Pfizer Asks F.D.A. to Authorize Its Covid-19 Vaccine for Children 5 to 11

The agency has promised to move quickly on the request and tentatively plans to meet on Oct. 26 to consider it. A decision could come soon after Halloween.

WASHINGTON --- Pfizer and BioNTech requested federal regulators on Thursday to allow an emergency usage of the coronavirus vaccine to children between the ages of 5 and 11 which could protect the lives of more than 28 million across the United States.

The companies claim they're providing evidence to support this change in the Food and Drug Administration. The agency has pledged to swiftly respond to the request. It has also tentatively scheduled a conference on October. 26 to discuss the request. A F.D.A. decision is expected as soon as Halloween.

Expert advisers from the Centers for Disease Control and Prevention will be meeting. for the Centers for Disease Control and Prevention is scheduled for November. 2 , 3 according to those who have been involved in the planning. The C.D.C.'s guidelines are generally the final word of the federal government regarding vaccine policies.

"With the number of cases of children within the U.S. continuing to be at an alarming rate the submission is a significant move in our ongoing efforts to fight Covid-19," Pfizer said on Thursday.

Families throughout in the United States are anxiously awaiting the outcome of the regulators' review that could impact various aspects of family life and the functioning of schools. The decision to approve a school is not solely based on the validity of results of clinical trials as well as the ability of companies to demonstrate to regulators that they can make a brand new formula for children.

The announcement by Pfizer came on the exact day President Biden went to Illinois to urge employers to enforce vaccine requirements in a wider initiative from the White House to reach the many millions Americans who have not been vaccinated. Biden. Biden last month declared that he was going to require the vaccination of employees or at least weekly tests for employees in companies that employ more than 100 people.

"We possess the equipment that we're using, and we're moving forward," Mr. Biden stated on Thursday. "We only need to finish the work."

The vaccination of children is a crucial phase in the government's vaccine strategy that could enable workplaces, schools and other places to function without disruptions while the disease continues to spread.

Pfizer has proposed to give children one-third of adult dose. The formulation that Pfizer creates pediatric doses this case, it may be necessary to add an additional quantity of diluent per injection or using a separate vial or Syringe. Pfizer was required to explain the procedure it planned to employ in its report before the F.D.A.

Regulators must examine the quality and stability of doses that are manufactured for mass production of vaccines and ensure that the dose is comparable to the potency and quality of the doses given to children participating in clinical tests.

Children aren't often seriously sick from Covid-19, however the Delta variant left almost 30,000 at hospitals at the end of August. As per the American Academy of Pediatrics, close to 5.9 million Americans under the age of 18 are infected by the coronavirus. Of the approximately 500 Americans younger than 18 who have died, around one-third were aged 5 to 11 years old.

"It really irritates me when people claim that kids do not die from Covid," said Dr. Grace Lee, an assistant chief medical officer at Stanford Children's Health who also is the chair of a crucial advisory committee of the C.D.C. "They suffer from Covid. It's devastating."

Around one-in-six Americans affected since the start of the epidemic was younger than 18. With the rise in this Delta version, children accounted for up to one in four cases this month in the report of the American Academy of Pediatrics.


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The F.D.A. allowed for the emergency use of Pfizer's BioNTech vaccine for 12 and 15 year olds during May. Since then, over 8.2 million children from this age range have had at least 1 dose and over 6.7 million are vaccinations.

The prevalence of infections across the United States is currently falling and there is a sense of hope that the outbreak caused due to the Delta variant is diminishing.  But experts from the field of public health worry that the advent of colder weather may cause an increase in transmission.

While federal regulators are under tremendous pressure to look into Pfizer's proposal however, they are also facing another set of decisions to make. This week, they will decide if people who have received the Moderna or Johnson & Johnson vaccines should get booster shots, both of which could be controversial decision-making.

Health experts from the public sector have stated that the agency's review of the Pfizer-BioNTech dose for children would be closely examined. According to an earlier survey carried out by the Kaiser Family Foundation, roughly one-third of parents with children between 5 and 11 years old have said that they'd wait to look over their children's health before allowing them to get the shot.

The current state of Vaccine Mandates in the U.S.

Guidelines for vaccinationOn August. 23rd the F.D.A. gave full approval to Pfizer BioNTech's coronavirus vaccine for individuals aged who are 16 or older, which paved to mandates to be implemented in all public as well as private sectors. These mandates are legally permitted as well as affirmed in court cases.

