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Tennessee’s top health official, Health Commissioner Dr. Lisa Piercey, said Friday the new eligibility recommendation was “logical” but certain to be unpopular. Piercey said the change also creates thorny hypothetical questions about who gets the treatment and who does not.
“Clinically, it makes sense,” Piercey said. “But the doctor in me thinks about all these ‘what ifs?’ What if there is a super-high-risk older person but they are not technically considered immunocompromised? Do they not get it? But a 22-year-old unvaccinated person with asthma – they get it?”
Despite the questions, the Tennessee Department of Health will move forward with the recommendation based on guidance from the National Institutes of Health. The NIH issued guidelines recommending in times of shortage that medical providers prioritize unvaccinated people and partially vaccinated people over those who are fully vaccinated, and therefore more likely to fight off the virus on their own.
Piercey on Friday described the change to antibody treatment as an eligibility criteria that would be invoked by the state, not unlike other mandatory regulations created by the federal government. On Monday, health department spokesperson Sarah Tanksley clarified the change was merely a recommendation — not a requirement — and the decision is “ultimately” left to individual medical providers.
Dr. Karen Bloch, medical director of the antibody infusion clinic at Vanderbilt University Medical Center, said limiting antibody treatment to unvaccinated people was a hard choice made necessary by the desire to do the most good with limited supplies.
Giving antibody drugs to vaccinated people, who are much less likely to get severely ill, is of "limited benefit," she said.
"If we had enough to give this to every single person at risk of hospitalization, that would be ideal. But with this limited resource, identifying those at most risk makes sense," Bloch said. "Taking out the politics, the unvaccinated fit into that category."
The federal government informed state officials last week it would begin capping shipments of antibody drugs to individual states in an effort to ensure there were enough to go around. About 70% of the national supply of these drugs was being used by seven southern states with raging outbreaks, including Tennessee. All of the seven states except Florida have below average vaccination rates.
Let's give the most effective treatment to the people who won't take minimal precautions. JFC.
Tennessee’s top health official, Health Commissioner Dr. Lisa Piercey, said Friday the new eligibility recommendation was “logical” but certain to be unpopular. Piercey said the change also creates thorny hypothetical questions about who gets the treatment and who does not.
“Clinically, it makes sense,” Piercey said. “But the doctor in me thinks about all these ‘what ifs?’ What if there is a super-high-risk older person but they are not technically considered immunocompromised? Do they not get it? But a 22-year-old unvaccinated person with asthma – they get it?”
Despite the questions, the Tennessee Department of Health will move forward with the recommendation based on guidance from the National Institutes of Health. The NIH issued guidelines recommending in times of shortage that medical providers prioritize unvaccinated people and partially vaccinated people over those who are fully vaccinated, and therefore more likely to fight off the virus on their own.
Piercey on Friday described the change to antibody treatment as an eligibility criteria that would be invoked by the state, not unlike other mandatory regulations created by the federal government. On Monday, health department spokesperson Sarah Tanksley clarified the change was merely a recommendation — not a requirement — and the decision is “ultimately” left to individual medical providers.
Dr. Karen Bloch, medical director of the antibody infusion clinic at Vanderbilt University Medical Center, said limiting antibody treatment to unvaccinated people was a hard choice made necessary by the desire to do the most good with limited supplies.
Giving antibody drugs to vaccinated people, who are much less likely to get severely ill, is of "limited benefit," she said.
"If we had enough to give this to every single person at risk of hospitalization, that would be ideal. But with this limited resource, identifying those at most risk makes sense," Bloch said. "Taking out the politics, the unvaccinated fit into that category."
The federal government informed state officials last week it would begin capping shipments of antibody drugs to individual states in an effort to ensure there were enough to go around. About 70% of the national supply of these drugs was being used by seven southern states with raging outbreaks, including Tennessee. All of the seven states except Florida have below average vaccination rates.
Let's give the most effective treatment to the people who won't take minimal precautions. JFC.
