone took a heavy toll of the crops in our village last night.昨晚那场冰雹损坏了我们村的庄稼。
• The war took a heavy toll of human life.这次战争夺去了许多人的生命。

13 scrambling   

v.快速爬行( scramble的现在分词 )；攀登；争夺；（军事飞机）紧急起飞

参考例句：

• Scrambling up her hair, she darted out of the house. 她匆忙扎起头发，冲出房去。 来自《现代英汉综合大词典》
• She is scrambling eggs. 她正在炒蛋。 来自《简明英汉词典》

14 authorized   

a.委任的，许可的

参考例句：

• An administrative order is valid if authorized by a statute.如果一个行政命令得到一个法规的认可那么这个命令就是有效的。

15 eroding   

侵蚀，腐蚀( erode的现在分词 )； 逐渐毁坏，削弱，损害

参考例句：

• The coast is slowly eroding. 海岸正慢慢地被侵蚀。
• Another new development is eroding the age-old stereotype of the male warrior. 另一个新现象是，久已形成的男人皆武士的形象正逐渐消失。

16 literally   

adv.照字面意义，逐字地；确实

参考例句：

• He translated the passage literally.他逐字逐句地翻译这段文字。
• Sometimes she would not sit down till she was literally faint.有时候，她不走到真正要昏厥了，决不肯坐下来。