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CDC Director Overrules Expert Panel, Says At-Risk Workers Can Get Pfizer Booster

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The panel refused to recommend boosters for Americans whose jobs put them at risk of contracting the coronavirus, but the agency’s head rejected that decision.


CDC Issues Pfizer Booster Guidance

In a highly unusual move, the director for the Centers for Disease Control and Prevention (CDC) overruled the agency’s advisory panel late Thursday and recommended Pfizer-BioNTech’s COVID-19 booster shot for people at risk of infection due to their jobs.

CDC Director Rochelle Walensky’s decision aligns with a similar determination by the Food and Drug Administration (FDA) the day earlier.

On Wednesday, the FDA authorized third jabs of Pfizer’s COVID vaccine for select Pfizer recipients six months after they completed the two-dose regime.

The authorization applies to people 65 and older and adults ages 18 to 64 that have a high risk of severe illness or whose jobs or institutional exposure “puts them at high risk of serious complications of COVID-19 including severe COVID-19.”

In a statement announcing the move, acting FDA Commissioner Janet Woodcock said the third group includes “health care workers, teachers and day care staff, grocery workers and those in homeless shelters or prisons, among others.”

The CDC’s Advisory Committee on Immunization Practices largely backed the FDA’s authorization in its Thursday decision.

The committee additionally backed third doses for people 50 to 64 who have medical conditions that make them at risk for severe infection. It also said individuals 18 to 49 with underlying medical conditions can assess their own personal risk and obtain a booster if they feel it is needed. 

The experts, however, voted 9-6 against recommending the shots for Americans ages 18 to 64 whose jobs put them at increased risk of being exposed to COVID-19.

Walensky agreed with most of the panel’s determination but added the additional recommendation for occupational exposure, explaining that she decided to go against her own advisors in order to bring the CDC more in step with the FDA’s authorization.

“As CDC Director, it is my job to recognize where our actions can have the greatest impact,” Walensky said in a statement. 

“I believe we can best serve the nation’s public health needs by providing booster doses for the elderly, those in long-term care facilities, people with underlying medical conditions, and for adults at high risk of disease from occupational and institutional exposures to COVID-19.”

Moderna, J&J Recipients Left Behind — For Now

Walensky added that while the vaccine advisory panel only reviewed data for the Pfizer vaccine, the CDC “will address, with the same sense of urgency, recommendations for the Moderna and J & J vaccines as soon as those data are available.”

There is currently no data on whether it is safe or effective to mix-and-match vaccines made by different companies, and as such, federal guidance encourages people to get boosters from the makers of their original jab.

The CDC has estimated that around 26 million people received their last Pfizer dose at least six months ago.

Around half of those individuals are 65 or older, and is unclear how many more will meet the eligibility requirements for the booster. 

Meanwhile, around 23 million Moderna recipients are at least six months past their second vaccine, and about 3.3 million people are at least six months past their Johnson & Johnson jab.

While tens of millions of Pfizer recipients will now be eligible for a third dose, the roughly half of vaccinated Americans who got Moderna and J&J shots will have to wait.

How long that wait will be is uncertain, though federal officials have suggested booster shots for the other two vaccines could be approved in a matter of weeks.

See what others are saying: (The New York Times) (NPR) (The Washington Post)

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FDA Authorizes Moderna and J&J COVID Vaccine Boosters, Approves Mix-and-Match Doses

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The approval will allow at-risk Americans who received Pfizer and Moderna vaccines to get any booster six months after their initial series and all Johnson & Johnson recipients 18 and older to do the same two months after their single-shot dose.


New FDA Authorization

The U.S. Food and Drug Administration (FDA) on Wednesday authorized boosters shots of Moderna and Johnson & Johnson COVID-19 vaccines and approved a mix-and-match strategy that will allow people who got one company’s shot to get a booster from a different maker.

The decision paves the way for millions of more at-risk Americans to get extra protection, and not just certain Pfizer recipients as previously approved by the FDA.

Under the authorization, people who received Moderna or Pfizer can get any one of the three booster shots six months after completing their initial series if they are 65 and older, at high risk of severe COVID, or face increased exposure because of their work.

Meanwhile, all J&J recipients 18 and older can get any of the approved vaccines two months after they received the one-shot jab.

Hazy Recommendations, For Now

Notably, the FDA did not recommend a certain combination of vaccines, nor did the agency say whether or not it would be more effective for people to stick with their original vaccine maker for their booster.

The new authorizations draw on a study from the National Institutes of Health (NIH), which found that there are no safety concerns with mixing boosters and that vaccine combinations were at least as effective in stimulating antibodies as matched vaccines.

In the case of J&J recipients, the NIH found that people actually had a higher boost from mixing either Moderna or Pfizer boosters.

However, some of the scientists who worked on the study said it should not be used to recommend one combination over another because the research was limited.

The Centers for Disease Control and Prevention (CDC), which determines vaccine recommendations, could issue more guidance on when and whether people should switch vaccine makers for their booster shots.

An advisory panel for the agency is meeting Thursday to discuss the new FDA authorizations and recommendations.

Once the panel makes its decision, the CDC director has the final say on the guidelines. If the agency agrees with the FDA’s decisions, the booster shots could be rolled out as soon as this weekend.

See what others are saying: (The New York Times) (NPR) (The Washington Post)

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Paris Hilton Urges Lawmakers To Crack Down on Abusive Teen Treatment Facilities

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The heiress alleges that she was a victim of abuse in these types of centers for two years and wants to ensure that no child suffers through the same experience.


