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Covid vaccine rollout MAPPED: How Europe is LAGGING behind Britain – stats compared

The UK’s vaccine rollout has been impressive. The programme has been one of the fastest anywhere in the world and has enabled the Government to lift many Covid restrictions ahead of other countries. Even the US President, Joe Biden has praised the UK for its vaccine rollout.

Despite Britain’s successful inoculation programme, the administering of vaccines in other parts of the world hasn’t been so fast.

Tragically just one percent of those in low-income countries have received at least one dose of the vaccine.

Whilst vaccination efforts have been ramped up worldwide with 3.61 billion doses having been administered globally and 30.46 million now being administered every day, there is still a long way to go.

The first outbreak of the virus was recorded in Wuhan in December 2019, but just 26.1 percent of the world’s population has received at least one dose of a Covid vaccine since then.

READ MORE: Iceland pulled rug from beneath EU in major snub

Some countries have had successful vaccine rollouts such as Spain, which currently leads in mainland Europe having fully vaccinated 49.9 percent of its population.

Closely followed are countries such as Germany who have fully vaccinated 45.5 percent of their population.

Other countries within the EU have had less successful vaccine rollouts such as Bulgaria and Romania.

Romania has fully vaccinated 24.4 percent of its population whilst Bulgaria has been even slower with just 12.5 percent of its population having had two doses of the vaccine as of July 15.

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There were later supply problems with their vaccines and the UK was given priority over the EU as they had negotiated their contract first.

The EU also ran into problems with its contracts with Pfizer-BioNTech and Moderna who experienced production and distribution problems early on.

European Commission President Ursula von der Leyen admitted the EU had struggled to secure vaccines saying: “We were late to authorise. We were too optimistic when it came to massive production and perhaps too confident that what we ordered would actually be delivered on time.”

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This post originally posted here Daily Express :: Health
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Thousands to enjoy fix for slow download speeds as full-fibre rollout hits new milestone

Broadband supplier Trooli has reached another significant milestone in the rollout of its future-proofed full-fibre broadband. The internet provider, which is building an alternative network to the likes of BT and Virgin Media, has now connected 100,000 premises in the UK. Those connections are primarily found in parts of Kent, Hampshire, Berkshire, Wiltshire and East Sussex. 

With the latest milestone under its belt, Trooli says it’s on track to connect a further 30,000 premises in the next three months. By the end of the year, the internet supplier wants to have 170,000 premises under its belt – rising to 400,000 by December 2022 and one million by 2024.

Part of that expansion will cover new connections across Suffolk, while additional homes across Berkshire, East Sussex and Kent will be plugged in.

Trooli focuses on full-fibre connections. These next-generation cables are capable of delivering speeds of up to 1Gbps. That’s 1,000Mbps. For comparison, the average broadband speed across the UK recorded earlier this year was 71Mbps. 

While 1,000Mbps is probably a little excessive for most people right now. Busy households with multiple people working from home, making video conference calls, streaming films and shows in Ultra HD quality, streaming music, downloading updates for devices, backing up data to the cloud… will require much more than the UK average speed to avoid seeing the dreaded buffering symbol. 

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And as emerging technologies, such as Virtual Reality and 8K video quality, become more commonplace, the download speeds needed in the average home will only increase.

Full-fibre connections will be able to handle that extra load. However, connections that use ageing copper cables – which are much more limited and can be impacted by adverse weather – cannot step-up to cater to that demand.

Andy Conibere, Chief Executive Officer of Trooli, said: “I am delighted that we continue the trend of exceeding our homes passed target. And we do this while consolidating our position as the leading independent provider of full fibre in rural Kent and growing our presence across the South. These new extensions make us available to homes and businesses around Wraysbury and Ascot in Berkshire, Lewes and Heathfield in East Sussex, and includes over 14,500 premises around Hythe, Kemsing and Whitstable in Kent. 

“We are committed to maintaining our build momentum in these areas and are also excited to be launching in Suffolk. Demand for our 300Mbps, 500Mbps and 900Mbps packages has been extremely strong over the course of the last year and we expect this to continue as word spreads about how liberating it can be to have robust, ultrafast access to the internet.”

Trooli charges around £50 a month for its 300Mbps download speed. That includes 100Mbps upload speeds and free installation. If you want the superfast 900Mbps plan, you’ll need to pay £80 a month.