Universities and colleges. More than 400 schools and colleges require students to get vaccinated against the Covid-19. Nearly all of them are located in states that voted in the presidency of Joe Biden.

Schools. California was the first state to establish the mandate to all teachers and announced plans to include the Covid-19 vaccine to be an obligatory requirement for students to attend school, which could begin in the fall of next year. Los Angeles already has a mandate to vaccine public school children 12 and over that will begin on November. 21. NYC's requirement for staff and teachers that went into effect on Oct. 4, after delays caused by legal issues it appears to have led to thousands of shots at the last minute.

Medical centers and hospitals. A lot of hospitals and large health system have mandated employees to undergo vaccinations. Health workers must be vaccinated. Mandates for health workers across California in California and New York State seem to have forced thousands of people who are not vaccinated to get shots.

Indoor activities. New York City requires workers and patrons to be able to show the proof of at the very least 1 dose of the Covid-19 vaccine for indoor eating, gyms entertainment, and other performances. Beginning on November. 4 Los Angeles will require most people to present evidence of their full vaccination in order to be allowed into a variety of indoor facilities, including restaurants and gyms, museums, cinemas and salons under one of the nation's strictest rules for vaccination.

At the federal scale. On September. 9th the president Biden declared a mandate for vaccination for the majority of federal employees. The mandate will be applicable to workers of all branches of the Executive branch which includes members of the White House and all federal agencies as well as members of the military.

in the public industry. Mr. Biden has made it mandatory that every company with more than 100 employees must be vaccinated or undergo weekly tests, which is helping to establish the adoption of new vaccination guidelines for corporations. Certain companies, such as United Airlines and Tyson Foods, were already mandated prior to the announcement of Mr. Biden's statement.

Doctor. Walt A. Orenstein is an scientist in the field of epidemiology at Emory University and a former director of the U.S. immunization program, stated that, given the pressures competing put on F.D.A. to make vaccine-related decisions fast but with care, public debate was crucial.

He noted that many parents were torn between the anxiety about Covid-19 as well as anxiety about the potential side effects of an infant vaccine. If they weren't as concerned about the potential consequences of coronavirus the concern regarding possible adverse negative effects would be their main prioritization. When they are more concerned about the potential side effects, then the effectiveness of the vaccine will be more important. Like other vaccines, Orenstein said that. Orenstein said, pediatricians will play an important part in helping parents relax.

The clinical trial conducted by Pfizer for children was not designed to draw conclusions of any kind regarding the effectiveness of the vaccine to keep children from hospitalization or disease. Instead, the researchers examined the levels of antibodies, and compared them against those that conferred an increased level of protection for adults. Regulators will be expected to compare the immune responses to information on the effectiveness of vaccines in the adult population.

The trial involved 268 children, two-thirds which received two doses of vaccine, separated by three weeks. The remainder of the volunteers were given via two dosages of saltwater placebo. The regulators during the summer demanded that the size of the study to be increased to 3,000 kids.

On a panel of virtual experts regarding Covid-19 last week Norman Baylor, the former director of the F.D.A.'s vaccines department, noted that the amount of participants in the Pfizer the study for children was smaller. The adult study involved around 44,000 participants.

"It is a good question of how large in comparison to the vaccines we've got for adults: Should one anticipate more in the population of children?" he said. "They might be thinking, 'Well we know that the vaccine is safe because we have seen how many people were vaccinated in adults. However, as we've seen, things can change in that children's population."

The Pfizer BioNTech and Moderna vaccines were linked to increased risk of myocarditis or an inflammation in the muscle of your heart and pericarditis which is inflammation of the lining of the heart, especially in men younger than.  In August the F.D.A. released results of an analysis of Pfizer's BioNTech's vaccine which relied on an U.S. health care claims database. The results showed that the risk of diseases in 16- and 17-year-old boys who have been vaccinated could be as high as one-in 5 000.

The data in the database were not confirmed, however, they were deemed to be a reasonable estimation of risk according to the agency's report.

An equivalency of vaccine for children may ease the worries.

The officials of a variety of nations have It is recommended to take a single dose of the Pfizer-BioNTech vaccination for children aged 12 and over of the Pfizer-BioNTech vaccine, which provides some protection against the virus, but not any of the adverse reactions that may be seen following two dosages.


By Sharon LaFraniere and Noah Weiland via NYT U.S. https://ift.tt/3uPFgPo

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