COVID-19: Children at risk, first vaccinated?
A first round of vaccination targeting fragile children now, before a decision -ired decision for all 5 to 11 year olds.In a notice published Tuesday, the High Authority for Health recommends a two -step procedure for the issuance of the Pfizer vaccine to children.
If the idea is taken up by the Minister of Health, the pediatric formula of Cumirnaty, authorized last week by the European Medicines Agency, will initially be reserved for 360.000 children with a serious risk of the covid and those who live in the entourage of immunocompromised people.
"Case by case"»
Children have a chronic hepatic, heart or respiratory disease (including severe asthma treated), neurological pathology, immunodeficiency, obesity, diabetes, malignant hemopathy, sickle cell anemia and trisomy and trisomy 21.HAS also suggests including children with diseases involved in severe cases in adults, such as recent cancer, chronic kidney disease, neurological handicap, etc..
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Vaccination may finally be offered "on a case -by -case basis" by specialist doctors."21 % of the under 17s who suffered from a severe form of COVID-19 presented comorbidities, while these children represent only 6 % of their age class", justifies the agency, for which individual benefitIn this group is established.
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The pediatric formula, whose dosage corresponds to a third of the product administered to adults, should be available in Europe from December 20.The HAS gives itself the time "to audition stakeholders" (pediatricians, general practitioners, parents' associations) before deciding on a possible enlargement.One of the objectives will be to assess the benefit-risk balance of the vaccine in children, most often suffering from mild symptoms during a SARS-COV-2 infection.In the event of a covid, their risk of developing a serious form is very low.Since the start of the epidemic, three deaths and 228 critical care admissions have been identified for 5.8 million children from 5 to 11 years old.
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On the other hand, the epidemic is soaring, and this age group is that among schooling children, which records the highest incidence rate. «La vaccination aura un bénéfice collectif, remarque le Pr Odile Launay, infectiologue et coordinatrice du comité scientifique vaccin Covid-19.Even if it does not prevent it completely, the vaccine reduces transmission because it prevents infection very effectively in children.»»
Can the only general interest be enough to guide the administration of a vaccine?Or is it better to let children meet the virus naturally, the infection giving priori a more robust immunity than vaccination?The question is still debated.Experts are also waiting for feedback from the United States, where several million children have already been vaccinated. «Nous aurons alors plus de certitudes sur la sécurité du vaccin»», souligne le pédiatre Robert Cohen.The Ministry of Health awaits the opinions of the National Ethics Advisory Committee and the Guidance Council for the Vaccination Strategy to rule.
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