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But healthy people who are fully vaccinated in “high-risk” jobs, meaning they have a higher chance of being exposed to the virus, are not at higher risk of getting sick even if they do get the virus. That’s the whole point of getting vaccinated – so even if you’re exposed to the virus, you won’t get too sick.

But “high risk” business is a fluent definition. There is now a federal requirement for healthcare workers to be vaccinated, and more schools are requiring staff and eligible students to be vaccinated. The irony is that if you’re already fully vaccinated, you’re in a “high risk” job because often your colleagues or other people at your door don’t or can’t get vaccinated. Get them vaccinated and you’ll no longer be in a high-risk job!

So it’s hard for the CDC. The ACIP (Advisory Committee on Vaccination Practices) did not yet consider that healthy people, wherever they work, need a booster dose to protect themselves. Protection from vaccines against severe illness and hospitalization remained high among age groups. And while a booster dose can further increase antibody levels, it is unclear whether this is necessary to protect against severe COVID-19 and whether this will reduce viral transmission.

We know that some people still do not have access to the first vaccination course. Does it make sense to recommend boosters when we haven’t fully vaccinated everyone who wants to get vaccinated in the US?

Booster doses won’t do much if we still have large numbers of people who haven’t been vaccinated. These people should be our immediate focus. It takes resources to have community support to deliver vaccines to those who can’t take time off from work or live in more rural or low-resource neighborhoods without access to news or reliable scientific information.

There is already a shortage of nurses, pharmacists and community health workers. Do we have the resources to plan booster doses and still reach the unvaccinated?

Can you tell us how the ethical landscape has changed since our last talk in January? Biden’s administration Promise to donate half a billion more vaccines change account?

It’s disheartening that more than 18 months after the pandemic was declared, we still haven’t achieved what I said. relational solidarity, the global community working together to promote the common good, to make sure no one is left behind. Donation is better than nothing, but poorer countries are left at the mercy of rich countries. Most of those 500 million doses of Pfizer won’t arrive until late next year. If it’s urgent for Americans with better access to healthcare to get vaccinated as soon as possible, or even a booster dose, how can the next year be considered acceptable? This means that many people in poorer countries will not get their first vaccine until 18 months after the US gives their first dose.

The inequality we create and allow is simply appalling. And the Pfizer vaccine requires special refrigeration, so the poorest countries that lack storage and handling capacity may still not benefit. We need to build capacity and set up production facilities for different vaccines spread around the world to solve supply chain problems. What pharmaceutical companies should do partner with pharmaceutical companies in the global south to do this. This can also help ensure that footage can be adapted to local variants more quickly.