Biden's vaccine booster plan meets pushback from

health experts in US and abroad

americanindependent.com/biden-covid-19-vaccine-booster-shot-cdc-global-health

Jacob Gardenswartz August 18, 2021

Millions of Americans will soon become eligible for COVID-19 vaccine booster shots, the
Biden administration announced on Wednesday, granting them access to a third inoculation
before the vast majority of the global population has even received a single dose.

Top U.S. health officials, including CDC Director Dr. Rochelle Walensky, acting FDA
Commissioner Dr. Janet Woodcock, and chief White House medical adviser Dr. Anthony
Fauci said in a joint statement that the shots would begin to be offered on September 20,
with Americans who received two doses of an mRNA vaccine, either Pfizer or Moderna,
becoming eligible for their booster eight months after they received their second shot.
Americans who received the Johnson & Johnson vaccine are likely to need a booster at some
point as well, officials said, though more data was needed to come up with a plan for those
individuals.

"We are not recommending that you go out and get a booster today," Surgeon General Vivek
Murthy stressed in a White House briefing, adding that health care workers, nursing home
residents, and others who were among the first to be vaccinated last year would be at the
front of the line for boosters. Government officials last week recommended that some
Americans with compromised immune systems receive boosters as soon as possible.

But the decision to recommend boosters to all Americans faced quick pushback from global
health officials and even some experts within the United States.

In early August, the World Health Organization asked wealthy countries to impose a
moratorium on booster shots for at least two months, as millions around the world wait for
their first dose.

"We should not accept countries that have already used most of the global supply of vaccines
using even more of it while the world's most vulnerable people remain unprotected," said
WHO Director-General Tedros Adhanom Ghebreyesus. He noted that of the more than 4
billion doses of COVID-19 vaccines administered around the world, over 80% have gone to
wealthy countries, despite the fact that those nations make up less than half of the global
population.

Shortly after Wednesday's announcement, the global poverty organization ONE Campaign
blasted the move, releasing a statement that said the decision "threatens to widen the gap
between the haves and the have-nots."

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"It's outrageous that a healthy, vaccinated individual will be able to get a third shot before the
elderly and health workers in low-income countries can get a single dose," the statement
continued. "The fact that the US and other wealthy countries are in need of booster shots is
an indictment of the world's failure to have a global plan to end this virus."

Asked about such criticism, officials promised the United States would continue to support
global vaccination efforts while offering boosters to its own population.

"I do not accept the idea that we have to choose between America and the world. We clearly
see our responsibility to both," Murthy said.

White House COVID-19 response coordinator Jeff Zients noted that while the United States
expects to be providing 100 million booster shots to Americans, it would be giving double the
number of doses to the global supply, with an ultimate goal of donating more than 600
million shots.

As a justification for the booster decision, health officials pointed to new research that shows
waning efficacy of COVID-19 vaccines against the highly contagious delta variant,
particularly when it comes to protecting against mild and moderate infections.

A trio of studies released by the CDC on Wednesday reveals that while the COVID shots
remain highly effective against hospitalizations and deaths, their strength against less severe
COVID cases weakened in recent months. One study examining COVID cases and
hospitalizations in New York over the summer found that effectiveness against new COVID
diagnoses fell from 92% to 80% from May 3 through July 25, as the prevalence of delta
variant infections increased.

But while this data might support the decision to give immunocompromised Americans
boosters, it doesn't mean all Americans will automatically require them, some experts said.

"Feeling sick like a dog and laid up in bed, but not in the hospital with severe Covid, is not a
good enough reason," Bellevue Hospital Center infectious disease specialist Dr. Celine
Gounder told the New York Times. "We'll be better protected by vaccinating the unvaccinated
here and around the world."

There are also fears that prioritizing American booster shots over global vaccinations could
lead to more virus variants, which can develop when the virus mutates as it spreads widely.
Health experts say it's easier for the virus to spread and mutate when there are more
unvaccinated people around the globe.

"If we want the vaccine to protect us against symptoms and transmissions (in the first world),
then we do so at the cost of others around the globe & the cost of future variants," tweeted
public health expert and former White House senior COVID-19 adviser Andy Slavitt.

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There's also the question of whether promoting boosters will increase vaccine hesitancy, as
officials struggle to convince many Americans to receive even their first two doses.

In Wednesday's briefing, officials pointed to positive trends in terms of initial vaccinations,

highlighting that 200 million Americans will have received at least one vaccine shot by day's
end, the highest two-week total of first doses administered since the beginning of June.

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