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Norway delays final decision on withdrawal of AstraZeneca vaccine

Norway's health authority has recommended AstraZeneca be withdrawn from its Covid-19 vaccination program, but the country's government has delayed a final decision until May.  

Norway delays final decision on withdrawal of AstraZeneca vaccine
Photo: MARCO BERTORELLO / AFP

The government has said it believes more information is needed before making a final decision on the AstraZeneca vaccine, after the Norwegian Institute of Public Health recommended it be withdrawn from the national vaccination programme.

A final decision will be given on May 10th, Health Minister Bent Høie said at a press briefing on Thursday afternoon.

“The government believes we do not yet have a good enough basis for drawing final conclusions,” Høie said.     

“We must assess the consequences for the health of the entire population if we have to live with restrictions for longer than other countries in Europe”, he added.  

Use of AstraZeneca has been on hold in Norway since March 11th due to suspected serious side effects including blood clots and low platelet counts.  

The government said it was setting up an expert committee to undertake a comprehensive risk assessment on the vaccine. The committee will submit its report ahead of the decision in May .

The risk assessment will look at both AstraZeneca and the Johnson & Johnson vaccine, which has delayed its European rollout due to reported blood clots.

“We set up this committee because we want to know more about the consequences for the population and society before we make a decision,” Høie said.

Johnson & Johnson and AstraZeneca are based on the same vaccine technology. As such, a decision by to withdraw AstraZeneca in May could also be significant for Johnson & Johnson’s single use Janssen vaccine.

“If we now say no to AstraZeneca, it could have consequences for the opportunity to use Johnson & Johnson,” Høie said.

Norway has ordered over a million doses of the Janssen vaccine.

The vaccination program in Norway could face delays of up to seven weeks if both serums are dropped according to head of the NIPH, Camilla Stoltenberg.

Stoltenberg also said the recommendation to recommend withdrawing the vaccine was one of the hardest decisions the authority has made during the pandemic.

So far, five patients under the age of 50 have been admitted to Oslo University Hospital (OUS) with severe blood clots after taking the AstraZeneca vaccine. Three of them have died.

Experts at the hospital have said the blood clots were triggered by a strong immune response linked to the Anglo-Swedish manufacturers serum.

The European Medicines Agency last week came to the conclusion that the unusual blood clots suffered by numerous people around Europe should be considered as rare side effects of the vaccine.

The EMA added that the benefits of the vaccine outweigh the risks.  

On Wednesday Denmark became the first country in the world to scrap the use of the AstraZeneca vaccine

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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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