Paris Hilton Details Abuse Within “Troubled Teen Industry”

Socialite and entrepreneur Paris Hilton spoke outside of the U.S. Capitol on Wednesday to support the Accountability for Congregate Care Act, which is set to be introduced in the near future.

Hilton joined Rep. Ro Khanna (D-CA), Rep. Adam Schiff (D-CA), Rep. Rosa DeLauro (D-Conn.), and Sen. Jeff Merkley (D-Ore.) to advocate for the legislation, which aims to create a “bill of rights” for children in treatment and behavioral centers.

The heiress has alleged that she spent two of her teenage years in these types of facilities and was subject to rampant abuse. She is far from alone. 

During a press conference, Hilton said that one night when she was 16, she woke up to two large men in her bedroom forcing her out of her house. She said she screamed for help because she thought she was being kidnapped, but her parents watched as she was taken away to a “troubled teen” program. 

“Like countless other parents of teens, my parents had searched for solutions to my rebellious behavior,” she explained in an op-ed for The Washington Post this week. “Unfortunately, they fell for the misleading marketing of the ‘troubled teen industry’ — therapeutic boarding schools, military-style boot camps, juvenile justice facilities, behavior modification programs and other facilities that generate roughly $50 billion annually in part by pitching ‘tough love’ as the answer to problematic behavior.”

Hilton said she was sent to four different facilities where she was “physically and psychologically abused.” 

“I was strangled, slapped across the face, watched in the shower by male staff, called vulgar names, forced to take medication without a diagnosis, not given a proper education, thrown into solitary confinement in a room covered in scratch marks and smeared in blood and so much more,” she explained during the press conference. 

“At Provo Canyon School in Utah, I was given clothes with a number on the tag. I was no longer me, I was only number 127,” she continued. “I was forced to stay indoors for 11 months straight, no sunlight, no fresh air. These were considered privileges.”

Goals of the  Accountability for Congregate Care Act

Hilton claims that a lack of transparency and accountability has allowed this structure of abuse to thrive for decades. In some cases, she said it has taken children’s lives. Now, she wants Congress and President Joe Biden to act. 

“This bill creates an urgently needed bill of rights to ensure that every child placed into congregate care facilities is provided a safe and humane environment,” Hilton said of the Accountability for Congregate Care Act.

“This bill of rights provides protections that I wasn’t afforded, like access to education, to the outdoors, freedom from abusive treatment, and even the basic right to move and speak freely. If I had these rights and could have exercised them, I would have been saved from over 20 years of trauma and severe PTSD.” 

Foster children, children being treated for mental disorders, and other children in youth programs would be impacted by the bill.

Hilton was one of several survivors and advocates who fought for the legislation on Wednesday. Rep. Khanna thanked them for using their stories to fight for change. 

“No child should be subjected to solitary confinement, forced labor, or any form of institutional abuse,” he wrote. “Thanks to Paris Hilton, my colleagues & the survivors & advocates who joined us today to discuss how we can hold the congregate care industry accountable.”

While only Democratic legislators are currently sponsoring the bill, Hilton called for a bipartisan effort to fight for the rights of children. 

Ensuring that children are safe from institutional abuse isn’t a Republican or Democratic issue,” Hilton said. “It’s a basic human rights issue that requires immediate attention.”

See what others are saying: (The Washington Post) (The Hill) (NBC News)

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Surgeons Successfully Test Pig Kidney Transplant on a Human

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The procedure has been hailed as a major scientific breakthrough that could eventually open the door to a renewable source of desperately needed organs.


Groundbreaking Procedure

Surgeons at the NYU Langone Transplant Institute revealed Tuesday that they temporarily attached a kidney from a genetically modified pig to a human patient and found that it worked normally.

The operation was the first of its kind and could one day lead to a vast supply of organs for those who are in severe need. According to the Associated Press, more than 90,000 people in the U.S. are in line for a kidney transplant. Each day, an average of 12 die while waiting.

With the family’s consent, the groundbreaking procedure was performed on a brain-dead patient who was kept alive on a ventilator.

According to the surgeons, the pig used was genetically engineered to grow an organ that wouldn’t produce a sugar that the human immune system attacks, which would then trigger the body to reject the kidney. 

The organ was connected to blood vessels on the patient’s upper leg, outside the abdomen, and it was observed for over 54 hours, with doctors finding no signs of rejection.

Concerns and Hurdles Ahead

While the procedure was successful, this doesn’t mean it’ll be available to patients anytime soon. Several questions about long-term functionality remain, and it will still have to go through significant medical and regulatory hurdles. 

Details of the procedure haven’t even been peer-reviewed or published in a medical journal yet, though there are plans for this. 

Experts are also considering the ethical implications of this type of animal-to-human transplant. For some, raising pigs to harvest their organs raises concerns about animal welfare and exploitation. Such medical procedures have already earned criticism from People for the Ethical Treatment of Animals, or PETA.

“Pigs aren’t spare parts and should never be used as such just because humans are too self-centered to donate their bodies to patients desperate for organ transplants,” PETA said in a statement, according to The New York Times.

On the other side of the debate are people like Dr. Robert Montgomery, the director of the N.Y.U. Langone Transplant Institute who performed the breakthrough procedure in September.

“I certainly understand the concern and what I would say is that currently about 40% of patients who are waiting for a transplant die before they receive one,” he told BBC.

“We use pigs as a source of food, we use pigs for medicinal uses – for valves, for medication. I think it’s not that different.”

See what others are saying: (CNN)(BBC) (The New York Times)

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