• August 3, 2021

J&J vaccine pause a minor blip, however efforts should press on, consultants say

Apr 15, 2021

New York paused its use of Johnson & Johnson’s one-shot COVID-19 vaccine Tuesday in accordance with federal steerage, inflicting a minor setback to native inoculation efforts. Officers and native consultants however performed up the significance of transferring ahead with the opposite two vaccines accessible, from Pfizer and Moderna, in order that the state doesn’t lose its momentum.

The Facilities for Illness Management and Prevention and the U.S. Meals and Drug Administration have reported that six girls between the ages of 18 and 48 developed a uncommon and extreme blood clot within the mind six to 13 days after receiving the J&J vaccine. Use of the vaccine was briefly suspended, and an advisory committee will convene right now to evaluation the instances.

Gov. Andrew Cuomo on Tuesday introduced that the state would swap to utilizing the doses from Pfizer and Moderna at its vaccination websites. Cuomo added that the state has sufficient Pfizer and Moderna doses to maintain to its schedule.

A state Division of Well being spokeswoman famous that greater than 535,000 Johnson & Johnson doses have been administered in New York up to now. New Yorkers who had been anticipating the one-dose shot at state-run websites Tuesday had been supplied Pfizer pictures as an alternative, she mentioned. Of all of the state-run websites, solely Yankee Stadium had scheduled J&J pictures, and people can be back-filled with Pfizer doses as nicely, she mentioned.

Native consultants say there isn’t any want for alarm over the J&J experiences.

“The CDC and FDA are recommending a pause, however that is not saying the vaccine brought on the blood clots,” mentioned Dr. Bruce Y. Lee, professor of well being coverage and administration on the CUNY Graduate College of Public Well being. “It is necessary to bear in mind solely six out of 6.8 million individuals had these blood clots, they usually could possibly be coincidence.”

Dr. Jeffrey Laurence, professor of medication within the division of hematology-oncology at Weill Cornell Drugs, mentioned these issues are just like these reported in Europe with AstraZeneca’s vaccine, which makes use of the same adenovirus expertise. Nonetheless, what isn’t clear is who could be predisposed to growing this response.

“The one factor we all know is it has solely occurred to girls at this level,” Laurence mentioned.

Pfizer’s and Moderna’s vaccines, which use mRNA expertise, haven’t been recognized to indicate such blood clotting dangers, Laurence added.

That’s not to say J&J vaccines ought to be thrown out in vaccination efforts, Lee mentioned.

The J&J vaccine has its benefits: It doesn’t require ultra-cold storage, not like the Pfizer vaccine, and it requires just one dose, Lee famous.

“This vaccine actually opened up entry for a lot of populations that may in any other case have had difficulties getting vaccinated,” he mentioned.

These embody lower-income communities that can’t take an excessive amount of break day to get the vaccine, the aged and people with situations that go away them homebound, Lee mentioned. “Having to pause J&J will actually have an effect on issues like cellular vaccine applications that solely must ship the vaccine as soon as and can disproportionately have an effect on these teams,” he mentioned.

Town had launched a vaccination program for the homebound aged in March, bringing the one-dose Johnson & Johnson vaccine to seniors’ houses. When requested concerning the standing of this system with the doses paused, a spokesman referred to Mayor Invoice de Blasio’s Tuesday press convention, by which the mayor mentioned new appointments are being scheduled for everybody who was to take the Johnson & Johnson vaccine.

To keep up the town’s momentum, it’s key to speak to the general public that vaccination remains to be secure, Lee mentioned. And having the ability to develop a danger profile for the J&J vaccine could be begin, Laurence mentioned.

“The chance of getting COVID-19 by not getting vaccinated, that’s a lot larger than this 1-in-a-million likelihood of getting blood clots,” Lee mentioned.

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