Those costs are a little higher than some of its rivals, including HyperOptic and CommunityFibre, but these likely reflect the extra costs associated with building infrastructure in rural towns and villages. 

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This post originally posted here Daily Express :: Tech

Could the U.S. Have Saved More Lives? 5 Alternate Scenarios for the Vaccine Rollout

There is much to celebrate about America’s vaccine rollout.

The government bet big on vaccines, committing to buying millions of doses even before a vaccine was approved. Now, about 44 percent of the United States population has been fully vaccinated, far more than many other countries. While other nations struggle to obtain vaccines needed to stop outbreaks, the United States has a surplus, and is experiencing the fewest cases, hospitalizations and deaths since the beginning of the pandemic.

Yet for all of the American successes, 100,000 people have died from the virus since February, after vaccine distribution was well underway. Many more have been infected and could face long-term medical problems.

As the nation reopens and calls emerge to investigate lessons learned in the pandemic, The New York Times asked more than a dozen public health experts, economists and bioethicists to reflect on the vaccine rollout. Was the American approach as effective as it could have been? What, if anything, could have been done differently?

The Trump and Biden administrations debated numerous options, including ideas raised by the experts. There is by no means universal agreement about what should have been done, and no way of knowing with certainty whether different vaccination tactics would have resulted in fewer deaths.

Still, with the benefit of hindsight, experts pointed to several areas where the United States might have taken another approach. Here are five alternate scenarios:

By now, most people are familiar with the Pfizer and Moderna timelines: An initial dose of the vaccine, followed by a second shot three to four weeks later.

Some experts suggest that the United States could have delayed second doses of the vaccine for several weeks and instead given out first shots more widely to high risk people, in order to give some protection to more people. One dose of the Pfizer or Moderna vaccine offers 80 percent protection after two weeks, compared with 90 percent from two doses, according to a federal report on efficacy under real world conditions. (The Johnson & Johnson vaccine, which was authorized later, comes in a single shot.)

“We spent a lot of February providing a lot of second shots to people who had gotten their first shot in January, when there were a ton of high risk people getting infected and dying, for whom a single shot would have made a big difference,” said Dr. Ashish Jha, dean of the Brown University School of Public Health.

The delayed shot approach, which had not been rigorously tested, particularly over time and against virus variants, was hotly debated. Federal officials ultimately deemed it too risky, and Dr. Anthony S. Fauci, America’s top infectious disease expert, said he was opposed.

The approach, though experimental, was used in Britain, where officials delayed second shots by up to 12 weeks. (Britain also organized its rollout largely by age, starting with the oldest most likely to die from the virus and continuing in descending order.)

Deaths in Britain have plummeted — the country recently recorded a day with zero new deaths — and a recent study reported an intriguing finding: People who received the second shot 12 weeks later actually produced more antibodies than those who received their second shot after three weeks.

Still, Britain has seen a rise in cases in recent weeks and is now accelerating second doses in order to combat an outbreak of the Delta variant, which is more contagious and more likely to infect people who have had only one shot.

Some people have argued that the nation should have prioritized people who were most likely to spread the virus, rather than those most vulnerable to dying from it. (Indonesia tried vaccinating younger people first.) But the experts we spoke with generally said that the United States was wise to prioritize older people, who have died from Covid at much higher rates.

“If our goal is to save the most lives, we need to think about who is most likely to die,” said Nancy Jecker, a professor of bioethics at the University of Washington School of Medicine. “Age is a pretty reliable predictor.”

Indeed, since vaccinations began, deaths among people 75 and older have fallen substantially, with particular progress in nursing homes.

While doses were initially in short supply and many seniors faced problems accessing the vaccine, some experts said opening shots to a slightly wider group could have brought equity, arguing that higher age cutoffs benefited white Americans, who have a longer life expectancy than their Black peers. When states opened up eligibility to the general population, some began with a threshold of 75 or 80, while many went with a cutoff of 65 and older.

“Even at the beginning, we should have started at 60 and above, or 65 and above at least,” said Saad Omer, director of the Yale Institute for Global Health.

In recent months, people aged 50 to 64 have made up a growing share of Covid deaths, underscoring the remaining risk to this slightly younger group when unvaccinated.

Ruth Faden, founder of the Johns Hopkins Berman Institute of Bioethics, also favored lowering the age limit to protect older people in communities of color or with lower incomes.

