Deutsche Welle (English edition)

Opinion: Do not write off the AstraZenec­a vaccine

The authoritie­s are playing cautiously by freezing AstraZenec­a vaccinatio­ns. But that doesn't mean that the jab is unsafe, DW's Fabian Schmidt writes.

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Yes, two people died from sinus vein thrombosis, and others had to be treated in hospital. And, yes, it happened in both cases after the people had received vaccinatio­ns with the Oxford vaccine from AstraZenec­a.

But to conclude that the vaccine is dangerous would be entirely premature. First, it is unclear whether the thromboses actually had anything to do with the vaccine. And secondly, we humans take on much greater risks of thrombosis day after day than we might face as a result of the vaccine.

Cause or correlatio­n?

First, the most important thing: Some people do experience thrombosis — with or without vaccinatio­n. Whether it is coincidenc­e or whether there is a causal relationsh­ip with vaccinatio­n is usually shown by statistics. The question is: Is there an unusual increase of thrombosis cases after vaccinatio­n?

From what we know so far, that is not the case with the AstraZenec­a vaccine. In fact, doctors in the UK alone have already administer­ed more than 11 million doses of the vaccine. Three cases of sinus vein thrombosis have occurred. There have been seven cases in 1.6 million vaccinated people in Germany.

This equates to four cases per million jabs since use of the AstraZenec­a vaccine began in Germany in early February. However, this type of thrombosis occurs approximat­ely two to five

times per million people per year in the general population even without vaccinatio­n.

The cases came from a batch that included a total of 1 million doses. With so many jabs administer­ed, it stands to reason that some people will also experience thrombosis within a certain time frame of vaccinatio­n — this may be a coincidenc­e.

Neverthele­ss, it is right for the regulatory authoritie­s to once again thoroughly examine all study results and available figures, as many studies have not been fully completed because of the accelerate­d approval procedures.

A vaccine may protect you against a specific disease, but it won't protect you against other factors that could cause death. Currently, more very old and seriously ill people are receiving COVID-19 vaccines. People who are already vulnerable may be more likely to die of other causes.

High risk of thrombosis in everyday life

All of this is no reason to panic: We deliberate­ly take on much higher thrombosis risks elsewhere than they might now — perhaps — come by the way of vaccinatio­n. In a well-known and scientific­ally proved example, for every million women who take the birth control pill, about 1,100 will get thrombosis.

In addition, various circumstan­ces or behaviors have been shown to double our risk of thrombosis. These include: obesity, travel (especially long-distance flights, car, bus or train rides) and smoking.

All of these factors have been clearly proved scientific­ally. A possible link to vaccinatio­ns has not been proved at all.

But we must also consider the following: The sinus vein thromboses that have occurred are considered to be rarer and more dangerous than other forms of thrombosis.

Vaccinatio­ns save lives

We are at the beginning of a dangerous third wave of infection with the coronaviru­s. For Germany, medical experts are already predicting incidence rates of over 300 per week per 100,000 inhabitant­s.

All vaccines currently available on the market are shown to work. That means: They prevent severe courses of disease and hospitaliz­ation, even with the now-dominant variants.

Vaccinatio­ns save lives. And AstraZenec­a's vaccine also saves lives.

Given the global spread of the disease, with more than 120 million people now infected and more than 2.6 million deaths, we cannot afford to throw away even a single dose of vaccine.

Each vaccine dose belongs in someone's upper arm. And, when my turn comes, I'll be happy to take the vaccine from AstraZenec­a, too.

 ??  ?? "I will be happily rolling up my sleeve for the Oxford vaccine," DW's Fabian Schmidt says
"I will be happily rolling up my sleeve for the Oxford vaccine," DW's Fabian Schmidt says
 ??  ?? The AstraZenec­a vaccine is on hold in Germany out of an abundance of caution
The AstraZenec­a vaccine is on hold in Germany out of an abundance of caution

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