The Scotsman

How to cure Covid vaccine concerns

Transparen­t decision-making will give the public the reassuranc­e that is required

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Given the apparent contradict­ion between guidance from the World Health Organisati­on about when to give a second dose of the Covid vaccine and the policy being adopted in the UK, it is understand­able that a new poll shows just under half of people are concerned about the issue.

Vaccine-maker Pfizer has said there is “no data to demonstrat­e that protection after the first dose [of its vaccine] is sustained after 21 days”, while the WHO recommends no more than a six-week gap between the two doses.

But, in the UK, the two doses for the Pfizer/biontech and Oxford University/astrazenec­a vaccines are to be given up to three months apart, a strategy designed to inoculate as many people as possible with one dose first.

However, as we pointed out earlier this month, some may suspect this is less to do with the correct medical approach and more about logistical problems, particular­ly given the supply problems that affected delivery of PPE in the early days of the pandemic and the lacklustre use of test-and-trace systems that have proved so effective in other countries, as public health expert

Dr Gwenetta Curry discusses in The Scotsman today. The decision to allow a 12-week gap between doses was taken by the UK’S Joint Committee on Vaccinatio­n and Immunisati­on with support from the UK’S four Chief Medical Officers, and such unanimity should help give us confidence. And the leaders of other countries, including the incoming Biden administra­tion in the US, are reportedly considerin­g whether to follow the UK’S decision.

One concern, as the journal Nature pointed out in an editorial, is that, after the first dose, people may be “more likely to begin resuming pre-pandemic lifestyles, which they should not be doing”.

What is clear from the new poll is that the public need to be reassured that the decisions being taken are the correct ones. And, in an age of social media, when doubts and misinforma­tion can spread faster than any virus, the best way to do this, as Nature states, is to be transparen­t about the decision-making process.

The last thing we need is for the vaccinatio­n programme – our way out of this crisis – to be undermined because a gap in public knowledge is filled by people who don’t know what they are talking about.

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