澳洲澳大利亚老人孕妇儿童优先接种疫苗?专家称尚

在澳大利亚澳洲新闻




​老年人,孕妇以及12岁以下儿童可能将错过辉瑞新冠疫苗的首批接种,要到澳大利亚的药品管理局确保该疫苗对以上人群具备安全性之后方可使用。

还有部分高危人群,例如糖尿病患者等,可能必须等到对疫苗潜在的副作用(如果有的话)进行深入研究后再进行接种。

疫情开始11个月之后,政府仍在研究谁将优先获得疫苗以及如何提供疫苗。

国家内阁将于本周五开会,议题就是关于澳大利亚的疫苗策略,会中姜确定澳大利亚社区中谁将是有希望首批获得疫苗的人。

药品管理局(TGA)表示,已经对由牛津/阿斯利康和辉瑞公司生产的这两种疫苗做出了临时决定。

在将疫苗提供给老年人之前,临床试验必须证明它们对这一人群有效。

牛津大学成功的在老年人群体中测试了新冠疫苗,而辉瑞公司直到最近才开始进行85岁以上人群的新冠疫苗有效性以及安全性试验。

该公司的一位女发言人说,本周发布的早期调查结果显示,包括年长者的数据在内,该疫苗的有效性达到了90%。

辉瑞公司尚未对孕妇或12岁以下的妇女进行临床试验。

本周早些时候,卫生部长Greg Hunt告诉澳大利亚新闻集团,如果获得国家内阁的批准,老年人和老年护理人员将成为首批接种新冠疫苗的人。

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紧随其后的可能是诸如教师和警察之类的一线工作人员。政府的澳大利亚免疫技术咨询小组仍在草拟首批接种人选的名单。

因此目前尚不清楚是否将教师,保育人员,零售工人,警察还有招待人员包括在首批接种名单内。

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尽管本周澳大利亚已经开始生产疫苗,但免疫联盟的首席执行官Kim Sampson和主席Rod Pearce博士依然提出了这样的担忧,即究竟谁应该先接种新冠疫苗。

药品管理局的John Skerrit则表示,问题就在于因为疫苗的临床测试还在进行中,所以监管机构并不是很清楚新冠疫苗适合哪些人群。

虽然阿斯利康疫苗已成功地在老年人身上进行过试验,但辉瑞疫苗在该年龄段的试验仍在进行中。

专家们因此质疑老年人是否应该成为第一批接种该疫苗的人。

Sampson先生表示,如果老年人对疫苗反应不理想,那么可能最佳的选择就是老年人周围的人(如老年护理人员和探望他们的亲戚)首先接种疫苗,这样老年人们就会得到更好的保护。  

澳大利亚老年人协会(National Seniors)的发言人Ian Henschke指出, “老年护理人员和老年人是最有风险的群体,因此疫苗应该优先向这些高危人群提供”。

Hunt先生称,如果临床试验成功,疫苗将从3月开始全国推广,到2021年底,全国范围内的人都可以接种疫苗。

疫苗将分装在大瓶中,每瓶包含多个剂量,因此全科医生必须安排较大的注射场所才能确保一次有15人进行注射,这样才不会浪费疫苗。

辉瑞疫苗本周报告的成功率达到90%,必须在零下70摄氏度的环境下储存,并将由装有干冰的特殊运输工具运送,疫苗可以在这种环境下存活15天。

原文链接:https://www.dailytelegraph.com.a ... bc8412b17e751e1b062

The elderly, pregnant women and children under 12 will miss out on the first doses of the Pfizer COVID-19 vaccine until the Therapeutic Goods Administration is convinced it is safe for them.

Some high risk groups such as people with diabetes, immunosuppression and other serious health conditions may also have to wait until research into the vaccines’s potential side effects – if any – are known.

Eleven months after the pandemic began the government is still working out who will get the vaccines and how they will be delivered.

National Cabinet is due to meet this Friday to discuss Australia’s vaccine strategy and work out who in the community will be among the first to receive the promising vaccine.

