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Covid-19: Razvoj vakcine, imunitet i primena medikamenata


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British regulators have received extra trial data from AstraZeneca that supports their view that the Covid-19 vaccine developed with Oxford University is effective in the elderly, a vaccines official said on Friday...
Munir Pirmohamed, chair of the Commission on Human Medicines’ Covid-19 Vaccines Benefit Risk Expert Working Group, said British regulators had noticed the smaller number of under-65s in the data when they approved the vaccine.

“Nevertheless, there was no evidence there, suggesting that those people over 65 were not getting evidence of efficacy,” he said at an MHRA news briefing, asked by Reuters about efficacy of the shot in the elderly.

“Since then we’ve seen more data coming through from AstraZeneca as more people are completing the trial, which highlights again that efficacy in the elderly is seen, and there’s no evidence of lack of efficacy.”

https://www.irishtimes.com/business/health-pharma/extra-data-supports-efficacy-of-astrazeneca-vaccine-in-elderly-uk-regulator-1.4477026

Edited by vememah
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The Oxford/AstraZeneca Covid-19 vaccine does not appear to offer protection against mild and moderate disease caused by the viral variant first identified in South Africa, according to a study due to be published on Monday.

Although none of the more than 2,000 mainly healthy and young patients in the study died or was hospitalised, the findings, which have not yet been peer reviewed, could complicate the race to roll out vaccines as new strains emerge.

In both the human trials and tests on the blood of those vaccinated, the jab showed significantly reduced efficacy against the 501Y.V2 viral variant, which is dominant in South Africa, according to the randomised, double-blind study seen by the Financial Times.

“A two-dose regimen of [the vaccine] did not show protection against mild-moderate Covid-19 due to [the South African variant]”, the study says, adding that efficacy against severe Covid-19, hospitalisations and deaths was not yet determined.
...
There are caveats to the Oxford/AstraZeneca study, as the sample sizes were relatively small. The study, led by South Africa’s University of the Witwatersrand and Oxford university, enrolled 2,026 HIV negative individuals, with a median age of 31. Half the group was given at least one dose of placebo, with the other half receiving at least one dose of vaccine.
...

https://www.ft.com/content/e9bbd4fe-e6bf-4383-bfd3-be64140a3f36

Edited by vememah
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U staračkom domu u Nemačkoj 14 penzionera zarazilo se britanskim sojem iako su vakcinisani drugom dozom Fajzera 25.1. Ne zna se kad su se tačno inficirali, a prvi slučaj zaražene osobe (zaposlenog) u domu detektovan je 2.2. Svi su asimptomatski ili sa blagim tokom bolesti.

 

Za Fajzera se smatra da se imunitet uspostavlja 7 dana posle druge doze, a efikasnost od 95% odnosi se na simptomatske slučajeve. Moguće je da su se penzioneri zarazili i koji dan ranije.

 

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Belm: 14 vaccinated senior home residents tested positive

In a retirement and nursing home in Belm (district of Osnabrück), the British Corona variant has broken out, although all residents were already vaccinated.

Coronavirus variant B 1.1.7. had been detected in 14 seniors. All residents had been vaccinated for the second time on Jan. 25. This confirmed district spokesman Burkhard Riepenhoff on Sunday to the NDR in Lower Saxony. The home, all employees and their families were placed under quarantine. So far, there are only asymptomatic or mild courses of the disease in the residents, which could be a positive effect of the vaccination, Riepenhoff suspects.

Since Friday evening the result is present

The Biontech/Pfizer product was used for the vaccination. It is unclear exactly when the residents became infected. The positive result was noticed during the daily rapid tests of the employees on February 2, when a test was positive for the known Covid 19 virus variant. As a result, all residents and staff were tested. Complete testing and typing of the viruses then detected 14 cases of the British variant by Friday evening, Riepenhoff said. Five of the employees live in neighboring counties, so the district of Osnabrück had informed the health offices there about the quarantine.

https://www.ndr.de/nachrichten/niedersachsen/Belm-14-geimpfte-Seniorenheim-Bewohner-positiv-getestet,corona6612.html (Deepl prevod s nemačkog)

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19 hours ago, vememah said:

The Oxford/AstraZeneca Covid-19 vaccine does not appear to offer protection against mild and moderate disease caused by the viral variant first identified in South Africa, according to a study due to be published on Monday.

https://www.ft.com/content/e9bbd4fe-e6bf-4383-bfd3-be64140a3f36

 

Odmah je usledilo obustavljanje vakcinisanja tom vakcinom u JAR.

 

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South Africa will suspend use of the Oxford/AstraZeneca jab in its vaccination programme while scientists advise on the best way to proceed, the country’s health minister said on Sunday in comments reported by Reuters.

Zweli Mkhize was speaking after trial data showed the AstraZeneca vaccine offered only limited protection against mild disease caused by the 501Y.V2 coronavirus variant first identified in South Africa.

Researchers have warned that vaccines’ focus needs to shift from population immunity to protecting individuals from hospitalisation and death.

