Vaccine committee says provinces ought to give AstraZeneca recipients a special vaccine for second dose

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The Nationwide Advisory Committee on Immunization (NACI) is recommending the provinces cease administering the AstraZeneca vaccine most often — whilst booster pictures for individuals who’ve already obtained first doses of the product.

NACI stated Thursday that AstraZeneca recipients ought to as a substitute obtain a second dose of an mRNA vaccine, like those supplied by Pfizer and Moderna.

“An mRNA vaccine is now most popular because the second dose for people who obtained a primary dose of the AstraZeneca/COVISHIELD vaccine, primarily based on rising proof of a probably higher immune response from this combined vaccine schedule,” NACI stated in a press release launched in the present day. The “combined vaccine schedule” refers back to the follow of utilizing completely different merchandise for the primary and second doses.

The steering to divert AstraZeneca doses from the availability chain comes weeks after NACI, an impartial physique composed of volunteer consultants, stated the AstraZeneca vaccine is just not the “most popular” product for first doses given its related threat of vaccine-induced immune thrombotic thrombocytopenia (VITT) — a situation that causes blood clots mixed with low platelets.

NACI stated there’s additionally a threat of growing VITT after receiving a second dose of AstraZeneca. The speed of VITT after second doses of AstraZeneca is considered decrease than the speed for first doses, however NACI stated the probability of growing this situation after getting a booster shot “has elevated over time, with present estimates of roughly 1 per 600,000 individuals vaccinated.”

Whereas NACI initially stated Canadians may go for a viral vector shot like AstraZeneca in the event that they did not need to anticipate an mRNA vaccine, the committee stated in the present day that the steering has since “developed” and a Pfizer or Moderna shot “must be supplied to start out a vaccine sequence, until there’s a contraindication, for instance an allergy to one of many mRNA vaccine components.”

NACI stated provinces can simply shift to an mRNA-based immunization marketing campaign as a result of Canada is poised to obtain a flood of pictures from Pfizer and Moderna within the coming weeks, with 14 million extra doses set to reach this month.

WATCH: NACI’s steering on the AstraZeneca product has modified once more

Chief Public Well being Officer Dr. Theresa Tam evaluations the Nationwide Advisory Committee on Immunization’s new suggestions for second doses of COVID-19 vaccinations. 2:47

Since early Might, all provinces have halted the usage of AstraZeneca for first doses. Many have continued utilizing it for booster pictures.

NACI stated individuals who have already got had two doses of AstraZeneca “can relaxation assured that the vaccine offers good safety in opposition to an infection and superb safety in opposition to extreme illness and hospitalization.”

Nonetheless, the vaccine committee stated proof rising from research in Germany suggests mixing one dose of AstraZeneca with a second dose of a Pfizer vaccine can truly produce “a probably higher immune response, together with in opposition to variants of concern” than two doses of AstraZeneca alone.

WATCH: Nothing ‘inherently mistaken’ with AstraZeneca, says physician

Dr. Donald Vinh explains that the AstraZeneca-Oxford vaccine is just not being recalled in Canada, however relatively that mRNA pictures are merely a more sensible choice proper now for Canadians in relation to combating COVID-19 variants. 1:14

“Proof continues to counsel a primary dose of the AstraZeneca vaccine adopted by a second dose of the Pfizer-BioNTech mRNA vaccine has an excellent security profile,” NACI stated.

A single dose of the AstraZeneca or Pfizer vaccines has been discovered to generate a major antibody response to the novel coronavirus.

However a latest examine by the U.Ok. Coronavirus Immunology Consortium and the College of Birmingham discovered that the AstraZeneca vaccine may very well induce a stronger mobile immune response than the Pfizer shot.

Chief Public Well being Officer Dr. Theresa Tam offers an replace on the COVID-19 pandemic in Ottawa. (Sean Kilpatrick/Canadian Press)

Dr. Theresa Tam, Canada’s chief public well being officer, stated that, primarily based on early knowledge, a mix-and-match routine has “carried out very nicely and appears to have a superior response” because it produces each a robust antibody and mobile response.

NACI can be now recommending that mRNA recipients obtain a second shot of no matter product they obtained first.

The second shot ought to match the primary until “the identical product is just not available, or the product used for the primary dose is unknown,” NACI stated. The 2 mRNA merchandise could be thought of “interchangeable,” the committee stated.

Brig.-Gen. Krista Brodie, the army commander answerable for vaccine logistics, stated Canada will obtain about 9.5 million doses of Moderna by month’s finish — roughly 1.5 million greater than the federal government had projected would arrive.

That 9.5 million determine contains the a million doses that have been donated to Canada by the U.S. this morning.

“That is the large elevate,” Brodie stated. “Vaccine provide is quickly rising.”

Whereas the Moderna provide is stabilizing after months of uncertainty and slashed deliveries, Pfizer has made some changes to its delivery schedule for July.

Brodie stated Pfizer remains to be planning to satisfy its dedication to ship 9 million doses to Canada subsequent month however the authorities now expects “a decrease allocation in early July and a bigger allocation later in July to offset.”

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