COVID-19

3rd dose of Covid vaccine: over 50, over 65 … Who should do it to keep the health pass?

3rd DOSE. Maintaining a valid health pass is only possible under the condition that they are administered a third dose of anti-Covid vaccine, for those over 65 … and soon those over 50.

Summary

Virologists, doctors and health authorities have been insisting for months: vaccination is the most useful weapon today in the fight against Covid-19, by drastically limiting the number of serious forms of the disease. Given that vaccines lose effectiveness after a few months, the experts agreed, studies in favor, that it was necessary to inject a 3rd dose to the most frail and elderly people.

This new administration is “effective in 48 hours, provides an extremely strong immune response,” insisted the president of the scientific council on Wednesday 17 November in France Inter. Jean-François Delfraissy is also convinced “in a personal capacity” that it would be necessary to agree on a long-term administration of this 3rd dose of anti-Covid vaccine for the entire eligible population.

3rd dose of the Covid vaccine: for whom?

People over the age of 65 should receive their COVID-19 booster to maintain their health – they have 5 weeks after 6 months of their last dose to do so. Those 50-64 years should be affected soon by this provision: Gabriel Attal, the government spokesman, said on November 16 that it would be “logical” that this new injection would condition the validity of the health pass for these people. Also questioned on the subject in the columns of Ouest-France on November 16, Olivier Véran, Minister of Health, explained that “today we have not made this decision.” “We must give them enough time to get vaccinated anyway. In addition, we will take into account the conditions of circulation of the virus at that time.”

Beginning in early December, people ages 50 to 64 will be able to receive a booster dose. As of now, various audiences are already eligible for the third dose. As the Ministry of Health and Solidarity emphasizes, today this concerns the people most exposed to the risk of developing a serious form of Covid-19, namely:

  • People 65 years of age or older;
  • Residents of EHPAD, USLD (long-term care units) and independent residences;
  • People with very high risk of serious form, from the 12 years;
  • People with comorbidity (s), from the age of 12;
  • Severely immunosuppressed people, from the age of 12;
  • Healthcare professionals;
  • All employees of the health sector and the medical-social sector;
  • All employees in the medical transport sector;
  • Home helpers who work with vulnerable people;
  • Firefighters ;
  • People around immunosuppressed, only in adults over 18 years of age.

As a reminder, immunosuppressed people are people:

  • who have received an organ or hematopoietic stem cell transplant
  • under lymphopenic chemotherapy
  • treated with strong immunosuppressive drugs, such as antimetabolites (cellcept, myfortic, mycophenolate mofetil, imurel, azathioprine) and AntiCD20 (rituximab: Mabthera, Rixathon, Truxima)
  • chronic dialysis after the advice of your treating physician, who will decide on the need for appropriate tests;
  • case by case, people being treated with immunosuppressants that do not fall within the categories mentioned above or with primary immunodeficiency.
  • (since June 18) with chronic lymphocytic leukemia or certain types of lymphoma treated with antiCD20

3rd dose of vaccine and health pass

The President of the Republic announced that a third dose would be necessary to maintain the validity of the health pass in those over 65 but also in people who suffer from comorbidities, those whom Emmanuel Macron refers to as “the most fragile.” The deadline has been set for December 15, 2021 for those who have received their first doses for more than six months.

Do experts recommend generalization of the 3rd dose?

Why is a booster dose recommended? To increase immunity and ensure the highest level of protection against Covid-19. On its site, the Ministry of Health and Solidarity details its recommendations on the booster dose against Covid-19. Experts and members of the government also seemed to be heading in this direction. This Tuesday, November 9, the infectious diseases specialist and head of the infectious diseases department of the Saint-Antoine Hospital (AP-HP, Paris) Karine Lacombe, France Inter’s morning guest, said: “The third dose must be generalized of vaccine for all “. For her, in tonight’s presidential speech, “the important thing would be to have an important gesture in favor of the third dose.” Therefore, the infectious diseases specialist was listened to, pushing in this direction given the “increase throughout France, but really with much less importance than the number of contaminations”. [qui] it is a positive effect of vaccination, but one that is beginning to lose strength “:” We must generalize to everyone, in all categories of the population, six months after the second dose. “For Karine Lacombe, caregivers and experts call for generalization of the booster dose of the anti-Covid vaccine. In addition, a few days ago, it was the mandatory mask that was back in the schools of 40 departments. The World Health Organization also announced on Thursday, November 4 that it now feared a new wave of deaths, of at least “half a million in February” 2022. As a reminder: of approximately 7.7 million eligible French, only 3.4 were vaccinated for the third time.

3rd dose of vaccine: where to get it, how to make an appointment?

Regarding the places where the booster doses are injected, the Ministry of Health and Solidarity distinguishes two categories. Residents of a nursing home can get the booster dose at home, at the treating doctor (general practitioner or specialist), in the departments where they are followed, in a pharmacy, in a nursing or midwifery office., In your dentist. surgeon or in a medical biology laboratory. The rest of the public eligible for the booster dose, if they do not reside in a nursing home, can be vaccinated at a vaccination center, at their family doctor (general practitioner or specialist), at their work doctor, at a pharmacy . ., in a nursing or midwifery office, in hospital services where you are followed, in your dentist or in a medical biology laboratory. In the second case, some of these health professionals may agree to come to your home to administer this vaccine. Also, all information about vaccination sites is available on the website. Santé.fr.

Modern and third dose

At first, the Haute Autorité de Santé had “advised against” the use of the Moderna vaccine as a booster dose. To justify this decision, the HAS relied on a Scandinavian study highlighting the risk of myocarditis in people under 30 years of age. Announcements from various health authorities have highlighted the remaining unknowns about the dose and target population for withdrawal by Spikevax (Moderna vaccine, editor’s note) and justify waiting for the European body to provide the expected details in the context of marketing. authorization under examination “.

After the study, the Moderna vaccine finally received EMA approval. “The data showed that a third dose of Spikevax given six to eight months after the second dose resulted in increased antibody levels in adults with decreasing antibody levels,” the European Medicines Agency (EMA) said in a press release.

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