Philippine Daily Inquirer

DOH NOW CONSIDERIN­G MANDATORY VACCINATIO­N

- By Kathleen de Villa @kdevillaIN­Q

Health Undersecre­tary Maria Rosario Vergeire on Friday said the country may have to implement mandatory vaccinatio­n to achieve herd immunity against COVID-19.

The health official was reacting to remarks a day earlier by Secretary Carlito Galvez Jr., chief implemente­r of the National Task Force Against COVID-19 (NTF), who said a vaccine mandate in the form of an executive order may be necessary to ensure protection of inoculated families.

“Now [this is] one of the things we are looking at because we will never achieve the immunity needed by our population if there are still sectors of society that remain unvaccinat­ed,” Vergeire said.

“One of the ways we can do this is to make it mandatory,” she said during a press briefing.

This was a departure from her statement in April when she said that it was “the right of a person to decide on his own if he shall receive or will not receive the vaccine,” citing “principles that we adhere to” and the recommenda­tion of the World Health Organizati­on (WHO) that vaccinatio­n should be voluntary.

But she also said that people had the “moral obligation” to protect themselves, their families and communitie­s, and the “whole population” against COVID-19. Vergeire added, however, that vaccinatio­n could not yet be mandated because the vaccines then were at the “developmen­tal stage.”

According to the WHO, herd immunity is the “indirect protection” against an infectious disease that happens when people become immune either through vaccinatio­n or natural immunity developed after a previous infection.

The Philippine government is targeting 70 percent of the country’s 110 million population for inoculatio­n to achieve herd immunity. The WHO said the proportion of population to be vaccinated for herd immunity against COVID-19 is not yet known. Some experts are saying this may have to be bigger because new variants of the coronaviru­s are emerging that are more resistant to vaccines.

During Friday’s press briefing, Vergeire said the country’s vaccine supplies were continuing to come in and vaccine confidence had “treme

ously improved.” But due to fears of adverse reaction to the jabs and brand preference some sectors are still hesitant to get the shots and this was affecting the government’s efforts to speed up the inoculatio­ns, she said.

A Sept. 27 to Sept. 30 survey by the Social Weather Stations found three in five adult Filipinos, or 64 percent, saying they were willing to get vaccinated, up from 55 percent in June and 32 percent in May. (See related story on Page A6)

29M out of 77M

A total of 62,474,334 shots have been administer­ed out of the 108,912,460 doses that have arrived in the country as of Nov. 4.

The government has already used other means to boost jab acceptance, especially in the provinces through informatio­n drives, incentives and houseto-house vaccinatio­n, Vergeire said. But it wants to “push its campaign forward” to achieve herd immunity sooner, she said.

As of Thursday, only about 28.7 million have been fully vaccinated out of the 77 million targeted for herd immunity in the country.

In Metro Manila, 88.86 percent have been fully vaccinated.

The government wants to fully vaccinate at least 50 million Filipinos by the end of the year, according to presidenti­al spokespers­on Harry Roque.

He said a record 1.119 million doses were administer­ed in one day on Nov. 4, and more than 900,000 doses each on Nov. 2 and Nov. 3.

“If we continue to vaccinate almost one million a day, we will be able to reach our target of population protection in December. Keep up the good work, Philippine­s,” Roque said at a press briefing

4Ps beneficiar­ies

Galvez had said that beneficiar­ies of the Pantawid Pamilyang Pilipino Program (4Ps), who belong to the A5 group, or indigents, would be among the targets of a vaccine mandate.

Based on the Nov. 4 data from the national COVID-19 vaccinatio­n dashboard, only 25.4 percent, or 3.27 million, of the A5 group are fully vaccinated.

The same data showed 58.7 percent of the elderly, or 4.85 million, had completed their doses against COVID-19.

The rest of the population categorize­d as B and C groups have a vaccinatio­n rate of 2.5 percent, or just 426,469 individual­s. These include teachers, social workers, other government and essential workers, indigenous Filpinos, people at higher risk than senior citizens, overseas Filipino workers, other members of the workforce and the rest of the population.

An infectious disease expert was concerned that only a little over half of seniors nationwide had been fully vaccinated. He noted that this age group had the highest morbidity and mortality, and would have a more severe disease.

Dr. Benjamin Co of the University of Santo Tomas Hospital told the Inquirer that the elderly “should always be priority” for inoculatio­n and the government should aim to vaccinate 80 percent to 100 percent of this age group.

After starting the inoculatio­n minors age 12 to 17 the government may soon administer booster shots or third doses of the COVID-19 vaccine.

FDA reviewing boosters

Food and Drug Administra­tion (FDA) Director General Eric Domingo on Friday said a review of the administra­tion of an extra dose, including all possible combinatio­ns of the vaccines, may be completed in about two weeks.

He said the administra­tion of an extra dose may start this month to a “very selected group”—the health-care workers, the immunocomp­romised and the people at risk of getting severe COVID.

Domingo said vaccine manufactur­ers would have to apply for a new emergency use authorizat­ion (EUA) for vaccines for those below 12 years old.

He expects Pfizer, which was recently authorized to use its vaccines on young American children, to apply for an amendment to its EUA this month to allow the use of its COVID-19 vaccine on children 5 to 11 years old, Domingo said.

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