In Latvia, an additional dose of vaccine is recommended for seniors over 65 and SAC residents The news


Riga, September 27, LETA. At the meeting of the State Council of Immunization (IMP), it was decided to recommend a dose of primary vaccination for persons over 65 years of age, as well as for residents of social care centers, IVP representative Charlotte Konova informed LETA.

At a meeting of the Council on Friday, it was concluded that vaccination with an additional dose should be recommended no earlier than six months after receiving the second dose or later. It was stated at the hearing that, in the event that the first and second doses were received with Pfizer / BioNTech, the third dose was also recommended with that manufacturer’s vaccine. However, if the first and second doses are given with AstraZeneca, the third dose is recommended with Pfizer / BioNTech, but if necessary, the third dose can also be given with AstraZeneca.

That recommendation does not currently apply to those who received primary vaccination against Covid-19 with the manufacturer’s Moderna vaccine, as there is currently no scientific justification for how long the third dose of Moderna would be required. According to the IVP, the scientific evidence currently available indicates that protection with this vaccine is maintained for at least eight months during primary vaccination.

“At the meeting of the State Council of Immunization on Friday, we decided on certain public and professional groups that need to receive a booster vaccination against Covid-19. We emphasize that these are temporary recommendations based on the current epidemiological situation in Latvia.” explains IVP manager Dace Zavadska.

The expert also emphasizes that the IVP constantly follows the latest available scientific information and recommendations from international health organizations and drug regulators and, as soon as scientifically sound arguments are available, will provide an opinion on the need to vaccinate another group of the population with an additional dose.

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The IVP also decided that booster vaccination is recommended for residents of social care centers and nursing homes, regardless of the patient’s age. Vaccination with an additional dose is recommended no earlier than six months after the second dose or later.

At the same time, IVP members emphasize that primary vaccination is also a priority in nursing homes. “Deciding on a group to be vaccinated with an additional dose is just the beginning. It is important that this is put into practice. health is much higher, “believes Professor, IVP member Uga Dumpis.

The meeting also decided that booster vaccination is not required (except for people with severely weakened immune systems) for those who tested positive for SARS CoV-2 polymerase chain reaction (PCR) before starting vaccination, and for those who tested positive for SARS after two doses. CoV-2 PCR assay. Also included are those who tested positive for SARS CoV-2 PCR between the two doses of vaccine and those who tested positive for SARS CoV-2 PCR before or after vaccination with Johnson & Johnson against Covid-19.

The IBP indicates that there are currently no scientific and epidemiological data on the primary vaccination of healthcare workers or other occupational groups and that it is generally not recommended, as the incidence in certain occupational groups of fully vaccinated people does not differ from that of fully vaccinated people in the general population.

However, it cannot be ruled out that the healthcare system may allow a booster dose to be given to workers who have been in prolonged contact with both Covid-19 and non-Covid-19 vaccine patients and are therefore at high risk of occupational and local outbreaks. . Given that the treatment population was the first population to be vaccinated and that certain healthcare professionals may be exposed to long-term exposure to the SARS CoV-2 virus, there is a higher risk of infection, resulting in a large number of healthcare professionals not being able to perform their tasks. professional responsibilities, explains the IVP.

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At the IVP meeting, it was emphasized that primary vaccination should not be mandatory, including in order to receive a digital certificate. Individuals who have received a two-dose regimen or a single-dose regimen with vaccines registered with the European Medicines Agency are also considered to have been fully vaccinated and should be granted or retained a digital Covid-19 certificate.

In the vision of the IVP, it is more important than the primary vaccination for the whole society to expand the coverage of vaccination with the first and second dose, especially in high-risk groups – this was also decided at this IVP meeting.

“IVP is an independent council, it is set up and operates in such a way that it cannot be influenced and base its recommendations on high-quality scientific and clinical evidence. no knowledge of how to determine when vaccines require an additional dose and what evidence this should be based on. ” points out Zavadska.

She notes, among other things, that it is now known in the world what effect booster vaccination will have only on the over-65 age group, as well as on fragile patients who spend their lives in care centers and nursing homes due to health problems.

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