Is 2021 a write-off as far as international travel is concerned?
#91
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Pfizer was on record in saying they did not test for efficiency for a period as long as the one done in the UK. I'm not going to go down to the level of the trashy tabloids, and I hope that nothing bad comes out of the UK's decision and that everything is fine and dandy but... for the time being no other country is delaying the second dose for as long as the UK is and, again for the time being, Iceland (which is the only country I was referring to, and might as well change their guidance tomorrow) is saying that they will recognise vaccination as an 'excuse' not to go into quarantine in the following cases for the Pfizer vaccine.
In terms of why extending the second dose is being done - I posted in this in the local lockdown thread but I am just copying it in here. it is from Prof David Salisbury who was the Director of Immunisation at the Department of Health and chaired the Strategic Advisory Group of Experts on immunisation for the World Health Organisation.
The maths is interesting and I hadn't thought about it until recently. Bear in mind that even with one dose, significant protection is given - about 52% for Pfizer, about 60-65% for AZ.
- If you have 2m doses, giving 2 doses to 1 m people gives 95% efficacy, so you protect protect around 500k-600k of them after the first dose rising to 950k after the second.
- Give 2m people 1 dose each, and even at 50-60% efficacy you have protected 1m-1.2m of them after the 1st dose, and you can catch up with the second to achieve full protection at 12 weeks.
If the resources required for giving all doses (so 1st or 2nd) are equal it makes sense to pursue the second plan if your goal is to protect as many as possible earlier in the program, effectively you get more "return" on your first dose than the second dose.
- If you have 2m doses, giving 2 doses to 1 m people gives 95% efficacy, so you protect protect around 500k-600k of them after the first dose rising to 950k after the second.
- Give 2m people 1 dose each, and even at 50-60% efficacy you have protected 1m-1.2m of them after the 1st dose, and you can catch up with the second to achieve full protection at 12 weeks.
If the resources required for giving all doses (so 1st or 2nd) are equal it makes sense to pursue the second plan if your goal is to protect as many as possible earlier in the program, effectively you get more "return" on your first dose than the second dose.
#92
Join Date: May 2014
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Again, I'm not disputing that there is method in why the UK is doing this and I won't pretend to be a doctor, a public health official, a data scientist or whatever. I'll leave calculations on whether you are 50% protected, or 60% or, 80% to those who have studied the subject.
All I'm merely saying there is potential for issues in recognising the validity of one's vaccine due to the way it's administered. Until the fine folks at the WHO, or the EMA etc rule that the 12 week interval is OK there is potential for countries not to recognise the vaccine's validity as in the case of Iceland.
All I'm merely saying there is potential for issues in recognising the validity of one's vaccine due to the way it's administered. Until the fine folks at the WHO, or the EMA etc rule that the 12 week interval is OK there is potential for countries not to recognise the vaccine's validity as in the case of Iceland.
#93
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The fact that the various drug trials did not test the efficacy of vaccine doses given many weeks apart does not mean that it makes the vaccine less effective. There is plenty of evidence that longer gaps are actually better, particularly in the case of vaccines of the type that AstraZeneca's is.
The problem, really, is that the British government has by its past action and inaction destroyed its reputation and credibility and no-one is willing any longer to give them the benefit of the doubt.
#94
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#96
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I think to be fair the second dose at 12 weeks was recommended by the Joint Committee on Vaccination and Immunisation which is made up of scientists, some of whom are also not based in the UK - i.e. not politicians
#97
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This is so omni
#98
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I think Adz will approve the 12 week dosing, it was I believe based on part of their trial data and will hopefully be a way of boosting the effectiveness. I can't see any country restricting travel unduly for a dosing regime that is signed off by the manufacturer
The more worrying thing is the Pfizer vaccine - this is against manufacturers advice. It may or may not be effective, and Pfizer may or may not be willing to sign off on the revised dose regime.
If it isn't effective, then we have bigger probelms like how do we re-vaccinate the population given the extended dose. If it is effective, but not approved, and other countries don't recognise it, then a subset of the UK population will have continued restrictions due to improperly given vaccines. Where will redress lie - my relatives signed up to the authorised dose and had their interval doses changed, without their permission after one jab. If they cannot freely travel due to this unilateral change (while the rest of the population can), will they have claim for compensation against HMG. Will the government be able to buy tier points for them to retain status in the 6-12 months extra that they can't travel while this mess is sorted out? What about lost work and social opportunities they would have had, had the jab been administered as per mfg recommended regime.
The UK Gov has a lot to answer for, and unlike the vaccine manufacturers, has not got a liability waiver!
The more worrying thing is the Pfizer vaccine - this is against manufacturers advice. It may or may not be effective, and Pfizer may or may not be willing to sign off on the revised dose regime.
If it isn't effective, then we have bigger probelms like how do we re-vaccinate the population given the extended dose. If it is effective, but not approved, and other countries don't recognise it, then a subset of the UK population will have continued restrictions due to improperly given vaccines. Where will redress lie - my relatives signed up to the authorised dose and had their interval doses changed, without their permission after one jab. If they cannot freely travel due to this unilateral change (while the rest of the population can), will they have claim for compensation against HMG. Will the government be able to buy tier points for them to retain status in the 6-12 months extra that they can't travel while this mess is sorted out? What about lost work and social opportunities they would have had, had the jab been administered as per mfg recommended regime.
The UK Gov has a lot to answer for, and unlike the vaccine manufacturers, has not got a liability waiver!
#99
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#100
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Where will redress lie - my relatives signed up to the authorised dose and had their interval doses changed, without their permission after one jab. If they cannot freely travel due to this unilateral change (while the rest of the population can), will they have claim for compensation against HMG. Will the government be able to buy tier points for them to retain status in the 6-12 months extra that they can't travel while this mess is sorted out?
#101
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I expect such a case would have little credence, though, particularly given the far greater policy failures Johnson's government have executed over the past year and the likelihood that they'll be dragged over the coals for those instead once this all dies down.
#102
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O, to have been Pfizered! One can dream, but that's what happens when you leave Brussels in charge...!
#103
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Unless one is rather fortunate enough to have been Pfizered twice within the 28 day window...
#104
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#105
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No EU261s on mis-vaccine/denied boarding for HMG (post brexit)? We must let the Guardian know.