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COVID-19

Here’s what we know about Sweden’s plans for the Covid-19 vaccine

Vaccines for the new coronavirus could be available in Sweden early next year, but people will need to be prepared to live with the virus for years to come.

Here's what we know about Sweden's plans for the Covid-19 vaccine
Vaccine coordinator Richard Bergström (L), Health Minister Lena Hallengren and Public Health Agency head Johan Carlson. Photo: Fredrik Sandberg/TT

The vaccinations could begin as early as the first quarter of 2021, Sweden's vaccine coordinator Richard Bergström said on Monday.

Sweden has signed a deal to buy millions of doses of Astra Zeneca's vaccine for next year, and has deals in the works for six other vaccines. At the moment no vaccine is ready to be used by the general public and it's unknown which vaccine will be ready first, how effective each one will be, and how many doses would be needed per person.

“We have bought more than we need, but that's a good problem to have. We will be able to sell to other countries,” Bergström said.

Which groups are prioritised in the vaccine would depend on the type of any vaccine, and how and when it can be carried out in Sweden.

“But those who will be prioritised are people aged over 70 and others with underlying symptoms. Staff in the medical and care sectors will also be included,” the Public Health Agency's general director Johan Carlson said.

“Our assessment is that children do not need the vaccine in the first instance – that goes for healthy children without underlying illnesses. Quite simply, it's about creating protection around the people who have extra need of protection.”

It's still unclear exactly how this would work – for example, what proof people in risk groups may need to show, or how long individuals may have to wait for their vaccine.

Carlson noted: “A vaccine alone cannot stop a pandemic. My message is very clear that the preventative measures we have must remain.”

“I think we should reckon with several years where we have to deal with this. It doesn't have to mean very restrictive measures, but it is wrong to thing that this will be gone next summer because we will have a vaccine then.” 

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COVID-19

Public Health Agency recommends two Covid doses next year for elderly

Sweden's Public Health Agency is recommending that those above the age of 80 should receive two doses of a Covid-19 vaccine a year, once in the spring and once in the autumn, as it shifts towards a longer-term strategy for the virus.

Public Health Agency recommends two Covid doses next year for elderly

In a new recommendation, the agency said that those living in elderly care centres, and those above the age of 80 should from March 1st receive two vaccinations a year, with a six month gap between doses. 

“Elderly people develop a somewhat worse immune defence after vaccination and immunity wanes faster than among young and healthy people,” the agency said. “That means that elderly people have a greater need of booster doses than younger ones. The Swedish Public Health Agency considers, based on the current knowledge, that it will be important even going into the future to have booster doses for the elderly and people in risk groups.” 

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People between the ages of 65 and 79 years old and young people with risk factors, such as obesity, diabetes, poor kidney function or high blood pressure, are recommended to take one additional dose per year.

The new vaccination recommendation, which will start to apply from March 1st next year, is only for 2023, Johanna Rubin, the investigator in the agency’s vaccination programme unit, explained. 

She said too much was still unclear about how long protection from vaccination lasted to institute a permanent programme.

“This recommendation applies to 2023. There is not really an abundance of data on how long protection lasts after a booster dose, of course, but this is what we can say for now,” she told the TT newswire. 

It was likely, however, that elderly people would end up being given an annual dose to protect them from any new variants, as has long been the case with influenza.

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