Frequently Asked Questions about the COVID-19 Vaccine Candidates - Prepared by: Toni P. Brown Chief Administrative Officer Delaware River Port ...
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Frequently Asked Questions about the COVID-19 Vaccine Candidates Prepared by: Toni P. Brown Chief Administrative Officer Delaware River Port Authority December 3, 2020
64.4 million Confirmed COVID-19 Cases Worldwide 1.4 million COVID-19-Related Deaths Worldwide 2.18% Rate of COVID-19-Related Deaths Worldwide 3 Data current as of 12/2/2020
14 million Confirmed COVID-19 Cases in the U.S. 273,000 COVID-19-Related Deaths in the U.S. 1.95% Rate of COVID-19-Related Deaths in the U.S. 4 Data current as of 12/2/2020
1. When will I be able to get vaccinated? ▸ That depends on your job, your age, and your health. ▸ Certain groups will be given preference based on a framework developed by the Advisory Committee on Immunization Practices (ACIP) and approved by the Centers for Disease Control and Prevention (CDC). ▸ State governors will consider the CDC recommended framework when developing the vaccination plan for their states. ▸ Most adults won’t have access to the vaccine until spring/summer 2021. 5
2. How many doses will we need? ▸ Pfizer and Moderna vaccines require two doses. ▸ Pfizer’s vaccine: initial dose followed three weeks later by a booster shot. ▸ Moderna’s vaccine: doses must be spaced four weeks apart. ▹ The U.S. plans to give individuals paper cards to remind them to return for their second COVID-19 vaccine dose. ▹ States and pharmacies will make their own plans to remind individuals when they should return to get their second dose. 6
“ The COVID-19 vaccine is our duty and passion. We’re not important.” Dr. Ugur Sahin and Dr. Ozlem Tureci The couple behind BioNTech, say they are driven by altruism rather than riches. https://www.thetimes.co.uk/article/the-vaccine-is-our-duty-and- passion-were-not-important-qxj0bnkw6 7
“ If taken correctly, early trial data indicates the vaccines will be highly effective at preventing individuals from getting COVID- 19. A Pfizer analysis of late-stage trial data found its shot is 95% effectiveness in preventing COVID-19, exceeding scientists’ exectations. Moderna said its vaccine was 94.1% effective at protecting against COVID-19.” Business Insider, www.businessinsider.com 8
3. Why will it take so long for a COVID-19 vaccine to become widely available? ▸ Pfizer and Moderna recently filed applications for “emergency use use authorization” of their COVID-19 vaccines. An independent advisory committee will meet on December 10 to decide whether to recommend FDA approval of Pfizer’s vaccine, and on December 17 to recommend FDA approval of Moderna’s vaccine. ▸ Once EUA approvals are granted it will take time to manufacture the multi- dose vaccines, and prepare and distribute the “ancillary kits” that include needles and syringes for doctor’s offices and pharmacies. The kits will also include the paper reminder cards. ▸ Doses will be extremely limited at first. 9
4. How will the vaccines be shipped? Pfizer ▸ Multiple steps will be needed to deliver the glass vials of vaccine to local hospitals and pharmacies. ▸ The Pfizer vaccine must be kept at -94° F (-70° C) during transport, although the pharmaceutical manufacturer said it can be kept at 36° F to 46° F (2° C to 8° C) for a maximum of five days in refrigeration units at hospitals. ▸ Once transferred to a refrigerator, it must be administered within five days. 10
4.1. How will the vaccines be shipped? Pfizer, continued ▸ Pfizer will make its U.S. vaccine in Kalamazoo, Michigan. ▸ Pfizer is not distributing through Operation Warp Speed. ▸ Pfizer has developed “thermal shippers” which can use dry ice and maintain the -94° F temperature. The thermal shippers can be refilled with dry ice after arrival if an ultra-low temperature freezer or hospital refrigeration unit is not available. ▸ Pfizer will ship large thermal boxes of filled vials, jammed with dry ice, using companies such as UPS, FedEx, American Airlines and United Airlines, to locations around the country. 11
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4.3. How will the vaccines be shipped? Moderna ▸ In the U.S., Moderna will manufacture its vaccine in New Hampshire, Pennsylvania and Indiana. It will ship vials to a distribution center in Irving, Texas. ▸ Moderna also plans to manufacture the vaccine in Switzerland and Spain. ▸ The Moderna vaccine is stored frozen at -20 degrees Celsius, but it keeps for a month at refrigerator temperatures. 13
4.4. How will the vaccines be shipped? Moderna, continued ▸ Shipping and long-term storage conditions at standard freezer temperatures of -20 degrees Celsius (-4 degrees Farenheit) for six months. ▸ This could make it easier to distribute this vaccine to pharmacies and rural areas that don’t have specialized freezers. 14