“It is not only how many lives,” she said, “but whose lives.”

And, according to a U.S. census survey released last month, among Americans open to being vaccinated, the higher a person’s household income, the more likely the person was to have received a shot. Of 30 million “willing but not yet vaccinated’’ people, more than 80 percent did not have a college degree, according to an analysis of the census data.

To address socioeconomic equity, the C.D.C. recommended prioritizing what it called “frontline essential workers,” including grocery and transit workers. But that proved too complicated for many states, and some experts said the C.D.C. should have pushed for a more direct approach, such as targeting disadvantaged areas, a tactic that was tried in a limited number of places.

“We could have been more intentional about planning to avoid those disparities,” said Dr. Jewel Mullen, associate dean for health equity at Dell Medical School. “The maps we had last spring and summer showed where people were dying and that could have been good enough to say, ‘We know where we need to go with vaccines.’”

One data analysis by researchers at the University of Texas at Austin suggests that it would have been possible to save lives simply by targeting vaccines early on to the ZIP codes hardest-hit by Covid-19. In Austin, as in many places, those same ZIP codes are also the poorest. Such a strategy might not have been politically tenable, but Lauren Ancel Meyers, the epidemic modeler who conducted the study, said it likely would have prevented some hospitalizations and deaths across the whole city.

After swiftly passing more than $ 2 trillion in three separate bills in March 2020, Congress haggled for months over the details of more legislation to address the pandemic and needs across the country. A final package, including billions of dollars for vaccine distribution, did not become law until just after Christmas — after the Pfizer and Moderna vaccines had already been authorized for emergency use.

“Had that money come earlier, yes, health departments could have scaled up operations earlier and that could have made a difference,” said Dr. Adam Gaffney, an assistant professor at Harvard Medical School and a pulmonary specialist.

At the same time, the early rollout was chaotic at a critical moment, when more than 2,000 people were dying every day.

Logistical bottlenecks meant that available shots were not immediately delivered into people’s arms, said Dr. Nathaniel Hupert, a physician and public health researcher at Weill Cornell Medicine. Such delays were tantamount to losing the benefits of compound interest in your savings account, he said.

When a polio vaccine became available in the United States in the 1950s, the March of Dimes, an organization that had been affiliated with President Franklin D. Roosevelt, made a major advertising push, with posters featuring young children who were most at risk of being infected, recalled René Najera, editor of the History of Vaccines project at the College of Physicians of Philadelphia. To boost public interest in the vaccine, Elvis Presley got vaccinated backstage at “The Ed Sullivan Show.”

“It was seen as a patriotic thing,” Dr. Najera said.

Today, the government has planned public education efforts, but the issue has remained fragmented and divisive.

Former President Donald J. Trump, whose administration had arguably its biggest success of the pandemic in quickly producing vaccines, did not use his political stardom to convince skeptical members of his base. He got vaccinated in private before leaving the White House, and today, Republicans remain less likely than Democrats to get vaccinated.

The Biden administration has been vocal in its support for vaccines, but has also been unable to overcome hesitancy on the part of many Americans, including some who are skeptical of government authority, and others who are suspicious of a medical establishment because of its record of racial inequity. The country appears likely to fall just short of President Biden’s goal of having 70 percent of adults at least partly vaccinated by July 4.

Debra Furr-Holden, associate dean for public health integration at Michigan State University, attributed at least some of the resistance to communications failures, starting with the branding of Operation Warp Speed, the federal effort to develop a coronavirus vaccine quickly. “When people heard ‘warp speed,’ you know what they heard? Corner cutting, skipped steps, missed steps, quick and dirty,” she said.

She said the United States should have launched a mass literacy campaign on vaccines long before they were produced and made it far easier to get vaccinated once shots were available. “We should be vaccinating people on their front doorsteps,” she said.

Basic information about vaccine delivery, like the fact that the federal government was footing the bill, was also often in short supply, said Dr. Rebecca Weintraub, a vaccinator and assistant professor at Harvard Medical School.

“People would be constantly coming up bringing piles of identification and cash,” Dr. Weintraub said. “We should have had massive billboards from the beginning: ‘THE VACCINE IS FREE, YOU DON’T NEED AN I.D.’’’

