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VACCINE

Why Norway will not vaccinate against Covid-19 by force

Although Norwegian law does not – in theory -- totally exclude a vaccination requirement, health minister Bent Høie has said vaccination against Covid-19 will not be made compulsory.

Why Norway will not vaccinate against Covid-19 by force
Illustration photo. AFP

Norwegian third-party fact checking media Faktisk.no has looked at whether Norway’s laws theoretically enable authorities to enforce vaccinations, and how likely such laws are to be used during the current pandemic.

Health minister Bent Høie has previously ruled out any form of mandatory vaccination against Covid-19.

“It will be completely voluntary to take the coronavirus vaccine when it is ready,” Høie told news agency NTB on August 21st.

The minister reaffirmed this position to faktisk.no in an email, noting “we have no tradition for obligatory vaccination in Norway, and neither have we needed to”, the media writes.

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“Our job is to give the public good information about the vaccine so that individuals can decide whether they wish to take the vaccine. Backing for vaccination is very high in Norway, and we have a strong belief that many of those who are advised to take the vaccine will choose to do so,” Høie also wrote to Faktisk.

Although vaccines against infectious disease are typically offered as free choices, an addition to the Norwegian infectious disease protection law, smittevernloven § 3-8, could enable the government or Directorate of Health to require vaccination in certain instances.

The government could add a regulation to the law which would make it mandatory for some or all of the population to take a vaccine “if it is crucial to fight a serious outbreak of a dangerous infectious disease”.

But the government has neither proposed or made a regulation in relation to vaccination against Covid-19, Faktisk.no writes.

The Directorate of Health could also require vaccination without a government regulation if it is necessary “to vaccinate the public or parts of it at one time to prevent significant damage to public health”.

But the directorate told Faktisk that the circumstances in which this could happen are “extremely narrow” and would only occur in a situation in which there was no time to pass a law change and with an already-developed, tested and approved vaccine available.

Even in the unlikely situation in which a vaccination requirement could occur, that would not mean vaccination by force, the directorate said.

The infectious disease protection law does not provide the authority to use force to ensure vaccination.

But it could allow authorities to place restrictions on those encompassed and who are not vaccinated in such a hypothetical situation.

That could include limits on going to public places, schools or other areas.

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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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