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Vaccine Progress, Approval, and Deployment

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Domh245

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My thought on this is that there is nothing special about “key” workers, many of whom don’t necessarily work in roles that have high levels of transmission. For example restaurant workers would not be in this group but are potentially disproportionately large spreaders. This of close presumes we are intending to reopen hospitality in the near future but, given that we need to...

The problem is that transmission effects of the vaccines are still poorly understood, and whilst there is likely some, there probably isn't enough. Also of note, it isn't the teachers and restaurant workers that spread it in those settings, but the children and diners respectively. All that vaccinating "key workers" achieves is ensuring that if they do get it (having not had it already) they're more likely to shrug it off without noticing - just put keep putting it into the arms of the people identified by the JCVI (anyone 50+ or CEV)
 
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Simon11

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It is also important to consider the type of workers doing these roles and note these are 'general' comments which will not apply to everyone!

Restaurant workers are more likely to be younger, living in smaller shared flats and less concerned of the risks. There is also the consideration about the education level of restaurant workers and less likely to follow the rules. At every single 'cheap' takeaway shop I have seen recently (i.e. chicken take away), I have always been shocked at the low standards of cleaning and lack of care about covid. You are lucky if the staff doing cooking have a mask on.

Whereas majority of teachers are likely to have larger and less people living in their homes, better health and be more proactive to follow the guidelines ect. Despite having to deal with 30 children without PPE, the stats show that teachers are at less risk than Restaurant workers.


However, should restaurant workers get the jab before teacher because they face higher risks? Tough one! I personally would give the jab to teachers at half term, even though the risks are low to teachers simply for the fact that we need to get children back in school and reduce any chance for them to further lose out.
 

Domh245

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I personally would give the jab to teachers at half term, even though the risks are low to teachers simply for the fact that we need to get children back in school and reduce any chance for them to further lose out.

There's an important distinction to be made here. Should "key workers" like teachers, police, public facing transport workers, etc be vaccinated sooner than the general population? On balance I'd say yes given the higher exposure. Should they be done ASAP at the expense of people in the priority groups, absolutely not. There is an argument that people in those priority front line roles and also in the priority groups for vaccination should be moved forward in the queue, but I'm not sure I'll ever be convinced that 30 year old teachers should be getting vaccines over 60 year olds given the main role of the vaccine is preventing/reducing severe illness, hospitalisation and death - the numbers just don't stack up
 

Yew

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There's an important distinction to be made here. Should "key workers" like teachers, police, public facing transport workers, etc be vaccinated sooner than the general population? On balance I'd say yes given the higher exposure. Should they be done ASAP at the expense of people in the priority groups, absolutely not. There is an argument that people in those priority front line roles and also in the priority groups for vaccination should be moved forward in the queue, but I'm not sure I'll ever be convinced that 30 year old teachers should be getting vaccines over 60 year olds given the main role of the vaccine is preventing/reducing severe illness, hospitalisation and death - the numbers just don't stack up
Indeed, get the over 60's vaccinated, and then we don't have to worry about case numbers and can get pretty much back to normal. Vaccinating high-contact people perpetuates the myth that we need to attempt to 'control' the virus until everyone has been vaccinated, which simply isn't the case.
 

adc82140

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Is is not the concern with teachers that they will spread the virus which the kids will take home to Granny? Therefore if granny has been vaccinated what's the problem?
 

Simon11

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Question: Is it better to vaccinate a 30 year old teacher that is with working with 30 children (and thus families) plus has close contact with other children in the school too without any form of PPE equipment or a 60 year old who is working from home and is shielding? What about special education schools, where it is impossible to have social distancing with the youngsters? Is there any other professions where people are working very closely to other families without PPE?

We need to really focus on getting children back to school and getting school staff vaccinated should be considered a key step to this and remove the fear school staff currently face.
 

Yew

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The 60 year old, as they're more likely to become seriously ill; we're not doing this to prevent people getting a cough for a few days, we're doing this to prevent people being hospitalised.
 

Simon11

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Based on Saturday's vaccination rates, it will take 1.5 days to vaccinate teachers and support staff. Do this during half term (after the most vulnerable have been jabbed), and you have a strong chance of being able to provide a consistent teaching programme from March.

I'm sure most people would be happy to wait an extra 1.5 days so our children can get back to the classroom quicker and reduce the lost learning?
 

Yew

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Based on Saturday's vaccination rates, it will take 1.5 days to vaccinate teachers and support staff. Do this during half term (after the most vulnerable have been jabbed), and you have a strong chance of being able to provide a consistent teaching programme from March.

I'm sure most people would be happy to wait an extra 1.5 days so our children can get back to the classroom quicker and reduce the lost learning?
You're using circular logic; you're presuming that we need to vaccinate teachers to get schools back, and then saying it would be good to vaccinate teachers as it would get school back earlier.
 

