Third COVID shot approved for immunocompromised Australians
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ATAGI has monitored overseas vaccination programs, including programs from Israel and the United States.
coronavirus, booster, vaccine, covid-19, greg hunting, atagi, immunocompromised
2021-10-08T13: 00: 00 + 11: 00
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https://players.brightcove.net/3879528182001/default_default/index.html?videoId=6276088379001
Australians with severely compromised immune systems may begin receiving a third shot from COVID-19 from Monday following advice from the expert panel on vaccinations, the Australian Technical Advisory Group on Immunization (ATAGI).
The expert panel has given the third dose of advice to immunocompromised individuals aged 12 years and over after close monitoring of overseas vaccination programs, including those from Israel and the United States.
Federal Health Minister Greg Hunt says it is a group of about 500,000 Australians.
“It’s about providing extra protection,” he said Friday. “The next phase, the general population phase of the booster program, we expect advice from ATAGI by the end of October.”
The advice concerns a wide range of different conditions, e.g. People who have cancer or have had an organ transplant or stem cell transplant, people living with HIV, people on medication that suppresses the immune system and people born with an immune deficiency.
Australia’s chief physician, Professor Paul Kelly, said the third dose was designed to help the immunocompromised come so close to the immune response protection for the general population.

Pharmacists administering COVID-19 vaccines. Photo: Anna Warr
“So we know that vaccines work by stimulating the immune system to produce antibodies to COVID. It’s the same for all vaccines, that’s how they work,” he said Friday.
“And unfortunately some people who have immune systems that do not work as well as the general population, these vaccines may not lead to that protection.
“And then the evidence is now clear that people in these categories of immunocompromised should receive a third dose, it should happen in a period after the second dose, between two and six months after the time of the second dose.”
As for which vaccine to use for the third shot, Professor Kelly recommended that preference be given to a third dose of the two doses first administered.
“So if you had two Pfizers, the third would be Pfizer. No one had two of Moderna yet,” he said. “But if Pfizer was not available or could not be taken, Moderna would be replaced.”
“There is flexibility, but the general principle is mRNA vaccine as the third dose.”
Professor Kelly said he would write to doctors to clarify this position and provide further guidance.
It was also announced on Monday that there is a nationally agreed statement to guide fully vaccinated healthcare professionals in the front line so that they no longer have to isolate themselves if they come into contact with a Covid case, also known as decommissioning staff.
The new rules, or more precise guidance, will depend on the severity of an outbreak and other conditions.
“It would depend on all the things we have become accustomed to; wearing masks, the nature of the interaction between someone who is positive and the health care professional, their vaccination status,” Professor Kelly said.
“There’s a matrix there. In the end, it will be a decision of the health sector and their local public health unit to take a stand on the real thing.
“But it opens up the possibility because of the protection that comes from vaccination and because of the need for us to have our healthcare services. [workers] working during this period, it is all taken into account. So it is a very good document that all states and territories have agreed on and it provides very careful and clear guidance to the local public health response. “
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