NSW Health Minister Brad Hazzard announces 163 new COVID-19 cases in NSW on Saturday.

NSW Health Minister Brad Hazzard announces 163 new COVID-19 cases in NSW on Saturday.Credit:Rhett Wyman

“All individuals aged 18 years and above in greater Sydney,including adults under 60 years of age,should strongly consider getting vaccinated with any available vaccine including ... AstraZeneca,”ATAGI’s statement said.

“In addition,people in areas where outbreaks are occurring can receive the second dose of the AstraZeneca vaccine four to eight weeks after the first dose,rather than the usual 12 weeks,to bring forward optimal protection.”

The change follows weeks of debate over ATAGI’s advice,which originally recommended Pfizer as the preferred vaccine for anyone under 50,then changed that to anyone under 60,due to the risk of an extremely rare but potentially fatal blood clotting disorder associated with the vaccine.

AstraZeneca was never banned for people under 60,but they were encouraged to seek the advice of a general practitioner if they were considering that vaccine,and many GPs refused to take bookings for under 60s.

Some criticised ATAGI for being too cautious,although it had always said its advice could change in the event of a serious COVID-19 outbreak.

Prime Minister Scott Morrison earlier this week said he was making “constant appeals” to ATAGI to change its advice and speed up the vaccine rollout in light of the Sydney outbreak. He told Sydney radio hosts Kyle and Jackie O many people took greater risks every weekend than the clotting risk associated with the AstraZeneca vaccine.

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In Saturday’s statement,ATAGI said another reason for the changed advice was the emerging evidence that the Delta outbreak in Sydney “may be more severe” than the original coronavirus strain,demonstrated by an apparently higher hospitalisation rate among people under 60.

“This reinforces the benefit of protection with any available vaccine,” the expert group said,and called for anyone taking the AstraZeneca vaccine to monitor for symptoms ofthrombosis with thrombocytopenia syndrome (TTS) as early detection would improve their health outcomes.

It is not clear that the changed advice will turn around public perceptions of the AstraZeneca vaccine. Professor Raina MacIntyre,head of the biosecurity program at the University of NSW’s Kirby Institute,described AstraZeneca as a “less effective” vaccine in an article inThe Weekend Australian on Saturday.

That prompted former deputy chief medical officer Nick Coatsworthto tweet that he would write to UNSW’s vice-chancellor and the Kirby Institute’s director on Monday to “ask why one of their academics” used that phrase about the vaccine.

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At a press conference on Saturday,Deputy Chief Medical Officer Michael Kidd confirmed an extra 50,000 Pfizer doses would be delivered to NSW this week. He also said the vaccine rollout had now passed 11 million doses delivered and “the rollout is going really well”.

“We have plenty of AstraZeneca available and of course people considering that under the age of 60 need to be informed of the benefits and risks and provide informed consent,” Professor Kidd said.

“We are continuing to encourage people to come out,we need mass numbers of people to come out and get vaccinated.”

Apology

An article published in The Sydney Morning Herald online on July 24 entitled “ATAGI urges allSydney adults to strongly consider AstraZeneca in updated advice” reported that former deputychief medical officer Nick Coatsworth intended to complain to UNSW’s vice-chancellor and theKirby Institute’s director in the wake of a single comment by Professor Raina MacIntyre,headof the biosecurity program at the University of NSW’s Kirby Institute,that AstraZeneca was a“less effective” vaccine.It then quoted from an opinion piece published by Dr Coatsworth in the Herald the day before.This opinion piece did not name Professor MacIntyre and the Herald sincerely regrets anysuggestion from the placement of this quote in the subsequent article that Professor MacIntyrehas acted dishonestly in expressing her comment about the AstraZeneca vaccine. Itapologises for any hurt and damage to her esteemed academic and professional reputation thishas caused.

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