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ASTRAZENECA

AstraZeneca vaccine ‘safe and effective’ against Covid-19, European Medicines Agency concludes

The European Medicines Agency (EMA) concluded on Thursday that the AstraZeneca vaccine was a "safe and effective" tool in the battle against Covid-19 but its investigation could not rule out whether the jab had caused rare cases of blood clotting.

AstraZeneca vaccine 'safe and effective' against Covid-19, European Medicines Agency concludes
Photo: Joe Giddens/AFP

The EMA’s Executive Director Emer Cooke said the agency’s expert committee came to “a clear and scientific conclusion”.

“This is a safe and effective vaccine whose benefits in protecting people from Covid-19 hugely outweigh the risks,” she said but added that further studies would take place to probe possible links between the injection and rare blood clotting cases.

While millions of doses of the vaccine developed with Oxford University have been administered, small numbers of people have developed blood clots, which prompted countries including the European Union’s three largest nations – Germany, France and Italy – to suspend injections pending the EMA investigation.

The EMA’s expert committee was convened at short notice to hold an emergency investigation into the cases of blood clotting.

Cooke said that the vaccine was not associated with an increased risk of thromboembolic events or blood clotting but did add that based on the available evidence “we still cannot rule out definitely a link between these cases and the vaccine.”

In the report on its website the EMA said: “The vaccine may be associated with very rare cases of blood clots associated with thrombocytopenia, i.e. low levels of blood platelets (elements in the blood that help it to clot) with or without bleeding, including rare cases of clots in the vessels draining blood from the brain (CVST).

“A causal link with the vaccine is not proven, but is possible and deserves further analysis.”

Cooke said the EMA was in favour of “raising awareness of the possible risks of the vaccine and making sure they are included in the product information.”

“If it was me I would want to be vaccinated tomorrow but if something happened to me after vaccination I would want to know what to do about it and that’s what we’re saying today,” said Cooke.

Chair of the EMA’s vaccine safety committee Dr Sabine Strauss said there was no higher risk of thromboembolic events happening after being vaccinated in fact the risks may be reduced.

The EMA will carry out further studies into the vaccine. Those EU countries who paused the rollout of the AstraZeneca vaccine will not have decide whether to continue the injections after the EMA’s conclusions.

‘We have found the cause’

Earlier on Thursday, a group of health experts at Oslo University Hospital concluded that the blood clots in three health workers who took the AstraZeneca vaccine were triggered by an immune system response.

Three health care workers under the age of 50 were admitted to hospital with severe blood clots after taking the vaccine. One of the three later died of a brain haemorrhage.

“We have found the cause. There is nothing but the vaccine that can explain the immune reaction that occurred,” Pål Andre Holme, professor and chief physician at Oslo University Hospital told newspaper VG.

Holme led a team that worked round the clock to find out why the health workers were admitted to hospital with blood clots after taking the vaccine.

Asked about whether the EMA had taken into account the conclusions of Oslo University the agency’s Dr Sabine Straus said committee had taken into account the cases in Norway but had not looked at the report from Norwegian health officials in Oslo.

The World Health Organization on Thursday renewed a call for countries to continue the use of AstraZeneca’s
Covid-19 vaccine, shortly before expected assessments by EU and UN agencies.

The WHO’s Global Advisory Committee on Vaccine Safety (GACVS) — created in 1999 to address safety issues related to vaccines of potential global importance — is due to publish the conclusions of its assessment of the safety of AstraZeneca’s vaccine on Friday.

But as of now, “the benefits of the AstraZeneca vaccine far outweigh its risks and its use should continue, to save lives,” the WHO’s regional director for Europe Hans Kluge told a press conference.

“In vaccination campaigns, it is routine to signal potential adverse events. This does not necessarily mean that the events are linked to the vaccination,” Kluge said

AstraZeneca billed as vaccine of choice

In Britain, which has administered more than 11 million AstraZeneca doses, experts see no evidence of more frequent blood clots among the inoculated.

Prime Minister Boris Johnson wrote in The Times newspaper that the shot “is safe and works extremely well”.

More than 382 million doses of Covid vaccines have been administered globally, the vast majority in wealthier countries while many poorer nations have yet to receive a single dose.

AstraZeneca’s shot, among the cheapest available, was billed as the vaccine of choice for poorer nations and the clot reports have had an impact beyond Europe.

Other countries that halted or delayed the rollout include Indonesia, Venezuela, Denmark, Norway, the Netherlands, Cyprus, Lithuania, Luxembourg and Sweden.

The pandemic spurred unprecedented efforts to develop vaccines, with a number of successful options now available.

Rollouts have been hampered by export controls, bitter diplomatic disputes and production issues – in addition to the AstraZeneca suspension.

