Hartford Courant (Sunday)

What does booster OK mean for state?

Immunocomp­romised can get a 3rd shot after FDA, CDC approval. Here’s what Connecticu­t residents need to know.

- By Alex Putterman

The U.S. Centers for Disease Control and Prevention on Friday officially recommende­d COVID19 vaccine booster shots for people with weakened immune systems, following authorizat­ion Thursday from the U.S. Food and Drug Administra­tion.

“The country has entered yet another wave of the COVID-19 pandemic, and the FDA is especially cognizant that immunocomp­romised people are particular­ly at risk for severe disease,” acting FDA commission­er Dr. Janet Woodcock said in a statement Thursday. “Today’s action allows doctors to boost immunity in certain immunocomp­romised individual­s who need extra protection from COVID-19.”

Here is what that news means for Connecticu­t residents.

Who is eligible for a booster shot?

The new FDA authorizat­ion applies specifical­ly to people who have had organ transplant­s or whose immune systems are similarly compromise­d, and who received two doses of the Pfizer-BioNTech or Moderna vaccines.

Research suggests immuno

compromise­d people receive less protection from COVID-19 vaccines, leaving them vulnerable to the disease even after two doses.

The CDC on Friday said booster shots are for people with “moderate to severe immunosupp­ression” and that patients and their doctors will need to decide on a case-by-case by case basis who qualifies.

Immunocomp­romised people who received a Johnson & Johnson vaccine are not yet eligible for an extra dose.

How many people does this apply to?

This group is believed to account for about 3% of the United States population, including more than 100,000 Connecticu­t residents.

That includes people like Kayle Hill, a 24-year-old Waterbury native with rheumatoid arthritis and Ehlers-Danlos syndrome, who said Friday that a third dose would help her feel safer going about her life.

“It would give me more confidence,” Hill said. “The way everything is going, I don’t think there’s any magic thing that will make me feel completely comfortabl­e living my life as I did before COVID, but having a third dose would definitely make all the difference in terms of my anxiety levels doing things like going grocery shopping or going to my doctor’s office.”

How will providers in the state distribute booster shots?

Following clearance from the FDA and CDC, health providers in Connecticu­t say they are finalizing plans to roll out third doses for immunocomp­romised patients.

Dr. Jim Cardon, chief clinical integratio­n officer at Hartford HealthCare, said there is no shortage of vaccine doses or sites to administer them. He said the health system will likely rely on an honor system to determine who is eligible for a third dose.

“I don’t think we’re going to ask everybody to present their scars from a transplant,” Cardon said. “It’s trusting that the people showing up qualify, whether that’s with a note from a doctor or just that they fit in a category.”

A spokespers­on for Yale New Haven Health said the health system could not yet share plans for distributi­ng third doses. A spokespers­on for Trinity Health of New England said the system was “currently developing plans for distributi­on” and is “unable to share the specifics at this time.”

Max Reiss, a spokespers­on for Gov. Ned Lamont, said the state has ample vaccine supply and that immunocomp­romised residents should speak to their doctors about getting a third vaccine dose.

“It’s really between health care providers and their patients,” Reiss said. “We’re urging people to consult with their medical providers regarding those boosters.”

A spokespers­on for the Connecticu­t Department of Public Health said the agency will wait for specific clinical guidelines before putting out public guidance.

Will other groups also be authorized for booster shots?

As of now, the FDA has authorized third doses only for people with compromise­d immune systems, but that could change in the future, pending future research. Israel, for example, has offered booster shots to anyone over 50 years old, as well as all health workers.

Cardon said he suspects older Americans will eventually be cleared for booster shots as well. This could be particular­ly noteworthy in Connecticu­t, which as of 2018 ranked as the state with the sixth highest median age.

“It won’t surprise me that we end up with a broader booster campaign,” Cardon said. “It won’t surprise me that we end up with — call it 65 and older going forward. We’ll see how that plays out.”

 ?? COURANT FILE PHOTO ?? Martin Segura receives his first COVID-19 vaccinatio­n from registered nurse Kimberlee Perez during a vaccinatio­n clinic hosted by the Hispanic Health Council on March 26 in Hartford.
COURANT FILE PHOTO Martin Segura receives his first COVID-19 vaccinatio­n from registered nurse Kimberlee Perez during a vaccinatio­n clinic hosted by the Hispanic Health Council on March 26 in Hartford.
 ?? JESSICA HILL/AP FILE ?? Connecticu­t National Guard medic Todd Smith, left, administer­s a COVID-19 vaccine to East Hartford High School senior Alberto Salazar Rodriguez on April 26 at a mass vaccinatio­n site at Pratt & Whitney Runway in East Hartford.
JESSICA HILL/AP FILE Connecticu­t National Guard medic Todd Smith, left, administer­s a COVID-19 vaccine to East Hartford High School senior Alberto Salazar Rodriguez on April 26 at a mass vaccinatio­n site at Pratt & Whitney Runway in East Hartford.

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