Australia's COVID incidence in the community is essentially 0 at the moment. If you assume that there'll be a breakout in at least one state every month, maybe something like 2 per hundred thousand/million
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Still a bit of an ethical quagmire, especially on the individual level. Was discussing this with a middle age friend in Aus who has clotting history. Hard to justify individually, even if easy from public health perspective. Free rider problem big factor too.
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And this has always been the case in terms of vaccination hasn't it? This is the reason Australia needs to understand where we are now, in terms of a 'hermit nation', and begin the conversation needed to re-join the world.
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Risk of rare AZ/VIPIT w minimal Covid in Aus community - for non-border control/HQ/HCWs w adequate PPE - greater from vaccine than likelihood/risks of disease. Reminiscent of live attenuated oral polio vaccine in infants (ultra-rare primary immunodeficiency)
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My understanding was that the risk of OPV/mild polio & persistent enteric viral shedding led to decision to use injectable killed-polio virus vaccine
End of conversation
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