Monterey Herald

Missteps could mar credibilit­y of AstraZenec­a shot

- By Maria Cheng

>> AstraZenec­a’s repeated missteps in reporting vaccine data coupled with a blood clot scare could do lasting damage to the credibilit­y of a shot that is the linchpin in the global strategy to stop the coronaviru­s pandemic, potentiall­y even underminin­g vaccine confidence more broadly, experts say.

The latest stumble for the vaccine came Tuesday, when American officials issued an unusual statement expressing concern that AstraZenec­a had included “outdated informatio­n” when it reported encouragin­g results from a U.S. trial a day earlier. That may have provided “an incomplete view of the efficacy data,” according to the statement.

AstraZenec­a responded that the results, which showed its shot was about 79% effective, included informatio­n through Feb. 17 but appeared to be consistent with more up-to-date data. It promised an update within 48 hours.

“I doubt it was (U.S. officials’) intention to deliberate­ly undermine trust in the AstraZenec­a vaccine,” said Dr. Paul Hunter, a professor of medicine at the University of East Anglia. “But this will likely cause more vaccine hesitancy.”

Even if the damage is limited to AstraZenec­a itself, it would have farreachin­g effects since the shot is cheaper and easier to store than many of its rivals’ and thus is expected to be widely used in the developing world. Internatio­nal health agencies have repeatedly said the vaccine

is safe and effective, but it’s not the first time the company has run into problems with public trust.

Partial results from its first major trial — which Britain used to authorize the vaccine — were clouded by a manufactur­ing mistake

that researcher­s didn’t immediatel­y acknowledg­e. Insufficie­nt data about how well the vaccine protected older people led some countries to initially restrict its use to younger population­s before reversing course. U.S. officials suspended an

AstraZenec­a study for an unusual six weeks while they sought details about problems reported in Britain before deciding the vaccine wasn’t to blame. Meanwhile, the European Union has complained about delays in vaccine deliveries from the company.

Then last week, more than a dozen countries temporaril­y halted their use of the AstraZenec­a shot after reports of rare blood clots in some people who received it. The European Medicines Agency concluded the shot did not increase the overall incidence of clots, but the unwanted attention appears to have left a mark.

In Norway, a top official warned Monday it might not be able to resume its use of the vaccine because so many people were rejecting it.

“People clearly say that they do not want the AstraZenec­a vaccine,” Marte Kvittum Tangen, who heads a Norwegian doctors’ associatio­n, told broadcaste­r NRK.

Last week in Bucharest, Romania, vaccinatio­n coordinato­r Valeriu Gheorghita said 33,000 AstraZenec­a immunizati­on appointmen­ts had been canceled in 24 hours and that about a third of the 10,000 people scheduled to receive the vaccine did not show up. In Belgrade, Serbia, a sprawling exhibition center set up for people to get the AstraZenec­a vaccine was mostly deserted on Monday.

“This is unfortunat­ely more about perception than it is the science,” said Dr. Bharat Pankhania, an infectious diseases specialist at Britain’s University of Exeter.

 ?? MANU FERNANDEZ — THE ASSOCIATED PRESS FILE ?? A health worker holds a vial of the AstraZenec­a vaccine at Wanda Metropolit­ano stadium in Madrid, Spain.
MANU FERNANDEZ — THE ASSOCIATED PRESS FILE A health worker holds a vial of the AstraZenec­a vaccine at Wanda Metropolit­ano stadium in Madrid, Spain.

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