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You are in good health, you are under 65, you live in California, and you want a COVID-19 booster. So why do you still have to lie to program one?
California’s top health officials last week told healthcare providers that no adults who want a third injection to boost their Pfizer or Moderna vaccines should be turned down, effectively waiving federal eligibility criteria. that limit additional doses for those who have received the most popular injections for the elderly and those at high risk. That could change later in the week as federal regulators meet to look into the matter.
But even though Gov. Gavin Newsom visited a Kern County school on Tuesday to urge vaccinated Californians to get boosters to bolster their waning immunity and promote Golden State’s expanded definition of eligibility, the state and other online photo planners still require you to meet the more restrictive criteria.
Beth Ellen Stanley, who runs the San Francisco COVID-19 Vaccine Help Facebook group, said she had heard “a lot of complaints” about it from those seeking recalls. Although booking sites operate on the honor system, many people are reluctant to tamper with their eligibility.
“It’s very frustrating because most of the sites haven’t been updated since the change,” Stanley said. “People don’t want to be dishonest, but they want their boosters too.”
California Director of Public Health Dr. Tomás J. Aragon said in a Nov. 9 notice to local health courts and providers that they should “not refuse a patient who requests a recall” if the person is at least 18 years and six months or older since their last Pfizer or Moderna injection.
Aragón said adults who received the single hit from Johnson & Johnson, around 8% nationwide, at least two months ago are also eligible for the recalls, but this is in line with federal guidelines.
However, the state guideline for the vast majority of those vaccinated with Pfizer or Moderna deviated from the criteria of the United States Centers for Disease Control and Prevention. For now, the CDC says boosters should only be given to people 65 years of age or older or 18 years of age and older with underlying health conditions such as cancer or diabetes or who work or live in high risk settings, including long-term care facilities.
California MonTurn.CA.gov The vaccine appointment planner says reminders are “now available” for people 18 years of age and older. But it then puts the call-back applicants on the spot and asks them if they are in “eligible groups” that include “residents of a long-term care facility” such as a nursing home or assisted living facility, or at “high risk” for COVID-19 complications or exposure to the virus due to their occupation or institutional setting. He also asks them if they are at “increased risk of social inequalities”.
State officials have argued that almost anyone can claim to be at high risk – California is after all in the CDC’s highest risk category for transmitting the virus. But MyTurn tells those who don’t say they fit these risk groups “you are not eligible at this time” and that injections are “only available” for “specific age / risk factor groups. Or “immunocompromised patients”. Kaiser Permanente members trying to get a third injection are urged to schedule an e-tour to explain why they need it.
The California Department of Public Health did not have an immediate response on Tuesday to why MyTurn is imposing eligibility categories that the state no longer supports.
Brendon Cassidy called this “inexcusable” in a post Tuesday on the Bay Area Vaccine Hunters Facebook group, where he said it was “a horrible problem” for his family and friends. Rhita Ghose Williams, another member of the group, said it was “really painful”.
The experience remains similar with other vaccine appointment planners for major health providers and national pharmacies.
Walgreens, Rite Aid, and CVS websites also require recall applicants to indicate they meet CDC criteria, even as more state and local governments expand eligibility, fearing a wave of infections. winter as people congregate indoors where the virus easily spreads for the holidays. Colorado, New Mexico, Arkansas, as well as Santa Clara County and New York City, also relaxed eligibility for recalls for those who received the Pfizer and Moderna injections.
Rite Aid and CVS, however, have said that while some states may extend the criteria for COVID-19 boosters, store participation in the federal pharmacy program requires that they follow CDC recommendations.
The CDC and the Food and Drug Administration made no comment on Tuesday on states urging health providers to ignore much of it and whether the agencies would change it. Pfizer has asked agencies to approve its boosters for all adults. The CDC’s advisory committee is meeting on Friday and is expected to consider recommending boosters for all adults.
In August, President Biden called on everyone to get vaccinated eight months after the last dose of the vaccine, citing evidence of waning protection.
But the move drew criticism from many health experts who argued that most people vaccinated did not need a booster and that it could thwart efforts to get more people vaccinated by suggesting that injections should not. not work well. Expert advisers from the FDA and CDC have recommended those with the Pfizer and Moderna vaccines only need a booster if they are at high risk, positions more or less taken by the agencies.
Nationally, 16.8% of vaccinated adults, including 36.6% aged 65 and older, received a booster, according to the CDC. In California, 16.4% of adults received a booster injection, as in Florida. Rates are highest in the Midwest and Northeast, 22.5% in Colorado and 28.9% in Vermont, the highest rate in the country.
Newsom repeated at a school in Avenal on Tuesday the state’s position that “anyone who wants a recall can receive a recall,” highlighting concerns over another winter wave with an increase in cases in California and the United States. other states. He did not respond to eligibility questions still asked of call-back applicants.
“This virus, this disease, does not take the winter,” Newsom said. “These boosters are important in dealing with declining immunity and important in helping us get through this winter. We are not living through the winter we experienced last year.
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