TOP News

US: Biden's broad booster plan driven partly by supply concerns

Booster confusion takes hold as Biden announces expanded eligibility

  Booster confusion takes hold as Biden announces expanded eligibility "We have the tools to beat Covid if we come together as a country and use the tools we have," Biden said.Biden said his administration will begin to deliver booster shots after the nation’s two leading health agencies endorsed a third dose of the Pfizer-BioNtech vaccine for people 65 and older and those at elevated risk of severe Covid-19. The announcement is the culmination of weeks of debate inside the administration about whether data showed that vaccine efficacy was waning enough to begin to roll out doses to large swathes of the country.

Top advisers to President Joe Biden pushed for his administration to announce a broad booster rollout for September in part because of fears that the U.S. could run short of doses needed to offer the shots to its entire population if vaccines’ protection decreased suddenly, according to two senior officials with knowledge of the matter.

a person in a blue blanket: A pharmacist prepares a syringe with Pfizer’s vaccine at a Covid-19 vaccination site in New York. © AP Photo/Mary Altaffer A pharmacist prepares a syringe with Pfizer’s vaccine at a Covid-19 vaccination site in New York.

The internal campaign coincided with pleas from international leaders for the U.S. to do more to help lower-and middle-income countries secure initial doses. Biden’s team wanted to make sure the U.S. would have enough supply for the 40 percent of eligible Americans who still needed their first shots and those who would eventually need a boost, the officials said — despite the country’s deep vaccine stockpile.

CDC advisers sign off on Pfizer booster shot for certain groups

  CDC advisers sign off on Pfizer booster shot for certain groups A CDC committee voted to recommend booster shots for people ages 65 and up, as well as certain individuals at high-risk for Covid-19.All people ages 65 and up and those in long-term care facilities who were initially vaccinated with the Pfizer vaccine should receive a booster dose, the advisory panel said. People ages 50 to 64 with underlying medical conditions should also get a booster. The additional shots would be administered at least six months after people complete their initial vaccination series.

In a series of meetings over the past two months, Biden’s chief medical adviser, Anthony Fauci, and some of the most senior White House officials argued that the U.S. needed to protect itself, pointing to data from Israel that showed the Pfizer-BioNTech vaccine was becoming less effective against infection and severe disease. And if domestic data had yet to catch up to the distressing reality in Israel, it soon would, those officials argued.

The deliberations underscore the extent to which top Biden administration officials were guided by concerns about future American vaccine supply, not just international data on vaccine performance, in developing their vision of a sweeping booster rollout. They also show how the administration grappled with living up to its commitment to help vaccinate the rest of the world while also safeguarding Americans in the weeks leading up to the Aug. 18 booster announcement.

France recalls ambassadors to US, Australia over submarine deal

  France recalls ambassadors to US, Australia over submarine deal The diplomatic row came over a broken contract by Australia to buy French submarines in the wake of a new security pact by Australia, the US and the UK.Philippe Étienne, France's ambassador to the United States, and his counterpart in Australia were recalled to Paris "for consultations" at the request of French President Emmanuel Macron, said Jean-Yves Le Drian, France's minister for Europe and foreign affairs.

“No one wants to be the person responsible for not having the doses when we need them,” one individual familiar with the deliberations told POLITICO.

Similar concerns led the administration to delay its first vaccine donations this spring despite an abundance of doses at home, prompting criticism that the United States was hoarding shots while the world suffered. The White House’s booster balancing act comes as the Biden administration this week hosts a global vaccine summit at the U.N. General Assembly, at which U.S. officials will push other international leaders to commit more resources to increase vaccination worldwide.

Meanwhile, the Biden team is facing setbacks at home. On Friday, the Food and Drug Administration’s vaccine advisory committee rejected recommending the use of Pfizer-BioNTech’s booster in people 16 and older, arguing there was insufficient evidence to support that. The panel instead endorsed a narrower plan to give boosters to people 65 and older and those at high risk of severe Covid-19.