It's not about giving the most effective treatment to the people who won't take precautions. It's about giving the limited treatment resources to the people that are most likely to die without it. I get why people don't like this suggestion but it is pretty logical. The decision will still be made by the doctors so hopefully vaccinated people that are more at risk will still be able to get the treatment along with the unvaccination.
Last Edit: Sept 21, 2021 21:30:17 GMT -5 by r - Back to Top
Let's give the most effective treatment to the people who won't take minimal precautions. JFC.
It's not about giving the most effective treatment to the people who won't take precautions. It's about giving the limited treatment resources to the people that are most likely to die without it. I get why people don't like this suggestion but it is pretty logical. The decision will still be made by the doctors so hopefully vaccinated people that are more at risk will still be able to get the treatment along with the unvaccination.
I get the calculus. It doesn't mean that I like it.
It’s called rationing of care. I understand the need. But the main reason for the need is the unvaccinated. And as I feared, I am already seeing comments to the effect of glad I didn’t get vaccinated so I can get this treatment first.
It's not about giving the most effective treatment to the people who won't take precautions. It's about giving the limited treatment resources to the people that are most likely to die without it. I get why people don't like this suggestion but it is pretty logical. The decision will still be made by the doctors so hopefully vaccinated people that are more at risk will still be able to get the treatment along with the unvaccination.
I get the calculus. It doesn't mean that I like it.
This. It'd be different if the vaccine was rationed or expensive or had high incident rates of side effects or anything like that.
It’s called rationing of care. I understand the need. But the main reason for the need is the unvaccinated. And as I feared, I am already seeing comments to the effect of glad I didn’t get vaccinated so I can get this treatment first.
Post by TickleMeElmo on Sept 22, 2021 13:02:26 GMT -5
I don't get the sentiment of people here trying to get a third shot despite what's actually approved. I mean, wouldn't you be doing the same thing anti-vaxxers have been doing by going against what the CDC and FDA recommends? Are we just choosing to follow certain guidelines when it only aligns with our beliefs? It just seems so hypocritical to me.
I don't get the sentiment of people here trying to get a third shot despite what's actually approved. I mean, wouldn't you be doing the same thing anti-vaxxers have been doing by going against what the CDC and FDA recommends? Are we just choosing to follow certain guidelines when it only aligns with our beliefs? It just seems so hypocritical to me.
Id equate it closer to wearing masks in March 2020
Post by Dale Cooper on Sept 22, 2021 13:26:48 GMT -5
Just got back from Costa Rica, which was dope, but they take Covid so much more seriously. It's insane.
There were handwashing stations outside of 60-75% of businesses that you HAD to use. Masks were regularly worn on the sidewalk. Some places had designated officiants who sprayed your hands down with sanitizer before you entered.
Its made me way more vigilant since returning home. Like, oh, that's what we're supposed to be doing.
I don't get the sentiment of people here trying to get a third shot despite what's actually approved. I mean, wouldn't you be doing the same thing anti-vaxxers have been doing by going against what the CDC and FDA recommends? Are we just choosing to follow certain guidelines when it only aligns with our beliefs? It just seems so hypocritical to me.
Id equate it closer to wearing masks in March 2020
Do you think the CDC is making recommendations based on vaccine supply?
Do you think the CDC is making recommendations based on vaccine supply or what?
yeah, to get these shots sent to other countries is my gut feeling.
I'd hope so. I have no idea how concerned they are about providing doses to foreign countries, though. Scientifically and ethically I think it makes sense, but I don't know what their priorities are.
I don't get the sentiment of people here trying to get a third shot despite what's actually approved. I mean, wouldn't you be doing the same thing anti-vaxxers have been doing by going against what the CDC and FDA recommends? Are we just choosing to follow certain guidelines when it only aligns with our beliefs? It just seems so hypocritical to me.
I am still in the phase three Moderna trial. And they are giving it to us so they can continue to study us for another year. My husband qualifies for a booster as per CDC and FDA guidelines.
