The Trump administration’s vaccine policy is especially confusing, especially for the covid vaccine. Robert F. Kennedy Jr. The Minister of Health and Welfare said last month if anyone who wants a covid vaccine to the Senate Committee You can get one. But the members of the two parties said that Kennedy’s policy is effectively blocking the gun, citing a case where people’s events come to mind in pharmacies.
The ACIP Advisory Committee (ACIP) of the Centers for Disease Control and Prevention met last month, but some members (some members of Kennedy) were confused about how the panel’s actions affected the vaccine. The pharmacist sorted out to see if he has the authority to provide Cobid vaccine.
Covid vaccine approaches include complex federal laws, national public health guidelines, and even health policy scholars to scratch their heads. Confusion is partly the product of the actually unified national vaccination system despite the legal and technical differences between the state and the federal authorities. As the Trump administration relied on a wide range of skepticism on vaccines and moved to restrict federal approval and recommendations for Covid vaccines, the system began to be engraved.
Today, Kobid vaccines can be widely approached to paper, but the confusion over the administration’s policy change has actually set up a barrier to approach at the pharmacy. 90 % Last year, cobid vaccination was administered.
How did this evolve? The policy change started in May. Unilaterally limited COVID recommendation of CDC. He withdrew the institution’s guidelines for the daily covid vaccination for healthy children, but the CDC revised the change to discuss with the medical service provider for the decision to be vaccinated between six months and 17 years of age. Kennedy also withdrew the CDC’s recommendation to receive the covid vaccine and completely removed the vaccine from the schedule.
Even if the CDC guidelines include not commands, even if they are not recommended, in fact, all conditions remove the vaccine policy in the CDC vaccination schedule and ACIP recommendation, including vaccine vaccines that can be managed by the vaccine pharmacist. After the change of Kennedy report Despite the recommendation of a doctor, a pregnant woman who repeatedly rejected the vaccine’s access to the pharmacy soon appeared.
“Unlike doctors, nurses, practitioners and doctors, pharmacists are based on parliamentarians, state laws and state regulations. detachment. “Most of these state regulations can manage the pharmacist’s approved vaccine or ACIP recommended vaccine.” If a healthy pregnant woman is no longer included in the CDC’s recommendation, the pharmacy approach is stopped.
The next big change came in August when the updated Kovid shots came online. Vinay Prasad, Kennedy Allies and Senior Food Pharmacy (FDA) Vaccine Officer, Dismissal Agency scientists are only approved by the vaccine only to people aged 65 or older or those with basic conditions. The FDA usually determines whether the vaccine is safe and effective, and does not mention public health recommendations for vaccine placement.
This change effectively, “I dropped the label” effectively for managing shots to others. And because of the many main rules, the FDA’s limited approval was first occurred because the pharmacist prevented the label -off shot without prescription. Approach barrier For healthy people in large stocks such as Florida and New York 12 people etc.
Access was restricted by the timing difference between the approval of the FDA and the follow-up ACIP meeting on September 18-19, taking into account the recommendations for the update vaccine of the year. The prevalence of the state law, which depends on ACIP recommendations, meant that many pharmacists could not manage the latest vaccines until the committee recommended a new launch. Panel publication Recommended FDA the day after approval.
But when I met ACIP, the recommendation of consulting with a provider for Covid vaccination more than six months came from the FDA’s guidelines. ACIP’s recommendations were wider, including healthy people excluded by the approval of the FDA. However, the committee also added an additional stage of supplier counseling for people aged 65 and over, but the FDA simply approved the cohort’s vaccine.
Public Health Research Institute is uncertain what ACIP’s updated recommendations mean for healthy pregnant women. change In May schedule. Jennifer Kates, chief vice president of Kaiser Family Foundation detachment It’s ambiguous, but her understanding of ACIP votes is that pregnant women are included in a wide range of recommendations. Dorit Reiss, a legal professor at the University of San Francisco, California, focuses on vaccine legal issues. detachment She pointed out that ACIP did not intend to include pregnant women in the vote, and the Commission pointed out that Kennedy did not explicitly deal with the previous change of the previous change. ACIP’s Covid Working Chairman It seemed to be proposed At the meeting, the voting did not deal with the pregnant woman vaccination.
detachment The CDC asked the ACIP’s Covid Guidelines to clarify whether it included a healthy pregnant woman. A HHS spokesman said, “ACIP’s recommendations are applied to all individuals for more than six months. Pregnant or recently pregnant high -risk group (including). ”
As a result of the uncertainty of terraced 27 main Now, the pharmacist has changed the regulations to protect vaccination, such as administering a covid vaccine and receiving vaccine rules without prescription. medical treatment association It is recommended instead of relying only on CDC or vaccine advisory panels.
