Home » immediately for over 80 and guests of the RSA. But on the sanitary it stops

immediately for over 80 and guests of the RSA. But on the sanitary it stops

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The third dose operation is triggered for the over 80, the ultra fragile and for the guests of the RSA, the nursing homes. There is still no decision for healthcare professionals, further investigation is needed to assess whether a dose of strengthening the protection of all doctors and nurses should be envisaged. However, we start with the third dose to health workers who fall into the categories at risk: for their age and for any diseases such as diabetes.

Covid Italy, bulletin today 25 September: 3,525 new cases and 50 deaths. 1% positivity rate

Iss: “Continuous decline in infections since the beginning of August, among the Over 80 patients who are not vaccinated are 9 out of 10”

Third dose, the summit

Yesterday afternoon an extraordinary meeting of the CTS, the Scientific Technical Committee, took place. Subject: a question from the commissioner structure headed by General Francesco Figliuolo in which reference was made to the indication of Aifa (Italian drug agency) which had expressed a favorable opinion on the dose of reinforcement for a series of categories. These are subjects in conditions of immunosuppression, over 80, guests of the Rsa and health workers. For the former, the administration of the third dose has already begun, a decision was needed for all the others. On the over 80s and RSA the position was unambiguous. The signals coming from the Regions show a recovery phase of the infections, albeit still very limited and with not serious consequences, among these subjects. Those who were vaccinated in January and February experience a gradual decrease in the protection from infection provided by the vaccine. Since the elderly are the subjects most at risk, with higher lethality rates, the members of the CTS agreed on the need to leave immediately with the administration of the third doses. In the case of the guests of the nursing homes, however, there is no age limit, since in any case they are subjects in fragile conditions. The third dose will not be administered to everyone, but only to those who have completed the vaccination process within the last 6-12 months (formally there is this wording, but at most an over 80 may have been vaccinated 8-9 months ago, as the campaign started in early 2021). In other words: if an eighty-year-old, for whatever reason – health or choice – received the second dose a month ago, he will not have the third one, but will have to wait for at least six months to pass.

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So far the opinion of the CTS, which however has not yet given the green light to the dose of reinforcement for all health professionals, is limited to those most at risk due to age or health conditions. Why? The issue is delicate because, even at an international level, there are no univocal indications. There are countries like Israel and Singapore that have not hesitated in starting with third doses for all; in the US, the CDC (the American health authority) underlines the drop in protection after 4-6 months while, on the contrary, the FDA (American drug agency) has said that the booster is only for those over 65. Ema, the European agency of the drug, will be expressed in October. In this scenario, yesterday there were different voices within the CTS: there were those who proposed to limit themselves to the third dose only for health workers who work on the front line. In the end it was decided to do some in-depth studies, so we will talk about it again in the coming days, but there is still the immediate go-ahead for elderly doctors and nurses or with pathologies. In RSA, therefore, guests will be vaccinated again, but not those who assist them. The new circular from the Prevention manager of the Ministry of Health, Gianni Rezza, is coming. But does Italy have sufficient doses? Yesterday the Minister of Health, Roberto Speranza, explained: “We are working to bring our country to have a greater level of autonomy, for the future, in the production of vaccines“.

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Stocks

In refrigerators, however, there are already over 11 million vials still to be used. It is true that, as Speranza pointed out, there is an increase in the first doses – that is to say, of the people who have decided to get vaccinated in these days – but in any case there is ample scope to complete the “reinforcement” operation without too many problems. . There are about 3 million immunocompromised. The over 80 already vaccinated with two doses are instead 4.2 but it must always be taken into account that there may be overlap between the first and second category. The problem to be faced in the coming days will not be linked to the number of vaccines available, but rather to the need for an effective information work: it may not be so easy to explain to an elderly person that he has to go back to getting vaccinated, perhaps on the same day as will also receive the flu shot.

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