HSTEd

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Based on Saturday's vaccination rates, it will take 1.5 days to vaccinate teachers and support staff. Do this during half term (after the most vulnerable have been jabbed), and you have a strong chance of being able to provide a consistent teaching programme from March.

I'm sure most people would be happy to wait an extra 1.5 days so our children can get back to the classroom quicker and reduce the lost learning?

But vaccinating teachers achieves nothing.
The children are being constantly isolated because they might spread to other children.
 

35B

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Question: Is it better to vaccinate a 30 year old teacher that is with working with 30 children (and thus families) plus has close contact with other children in the school too without any form of PPE equipment or a 60 year old who is working from home and is shielding? What about special education schools, where it is impossible to have social distancing with the youngsters? Is there any other professions where people are working very closely to other families without PPE?

We need to really focus on getting children back to school and getting school staff vaccinated should be considered a key step to this and remove the fear school staff currently face.
Your reference to fear cuts to the heart of the problem. I believe there are arguments for prioritising teachers* as one of a number of categories of key worker once the top priority groups are vaccinated, but struggle with the argument from fear that is presented here.

The evidence is that teachers are not especially vulnerable as a profession, and that cases in schools involving pupil to teacher transmission are low; ditto hospitalisations and deaths. If the purpose of mass vaccination is to minimise the danger posed by Covid, then prioritising individual professions whose risk profile is not particularly high consumes finite resource in a way that undermines the overall policy objective.

Where individual teachers are at elevated risk, whether because of their age or health status, or because their job (e.g. special schools) is especially high contact, those individuals should be considered on the basis of their risk level.

* - I notice a focus on teachers. In primary schools, it's often the teaching assistants who work closest with the pupils - do they not deserve the same recognition, or is it just that they don't belong to a particular organisation?
 

NorthOxonian

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Your reference to fear cuts to the heart of the problem. I believe there are arguments for prioritising teachers* as one of a number of categories of key worker once the top priority groups are vaccinated, but struggle with the argument from fear that is presented here.

The evidence is that teachers are not especially vulnerable as a profession, and that cases in schools involving pupil to teacher transmission are low; ditto hospitalisations and deaths. If the purpose of mass vaccination is to minimise the danger posed by Covid, then prioritising individual professions whose risk profile is not particularly high consumes finite resource in a way that undermines the overall policy objective.

Where individual teachers are at elevated risk, whether because of their age or health status, or because their job (e.g. special schools) is especially high contact, those individuals should be considered on the basis of their risk level.

* - I notice a focus on teachers. In primary schools, it's often the teaching assistants who work closest with the pupils - do they not deserve the same recognition, or is it just that they don't belong to a particular organisation?
I think there is a fairly strong counter argument, but I've not seen it used very often - and that's in ensuring education can continue. Teachers are not at high risk of hospitalisation or death, but if huge numbers of teachers fall unwell, then they are out of action and so education could be disrupted severely.
 

Domh245

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Is is not the concern with teachers that they will spread the virus which the kids will take home to Granny? Therefore if granny has been vaccinated what's the problem?

It's an unfounded concern as it's not the teacher doing the transmission but the kids themselves! You are right of course that if Granny (and/or any other vulnerable relatives) has been vaccinated then it's pretty inconsequential if the kid catches it and brings it home, bar the parents possibly feeling rotten for a few days

* - I notice a focus on teachers. In primary schools, it's often the teaching assistants who work closest with the pupils - do they not deserve the same recognition, or is it just that they don't belong to a particular organisation?

I think that most people use 'teachers' as shorthand for anyone dealing with kids in schools face to face
 

DorkingMain

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Every dose given to a photogenic key worker is a dose stolen from a vulnerable person.
Agreed. I have absolutely no need for a COVID vaccine earlier.

Stop people dying from COVID first, and then start worrying about spread.

== Doublepost prevention - post automatically merged: ==

It's an unfounded concern as it's not the teacher doing the transmission but the kids themselves! You are right of course that if Granny (and/or any other vulnerable relatives) has been vaccinated then it's pretty inconsequential if the kid catches it and brings it home, bar the parents possibly feeling rotten for a few days
Yes to an extent - quite a lot of kids will have parents over 50 or with underlying health conditions (diabetes, for example, is quite prevalent in UK over-40s).

We should get the 9 priority groups done as a matter of urgency (over 50 + health conditions). Key workers could be a priority once that is done but it makes no sense to bump them any further up the queue than that.
 
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yorkie

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I've seen reports today that early data from Israel shows very low case rates for those having 2 doses of the Pfizer vaccine which is very good news!

