Vaccine authorization works – but only if they do it right


The point is that formal FDA approval is not required for authorization, but it turns out to be sufficient. Companies, schools, and local governments that want to avoid the need for “experimental” vaccines that have caused strong opposition now feel that they have a greener light. (In any case, this may be a feint; Texas Governor Greg Abbott’s Anti-authorization policy The EUA was once cited, and after approval, it changed to designate any Covid-19 vaccine. “They are worried about lawsuits, they are worried about the opinions of employees, they are worried about the opinions of the public,” said Lawrence Gostin of Public Health Policy, an expert at Georgetown University. “I think in the next few weeks, we will see a large number of companies and universities follow suit.”

But what is the most important thing about vaccine authorization? “They worked,” said Saad Omer, director of the Yale Institute of Global Health and an expert in vaccine acceptance. “A lot of evidence comes from vaccinations in children. For adults, it comes from vaccinating health care workers with influenza. This shows that authorization is effective. It raises you from 70% or 80% to 90% or 95%.”

Public schools across the United States require children to show proof of vaccination against various diseases; different states have different degrees of permission to opt out.One analyze The requirements indicate that they have increased the overall vaccination rate by 18%.Negative: Back in 2006, Omer and his colleagues show Those states with easier access to child exemptions also have a higher incidence of whooping cough, which is a childhood disease with a widely available vaccine. (The situation may be worse; Australia fines parents who fail to vaccinate their children, while Uganda puts parents in prison.)

There is a problem: you must do it right. On the one hand, mandatory policies that are regarded as unusually harsh may trigger an anti-vaccine backlash. But the real problem is that one size can’t fit everyone. There are many reasons why people are not vaccinated. Of course, some of them have differences in politics or philosophy. Some people don’t believe in the (very good, very powerful) science behind vaccines, or agree with conspiracy theories about their creation.According to a public election91% of Democrats were vaccinated and 64% of independents were also vaccinated; only 53% of Republicans had it.And according to different polling 5% of Republicans from the Kaiser Foundation say their only way is once Do you need to be vaccinated? So… hi! It’s now. welcome!

But some people are not vaccinated because of forces beyond their control. Covid-19 has hit certain groups particularly severely—especially people with lower socioeconomic levels and people of color. They are at the center of many Wien overlaps: they are more likely to have health problems that make Covid infection fatal, less likely to get medical care at any time, more likely to engage in high-risk jobs, have a lot of exposure, and less likely to have good internet access, They are more likely to engage in work that is paid by the hour and does not allow sick leave. If you have all of this, it is hard to imagine making an appointment for vaccination, let alone if you have side effects that make you go to bed and rest. If the vaccine injunction prohibits access to certain spaces, and the unvaccinated people are black, it will make the effect of the injunction racist.

The answer? Don’t do that. “You should not ask people who cannot get the vaccine to get vaccinated,” Gostin said. “Vaccinate workplaces or campuses, or provide paid time off to vaccinate-including paying for the ride. You have to focus on access and fairness.”



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