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VACCINE

Spain’s under 55s who’ve had Covid-19 to receive just one vaccine dose

The Spanish Health Ministry has announced that under 55s who have already had Covid-19 will be given just a single dose of the vaccine, six months after infection.

Spain's under 55s who've had Covid-19 to receive just one vaccine dose
Image: Pierre-Philippe Marcou / AFP

The announcement was made in a new document by Spain’s Health Ministry on Friday, February 26th, and is one of the most significant updates to the current vaccination strategy.

The published document states that it will not be necessary to carry out tests either before or after the vaccinations to verify if the person has antibodies against Covid-19.

Those under 55s who get infected with Covid-19, even after receiving the first dose of the vaccine, will however be given a second dose six months later.

For those over 55s, the Health Ministry still recommends the regular two doses.

Like the under 55s, those over 55 who are infected with the virus after just the first dose, will be vaccinated with the second once they have fully recovered.

The groups that will be receiving the Pfizer-BioNTech and the Moderna vaccines next will be those ages 70-79, then those ages 60-69, followed by those under 60 with high risk conditions and then those between ages 56 and 59.

The new document also states that once the AstraZeneca vaccine is given to key workers such as policemen and firemen, it will be administered to people aged between 45 and 55.

The Health Ministry maintain that the main risk factor for hospitalisation and death from Covid-19 is age, specifically those over 60 years. This risk increases with age.

The document also states: “Based on the principles of necessity and equity, the elderly who are not institutionalised should be vaccinated as soon as possible”.

So far, Spain has vaccinated 'almost all' care home residents against Covid and has already moved on to vaccinating the over 80s in the general population. 

They have also started vaccinating key workers such as firemen, policemen, teachers and pharmacists. Most health care workers in hospitals and care homes have also been vaccinated. 

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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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