I've also seen reports of less good news with the new vaccines appearing to be less effective against the South African variant. Reports are I think that they are only 50% to 60% effective on this variant.

If this is the case it's quite worrying as it also puts in question whether natural immunity also will be less effective.

It could also mean a need to modify and revaccinate those who already have had the vaccine.

I should add that the Israeli data is preliminary and the data on the new vaccines was based on trails in South Africa over a period of time when the new variant was spreading but not always the dominant variant.
When referring to news reports, it would be great if you can add a link and quote please :)

But yes I have heard similar preliminary reports do appear to be good news, and indeed more info has now been published; here is the BBC report:


Israel's vaccination programme is showing signs of working to drive down infections and illness in the over-60s.
The fall appears to be most pronounced in older people and areas furthest ahead in their immunisation efforts.
This suggests it is the vaccine, and not just the country's current lockdown, taking effect.
Israeli Ministry of Health (MoH) figures show 531 over-60s, out of almost 750,000 fully vaccinated, tested positive for coronavirus (0.07%).
And far fewer fell ill, with 38 becoming hospitalised with moderate, severe or critical disease - a tiny proportion.

Remember these stats when some scaremongering news outlet makes a huge story about someone who is vaccinated falling ill. It will happen, but it will be a tiny number. No vaccine is 100% effective but these vaccines are extremely effective; much more so than many other vaccines in wide use.
 

35B

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I think there is a fairly strong counter argument, but I've not seen it used very often - and that's in ensuring education can continue. Teachers are not at high risk of hospitalisation or death, but if huge numbers of teachers fall unwell, then they are out of action and so education could be disrupted severely.
I can only speak of the schools which I encounter. The disruption last term was not due to teachers' illnesses, but isolation requirements affecting teachers as pupils and their teachers had to isolate for periods. While those vaccinated are expected to follow the same advice as the rest of us, I see little practical gain in changing the pattern of vaccination.

If those pushing for earlier vaccination for teachers were making that argument, I'd have more respect for the case being made. Unfortunately, my observation is that, consistently, the argument is being framed in terms of the specific group of key workers and their fears, not in terms of maintaining the key service that employs them.
 

david1212

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Schools can only function properly if fully staffed. Hence as now most of the elderly and vulnerable have received their first vaccine dose I support next prioritising all school workers to minimise staff sickness and absence. The second doses could then be scheduled for the Easter holiday.

What of course this will not stop or even drastically reduce is schools being a hot bed of transmission. First, unless I have missed data stating otherwise, the effectiveness of vaccination against transmission is still uncertain and second while most pupils will be asymtomatic most transmission will be between them. The only way to minimise this will be very regular 100% testing to detect those who are carriers.
 

Solent&Wessex

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Schools can only function properly if fully staffed. Hence as now most of the elderly and vulnerable have received their first vaccine dose I support next prioritising all school workers to minimise staff sickness and absence. The second doses could then be scheduled for the Easter holiday.

What of course this will not stop or even drastically reduce is schools being a hot bed of transmission. First, unless I have missed data stating otherwise, the effectiveness of vaccination against transmission is still uncertain and second while most pupils will be asymtomatic most transmission will be between them. The only way to minimise this will be very regular 100% testing to detect those who are carriers.

But unless the rules regarding isolation change then you won't solve the bulk of the problem with staff absence.

As reported by ONS, PHE etc teachers are statistically no more or less likely to catch and be ill from Covid than anyone else. Thus, as posted above, the vast majority of absence is likely to be related to people being flagged up as close contacts and having to isolate. That is certainly the case in my workplace - in public transport- where most absence is either because people are shielding or told to isolate because they have been a close contact of someone positive.

The current rules say that even if you have had the vaccine you still need to self isolate if flagged up as a close contact.

Unless that changes then the majority of teacher absence is not going to disappear.

The vaccination programme should proceed on the basis already planned - i.e. reducing the number of cases of people getting seriously ill and going to hospital. If anyone can show that vaccinating all teachers - or for that matter any of the other myriad of professions all claiming they should get priority above everyone else - will reduce the number of people getting seriously ill and going to hospital MORE quickly than continuing with the original JCVI plan then I'll happily change my mind.
 

Simon11

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Nurses and doctors in hospitals, I can understand getting them vaccinated as they have a greater chance of getting into contact with covid and need all the help they can get.

But can someone explain why all care home workers have been vaccinated first as this goes against the thoughts raised here? Why would a 30 year old care home worker be in the priority line to be jabbed? Doesn't make sense, if we use the same arguments against teachers? p.s. thank you to all the hard working care workers!
 

yorksrob

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Nurses and doctors in hospitals, I can understand getting them vaccinated as they have a greater chance of getting into contact with covid and need all the help they can get.