And then there is the cool factor. Not everyone will be convinced by health facts and testimony from experts like Dr. Fauci, said Stacy Wood, a marketing professor at North Carolina State University, who has examined how to market to people who are disinterested, but not opposed, to the vaccine.

“Instead of top experts, you might give them celebrities,” she said — and a variety of celebrities at that. “Even Elvis Presley didn’t convince everyone.”

Emily Cochrane, Danielle Ivory Benjamin Mueller and Sheryl Gay Stolberg contributed reporting.

Author: Sarah Mervosh and Amy Harmon
This post originally appeared on NYT > U.S. News

Virgin Media O2 tests a very important change to its full-fibre broadband rollout

Virgin Media O2 is testing its ability to recycle materials when rolling out its full-fibre broadband in Glasgow, Scotland. The latest trial saw aggregate materials, which are “basic” building materials and include rock, clay, silts, gravel, limestone and the like, re-used after the latest generation of broadband installed in the Cranhill area of the city.

Fresh off their multi-billion merger, Virgin Media O2 has some lofty goals when it comes to upgrading the vast number of homes across the UK to future-proofed broadband. The paid-for telly and internet firm plans to have 16 million premises under its belt by the end of the year. With that many connections, it’s hugely important to re-use and recycle as many materials as possible.

As it stands, Virgin Media O2 uses more than 100,000 tonnes of aggregate materials each year as part of its full-fibre upgrade, known as Project Lightning. While these are usually sourced from local quarries to limit the impact, switching to recycled aggregate could save more than 450 tonnes of carbon emissions each year, Virgin Media O2 says.

Given that Virgin Media O2 doesn’t plan to slow down its full-fibre rollout anytime soon – and with millions across the country still struggling with slow broadband speeds – it’s great to see the company looking at cutting emissions.

Rob Evans, Managing Director of Fixed Network Expansion at Virgin Media O2, said: “In every area of our business, whether it’s through the design of our products, the way we operate, or the materials we use when we’re building new network, we’re constantly evolving to help in the fight against climate change. This trial shows our commitment to doing things differently and reducing our environmental impact as we bring gigabit services to more homes and businesses on the streets of Glasgow and help to upgrade the UK.”

This isn’t the only initiative designed to reduce the impact on the environment that we’ve seen from Virgin Media O2. The company has also started to install some of their fibre cables through existing underground ducts created by Openreach for infrastructure for BT, Sky, TalkTalk and other rivals.

This has also reduced environmental impact and the amount of materials used in these broadband upgrades.

For those baffled by arch-rivals like Virgin Media and BT’s Openreach teaming up like this …there’s talk that collaboration will become even closer, with Virgin Media O2 even set to invest in the rollout of Openreach’s next-generation fibre broadband. BT broadband customers could have rival Virgin Media to thank for their latest speed boost

Virgin Media O2 has already announced plans to invest £10 billion over the next five years to support the UK Government’s push to roll out superfast broadband to 85 percent of the country by 2025 (Prime Minister Boris Johnson watered down his original general election pledge to get 100 percent of the country connected with future-proofed fibre cables due to the costs). Should Virgin Media O2 hit its promise to reach 16 million homes this year, it will alone have completed two-thirds of the Government’s target already.

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This post originally appeared on Daily Express :: Tech Feed

How long before the vaccine rollout is finished? Freedom day hopes exposed

Health experts have noted case concentrations of the variant, also known as B.1.1.7, run high in teenagers.

Dominic Harrison, public health director for Delta hotspot Blackburn with Darwen, warned of an “exceptionally high rate” in 17 and 18-year-olds.

He has led calls for ministers to extend the programme’s license to the country’s younger population.

Speaking to BBC Radio Four’s World at One, he said England should follow examples set by other countries.

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This post originally appeared on Daily Express :: Health Feed
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Covid breakthrough: All over-30s eligible for jab in England due to ‘phenomenal' rollout

From today, people aged 30 and 31 in England are able to book their Covid-19 vaccine. Those aged 18 to 29 are set to receive their invitations next week – with those in their late 20s starting ahead of the rest of the group.
On Tuesday, Mr Hancock said: “Our vaccination programme is moving at such a phenomenal pace, and I am delighted that less than six months after Margaret Keenan received the first authorised jab in the world, we are now able to open the offer to everyone in their thirties and over.”