“We give our pharmacists the authority to do this. analyze The main vaccine change. “Basically, there are recommendations for people who are 3 years old or older to give covid vaccines, or they are changing our regulations or languages to match the medical groups such as the American Pediatrics Academy and American Gynecologists and Gynecologists.
AHIP, Health Insurance Industry Trade Association, presentation Last month, members will continue to cover the vaccines, including covid and flu. The announcement reflects the intellectual rebirth of the committee and the further division of the vaccine policy the day before the ACIP meeting.
Most people in most states must now be able to get the vaccine from the pharmacy. Amy Thibault, a CVS spokesman, detachment The company’s pharmacy currently offers covid vaccines for most people without prescriptions in 48 states. Georgia and Louisiana’s CVS Pharmacy requires a prescription until the CDC officially adopts ACIP’s recommendations to the institution’s vaccination schedule. Thibault added that to get a vaccine in a pharmacy, someone would be different depending on the main rules.
Thibault also said detachment In 50 states, pharmacists can play the role of “clinical decision” for the provider needed for the covid vaccination. HHS also said statement The pharmacists can serve the role. When a new counseling requirement could cause a workload problem to the pharmacist, she said, “The conversation between the pharmacist and the patient is to measure the patient if there are questions or concerns.” Hill, the director of APHA, will be limited, but “Pharmacists can take a little longer than used in pharmacies because they have to talk with the patient about the overall health status, fundamental conditions, the risk of vaccination and the advantage.”
However, despite the change of the state, the confusion and uncertainty of vaccine qualifications and accessibility to vaccineists, doctors and patients is still widespread. What appeared on the ground is a patch work access where individual pharmacies and pharmacists have different conclusions about the cobid vaccine administration.
Continues report In the states and large chain pharmacies that adjust the regulations, the company is probably the best position to push updated guidelines into the store due to the problem of vaccine access. Independent pharmacy owners are also struggling to track state and federal changes. Jennifer Avegno, director of the New Orleans Health Department, said, “Each store manager is interpreted differently and each pharmacist will interpret it differently. Sayed last week.
Most of the problems are the uncertainty of the provider explores fragmentation in the vaccine policy. awe About taking action They feel You can be exposed to responsibility or in danger. National emergency approval and authorities, which were exercised during the epidemic period, meant that pharmacists did not need to worry about the state law -to -federal guidelines or insurance coverage. “The fact that the state has a variety of policies before was not important in an emergency,” he said. “The government not only provided free cobid vaccines, but both pharmacies and pharmacists were protected from all responsibility issues, and it was very helpful for people to get used to pharmacies (vaccines) by giving them a wide range of emergency authority to vaccinate people over 3 years old.”
In addition to the access issue, the message of public health authorities such as ACIP is not recommended that the vaccine is everyday, and Trump administrative management and torture have a misunderstanding of the risk of the vaccine itself and amplified the correct claims.
Even before the message of the administration’s vaccine, the CDC has not already recommended that the provider and the patient will have a professional vaccine, which is a process known as a shared clinical decision -making (SCDM). For example, in June, the ACIP voted to move the respiratory cell fusion virus (RSV) guidelines from SCDM and turn it into a daily recommendation for a particular group. Members of the ACIP working group pointed out that “(C) does not take clear actions on universal recommendations.” They quoted in 2021 Doctoral survey This means that 76 %of the respondents thought that shared clinical decisions would cause confusion, and 42 %said they did not know how to implement them as ACIP intended.
In August, Kennedy fired SUSAN MONAREZ. Monarez testified to Congress that she was dismissed because she preemptively rejected the upcoming recommendation of a rubber stamp ACIP. Monarez has been replaced by a senior Kennedy aide who is currently working as an acting CDC director. However, after the latest ACIP meeting, the panel’s updated COVID recommended (not narrower than the past guidelines, but wider than the FDA and it seems to include healthy pregnant women, unlike Kennedy’s CDC schedule.
If Kennedy refuses to recommend ACIP or decides to issue his new CDC recommendations, you may have uncertainty about vaccine access.