The COVID Cold Chain: How a Vaccine Will Get to You https://www.scientificamerican.com/article/the-covid-cold- chain-how-a-vaccine-will-get-to-you/
5. Is there a COVID-19 vaccine for children? ▸ So far, there is no vaccine for children under the age of 16. That's because very few children have been part of the clinical trials to date. Vaccines can’t be given to children unless they’ve been tested in their age group. ▸ The American Academy of Pediatrics has called on researchers to broaden their trials to include more children. 16
“ "Children are not just small adults," said Dr. Sallie Permar, a professor of pediatrics, microbiology and immunology at the Duke University School of Medicine, in an interview with NPR's All Things Considered. A child's immune system is different from an adult's, Permar said. "There are certain vaccines that work better in children than adults. And there are certain vaccines that work less well in children compared to adults," she said. "So they do have to be specifically studied in the pediatric population." 17
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6. What does the phrase ‘shedding the virus’ mean? ▸ Viral shedding occurs when a virus replicates inside your body and is released into the environment. At that point, it may be contagious. When an individual gets infected with the COVID-19 virus, the virus particles bind to the various types of viral receptors that line the respiratory tract. Throughout this ongoing process, infected individuals, who may not yet be experiencing any of the viral symptoms, shed viral particles when they talk, exhale, eat, and perform other normal daily activities. 19
7. What is herd immunity? ▸ ‘Herd immunity,’ also known as ‘population immunity,’ is a concept used for vaccination. Herd immunity occurs when a large portion of the community (the herd) becomes immune to a disease, usually through vaccination. As a result, the whole community becomes protected, not just those who are immune. (www.mayoclinic.org; www.who.int ) ▸ It’s estimated that between 75-80% of the population will need to be vaccinated to reach herd immunity against the COVID-19 virus. 20
8. Will I still need to socially distance after the vaccine? ▸ Yes. Even after a vaccine is approved, experts say people will need to wear masks and socially distance, in part because, at first, the vaccine doses will be limited, and it will take time to immunize enough of the population to stop the virus from spreading. 21
9. Will I have a choice on which vaccine to take assuming more than one is approved? ▸ Supply will be far short of demand initially, so you likely will not be offered an option. ▸ The vaccines have different storage and handling requirements making it likely that each administration site will only have one vaccine on hand, at least initially. 22
10. If I already had the COVID-19 virus should I get the vaccine? ▸ Scientists are still learning how long immunity to the virus lasts, after an infection or vaccination. ▸ The COVID-19 Phase 3 trials did not exclude people who already had been infected; full data from those trials and Phase 4 (Quality Control) may help reveal how the vaccine performed in those people. ▸ Until the CDC committee evaluates the full data on an authorized vaccine, the agency won’t make recommendations about whether people who already were infected should receive it. 23
Thanks Any questions? You can find me at: ▸ tpbrown@drpa.org 24
Credits ▸ Centers for Disease Control COVD-19 Vaccine Recommendations Vaccines | CDC ▸ New Jersey Department of Health (NJ DOH) COVID-19 Information Hub New Jersey COVID-19 Information Hub (nj.gov) ▸ Pennsylvania Department of Health (PA DOH) COVID-19 in Pennsylvania Coronavirus in Pennsylvania (pa.gov); and COVID-19 Data and Dashboard Pennsylvania Data (pa.gov) ▸ Pfizer Vaccine Our COVID-19 Vaccine Study – What’s Next? | Pfizer ▸ FDA Emergency Use Authorization (EUA) COVID-19 Vaccines | FDA ▸ FDA Pfizer EUA Advisory Committee December 10, 2020 coronavirus (COVID-19) Update: FDA Announces Advisory Committee Meeting to Discuss COVID-19 Vaccine Candidate | FDA; and Vaccines and Related Biological Products Advisory Committee December 10, 2020 Meeting Announcement - 12/10/2020 - 12/10/2020 | FDA 25
Credits ▸ Moderna Vaccine Moderna’s Work on a COVID-19 Vaccine Candidate | Moderna, Inc. (modernatx.com) ▸ www.BusinessInsider.com ▸ Moderna Press Release, November 16, 2020 ▸ Coronavirus World Map, Tracking The Global Outbreak – The New York TimePresentation ▸ https://www.scientificamerican.com/article/the-covid-cold-chain-how-a-vaccine-willget-to-you ▸ www.mayoclinic.org ▸ www.who.int ▸ https://www.thetimes.co.uk/article/the-vaccine-is-our-duty-and-passion-were-notimportant-qxj0bnkw6 26
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