NEWS WEDNESDAY, OCTOBER 27, 2021 HERMISTONHERALD.COM • A7 CDC votes to recommend booster shots, mix-and-match vaccinations By ALEX WITTWER EO Media Group Daniel Wattenburger/Contributed Photo A kiosk in Hermiston’s Victory Square Park displays a greeting Thursday, Oct. 21, 2021. Hermiston adds more kiosks to share info with community Kiosks already are at parks, Festival Street and Community Center Hermiston Herald The City of Hermiston is expanding its wayfi nd- ing program and communi- cations outreach eff orts with the installation of fi ve digital kiosks around the city. The solar-powered signs created by Soofa use an e-ink display and will share local updates, communi- ty-generated content and local business information. Signs are being installed at the Hermiston Commu- nity Center, Funland Play- ground, Festival Street, Vic- tory Square Park and the Food Pod. “These signs are a help- ful addition to some of our most-visited locations in Hermiston,” said Clint Spencer, city planner. “They will provide timely news and information as well as directions to help people fi nd their way around. As more people move to and visit Hermiston, the signs will help orient and inform them.” Each sign includes both a digital display and a vinyl map of the nearby area. The digital display will share updated news from the city, a calendar of upcoming events, live Twitter feeds of community organizations including the Hermiston School District and Cham- ber of Commerce, and paid advertising through Soofa. The signs at the parks, Festival Street and Com- munity Center have already been installed. The sign at the Food Pod will be installed once other renova- tion work is completed. Soofa is a female- founded startup out of the MIT Media Lab. The Soofa Sign was featured by Engadget as a fi nalist for Best Vision for the Future at CES and was described by Curbed as the Facebook wall for the real world. The Centers for Dis- ease Control met virtually on Thursday, Oct. 21, and debated what guidelines will be in place regarding who gets priority in receiv- ing the booster shots, and whether or not Americans even need the vaccine. With unanimous con- sent, the organization voted to recommend booster shots to Americans in the fi ght against COVID-19, even as data on booster doses — and especially mix-and-match boosters — was limited. That recommenda- tion now goes up the CDC chain of command for fi nal approval before it becomes the agency’s offi cial recom- mendation to the public. The CDC, under the Food and Drug Administra- tion Emergency Use Autho- rization, recommended the use of booster shots for those who received the Moderna vaccine more than six months ago and belong to risk categories such as those 65 years of age and older, or those 18 through 64 years of age at high risk of severe COVID- 19 or with frequent insti- tutional or occupational exposure to SARS-CoV-2. Similarly, the CDC rec- ommended that those who received the Johnson & Johnson vaccine could receive a booster after at least two months after ini- tial dose to individuals 18 years of age and older. The recommendation was broad, and applicable to anyone who had initially received a Johnson & John- son vaccine. As well, the FDA approved giving out vaccines from diff er- ent manufacturers — a method known as mix and matching. Alex Wittwer/EO Media Group Sami Spriet, an Eastern Oregon University student, receives her fi rst dose of a COVID-19 vaccine on May 4, 2021. The Centers for Disease Control voted to recommend booster shots on Thursday, Oct. 21, 2021. “Certainly, from my point of view, I really appreciated that we were fi nally able to look at, con- sider, and recommend a mix-and-match approach as part of our way to boost people’s immunity, espe- cially for the people who need it,” said Dr. Wilbur Chen, professor of medi- cine at University of Mary- land during the meetings closing statements. The panel heard testi- mony and fi ndings from several experts in the fi eld about the effi cacy of booster shots. Studies had shown that the effi cacy of both the Moderna and Pfi zer vaccines had waned over time, prompting ques- tions about instituting a third dose to help wake up the immune system and keep it alert to COVID-19 infections. Data presented by experts showed that the vaccine boosters — espe- cially the Johnson & John- son vaccine — provided additional immunity to COVID-19 on top of the immunity provided in the one and two-shot series. The Johnson & Johnson vaccine, in particular, ben- efi ted dramatically from the booster shot, showing a nearly 94% effi cacy rate as compared to far lower initial rate of 71% against COVID-19 hospitaliza- tions, bringing it in line with the Pfi zer and Mod- erna off erings. “Vaccines don’t save lives, but vaccinations do,” Dr. Grace Lee, chair of the Advisory Committee on Immunization Practices, said during the meeting. “Our recommendations are one step of the way, but it’s going to be so important, as everyone mentioned, that in our implementation, patients are truly educated about the benefi t risk bal- ance based on their own personal situation.” The CDC panel also weighed data regarding the risk of vaccines — with contributing experts cit- ing a growing number of reports about rare systemic side eff ects of vaccination such as Guillain-Barre syn- drome, blood clots, and myocarditis — an infl am- mation of the muscle. The panel, which voted on Oct. 21, spent consider- able time going over rates of myocarditis and pericar- ditis symptoms following a second dose of Moderna and Pfi zer vaccines, par- ticularly amongst young males who received the mRNA vaccines. Dr. John R. Su, a mem- ber of ACIP, noted that the incidents of symptoms of myocarditis were higher than background inci- dences of the self-same symptom, but that the inci- dence rate was approxi- mately 1 in 1 million for developing symptoms, but could aff ect up to 100 per 1,000,000 in young males. The experts further noted that 77% of patients recov- ered from their symptoms. An NIH study cited in the presentation stated that mix-and-match booster shots showed no increase in risk compared to instances when vaccines of the same type were given. Those risks of myocarditis and Guillain-Barre syndrome were statistically insignif- icant when compared to using the same vaccine for both doses. Experts who spoke to the panel noted that the public should be aware of the risks and benefi ts asso- ciated with the vaccine. Second doses of the Johnson & Johnson vac- cine, which had previ- ously been stopped due to a rare blood clotting disor- der, showed a signifi cantly smaller prevalence rate of clots following a sec- ond dose. Incident rates of blood clots stood at 15.1 cases per million follow- ing the fi rst dose and 1.9 cases per million after the second. The panel heard data that showed that vaccine boost- ers from Moderna and Pfi z- er-BioNTech produced the highest levels of immunity, while the Johnson & John- son booster provided the least amount of protection. Vaccines are avail- able at no cost at several locations. Specifi c loca- tions for vaccines can be found at www.vaccines. gov/search/ website, or via your local pharmacy.