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COVID-19 Update: Friday, June 11th

A quick update on Vaccinating children and an appeal to the FDA


I just want to share some updates regarding vaccinating 12-17-year-olds as I know many of you are wrestling with that decision. Here are a few factors to consider:


  1. Right now there is a healthy debate happening within the FDA regarding the vaccines among 0-11-year-olds in particular (these vaccines are currently being tested). The debate is very encouraging because they truly are discussing some very difficult information. Essentially the question is is it necessary? Does the benefit outweigh the risk in this population? Their risk of severe outcomes is very small, so is any potential risk from the vaccine worth it? The discussion has been intense and real so stay tuned for more here.

  2. Among those 12-17, they have noticed a trend in a small number of children, particularly boys, experiencing myocarditis within 4 days of vaccination. This has not been a huge number of boys, but enough that it has gotten attention and is being looked at very carefully. As a result, some pediatricians are now suggesting children who have few risk factors not be vaccinated yet. None of these current cases have been fatal, but the long-term impact has not been determined. This is being studied but right now we just don't have a lot of answers.

  3. Some people are suggesting the vaccine dosing in children is too high and/or may not require two doses. The vaccine has a 100% effectiveness rate in children 12-17. This high of a rating can be an indicator that dosing is too high. Can be. So again, this is something that is being looked at now. Children tend to have a strong response to the second dose (perhaps more so than adults) which is another reason this is being looked at.

  4. The FDA is considering granting full approval to some of the COVID vaccines which is being met with some resistance from scientists and practitioners. The opposition is because the clinical trials call for a 2-year follow-up with the study participants for a host of reasons among which is a full safety review. Scientists and practitioners want the FDA to await that full review. The FDA believes giving full approval earlier will build confidence in the vaccine among those who are vaccine-hesitant due to the EUA status. No decision has been made.

  5. Numbers in the US are looking great - really. We seem to be on our way out of this. Hopefully, things will continue on that trajectory although there have been some super-spreader events and cruise ship situations so let's not exhale quite yet.

FINAL THOUGHTS: Life is getting better. We are venturing out more and living a life we haven't known in a while. My family actually went and ate in a restaurant last night - something we haven't done in 18 months. We are going to stores without our masks and enjoying some outdoor summer activities. My life is no longer consumed with COVID news, numbers, people, and research. In fact, my day-to-day has now expanded back out to include other public health issues -something that felt like it would never happen. But it isn't over. We aren't quite in the clear. Each time I think this blog may have seen its last post - something comes up that I feel needs to be shared, so here we are. We have loosened our grip but don't let go quite yet. Be mindful of the lingering threat even as you adjust back to normal. I hope you have a wonderful weekend and that you aren't melting somewhere. (isn't it wonderful to have reached a place where the weather is once again something we are complaining about!).




 
 
 

8 Comments


Samuel Loy
Samuel Loy
Jul 02, 2021

Hi Ginger, I'm now beginning to look for information on the Delta variant, this is the first time in a long time that it felt like to me that the media might be over exaggerating, not because of a desire for caution in the face of the unknown but rather just for the sake of over exaggerating. Because I'm looking at data sources, and I'm not seeing the "surge in cases" that is being reported.

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Samuel Loy
Samuel Loy
Jul 02, 2021
Replying to

Thank you I just read it, and yes, particularly the section on how you interpret the number of cases. I've also heard some people say that vaccinated people should perhaps start wearing masks again due to the delta variant. I'm not really sure where that is coming from, but on the flipside, I'm still not convinced that not wearing a mask is the best thing right now, for a number of factors, but that's my personal feelings.

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Lisa Siciliano
Lisa Siciliano
Jun 12, 2021

Dr Cameron

Are you aware or would you have any information on idiopathic thrombocytopenic purpura (ITP) after receiving the Pfizer Covid Vaccine. A dear friend of mine, after receiving her first dose of the vaccine happened to be scheduled for a routine gyn appointment. At that appointment they performed blood work and it came back with concern. She was referred to her family MD who repeated the blood work. She was referred to an oncologist due to the idiopathic thrombocytopenic purpura (ITP). I have read this being a concern with the J & J and Astra Z but I am not finding anything related to Pfizer. Appreciate any thoughts with regard to a source for discussion around this topic. Tha…

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Replying to

Lisa, sorry for the delay on answering this. Based on the information I was able to find there were 20 cases in the at least 20 million that got either the Pfizer or Moderna vaccine. 17 of those 20 did not have pre-existing thrombocytopenia. So if the vaccine contributed to those 17 cases, the incidence rate would less than 1 in every one million vaccines. The cases all occurred within 1-2 weeks post-vaccination. Currently we don't have quite enough evidence to say the vaccine "caused" the ITP but there is enough evidence that we are investigating it.


The basic premise of ITP manifestation is chronic inflammation due to systemic stress which release mediators (IgG and T-cells) which bind to platelets…


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bgsibbitt
Jun 12, 2021

I wouldn’t be mad if you transitioned this to a general public health blog in the future... I enjoy learning from you!

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Replying to

LOL I honestly hadn't even thought about that. I will give it some thought. Hope you are well!

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