But can someone explain why all care home workers have been vaccinated first as this goes against the thoughts raised here? Why would a 30 year old care home worker be in the priority line to be jabbed? Doesn't make sense, if we use the same arguments against teachers?

I think it's because they're likely to spread it to their highly vulnerable clientelle.
 

Domh245

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But can someone explain why all care home workers have been vaccinated first as this goes against the thoughts raised here? Why would a 30 year old care home worker be in the priority line to be jabbed? Doesn't make sense, if we use the same arguments against teachers? p.s. thank you to all the hard working care workers!

Because if (as anticipated but not proven) it does reduce transmission, then preventing transmission in hospitals and care homes is the place you want to do it. Cutting down transmission in schools, whilst it would be nice, doesn't save lives in the same way as directly cutting transmission in care homes.

Bit of a moot point though as most of the care home residents have now had their first doses, and reportedly many staff have chosen not to!
 

Simon11

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Good points raised, although the reducing of transmissions is a really weak argument however the consequences are huge if they infect the whole care home!

I wouldn't listen to the news too much, I can't expect it to be "many" staff that have refused. Look at France and their reactions to having the injections (only 30% would take it -v- 71% in UK (France latest data, UK based on 31st Dec) and that truly is bad with poor support from the government!
 

chris11256

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My wife is a carer in a nursing home and her problem is getting the jab. Her home is constantly being told that there's no local capacity to vaccinate staff and that they're not a priority.
 

Gadget88

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Must admit I am concerned about all the reports of people feeling ill after vaccination and younger people being affected I wonder how wide spread or common this is?
 

Yew

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Must admit I am concerned about all the reports of people feeling ill after vaccination and younger people being affected I wonder how wide spread or common this is?
Feeling groggy for a little while after a vaccine isn't uncommon.
 

ainsworth74

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Must admit I am concerned about all the reports of people feeling ill after vaccination and younger people being affected I wonder how wide spread or common this is?

The NHS has the information you seek:

COVID-19 vaccine side effects​

Most side effects of the COVID-19 vaccine are mild and should not last longer than a week, such as:

  • a sore arm where the needle went in
  • feeling tired
  • a headache
  • feeling achy
  • feeling or being sick
You can take painkillers, such as paracetamol, if you need to.

If you have a high temperature you may have coronavirus or another infection.

If your symptoms get worse or you are worried, call 111.

Allergic reactions​

Tell healthcare staff before you are vaccinated if you've ever had a serious allergic reaction.

You should not have the COVID-19 vaccine if you have ever had a serious allergic reaction (including anaphylaxis) to:

  • a previous dose of the same vaccine
  • any of the ingredients in the vaccine
Serious allergic reactions are rare. If you do have a reaction to the vaccine, it usually happens in minutes. Staff giving the vaccine are trained to deal with allergic reactions and treat them immediately.


It would foolish in the extreme, in my view, to be worried about taking the vaccine because you might have some mild side effects.
 

takno

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Must admit I am concerned about all the reports of people feeling ill after vaccination and younger people being affected I wonder how wide spread or common this is?
Millions of people have had it. 50000 people could have minor side effects and it would still only be 1% of people. Nobody has been reported to have ended hospitalised or dead that I'm aware of. It's almost certainly more dangerous crossing a couple of busy roads to get to the test centre.
 

Darandio

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Must admit I am concerned about all the reports of people feeling ill after vaccination and younger people being affected I wonder how wide spread or common this is?

Have you been reading mainstream social media by any chance? Plenty of posts about severe illness and cover ups, not one of them backed up by fact.
 

35B

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Must admit I am concerned about all the reports of people feeling ill after vaccination and younger people being affected I wonder how wide spread or common this is?
A good post here about how cause and effect can be confused, and then abused, about the effect of vaccination - https://respectfulinsolence.com/202...-cause-dr-gregory-michaels-fatal-case-of-itp/.

Quoting from the intro:
Recently, a post by Heidi Neckelmann, the wife of Miami obstetrician Dr. Gregory Michael describing his death from idiopathic thrombocytopenic purpura (ITP) 16 days after being vaccinated with the Pfizer/BioNTech COVID-19 vaccine went viral. Unsurprisingly, in her grief she blamed the vaccine for her husband’s death from a rare autoimmune condition that destroys platelets and causes bleeding. Unfortunately, Dr. Michael’s tragic death underlines the difficulty distinguishing coincidence from causation when evaluating adverse events after vaccination.
 

nlogax

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A colleague had his first vaccination on Saturday and spent most of Sunday afternoon and into Monday with a low grade fever / flu-like symptoms. As of today he's back on top form. I highly doubt that's the normal experience and if that's the worst that is happening, fine. Am all in for getting this jab as soon as it's offered to me.
 
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