Andddddddd now, the director of the CDC has overruled the CDC panel and recommend a booster for all frontline workers, including teachers and healthcare workers. The CDC is still a ridiculously unfunny joke.
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Originally posted by HikingDO View PostAndddddddd now, the director of the CDC has overruled the CDC panel and recommend a booster for all frontline workers, including teachers and healthcare workers. The CDC is still a ridiculously unfunny joke.
it looks like there is disagreement whether healthy people in a high-risk occupations should get the third shot. Also Walensky has added another 50-64 tier which I don't remember seeing until now.
I think the conclusion has to be there is not a consensus on what to do with people under 65, and that the effect of the 3rd dose in healthy people under 65 is probably small.
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Originally posted by Rando View Post
It looks like there is agreement that people >65 who had the Pfizer vaccine should get another dose, also LTC patients..
it looks like there is disagreement whether healthy people in a high-risk occupations should get the third shot. Also Walensky has added another 50-64 tier which I don't remember seeing until now.
I think the conclusion has to be there is not a consensus on what to do with people under 65, and that the effect of the 3rd dose in healthy people under 65 is probably small.
The numbers really started getting into the 1 in 2000-5000+ was it went lower age groups and risks. I don't even think they had enough data for HCWs. That is why the group had such a hard time deciding on the medical merits of vaccinating HCW based on hospitalization risk.
- CDC ultimately makes public policy decisions (aka not always only science [read politics if you wish]). This is what the CDC director did which I'm not surprised.
If people are clamoring vaccine mandates potential knock out 5% of workforce; for sure a spike in covid within the HCW ranks and that's what the CDC director must balance against.
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Originally posted by StateOfMyHead View Post
I think they would decline the request. There are other qualifiers that I’m doubting they would require you to prove that would probably be a better strategy if you want to circumvent the recommendations.
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Originally posted by FunkDoc83 View PostCan you just walk into a Wallgreens, CVS, etc. today and ask for a vaccine due to occupational exposure? Will they say no?
Word on the street.
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Originally posted by StarTrekDoc View Post
- CDC ultimately makes public policy decisions (aka not always only science [read politics if you wish]). This is what the CDC director did which I'm not surprised.
This is from the New York Times:
. “There’s a complexity here, because Dr. Walensky was part of the White House announcement” on boosters, noted Dr. Ashish Jha, dean of the Brown University School of Public Health.
As you probably recall,. the White House announced on August 18th they planned to offer boosters to everyone 18 or over starting Sept 20th. Walensky was a big part of that announcement and ironically presented the studies to support the announcement.
So it's a reasonable question to ask whether she kind of backed herself into a corner, or felt political pressure.
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Originally posted by G View Post
If you schedule online at CVS, yiu click a button saying that you meet qualification; nobody asks after that.
Word on the street.
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Originally posted by StarTrekDoc View Post
Nope same committees.
FDA move then ACIP rec then CDC final.
FDA was yesterday
ACIP rarely goes contrary to FDA but they did today on HCW or other high risk exposures.
They had little data for NNT on it so there was quite a heated debate on following the lack of science available.
CDC final is up.tomorrow. they may ignore the ACIP recs today.....who knows.
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Originally posted by Rando View PostSo it's a reasonable question to ask whether she kind of backed herself into a corner, or felt political pressure.
Not the actually worker bees, just the top rungs.
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Originally posted by HikingDO View PostAndddddddd now, the director of the CDC has overruled the CDC panel and recommend a booster for all frontline workers, including teachers and healthcare workers. The CDC is still a ridiculously unfunny joke.
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Originally posted by SpacemanSpiff12 View Post
I know numerous docs who - weeks ago - walked into CVS, stated that they do not meet any of the criteria for a third shot, and were given one anyway.
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Pfizer recognized that they can just amp up the media and public pressure to get their booster shots passed rather than providing actual data.
Honestly, I’m not sure what the fda or cdc was supposed to do. I know many healthcare workers who would have been really pissed at the regulatory agencies if they were not allowed to get a booster. And maybe a booster really is needed? No one will know because Pfizer just bypassed getting real data.
The studies that they’re doing for kids look pathetically small for a vaccine study as well. Why bother spending money on a real study when public pressure will get it approved regardless.
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I was surprised at the CDC director adding HCW/high risk occupations to the booster pool, but not that much (my predictions of strong recommendations for 65+ and immunocompromised and weak for others held up). Ultimately, there's a judgment call involved in regards to what NNT is considered appropriate for a booster. Anything >1 involves judgment which is why there was disagreement.
Transparency vs closed doors+unanimity. I fear no matter which approach the FDA/CDC took, they would be roasted by those who had decided beforehand to oppose their decisions. I personally prefer the transparency so that I can better counsel my patients regarding recommendations and know where to bend and where to hold firm.
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Originally posted by pulmdoc View PostI was surprised at the CDC director adding HCW/high risk occupations to the booster pool, but not that much (my predictions of strong recommendations for 65+ and immunocompromised and weak for others held up). Ultimately, there's a judgment call involved in regards to what NNT is considered appropriate for a booster. Anything >1 involves judgment which is why there was disagreement.
Transparency vs closed doors+unanimity. I fear no matter which approach the FDA/CDC took, they would be roasted by those who had decided beforehand to oppose their decisions. I personally prefer the transparency so that I can better counsel my patients regarding recommendations and know where to bend and where to hold firm.
Great analysis, though
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Originally posted by pulmdoc View PostI was surprised at the CDC director adding HCW/high risk occupations to the booster pool, but not that much (my predictions of strong recommendations for 65+ and immunocompromised and weak for others held up). Ultimately, there's a judgment call involved in regards to what NNT is considered appropriate for a booster. Anything >1 involves judgment which is why there was disagreement.
Transparency vs closed doors+unanimity. I fear no matter which approach the FDA/CDC took, they would be roasted by those who had decided beforehand to oppose their decisions. I personally prefer the transparency so that I can better counsel my patients regarding recommendations and know where to bend and where to hold firm.
ultimately it's a judgement call on public policy for the CDC. Can it be political? Sure. Was this one? Not really...compared to other CDC calls in recent memory.
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