Hartford Courant (Sunday)

There will be a successful vaccine, but we must not rush it

- By Sharon Ostfeld-Johns Sharon Ostfeld-Johns, MD, is Assistant Professor of Clinical Pediatrics and a voluntary clinical instructor at the Department of Internal Medicine at Yale University School of Medicine.

When parents ask me about vaccinatio­ns for their children, this is what I say: “Vaccines are some of the most carefully tested medication­s I offer. They go through the most extensive testing process of any medication. Because they are going to be offered to so many people, we make sure they’re safe. That’s why I recommend them as strongly as I do.”

It often works, allaying fears and providing confidence in the safety of this life-saving medical treatment.

What if I’m not able to say that about the SARSCoV-2 vaccine? What if it isn’t rigorously tested before it’s offered to the public? What if it’s released prior to the election for political reasons? The fragile confidence our citizens still have in the national vaccine program will be lost. The costs of this pandemic have been great; this one would be overwhelmi­ng.

We only have one chance to get this right. No political pressure on the CDC, the organizati­on that implements vaccine deployment, or the FDA, the organizati­on that regulates and approves vaccines, should result in a coronaviru­s vaccine being released prior to completion of standard testing protocols. The FDA has clearly laid out guidelines for effectiven­ess and safety that a vaccine must meet prior to considerat­ion for approval. These cannot be hedged or shifted or changed by emergency authorizat­ion unless the process is fully transparen­t and supported by vaccine experts. I’m all for early preparatio­n, as the CDC has advised, but not premature authorizat­ion. We cannot allow any falsehood to shade our claims that vaccines are safe, as this is one of the primary concerns expressed by those who choose not to vaccinate.

There will be a successful vaccine, there is little question of that. But only if the government and scientific community is transparen­t in its process of developmen­t is there the potential to restore some of the confidence that has been lost in vaccine safety. We have an opportunit­y in real time to witness the process of vaccine developmen­t. The removal of paywalls from scientific publicatio­ns has gone a long way to increasing transparen­cy about this process. But we have a long way to go, with a recent poll showing a third of Americans planning not to get the coronaviru­s vaccine.

All of this is occurring on the backdrop of potential changes to vaccine exemptions in Connecticu­t. Legislatio­n removing religious exemptions to vaccinatio­n cleared the Public Health Committee in February of this year, enjoys bipartisan support and has been discussed as a possibilit­y to be brought up during a special session as yet to be convened this fall. This follows in the wake of similar legislatio­n in New York and many other states. If you agree that the exemptions to vaccines for children whose parents wish for them to attend school should be limited only to medical reasons, you can contact your state legislator­s today to let them know you support HB 5044.

While we await further news of coronaviru­s vaccines clearing research hurdles and approval snags, read as much as you can about the vaccine developmen­t process.

When you are talking, writing, posting or Zooming about vaccine developmen­t, use clear and correct language to describe the process of vaccine developmen­t.

When you are confronted by vaccine misinforma­tion, in casual conversati­on, on social media, or in the media, seize the opportunit­y to be a vaccine educator.

Let your local, state and federal lawmakers know what you think is important regarding vaccinatio­ns: that they be adequately tested according to standard vaccine protocol prior to deployment and and deployed equitably when they are available. We must preserve our trust in the process, or we will lose countless lives to vaccine-preventabl­e illness.

Lots of things can be rushed. Vaccines aren’t one of them.

And by the way, get your flu shot.

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