I don't get the sentiment of people here trying to get a third shot despite what's actually approved. I mean, wouldn't you be doing the same thing anti-vaxxers have been doing by going against what the CDC and FDA recommends? Are we just choosing to follow certain guidelines when it only aligns with our beliefs? It just seems so hypocritical to me.
My hubby got a booster because he has MS and his doctor actually told him to get it. I want a second shot (booster) since I have the J&J and I have severe asthma. I think most people that want the booster it is because of an autoimmunity or a pre-existing condition that makes them more susceptible to the virus.
Do you think the CDC is making recommendations based on vaccine supply or what?
yeah, to get these shots sent to other countries is my gut feeling.
Pretty sure the FDA advisory panel that made the recommendation doesn't consider that kind of thing. I don't think the FDA will consider that either when they make their final recommendation. I imagine the CDC will consider this as they meet this week.
I don't get the sentiment of people here trying to get a third shot despite what's actually approved. I mean, wouldn't you be doing the same thing anti-vaxxers have been doing by going against what the CDC and FDA recommends? Are we just choosing to follow certain guidelines when it only aligns with our beliefs? It just seems so hypocritical to me.
My hubby got a booster because he has MS and his doctor actually told him to get it. I want a second shot (booster) since I have the J&J and I have severe asthma. I think most people that want the booster it is because of an autoimmunity or a pre-existing condition that makes them more susceptible to the virus.
Yep I wrote my doctor to see what the current protocol is at her office because I'm having surgery next month and I got my vaccine back in February, so a little sketched out about efficacy. Also have pre-existing conditions that don't do well with covid.
I got my booster bc I teach in public school. I don’t have any preexisting conditions except for being fat. I think we pretty much know at this point covid is going to stick around like the flu. And we get a booster for the flu each year. 🤷🏻♀️ I also think they are absolutely considering the fact that world vaccination rates are low is contributing to the delay in saying we need a booster. Hell they haven’t even approved the original 2 dose Moderna for non emergency use.
Last Edit: Sept 22, 2021 16:31:49 GMT -5 by EAP - Back to Top
My cousin is really sick with leukemia and the doctors seem to think his covid caused his blood to get wonky (to put it in the least medical terms possible). He's not doing well
Post by piggy pablo on Sept 22, 2021 17:00:20 GMT -5
Comorbidities and immune compromise are different rationales for feeling like you need a third dose. The latter has more to do with the possibility of waning effectiveness over time.
I think plenty of people want the booster who probably don't need it, which is what Elmo is talking about.
My cousin is really sick with leukemia and the doctors seem to think his covid caused his blood to get wonky (to put it in the least medical terms possible). He's not doing well
My cousin is really sick with leukemia and the doctors seem to think his covid caused his blood to get wonky (to put it in the least medical terms possible). He's not doing well
That sucks, bruh. I hope that he gets better. HUGS.
My cousin is really sick with leukemia and the doctors seem to think his covid caused his blood to get wonky (to put it in the least medical terms possible). He's not doing well
Comorbidities and immune compromise are different rationales for feeling like you need a third dose. The latter has more to do with the possibility of waning effectiveness over time.
I think plenty of people want the booster who probably don't need it, which is what Elmo is talking about.
Precisely. Of course those who are immunocompromised, high risk, in a trial etc. are approved for the booster and that’s totally fine obviously. I’m specifically referring to others not within those groups wanting to cheat their way into a booster. IIRC there was talk in this very thread (or somewhere else maybe) about people proposing lying about their vaccination status just to get a third shot. Like, don’t do that.
Comorbidities and immune compromise are different rationales for feeling like you need a third dose. The latter has more to do with the possibility of waning effectiveness over time.
I think plenty of people want the booster who probably don't need it, which is what Elmo is talking about.
Precisely. Of course those who are immunocompromised, high risk, in a trial etc. are approved for the booster and that’s totally fine obviously. I’m specifically referring to others not within those groups wanting to cheat their way into a booster. IIRC there was talk in this very thread (or somewhere else maybe) about people proposing lying about their vaccination status just to get a third shot. Like, don’t do that.
I was definitely one of those people inquiring about the best way to sneak a booster.