Why the FDA made the right call on Covid booster shots

  Why the FDA made the right call on Covid booster shots Protecting already vaccinated Americans from contracting mild Covid shouldn't be more important than the lives and human rights of people in poorer countries.The idea of ramping up booster shots has come under sharp criticism from scientific authorities around the globe, including the director-general of the World Health Organization and leading journals such as Nature and Science, due to extreme global vaccine inequity and the unclear benefits of providing booster shots on such a wide scale. Hopefully the decision on Friday, though not binding, will cause Biden to rethink his plans.

Video: Washington Gov. Inslee defends vaccine mandate as 'common sense measure' (MSNBC)

The decision came after senior officials at the Centers for Disease Control and Prevention, and outside health experts, argued in administration Covid meetings and through backchannels that the U.S. did not yet have data that indicated it should begin doling out booster shots to large portions of the population — perhaps only for the elderly. They argued the administration should focus on ramping up access to vaccines overseas to prevent the emergence of new variants before giving boosters to otherwise healthy Americans.

At FDA, the agency charged with regulating the shots, two top vaccine experts recently announced plans to retire, in part due to concerns about the Biden team’s top-down booster plans. All eyes are now on the agency, awaiting its decision on Pfizer and BioNTech’s booster application.

On cable television shows Sunday, senior Biden officials — including Fauci — walked back their initial claims about the U.S. needing a broad booster rollout. They said it was always the administration’s plan to follow the FDA’s recommendations and to have the first doses go to the most vulnerable.

Overnight Health Care — Nicki Minaj stokes uproar over vaccines

  Overnight Health Care — Nicki Minaj stokes uproar over vaccines Welcome to Tuesday's Overnight Health Care, where we're following the latest moves on policy and news affecting your health. Subscribe here: star Nicki Minaj is under scrutiny from many critics for tweeting about her decision not to get the COVID-19 vaccine, and for promoting an unsubstantiated story to her millions of followers."She should be thinking twice about propagating information that really has no basis as except a one-off anecdote," White House chief medical adviser Anthony Fauci told CNN's Jake Tapper. "That's not what science is all about.

“This is why we have a process,” White House press secretary Jen Psaki told reporters Monday. “It is important to hold the FDA as the gold standard.”

“The path out of this pandemic relies on us vaccinating people here at home as well as abroad, and we’ve planned for both since the beginning of the administration,” a White House official told POLITICO. “We have a dedicated supply to vaccinate all Americans, including with a booster if needed, and we will keep that supply in this country so that we are prepared for every scenario.”

The U.S. has a stockpile of about 150 million doses it can use to begin doling out boosters immediately. It has ordered an additional 200 million doses from Pfizer-BioNTech that the companies will begin delivering in October.

The White House official said the administration also has 600 million doses on hand to send abroad in the form of donations. That includes 500 million Pfizer shots the administration ordered earlier this year specifically for international donations.

The administration is set to announce this week that it is purchasing hundreds of millions of more Pfizer doses for countries in need, along with pushing for greater global vaccine aid at the U.N. Covid summit.

Officials at the State Department and USAID have advocated in meetings with the White House officials that the U.S. do more to get doses to lower and middle income countries and have raised concerns about how the administration’s booster plans would impact donations, an individual with direct knowledge of the matter told POLITICO.

The concern among some top officials in the administration is that if the U.S. begins earmarking doses for boosters, other wealthy western countries would follow, tightening an already strained international manufacturing system. Slightly less than half of the total amount of doses the administration promised to donate before the end of the year have made their way overseas, that source said.

“I think what you would end up having is a really stark difference between the low income countries and the rest of the world in terms of their access to vaccination,” said Celine Gounder, an infectious disease specialist at Bellevue Hospital in New York and former Covid-19 adviser to the Biden transition, of a broad booster rollout this month. “You basically would have high income and some low-and middle-income countries that would be getting third doses, and then you would have lower-income countries with nothing.”

What the potential Covid-19 booster rollout could look like .
It's not clear if or when boosters doses of Covid-19 vaccines will be OK'd for fully vaccinated people in the United States, but state and local health departments across the United States are moving ahead with plans for a potential rollout next week. © Ben Hasty/MediaNews Group/Reading Eagle via Getty Images Reading, PA - September 14: A nurse fills a syringe with a dose of BioNTech, Pfizer COVID-19 vaccine. At the Reading Area Community College campus in Reading, PA Tuesday morning September 14, 2021 where Pennsylvania Gov.

See also