The move follows final advice from the Joint Committee on Vaccination and Immunisation and significantly broadens the number of people it originally suggested should be eligible
for autumn boosters in its interim advice in May. Everyone over 50 in England is to be offered another Covid booster and a flu shot from September.Another
round of Covid boosters will also be available for staff and residents of care
homes for older people, frontline health and social care workers, adult carers,
household contacts of people with weakened immune systems, and those at
clinical risk, including pregnant women.
The JCVI
decided to widen the vaccine offer after reviewing the rapid spread of the BA.4
and BA.5 subvariants of Omicron, which are driving the UK’s current wave of
infections. There were also benefits in aligning the Covid booster campaign
with the rollout of annual flu vaccinations, advisers said.
“We have
provided our final recommendations for the autumn programme to ensure the NHS
and wider health system has time to plan a vaccine rollout well ahead of the
winter season,” said Prof Anthony Harnden, deputy chair of the JCVI.
“The Covid-19
boosters are highly effective at increasing immunity and, by offering a further
dose to those at higher risk of severe illness this autumn, we hope to
significantly reduce the risk of hospitalisations and deaths over the winter,”
he added.
The autumn
flu vaccine offer applies only to England, but the JCVI advice on Covid
boosters is UK wide. It is up to devolved administrations to decide whether to
adopt the advice, as England has.
The UK has
been struck by three waves of Covid in the past seven months, driving
infections up to record levels. The first wave, fuelled by the original Omicron
variant BA.1, peaked in January.
Then came
another wave driven by the BA.2 subvariant. When it peaked in March, a record
one in 14 people in England were infected. The latest wave began in June as the
BA.4 and BA.5 variants took hold. The Office for National Statistics estimates
that one in 19 people in England were infected last week, with BA.5 accounting
for nearly 70% and BA.4 a further 20%.
With
hospitalisations rising fast, Dr Jenny Harries, the chief executive of the UK
Health Security Agency, has urged eligible people to come forward for the
spring booster if they have not already. Nearly one-fifth of those aged 75 and
over have not taken up the offer.
Since
December, Omicron has more than doubled the cumulative number of infections in
England, from 25.9m to 67.7m. Half those infected in the latest wave had not
had Covid before, even though they made up only 15% of the population.
The
continued evolution of the virus has steadily eroded the protection that
vaccines provide, though protection against severe disease has held up well.
With Omicron dominating in 2022, some vaccine manufacturers, such as Moderna
and Pfizer, have updated their shots to target the variant, or a combination of
Omicron and the original Covid strain that started the pandemic.
Public
health officials also fear influenza may bounce back hard and early this year,
given the experience in Australia, making vaccinations for flu and Covid a high
priority in the autumn. Those eligible for the free flu shot include secondary
school pupils in years 7, 8 and 9. The NHS will announce when people can come
forward for jabs.
Dr Mary
Ramsay, head of immunisation at UK Health Security Agency, said: “Widening the
eligibility for the flu vaccine will help reduce the number of people getting
seriously ill and ease pressures on the NHS, particularly during the busy
winter period.
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