Dr Nikki Kanani, national medical director for primary care for the NHS in England, hailed the jab as the “most important” move in the prevention against the disease.

She said: “Getting the vaccine is the single most important step we can take to protect ourselves, our families and our communities against Covid-19, with the jabs saving thousands of lives already.”

The news comes after research published by Public Health England (PHE) showed that the Pfizer vaccine has a 90 percent protection rate against the Indian variant.

The same study indicated that Oxford Astrazeneca vaccine carries a 60 percent protection rate against the mutant strain.

Vaccines minister Nadhim Zahawi welcomed the PHE findings and highlighted the importance of receiving the jab.

He said: “Almost every day we get more and more encouraging evidence about the difference our Covid vaccines are making to people’s lives – with 13,000 lives saved and 39,100 hospitalisations prevented overall.

“This data is astounding and a true reflection of just how important it is to get both your jabs when offered.”

Health secretary Matt Hancock said: “This new evidence is groundbreaking – and proves just how valuable our Covid-19 vaccination programme is in protecting the people we love.”

The study also raised hopes that gruelling lockdowns will be a thing of the past.

Former cabinet minister Esther McVey added: “With the successful rollout of the vaccine – and its effectiveness against the Indian and other variants – there is absolutely no need for the government to put back it’s already cautious roadmap to reopen the economy.

“There is no justification in continuing to sacrifice our freedoms and the livelihoods of so many people when we have had one of the most impressive and extensive vaccination programmes in the world.”

Professor Dingwall, a sociologist at Nottingham Trent University, said: “The confirmation that, as expected, the current vaccines work effectively against the Indian variant, removes the last justification for delaying Step 4 or watering it down.”

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This post originally appeared on Daily Express :: UK Feed

U.S. Vaccine Rollout Expands to Children Ages 12 to 15

“My phone has been going off every five minutes, asking me, are you all vaccinating?” said Bill Phillips, a hospital administrator with the University Health System, which is running the mall clinic. “The answer is yes, yes, yes, come on over.”

San Antonio is more than 60 percent Latino, a population that has been hit hard by the coronavirus pandemic, and some families described a sense of urgency to get vaccinated.

Abner Navarrete, 47, and his wife, Giselle Abrego, 45, were there with their daughter, who because of the pandemic did not get a lavish quinceañera, a traditional coming-of-age party for Latinas, when she turned 15 in December.

“She wanted a party and trip with friends,” Ms. Abrego said. “But this year keeping her health is her present.”

Romina, their daughter, smiled behind her mask. “Instead of celebrating,” she said, “I’m staying alive.”

Reporting was contributed by Mike Baker from Seattle, Julie Bosman from Chicago, Joseph Goldstein from New York, Danielle Ivory from Paramus, N.J., Jamie McGee from Nashville and Edgar Sandoval from San Antonio. Research was contributed by Lauryn Higgins, John Yoon, Laney Pope, Cierra S. Queen and Alex Lemonides.

Author: Sarah Mervosh
This post originally appeared on NYT > U.S. News

UK vaccine rollout boosted by huge number of flight attendant vaccinators

The UK is one of the countries where high numbers vaccines have been administered to date, reaching 50 million doses last week, but little is said about how this high-speed pace has been achieved. One little known fact is that the staff delivering your Covid-19 vaccine may or may not be medical professionals. Although aviation workers are contributing to the nationwide effort to fight the virus, not everyone is happy with non-medical personnel administering their jab. 
Since the news came out, many have shown concern with the idea. 
After asking for feedback on social media and getting 500 responses, 59 percent of respondents don’t feel comfortable with non-medical professionals delivering their jab, and 67 percent said that they would feel much safer with a qualified doctor or nurse. 

Either way, will having a flight attendant as a vaccinator make a difference for those who choose to get a jab? A concerning 47 percent said that they would actually refuse to get their vaccine if they knew that a former flight attendant was administering it. 

Billy Eagle, Virgin Atlantic cabin crew and now NHS worker, told Express.co.uk that he is shocked by some people’s fears: “We already have that medical background. We are not just first aiders; our training is a lot more advanced than basic first aid. Becoming vaccinators is just learning one additional skill, really.” 

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Billy explained that “if the people that are worried about cabin crew vaccinating them knew what the training was like and what they are experienced in, that would alleviate those worries. Our medical training is very advanced. I wish the public knew what it is like.”  
From the International Air Transport Association (IATA), Katherine Kaczynska explained that aviation workers naturally fit into this role, and people should have nothing to fear. 

