California and Colorado officials this week have directed healthcare providers to make COVID-19 vaccine boosters available to all adults.
That overrides more restrictive guidance from the U.S. Centers for Disease Control and Prevention (CDC), a development one Georgetown University observer called “kind of remarkable.”
Dr. Jesse Goodman, an infectious disease expert at the university and a former chief scientist at the Food and Drug Administration, said he believes the new policies may be driven by two factors: “the desire to do anything possible to reduce infections” and to simplify national guidelines for delivering booster doses.
In California, the state’s health department instructed providers to allow people to determine themselves whether they were at high risk in a letter dated Tuesday. The state also instructed them not to turn away adults requesting boosters.
In Colorado, Gov. Jared Polis on Thursday issued an executive order declaring the state at high-risk for SARS-CoV-2 infection, making every resident 18 or older eligible for boosters.
Requests for comment from California’s health department and the governor’s office in Colorado were not immediately returned.
U.S. President Joe Biden’s administration in August announced plans to roll out booster doses for all adults in September, before advisers from the FDA and CDC had recommended a more limited authorization.
The final federal recommendations were more restrictive, allowing boosters for individuals in several different categories, including:
- all fully immunized adults 65 and older who received any of the three vaccines.
- younger adults with underlying health conditions or those whose jobs or living situations put them at increased risk of COVID-19.
Pfizer Inc. and BioNTech on Tuesday filed for FDA approval for expanded use of its booster for all adults, but the FDA has yet to weigh in.
Dr. Paul Offit, an infectious disease expert at the University of Pennsylvania and a member of the FDA’s vaccine advisory panel, said he does not expect to hear Pfizer’s request for expanded use of its booster shots to all adults.
“It would be great if it did,” he said, because the public would likely see some of the same hesitation the advisory panel expressed during the initial review of Pfizer’s request for authorization of boosters.
Offit said he is still not convinced there is a benefit for boosters for those aged 18 to 29, especially in young men, where there a potential risk of a heart inflammation side effect known as myocarditis.
“It’s rare, but it’s real,” he said.
(Reporting by Julie Steenhuysen; editing by Aurora Ellis)