Member comments

  1. Already the damage is done. Now a lot of people will hesitate to take this. Hopefully, they distribute this to people who are ready to take it and the age restriction should be removed or relaxed to 45 and above.

    1. The delays caused by this scaremongering is more damaging than anything else. The number of people who have had blood clots after taking this vaccine is minimal, almost negligible compared to the millions who have been given the AZ vaccine. I almost feel that we should all be even more strongly advised to have the jab, the exceptions being those who have a medical condition which exempts them.

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HEALTH

Italy to step up test-and-trace and sequencing as concern grows about Delta virus variant

The Italian health ministry on Friday told local authorities to increase their coronavirus variant sequencing and tracing efforts, as new data confirmed that the Delta strain is spreading in Italy.

Italy to step up test-and-trace and sequencing as concern grows about Delta virus variant
Photo: Marco Bertorello/AFP

The ministry sent out the instruction in a circular after the Higher Health Institute (ISS) released new figures on Friday showing that the number of infections in Italy caused by the Delta and Kappa variants have increased by 16.8 percent in June.

“From our epidemiological surveillance, a rapidly evolving picture emerges that confirms that also in our country, as in the rest of Europe, the Delta variant of the virus is becoming prevalent,” said Anna Teresa Palamara, director of ISS’s infectious diseases department.

READ ALSO: Italian health experts warn about Delta variant as vaccine progress slows

According to ISS data published on Friday, the SARS-CoV-2 variant prevalent in Italy was found to be the Alpha variant (B.1.1.7), responsible for 74.9 of cases. This is now also the most prevalent globally.

Cases associated with Kappa and Delta variants (B.1.617.1/2) “are few overall in January to June”, the ISS report added. But it stated that the frequency and spread of these reports has “rapidly” increased across the country.

The new ISS figure  still lower than those from independent analysis of data from the virus-variant tracking database Gisaid, which estimated on Thursday that Delta now accounts for as much as 32 percent of recently confirmed new cases.

Several regions have already reported clusters of the Delta variant, though the amount of test result sequencing and analysis carried out by local health authorities in Italy varies and is often low.

Each region currently volunteers to do a certain number genetic sequencing of positive swabs, which means that Italy has less data available about the spread of variants than countries where sequencing is more widespread and systematic, such as the UK or Denmark.

The region of Puglia on Friday confirmed it would begin sending 60 test results per week for further analysis following the health ministry’s instruction.

Italian authorities had largely dismissed the risks posed by Delta in Italy until recently, describing its presence as “rare” in the country in the official data monitoring report released on June 11th.

Health officials had said at the end of May that they believed vaccinations would be enough to mitigate the risks.

But Italy’s government is now re-evaluating its approach following criticism of its response so far in a report published on Thursday by independent health watchdog GIMBE.

“A ‘wait-and-see’ strategy on managing the Delta variant is unacceptable,” wrote GIMBE head Dr. Nino Cartabellotta.

MAP: Where is the Delta variant spreading in Italy?

Photo: Marco Bertorello/AFP

The report described Italy’s current levels of full vaccination coverage as “worrying” considering “the lower effectiveness of a single dose against this variant “.

At the moment, just over a quarter of the Italian population is fully vaccinated against Covid-19, compared to 46% in the United Kingdom.

The report pointed out that some 2.5 million people aged over 60 in Italy have not yet received the first dose of a vaccine.

The foundation urged the government to “properly implement” measures recommended by the ECDC in its report published earlier this week: “enhance sequencing and contact tracing, implement screening strategies for those arriving from abroad, and accelerate the administration of the second dose in over 60s”.

Cartabellotta said: “You can’t control the Covid pandemic only with vaccines, masks and distancing. Today the Delta variant requires tracing and sequencing”.

Amid rising concern about the impact of the variant, which is thought to increase the risk of hospitalisation, Italian health authorities on Monday imposed new travel restrictions on arrivals from the UK – almost a month after other EU countries including France and Germany did the same.

Despite concerns about the spread of Delta, Italian health authorities on Friday also confirmed that all regions of Italy would be allowed to ease the health measures further from Monday, June 28th, as the number of infections recorded remained low this week.

READ ALSO: Italy to drop outdoor mask-wearing rule from June 28th

The last region still classed as a ‘yellow’ zone, Valle d’Aosta, will join the rest of the country in the low-risk ‘white’ tier, meaning most rules can be relaxed.

“With the decree I just signed, all of Italy will be ‘white’ starting from Monday. It is an encouraging result, but we still need caution and prudence,” Speranza
wrote on Facebook.

Referring to the spread of more transmissible variants of the coronavirus, the minister added: “the battle has not yet been won.”

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