“These findings recalibrate thinking about how to approach the pandemic virus and shift the focus from the goal of herd immunity against transmission to the protection of all at-risk individuals in population against severe disease,” said Prof Shabir Madhi from the University of the Witwatersrand, who led the Oxford/AstraZeneca trial in South Africa. The data will be published in the coming days.

https://www.theguardian.com/world/live/2021/feb/07/coronavirus-covid-vaccine-variant-pandemic-uk-us-europe-australia-africa-asia?page=with:block-60203c3a8f0898d76fa12983#block-60203c3a8f0898d76fa12983

 

28.1. je objavljeno da je nova varijanta odgovorna za više od 90% ispitanih slučajeva zaražavanja u JAR.

 

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“Of the cases we’ve [DNA-]sequenced in South Africa, more than 90 percent are the new variant,” said Richard Lessells, a lead researcher at the KwaZulu-Natal Research and Innovation Sequencing Platform, or KRISP, which has played a pathbreaking role in identifying coronavirus variants in South Africa and elsewhere. “It’s amazing and terrifying how quickly it came to dominate, and it does feel like we’re in the beginning stages of watching this variant, and the other new ones, become more dominant around the world.”

https://www.washingtonpost.com/world/africa/south-africa-coronavirus-variant/2021/01/27/1b8ab6a0-5f4d-11eb-a177-7765f29a9524_story.html

Edited by vememah
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Juzna Afrika je prekinula vakcinaciju Astra Zenecom vakcinom. Njihova studija je pokazala da je djelotvornost vakcine pao na 22% sa novim sojem. Ipak je rijec o blagim simptomima.

 

U Izraelu se isto tako boje ovog juznoafrickog soja. Fajzer vakcina je djelotvorna protiv britanskog soja ali jos istrazuju ovaj juzno africki koji je drugaciji i teoretski bi mogao da odoli vakcinama.

 

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5 hours ago, borris_ said:

Juzna Afrika je prekinula vakcinaciju Astra Zenecom vakcinom. Njihova studija je pokazala da je djelotvornost vakcine pao na 22% sa novim sojem. Ipak je rijec o blagim simptomima.

 

Tih 22% se odnosilo na sve slučajeve u situaciji kad je novi soj postao dominantan.

 

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Shabir Madhi, professor of vaccinology at the University of the Witwatersrand and chief investigator on the new study, said that before B.1.351 became common in South Africa, the vaccine was trending toward reducing mild cases of disease by 75%. But once B.1.351 became prevalent, that number dropped precipitously, and cases were reduced only 22% based on 42 cases of symptomatic Covid.


 

https://www.statnews.com/2021/02/07/south-africa-halts-rollout-of-astrazenecas-covid-19-vaccine-after-shot-falters-against-variant/

 

Kad se izdvoje slučajevi samo s novim sojem, zaštita je izgleda svega desetak posto.

 

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The Oxford/AstraZeneca vaccine offers as little as 10% protection against the Covid variant first seen in South Africa, researchers have suggested.

Scientists who conducted a small-scale trial of the vaccine’s efficacy said it showed very little protection against mild to moderate infection, though they expressed hope that – in theory – it would still offer significant protection against more serious infection.

 

https://www.theguardian.com/world/2021/feb/08/oxford-covid-vaccine-10-effective-south-african-variant-study

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Fajzer izgleda radi posô i sa južnoafričkom varijantom.
 

 

 

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We engineered three severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viruses containing key spike mutations from the newly emerged United Kingdom (UK) and South African (SA) variants: N501Y from UK and SA; 69/70-deletion + N501Y + D614G from UK; and E484K + N501Y + D614G from SA. Neutralization geometric mean titers (GMTs) of 20 BTN162b2 vaccine-elicited human sera against the three mutant viruses were 0.81- to 1.46-fold of the GMTs against parental virus, indicating small effects of these mutations on neutralization by sera elicited by two BNT162b2 doses.

https://www.nature.com/articles/s41591-021-01270-4

Edited by vememah
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Američka agencija za hranu i lekove (FDA) odobrila je po hitnom postupku lek protiv kovida-19 kompanije Ilaj Lili zasnovan na kombinaciji antitela, saopšteno je danas.

 

Prema rezultatima kasne faze ispitivanja leka potvrđeno je da se terapija ovim preparatom kompanije Ilaj Lili zasniva na primeni dva antitela koja za 70 odsto smanjuju rizik od težih formi oboljenja i smrtnog ishoda kod kovid pacijenata, prenosi Rojters.

 

- Primena ovog preparata dozvoljena je za lečenje umerenih i srednje teških simptoma kod pacijenata od 12 godina starosti i više koji su podložni riziku ili su već hospitalizovani - stoji u saopštenju američke kompanije Ilaj Lili.

 

https://www.blic.rs/vesti/svet/po-hitnom-postupku-odobren-prvi-lek-protiv-kovida-19/yjxr8lc

 

 

Edited by Milosh76
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