16-2 against boosters for anyone under 65 without "high risk"
That's not split decision, and falls in line with what we see clinically (i.e. your risk of hospitalization and/or death if you have had 2 shots and don't have comorbidities is LOW).
Note as mentioned above the recommendations of the panel were
unanimous approval for 65 and over and for people with the relevant comorbidities, not just immunocompromised (anyone at risk of severe COVID-19). This covers a huge number of people (and effectively
everyone who wants it, really. And also unanimous (poll question, not an official vote) for:
- Anyone in jobs which put them at high risk of occupational exposure (so frontline workers - like police, paramedics, firefighters, teachers, grocery store workers, healthcare workers, etc.)
Basically exactly what one would hope for. Now they just need to ensure that people at risk understand they should get these promptly! (Of course, this second piece of information is not making it into the headlines, which is mysterious.) To be fair, the data is still REALLY confusing on exactly what is happening. It looks to me like it's likely just waning protection against infection and delta had little to do with it. Risk against severe illness seems fairly unchanged if you account for the increased number of infections (meaning there is more of a risk of severe illness but it appears to be because the first line of defense is breached - not because the secondary protection is weakening). These statements may be less true in older populations. But all the data is so confounded it's impossible to say. Definitely the right decision to just follow the signal in the data and shore up defenses of those at high risk. It seems very clear that there is some waning going on, against infection, for sure. And we want to reduce infections, to protect the vulnerable.
There's really no time to lose - or we'll be playing catchup in November.
I guess technically it's not officially approved - this was VRBPAC, not FDA. But seems like a formality, though it's not required they abide by the recommendations.
I've got my booster, even though I'm not high risk (others in my family are, and I just used up vaccine that would go to waste, so I feel I've done my part), so no longer really worried one way or the other.