The Therapeutic Goods Administration (TGA) said it has given provisional determination for the first two vaccines made by Oxford/AstraZeneca vaccine and Pfizer.

Before the vaccines can be given to the elderly clinical trials will have to show they work in this population group.

While Oxford University successfully trialled their vaccine on the elderly, Pfizer only recently began trials in those aged up to 85.

A company spokeswoman said early findings released this week showing a 90 per cent success rate included data from elderly participants.

Pfizer has not conducted trials on pregnant women or those under 12.

Earlier this week, Health Minister Greg Hunt told News Corp Australia that subject to National Cabinet’s approval frontline health and aged care workers and the elderly would be the first to receive the vaccine.

Essential workers such as teachers and police are likely to be next but the Government’s Australian Technical Advisory Group on Immunisation is still drawing up the list of who falls within this group.

It is not yet known whether it will include teachers, childcare workers, retail workers, police or hospitality staff.

While vaccine production began in Australia this week, the Immunisation Coalition’s CEO Kim Sampson and chair Dr Rod Pearce have raised concerns that details on who get it are still being drawn up.

“If we look back you know we could say, well, shouldn’t this have been thought about years ago,” Mr Sampson said.

The Head of the TGA John Skerrit said the problem was the regulator didn’t know what populations the vaccines are suitable for yet because clinical trials are still underway.

While the AstraZeneca vaccine has been successfully trialled on the elderly, trials for the Pfizer vaccine on that age cohort are continuing.

Experts have questioned whether the elderly should be among the first in line for the vaccine.

“There is a point of view that says we should actually be vaccinating 20 to 40 year olds, maybe before we do the elderly, because someone with long term COVID-19 at 20 has got more long term risk than someone older who might only have life expectancy of five or so years,” Dr Pearce told News Corp.

Mr Sampson said if the elderly did not respond well to the vaccine they might be better protected if those around them like aged care workers and relatives who visited them had to be vaccinated.

National Seniors spokesman Ian Henschke said science should guide the decision but “aged care workers and the elderly would be the ones that would be most at risk, and therefore the vaccine should be given to those that are most at risk”.

Medecins Sans Frontiers demanded all governments publish details of the commercial agreements they reach with pharmaceutical companies supplying covid vaccines.

It said details had emerged showing AstraZeneca’s “no profit” commitment to supply its vaccine had limits.

“The company has given itself the power to declare the pandemic over as soon as July 2021. This means that, after July 2021, AstraZeneca could charge governments and other purchasers high prices for a vaccine that was entirely funded by the public,” the organisation said.

Mr Hunt said if clinical trials were successful vaccinations would begin to be rolled out from March and the entire population could be vaccinated by the end of 2021.

The vaccines will be delivered in large vials containing multiple doses, so GPs will have to arrange for mass clinics to ensure 15 people at a time can be given the shots and no vaccine is wasted.

The Pfizer vaccine, which this week reported a 90 per cent success rate, has to be stored at minus 70 degrees celsius and will be delivered in specialised thermal shippers filled with dry ice where it can survive for 15 days.





评论
副作用怎么样。

评论
本地无病例,
俺就不着急打了!

让领导先打!

评论
这么说了 谁敢先打

评论
一线人员先来。

评论
大范围推广新疫苗后才会显现副作用,小概率大基数

评论
小孩症狀轻微
就别急着打了

评论
就怕有副作用

评论
有疫苗我先去打。

评论
先不打,观望一段时间。

评论
没准!

评论
能不打 尽量不打。 疫苗的ADE 副作用 需要至少几个月的时间来验证的。 请大家参考
https://news.bioon.com/article/6778929.html

评论
让总理先打!

评论
这样说来,还都不确定呢,就考虑给谁先打疫苗,那谁敢先打呀?

评论
登记了的也不是所有人愿意打

评论
能不打吗

评论
列出来高危年纪职业, 第一批自愿吧,每个类别设个cap

评论
12岁以下的妇女
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