April 7 (Reuters) - Europe's drug regulator on Wednesday
found a possible link between AstraZeneca's COVID-19
vaccine and rare blood clots in adults who had received the
inoculation.
The announcement is a fresh setback for the vaccine, which
is sold at cost, for a few dollars a dose, and is by far the
cheapest and most high-volume launched so far.
The following are reactions to the latest developments.
EMER COOKE, EXECUTIVE DIRECTOR OF EUROPEAN MEDICINES AGENCY
(EMA)
"The risk of mortality from COVID is much greater than the
risk of mortality from these rare side effects."
DR. SABINE STRAUS, CHAIR OF EMA'S SAFETY COMMITTEE (PRAC)
"This is not unexpected. We know that we are rolling out
vaccines on a very large scale ... we will see events occurring
... some of them by chance."
DR. JACQUES BATTISTONI, HEAD OF FRENCH DOCTORS' UNION MG
"This time, the EMA confirms clearly that there is a link
between vaccination and serious adverse effects. But these
events are exceptional.
"Other medications also pose such risks.
"Will vaccination with AstraZeneca be harder? Most
certainly. We will need to explain further and convince our
patients that the benefits outweigh the risks, and that 'zero
risk' just does not exist.
"We have a lot work ahead of us. However, we cannot give up
on the AstraZeneca, we do not have enough doses to allow that."
WEI SHEN LIM, CHAIR OF BRITAIN'S JOINT COMMITTEE ON
VACCINATION AND IMMUNISATION (JCVI)
"We are not advising a stop to any vaccination for any
individual in any age group. We are advising a preference for
one vaccine over another vaccine for a particular age group,
really out of the utmost caution, rather than because we have
any serious safety concerns."
"Those who have received their first dose of AstraZeneca
vaccine should continue to be offered the second dose of
AstraZeneca vaccine, according to the set schedule."
PROFESSOR ANTHONY HARNDEN, DEPUTY CHAIR OF JCVI
"What is clear is that for the vast majority of people the
benefits of the Oxford AZ (AstraZeneca) vaccine far outweigh any
extremely small risk and the Oxford AZ vaccine will continue to
save many from suffering the devastating effects that can result
from a COVID infection."
DAVID WERRING, PROFESSOR OF CLINICAL NEUROLOGY, UCL
INSTITUTE OF NEUROLOGY
"We still urgently need more research to first understand
which individuals are at highest risk of these unusual blood
clots in the brain, which although very rare, can often be
serious or fatal."
DR. MICHAEL HEAD, SENIOR RESEARCH FELLOW IN GLOBAL HEALTH,
UNIVERSITY OF SOUTHAMPTON
"The Oxford AstraZeneca vaccine is a vital tool in the
global strategy to contain the pandemic. It is being
manufactured in large numbers, is stored at refrigeration
temperatures and thus easier to transport, cost per dose is
cheap, and key to the COVAX distribution to low- and
lower-middle income countries.
"Maintaining public confidence is so important. An open,
transparent process to assessing safety concerns must be part of
that."
DR. WILLIAM SCHAFFNER, AN INFECTIOUS DISEASE EXPERT AT
VANDERBILT UNIVERSITY MEDICAL CENTER IN NASHVILLE
"This is a classically difficult risk-benefit analysis. We
know that no vaccine is totally free of adverse events, even the
occasional serious adverse event, and this is a serious event."
"We're in this very difficult circumstance because this
vaccine should be the cheapest and can be handled easily in
normal refrigerator temperatures. It was probably going to be
the dominant vaccine internationally, and that makes all of this
much more poignant."
DR. AMESH ADALJA, AN INFECTIOUS DISEASE EXPERT AT THE JOHNS
HOPKINS CENTER FOR HEALTH SECURITY IN BALTIMORE
"Even if the blood clots could be causally linked to the
AstraZeneca vaccine, the risk-benefit ratio still favors the
vaccine."
"I think that every negative headline about the AstraZeneca
vaccine is going to add to vaccine hesitancy because, in
general, the public doesn't remember any of the details or how
low the risk is. What they remember is the headline."
(Compiled by Reuters staff
Editing by Kevin Liffey, Matthew Lewis and Alison Williams)