Monday, February 7, 2022

Seniors' Wildgoose Chase for Sinovac Booster

December 2021

One of the recent announcements from the MOH (Ministry of Health) is that all seniors aged 60+ who have received two doses of Sinovac earlier will have their fully vaccinated status withdrawn in February 2022 if they do not get their booster shots by then. It is not mentioned though if the booster must be Pfizer which is provided free. Given such urgency as reflected by the stern warning, does the authority wonder why many seniors are still dithering?       

When 40% of the seniors did not show up for their booster shot appointments in November last year, for whatever reasons, the authority responded quickly with various announcements. It was from the horses’ mouths, through their tweets or media statements, we learnt that Sinovac boosters would be approved soon by the MOH and made available at PPVs (Pusat Perkhidmatan Vaksinasi) nationwide, in STAGES. Seniors, especially those who cannot take Pfizer boosters because of medical issues, can now request for Sinovac at the PPVs they are assigned to. However, up until end of December last year, when these seniors received their booster shot appointments – some for the 5th time!!! -- they found that Sinovac booster is still either unavailable at the PPVs, or they have to PAY for it! Some irate seniors quipped that announcements by the various authorities in November last year were like smoke screens, ambiguous and lack clarity, leading to confusion and false expectations. Perhaps it was a case of the media reporters misquoted or misinterpreted the tweets and announcements? We hope the authority will quickly clarify this matter by stating explicitly if it is MOH or Cabinet decision that seniors must either take the free Pfizer boosters or PAY for Sinovac boosters.

Given that worldwide, vaccine booster is a highly politicized issue, with experts and various studies offering conflicting opinions and conclusions, it is important that rakyat are not forced to accept the mandate “take the Pfizer booster for free, or PAY for Sinovac booster if you need it”.

One can understand the need to speed up the booster program before the huge stockpile of costly vaccines expires. But the MOH must get its priorities right and be more systematic in the booster roll-out operations. It is really not a Herculean task to find out the reasons behind the 40% no-show for booster appointments, and follow up with appropriate actions. One just needs to look into the database, identify those who need Sinovac boosters because of medical issues or fear of heterologous boosters, and let them get their desired boosters soonest possible. As it is, until quite recently, boosters have been offered to walk-ins of all ages rather randomly. A friend who accompanied her mother for her booster appointment at a PPV found the venue so crowded that they had to stand and wait in the hot sun for hours. It is no surprise that the duo decided to just return home to wait for another appointment!

Over the past two month or so, there was sporadic news of free Sinovac boosters being given in PPVs in the Northern states of Kedah and Penang, Triang in Pahang, and even in Senawang Convention Center in Seremban. There were reportedly long lines of walk-ins, including some anxious seniors who started to queue from as early as seven in the morning to ensure getting the Sinovac boosters. Surely the authority should feel some compassion for them, especially if they are the ones who cannot take the Pfizer booster because of some medical issues? Why subject these seniors to such hardship and unnecessary risk? This aside, why is there still no clear plan or schedule of where the ‘promised’ Sinovac vaccines are being sent to nationwide? Why such a haphazard way of distribution? Can ProtectHealth website do more than just listing the PPVs? Perhaps they can include contact information and also state clearly what vaccines are available for FREE at which PPVs and when? This will save a lot of frustrations having to find the contact information of PPVs and then call them – often to no avail-- to find out what vaccines are available.

Sometime last month, Selangor started offering about 15,700 free Sinovac boosters, supposedly to complement the effort of the Federal Government. However, it seems to be for walk-ins too with no priorities for seniors. It is not clear where the state government has acquired or purchased the Sinovac boosters. Whatever, this program presents a glimmer of hope for many seniors in the Klang Valley who had been frustrated with their wildgoose chase for the elusive free Sinovac boosters ‘promised’ since November last year.  After turning down two or three appointments, many just gave up the wait for more appointments from MySJ. They either paid for the Sinovac boosters or just tried their luck with Selangor Government’s offer through Selvax/Selangkah. For the latter ‘lottery’, some had to wait till end of January and even February for the booster appointments.

