Pages

Kamis, 08 April 2021

AstraZeneca blood clot cases force major vaccine shake-up; Pfizer now preferred for under-50s - Sydney Morning Herald

By Rachel Clun
Updated

Pfizer is now the preferred vaccine for people aged under 50, Australia’s medical experts have decided after a lengthy meeting to discuss a rare but serious blood clotting side effect linked to the AstraZeneca vaccine.

The government is now reviewing Australia’s vaccine portfolio as the entire rollout will require an overhaul, throwing the timeline of the country’s vaccination program into doubt.

Prime Minister Scott Morrison said the advice was not a prohibition on the use of the AstraZeneca vaccine in people aged under 50.

Prime Minister Scott Morrison said the advice was not a prohibition on the use of the AstraZeneca vaccine in people aged under 50.Credit:Alex Ellinghausen

Prime Minister Scott Morrison said the new advice from the Australian Technical Advisory Group on Immunisation was not a prohibition on the use of the AstraZeneca vaccine in people aged under 50.

“This is not a directive. This is not an instruction,” he said, noting they were taking “an abundance of caution” with the new advice. He said the impact of this decision on the timeline of the rollout was uncertain.

“Tomorrow, and over the weekend, there will be a recalibration of how the program will need to be adjusted to take into account decisions the government’s taken tonight to accept those recommendations from ATAGI,” he said on Thursday evening.

Australia’s decision follows changes by European medical regulators after a review of data confirmed a rare blood clotting condition seen in a small number of patients was linked to the AstraZeneca vaccine.

Chief Medical Officer Professor Paul Kelly said the rare but serious blood clot disorder was discussed in the meeting, taking into account what was decided overseas and looking at what that would look like in Australia.

Chief Medical Officer Professor Paul Kelly, Health Minister Greg Hunt, Prime Minister Scott Morrison and Health Department secretary Professor Brendan Murphy announced the new advice on Thursday night.

Chief Medical Officer Professor Paul Kelly, Health Minister Greg Hunt, Prime Minister Scott Morrison and Health Department secretary Professor Brendan Murphy announced the new advice on Thursday night.Credit:Alex Ellinghausen

“This is a rare event,” he said. “But it is serious and can cause an up to 25 per cent death rate when it occurs.”

Advertisement

For those over 50, Health Department secretary Professor Brendan Murphy said AstraZeneca was strongly recommended.

“It is a vaccine that is very, very effective,” he said.

ATAGI spent hours on Thursday considering the medical evidence. It then issued new advice on the AstraZeneca vaccine, which it provided to the government just after 7pm.

The medical experts made three recommendations, including that AstraZeneca was preferred in adults over 50. It also recommended adults under the age of 50 should only be given AstraZeneca where the benefits clearly outweighed the risks. Third, it recommended that adults under 50 who had already received their first doses without experiencing serious side effects could safely be given their second dose.

Professor Kelly stressed the data on the rare clotting side effect, venous thromboembolism, was still only preliminary.

“There are very few cases of this extremely rare event that have happened anywhere in the world, but the ones we’ve seen, there’s definitely a tendency for the younger people [to develop it],” he said.

The UK regulator has decided to offer an alternative vaccine for those aged under 30.

Australia has purchased 20 million doses of the Pfizer vaccine and has been relying on the AstraZeneca vaccine as the workhorse of the rollout. The country is expecting its first deliveries of the Novavax vaccine, pending regulatory approval, some time in the fourth quarter of the year.

On Thursday morning, the Prime Minister said the risk of severe side effects with the AstraZeneca vaccine is much lower than with common drugs including paracetamol and the oral contraceptive pill.

Mr Morrison said it was important to know the risk of developing venous thromboembolism was much lower following the AstraZeneca vaccine than the risk of death from COVID-19.

“Let’s note that in the UK, the advice is that some 6000 people’s lives have already been saved by this very vaccine. So we need to consider the positive benefits,” he said.

From UK data, the risk of venous thromboembolism following the vaccine was about one to five per million people.

“To put that in some sort of perspective, the combined oral contraceptive pill, that can include adverse side effects of venous thromboembolism - that’s seven to 10 per 10,000,” Mr Morrison said.

The advice has been shared with the expert medical panel, the Australian Health Protection Principal Committee, which is comprised of all state and territory chief health officers and led by federal Chief Medical Officer Professor Paul Kelly.

The matter will also be discussed in national cabinet on Friday and in meetings with state and territory health ministers, who were due to meet on Thursday night to discuss the revised advice and its implementation.

On Wednesday 75,880 doses of the Pfizer and AstraZeneca vaccines were administered across the country, Scott Morrison said, taking the national total to 996,214 doses administered so far during the rollout.

The states and territories have administered 509,802 doses. Through the federal government, 486,343 doses have been administered, including more than 125,260 through aged care.

Get our Coronavirus Update newsletter

Stay across the news you need to know related to the pandemic. Sent Monday and Thursday. Sign up here.

Most Viewed in Politics

Let's block ads! (Why?)


https://news.google.com/__i/rss/rd/articles/CBMijwFodHRwczovL3d3dy5zbWguY29tLmF1L3BvbGl0aWNzL2ZlZGVyYWwvYXN0cmF6ZW5lY2EtdmFjY2luZS1ibG9vZC1jbG90LWluY2lkZW50cy1zcGFyay1wZml6ZXItcmVjb21tZW5kYXRpb24tZm9yLXVuZGVyLTUwcy0yMDIxMDQwOC1wNTdobmQuaHRtbNIBjwFodHRwczovL2FtcC5zbWguY29tLmF1L3BvbGl0aWNzL2ZlZGVyYWwvYXN0cmF6ZW5lY2EtdmFjY2luZS1ibG9vZC1jbG90LWluY2lkZW50cy1zcGFyay1wZml6ZXItcmVjb21tZW5kYXRpb24tZm9yLXVuZGVyLTUwcy0yMDIxMDQwOC1wNTdobmQuaHRtbA?oc=5

2021-04-08 09:34:47Z
52781491296352

Tidak ada komentar:

Posting Komentar