Fourth dose, Pregliasco: “It’s not feasible to extend it now, let’s wait for autumn”

An anti-Covid vaccination campaign to be launched “in the autumn”, in view of the critical season, and to be directed “on a voluntary basis” to the categories most at risk, “as we do every year for the flu”. Thus, according to the virologist Fabrizio Pregliasco, a professor at the State University of Milan, the recommendations issued yesterday on the second mRna booster by the European Medicines Agency EMA and ECDC, the European Center for Disease Prevention and Control, should be declined. . Because doing now a fourth dose of Covid-19 vaccine extended to other groups, in addition to the immunosuppressed for which it is already recommended, would be “impractical”, says the expert at Adnkronos Health. “I believe – he explains – that what the EMA and also the” American “FDA are saying should be understood in the direction of what was thought”, that is “an autumn vaccination that is neither universal nor compulsory, but voluntary for the groups most at risk , like the flu shot. ” The medical director of Irccs Galeazzi in Milan doubts “the practicability, the real possibility, of proceeding now with a fourth enlarged dose”. Furthermore, “even if Omicron gives us some uncertainties, it is to be hoped that in the summer there will be a slowdown” of the epidemic curve, “with a presumable increase in the winter”. Again, Pregliasco stresses that “taking a fourth dose too close can cause problems, as has also been seen in Israel”. Finally, the virologist’s hope is that “updated vaccines” to the circulating variants of Sars-CoV-2 may arrive for the autumn. “In conclusion,” we plan an autumn campaign and in the meantime we also acquire more data on some ongoing research. “, is the message of the expert who at this moment feels rather to launch an appeal so that” the third and fourth doses should be given to the immunocompromised. Unfortunately – observes Pregliasco – there are still few “, in particular” hardly anyone is doing the fourths “.

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