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Covid vaccine, fourth dose at the start today: who should do it

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The first administrations of the fourth doses of the anti-Covid vaccine for over 80s, for guests of the rsa and for the frail aged 60 and over are starting today. The methods of administering the second booster are indicated by a note from the Ministry of Health, the Italian Medicines Agency (Aifa), the Higher Institute of Health (Iss) and the Higher Health Council (Css), following the ruling of the European Medicines Agency Ema and European Center for Disease Prevention and Control, Ecdc, and at the meeting of the Technical Scientific Commission (Cts) of Aifa. WHEN TO DO IT – The note specifies that “it is recommended to administer a second booster dose (second booster) with mRna” anti Covid “vaccine in the dosages authorized for the booster dose, provided that a minimum interval of at least 120 days has elapsed from the first booster dose “. WHO SHOULD NOT DO IT – The indication for the fourth dose of the Covid vaccine “does not currently apply to subjects who contracted Sars-CoV-2 infection after the first booster dose” is written in the note. moreover “the priority of putting in maximum protection all subjects who have not yet received the first booster dose, and for whom the same has already been recommended, and of promoting, recalling its absolute importance, the administration of the fourth vaccination dose in all subjects with marked impairment of the immune response due to causes related to the underlying disease or pharmacological treatments, and to subjects undergoing solid organ transplantation. It should be remembered that for the latter category the administration of the fourth dose must be considered equivalent to one dose booster, consisting of a three-dose primary vaccination course “.

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