“The main role of cabin crew is health and safety of the passengers, and there is a large element of that in their training, in case a passenger gets ill, for example. It is a natural fit for cabin crew, but we are also in the middle of a crisis and it’s all hands on deck,” said Katherine. 

However, former crew member and now NHS worker Jordan Stephen Jones told Express.co.uk that he understands why people might feel unsure about this. “As a cabin crew, I can see the perception that people have of a flight attendant and how they think we are only there to pour tea and coffee and serve chicken or beef. 
“I can see how that might be an issue for a lot of people who don’t quite understand how difficult the role as cabin crew can be and how intensive the training is. It is definitely not just being a waiter in the sky.” 
In fact, flight attendants complete intensive safety and medical training that prepares them for any situation that they can potentially face in the sky, which includes performing CPR, delivering adrenaline injections or even handling death on board. 
Billy explained that “a lot of the medical situations that arise, happen with little or no notice, and cabin crew have to be able to react to that in a professional and safe way.” However, he added that “the regular public rarely gets to see that, so they don’t understand.” 

Responding to a call out on social media, Londoners Gareth, 31, and Victoria, 37, have very different views around the issue, having both recently recovered from Covid-19. 
Therefore, not only do aviation workers get to contribute to the nationwide effort to fight the virus, but also the crew that was made redundant last year get an opportunity to retrain into another profession; at least, until they get their wings back. 
Despite some people’s mistrust, tens of thousands of cabin crew are already delivering the vaccine across the UK. The NHS posted a picture on social media a few days ago thanking all the crew that joined the vaccination programme and that are currently helping fight the virus. 

Desperate situations call for desperate measures, and the recovery of normal life is certainly tied to the vaccine distribution process, which aviation workers are helping to speed up. 

At the end of the day, we might be thanking the flight attendant who we thought was only capable of pouring our black tea. And it is that small contribution that will enable life as we knew it to return to us.

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This post originally appeared on Daily Express :: Travel Feed

France widens COVID vaccine rollout to 16-17 year olds at high risk of major illness

France widens COVID vaccine rollout to 16-17 year olds at high risk of major illness© Reuters. FILE PHOTO: People wait to be given a COVID-19 vaccine in Nice, France, April 29, 2021. REUTERS/Eric Gaillard

PARIS (Reuters) – France has decided to widen its COVID-19 vaccine rollout to people aged 16-17 who could face a high risk of a major illness from the virus, said the country’s health ministry on Thursday, as the country gradually accelerates its vaccine programme.

The health ministry said this category of 16-17 year olds would be allowed to get the Pfizer/BioNTech COVID vaccine from Thursday onwards.

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Author: Reuters
This post originally appeared on Stock Market News

Texas gives green light to continue rollout of Johnson & Johnson vaccine after 11-day pause

Author: Harley Tamplin
This post originally appeared on KXAN Austin

AUSTIN (KXAN) — Vaccine providers in Texas are now able to continue administering the Johnson & Johnson COVID-19 vaccine.

The state’s Department of State Health Services lifted its pause on the vaccine on Saturday morning after determining that its benefits outweigh the risks.

It had been paused since April 13, when the vaccine safety system identified six cases of blood clots in connection with the vaccine.

The CDC estimates that the vaccine will prevent more than 2,200 intensive care admissions and 1,400 deaths in the U.S. over the next six months.

“The Johnson & Johnson vaccine is an important tool in our fight against COVID-19, and the scientific review over the last 11 days has affirmed its safety and effectiveness,” said Dr. John Hellerstedt, DSHS commissioner.

“We know some Texans prefer the simplicity of a single-dose vaccine, and the ease of storing and handling this vaccine gives providers more flexibility. Resuming the use of the Johnson & Johnson vaccine will prevent hospitalizations and save lives in Texas.”

With the vaccine rollout resuming, DSHS is asking people to closely monitor their health for three weeks after receiving the vaccine.

People should seek medical attention if they experience any of the following symptoms:

  • Shortness of breath
  • Chest pain
  • Leg swelling
  • Persistent abdominal pain
  • Severe or persistent headaches or blurred vision
  • Easy bruising or tiny blood spots under the skin beyond the site of injection.