Hartford Courant (Sunday)

WE NEED MORE AMERICANS TO BE VACCINATED It’s time for the FDA to grant final approval to the Pfizer and Moderna COVID-19 vaccines

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By Ajay Kumar

The list of what we have learned about the virus that causes COVID-19 is a long one. As expected, we’ve gained a fair deal of knowledge regarding immunology and epidemiolo­gy — as well as important lessons in psychology and sociology. At the same time, a list of what we don’t know about this virus and its variants would be practicall­y endless.

Scientists are accustomed to dealing with the unknown; confrontin­g mystery and unraveling secrets are among the best parts of the job. But most of us crave certainty, especially when it comes to life-or-death decisions. Questions about the COVID-19 vaccines create hesitancy and fuel resistance — one of the reasons that about 30% of American adults remain unvaccinat­ed.

The Food and Drug Administra­tion can answer one question definitive­ly right now: The mRNA vaccines for COVID-19 are not “experiment­al.”

They are safe, they are effective, and we have nearly 400 million proof points — the number of vaccines administer­ed in the U.S. — to underscore those statements. This extent of scrutiny has never been given to any therapeuti­c modality in human history and it has proved to be a significan­t scientific advancemen­t as these vaccines have changed the course of COVID-19 disease.

To be clear, the FDA has never suggested that it unleashed a large-scale medical experiment on American society. But that, perhaps understand­ably, is how some people interpret the FDA’s “Emergency Use Authorizat­ion” classifica­tion of the vaccine. Without its stamp of final approval, some Americans believe — or lead others to believe — the vaccine is unstable, unsafe or even dangerous. Whether people believe this sincerely, or if this is simply a convenient excuse for vaccine resistance, is beside the point. It’s an objection the government’s medical-safety watchdog agency can resolve fairly easily.

The mRNA vaccines’ paths from labs to jabs has been well-documented. The trials for this medicine were more stringent than for other vaccines, involving 44,000 participan­ts. Even emergency-use authorizat­ion was further held up for two more months to gather additional safety data.

Every day, since the first U.S. dose was given on Dec. 14, 2020, the FDA has continued to collect data on any possible adverse events. In my health system alone, we have safely administer­ed a half-million doses of vaccine. But the uptake is slowing, even as cases rise and the delta variant spreads.

It’s time for the FDA to grant final approval to the Pfizer and Moderna vaccines. This is both a profession­al and personal issue for me, as a physician and someone who has lost a beloved family member to this disease.

The stakes have never been higher as we face new variants and a limited time window to contain this raging pandemic. In addition to acknowledg­ing their already-proven safety, FDA approval would remove one more barrier to promoting vaccinatio­n.

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