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Simone Popperl @simonepopperl.bsky.social · 9d

I’m so sorry this happening to you 💔

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Simone Popperl @simonepopperl.bsky.social · 9d

You got it.

Simone Popperl @simonepopperl.bsky.social · 9d

In the spring, we reported on how pharmacies were trying to prepare for all these unknowns.

Bottom line: lots of independent pharmacies are probably in trouble. And they don’t know how to answer @lizzieohreally.bsky.social’s very reasonable question.

Radio and print story for NPR:

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Reposted by Simone Popperl

Lizzie O'Leary @lizzieohreally.bsky.social · 9d

I am a well educated, pretty media literate person whose job it is to be professionally annoying. I cannot figure out if my cancer medication, which costs $17k a month (I do not pay anything thanks to a combo of insurance/access programs), is going to be tariffed 100%.

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Simone Popperl @simonepopperl.bsky.social · 19d

- recommending healthcare providers discuss risks and benefits of COVID-19 vaccination with patients based on age, health history, and other factors. Again, no specific wording provided for this.

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Simone Popperl @simonepopperl.bsky.social · 19d

- recommending the CDC change the vaccine information statement for COVID-19 vaccines to include at least the six risks outlined by Retsef Levi today. They aren't offering any wording to the CDC for how to do this.

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Simone Popperl @simonepopperl.bsky.social · 19d

4. A whole mess of things for COVID-19 shots:
- changing the immunization schedule to require "individual decision-making" for all groups, with extra instructions for those under age 65. There was confusion (even among HHS staff in the room) about what this will mean in practice.

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Simone Popperl @simonepopperl.bsky.social · 19d

3. Recommended perinatal screening for hep B. The CDC already recommends this.

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Simone Popperl @simonepopperl.bsky.social · 19d

2. Do nothing (for now) to change the hepatitis B vaccine schedule.

This was a big issue, almost all public comment was focused on urging them not to postpone the hep B birth dose. They voted...not to vote on whether to postpone it.

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Simone Popperl @simonepopperl.bsky.social · 19d

SO! Over the last two days, here's what the Advisory Committee on Immunizations Practices voted to do:

1. Recommend against the combo MMRV vaccine for kids under age 4. Instead, MMR + V as two shots is recommended. Most kids get it that way already. Second dose at age 4 can be the combo vaccine.

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Simone Popperl @simonepopperl.bsky.social · 19d

The livestream from the room cut out!!

From colleagues in the room, I hear that Vote 3 passed.

Simone Popperl @simonepopperl.bsky.social · 19d

ACIP member Meissner asked for his vote on Vote 3. Says "I've hardly had a chance to read it." So they're coming back to him.

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Reposted by Simone Popperl

Simone Popperl @simonepopperl.bsky.social · 19d

Vote 2, recommending states require a prescription for COVID-19 vaccines TIES. 6-6.

The chair breaks the tie, and Kulldorff voted no. The motion fails.

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Simone Popperl @simonepopperl.bsky.social · 19d

Vote 2, recommending states require a prescription for COVID-19 vaccines TIES. 6-6.

The chair breaks the tie, and Kulldorff voted no. The motion fails.

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Simone Popperl @simonepopperl.bsky.social · 19d

A heated debate around Vote 2, the one that recommends states require a prescription.

Will this limit access? Can pharmacists provide the prescriptions? Will this still let states do whatever they want? No one is sure.

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Simone Popperl @simonepopperl.bsky.social · 19d

Wow Retsef Levi says he thinks people at high risk for COVID-19 are probably on other drugs so shouldn't have a problem getting a prescription if they want one.

@kffhealthnews.org and @npr.org reporting I edit suggests that's very much not the case...Here's a places to start:

More patients are losing their doctors – and their trust in the primary care system

In Rhode Island, safety-net clinics are under new pressures as clinicians retire or burn out. Patients report that it's harder to find care, and they're losing connections to familiar doctors.

www.npr.org

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Reposted by Simone Popperl

Simone Popperl @simonepopperl.bsky.social · 19d

Vote 1 passes 11-1. This is the one recommending the CDC add language about the risks Retsef Levi presented earlier to vaccine information statements for COVID-19 vaccines.

Chairman Kuldorff voted no, but didn't explain why.

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Simone Popperl @simonepopperl.bsky.social · 19d

Vote 1 passes 11-1. This is the one recommending the CDC add language about the risks Retsef Levi presented earlier to vaccine information statements for COVID-19 vaccines.

Chairman Kuldorff voted no, but didn't explain why.

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Reposted by Simone Popperl

Simone Popperl @simonepopperl.bsky.social · 19d

Vote 4 passes 12-0, changing the recommendation for COVID-19 for all age groups to "individual decision-making," also know by this group as "shared clinical decision making," with some added nuance for those under age 64.

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Simone Popperl @simonepopperl.bsky.social · 19d

Vote 4 passes 12-0, changing the recommendation for COVID-19 for all age groups to "individual decision-making," also know by this group as "shared clinical decision making," with some added nuance for those under age 64.

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Reposted by Simone Popperl

Simone Popperl @simonepopperl.bsky.social · 19d

Kulldorff says they're beginning with Vote 4: changing the COVID-19 vaccine schedule to "individual decision-making"

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Simone Popperl @simonepopperl.bsky.social · 19d

Responding to a question from ACIP member Meissner, Kulldorff just acknowledged ACIP has no power to require a prescription, though that is the substance of Vote 2

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Simone Popperl @simonepopperl.bsky.social · 19d

Kulldorff says they're beginning with Vote 4: changing the COVID-19 vaccine schedule to "individual decision-making"

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Simone Popperl @simonepopperl.bsky.social · 19d

Vote 4 is an update to pediatric and adult COVID-19 vaccine schedules:
-For adults 65 and older: "Vaccination based on individual decision-making"
-For people 6 months-64 years: "Vaccination based on individual decision-making - with an emphasis that the risk-benefit of vaccination" favors some ppl

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Simone Popperl @simonepopperl.bsky.social · 19d

Vote 3 will be recommending healthcare providers discuss risks and benefits for individual patients with them before COVID-19 vaccination. It also sets some things that discussion should include, like age, health history, risks/benefits as outlined in the vaccine information statement...

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