Thoughtful thread on advisability of mRNA booster after J&J vaccine as Delta invariably increases here.
Already boosters are being done on a case-by-case basis, and its not hard to understand why.
Too soon for a policy statement?
(h/t @zeynep)https://twitter.com/michaelzlin/status/1407059999101181955 …
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Replying to @PaulSaxMD @zeynep
Great thread, thanks for highlighting. Still do not understand why it is almost verboten to discuss the issue of boosters in people who have received J&J vaccine and provide guidance backed by the available evidence on what to do with these individuals.
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Not too soon for a policy statement. I am getting this question more frequently from individuals who got the J&J vaccine or their providers. Clinicians would feel more confident in the advice they give if this is backed by a policy statement grounded win science from PH agencies.
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I’m struggling a little to understand this one. Why recommend re-vaccinating 10 mill+ people when there is a global scarcity of vaccine and J&J protects severe disease against variants? If it’s transmission risk why not use those resources for unvaccinated pockets in the South?
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Replying to @k_stephensonMD @Boghuma and
Even a mild case of Covid has been shown to have significant long term health consequences. If there is a way to increase people’s protection it should be done.
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Vaccinated breakthrough is not the same threat as novel exposure esp. as an adult, even if the cases are both "mild". Personally, I'm not as concerned about that for myself, for ex, unless we see data to the contrary. But once global supply is met, such questions may occur, too.
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Replying to @zeynep @k_stephensonMD and
That’s good to know… I still remain very worried about my level of protection against the Delta variant. Thank you for your response and your work
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You're very welcome. FWIW, If I had the J&J, my own risk from Delta wouldn't be a personal worry for me at this time. Population-level risks are different questions at times than personal risks.
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