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US to recommend COVID vaccine boosters for all citizens 8 months after 2nd shot

Sources say US could join Israel this week in administering 3rd dose in attempt to stave of ultra-infectious Delta strain

A man gets a COVID-19 vaccine at a mass vaccination site at the Natick Mall on February 24, 2021, in Natick, Massachusetts. (Matt Stone/The Boston Herald via AP, Pool)
A man gets a COVID-19 vaccine at a mass vaccination site at the Natick Mall on February 24, 2021, in Natick, Massachusetts. (Matt Stone/The Boston Herald via AP, Pool)

WASHINGTON (AP) — US experts are expected to recommend COVID-19 vaccine boosters for all Americans, regardless of age, eight months after they received their second dose of the shot, to ensure lasting protection against the coronavirus as the Delta variant spreads across the country.

Federal health officials have been actively looking at whether extra shots for the vaccinated would be needed as early as this fall, reviewing case numbers in the US as well as the situation in other countries such as Israel, where preliminary studies suggest the vaccine’s protection against serious illness dropped among those vaccinated in January.

An announcement on the US booster recommendation was expected as soon as this week, according to two people familiar with the matter who spoke to The Associated Press on the condition of anonymity to discuss internal deliberations.

Doses would only begin to be administered widely once the Food and Drug Administration formally approves the vaccines, rather than the emergency approval that has been in play thus far. That action is expected for the Pfizer shot in the coming weeks.

Last week, US health officials recommended boosters for some with weakened immune systems, citing their higher risk of catching the virus and evidence that the vaccines’ effectiveness waned over time.

The director of the National Institutes of Health, Dr. Francis Collins, said Sunday the US could decide in the next couple of weeks whether to offer coronavirus booster shots to Americans this fall.

Among the first to receive them could be health care workers, nursing home residents and other older Americans, who were some of the first Americans to be vaccinated once the shots received emergency use authorization last December.

A city-operated mobile pharmacy advertises the COVID-19 vaccine in a Brooklyn neighborhood on July 30, 2021 in New York City (SPENCER PLATT / GETTY IMAGES NORTH AMERICA / Getty Images via AFP)

Since then, more than 198 million Americans have received at least one dose of a COVID-19 vaccine according to the Centers for Disease Control and Prevention, with more than 168 million fully vaccinated. Still, the country is experiencing a fourth surge of virus cases due to the more transmissible Delta variant, which is spreading aggressively through unvaccinated communities but is also responsible for an increasing number of so-called “breakthrough infections” of fully vaccinated people.

Israel, which exclusively administered the Pfizer shot, has been offering a coronavirus booster to people over 50 who were already vaccinated more than five months ago in an effort to control its own surge in cases from the Delta variant.

For months, officials had said data still indicated that people remain highly protected from COVID-19, including the Delta variant, after receiving the two-dose Pfizer or Moderna regimen or the one-shot Johnson & Johnson vaccine. But US health officials made clear Sunday they are preparing for the possibility that the time for boosters may come sooner than later.

“There is a concern that the vaccine may start to wane in its effectiveness,” Collins said. “And Delta is a nasty one for us to try to deal with. The combination of those two means we may need boosters, maybe beginning first with health care providers, as well as people in nursing homes, and then gradually moving forward” with others, such as older Americans who were among the first to get vaccinations.

He said because the Delta variant only started hitting the US hard in July, the “next couple of weeks” of case data will help the US make a decision.

Officials were continuing to collect information as well about the J&J vaccine, which was only approved in the US in late February, to determine when to recommend boosters, one of the officials said.

The White House has said that even though the US has begun sharing more than 110 million vaccine doses with the world, the nation has enough domestic supply to deliver boosters to Americans should they be recommended by health officials.

Global health officials, including the World Health Organization, have called on wealthier and more-vaccinated countries to hold off on booster shots to ensure the supply of first doses for people in the developing world.

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