There is also this urgent question about the two million doses of Sinovac donated by China recently. Together with the one million or so doses donated earlier last year, there are now perhaps a total of 3 million donated doses in the stockpile? Surely we must try to use them up quickly before the need to extend expiry date once again? Interestingly, some photos of China-made Sinovac vials have been circulated on social media, allegedly taken in PPVs and private clinics where payment is required. Could this be malicious fake news? We hope so because all rational right thinking people know that it is unethical and morally wrong to make the rakyat pay for donated vaccine boosters. What more when vaccination is a national public health service that should be FREE for all rakyat? To quash such ‘rumors’, it is time the MOH starts making the distribution of these donated Sinovac boosters more systematic and transparent. The rakyat and tax payers have the right to know where exactly these three million doses will be sent to and when, who will get them for free and who will have to pay. If not, lack of transparency will only fuel more speculations and undermine the MOH’s effort in speeding up the nation’s vaccination program.

Booster Shot Concerns

(An abridged version with a different title was published in The Sun/ The Star 15 Nov 2021)

News that the Ministry of Health will be giving booster jabs to all frontliners and seniors is welcome by most quarters. Unfortunately, the recent announcement by the Minister of Health that Pfizer booster jabs will be given to seniors who already received two doses of Sinovac has created a lot of anxiety and uneasiness. This is especially so for those who are well read. They have strong apprehension about the safety of such heterologous booster shots. To add to their alarm is the press statement by the minister that this heterologous administration will be part of the government study, done in an off-label manner, meaning this booster jab is used in a way other than officially approved for. So, can we blame the seniors for the perception that they are being used as guinea pigs?!

Even though it was barely a few days ago that MySejahtera  has started notifying these seniors about their booster jab appointments, the ministry should have got the drift by now. Many seniors either did not confirm their appointments, or they    confirmed but did not show up for the vaccination. MySejahtera only asks recipients of booster jab offers to click a button to confirm, no other options are available. (Sounds like hard selling snake oil, take it or leave it, as one senior quipped!)  Those who found the date and time of jab appointment unsuitable tried calling helpline, but like before, to no avail. Some just clicked to confirm, out of anxiety, and then decided not to show up. One senior complained that he was given two doses of Sinovac because of health issue, but now they want to give him Pfizer as booster!

Many people are of the opinion that the decision to mix two Sinovac jabs with Pfizer as booster shot is not substantiated by findings of any study or analysis of data collected by the Ministry of Health thus far. It is callous to say the least, subjecting the vulnerable seniors to unknown and unnecessary risks. This is especially so in the midst of many experts, including a WHO scientist, warning and cautioning the use of heterologous vaccinations by individuals. (https://www.reuters.com/business/healthcare-pharmaceuticals/who-warns-against-mixing-matching-covid-vaccines-2021-07-12/..... ) The Chinese government is also very prudent and responsible, stating that there will be no mixed booster shots until scientists are sure.  (https://www.scmp.com/news/china/science/article/3153424/no-mixed-covid-19-booster-shots-china-until-scientists-are-sure)

Therefore, our burning question is: Why not give a third Sinovac to these seniors as booster? After all, a study in Turkey involving 30 million vaccinated citizens has indicated that the highest level of protection was seen in people who received three doses of inactive vaccines (Sinovac), rather than in those who received two doses of inactive vaccines and one booster shot of an mRNA vaccine (Pfizer). (https://asia.nikkei.com/Spotlight/Coronavirus/COVID-vaccines/3-doses-of-Sinovac-is-better-than-mixing-with-Pfizer-Turkish-minister) Our neighbor Singapore down south is doing just that now, giving three doses of Sinovac to those who do not want mRNA vaccine as booster. Can we do the same here?