The fourth dose of the anti Covid vaccine in Italy will be provided “for people who have reached or exceeded 80 years of age, for RSA guests and for those who are included in the categories at risk and are aged between 60 and 79 years “. The methods of administering the second booster are indicated by a note from the Ministry of Health, the Italian Medicines Agency (Aifa), the Higher Institute of Health (Iss) and the Higher Health Council (Css), following the ruling of the European Medicines Agency Ema and European Center for Disease Prevention and Control, Ecdc, and at the meeting of the Technical Scientific Commission (Cts) of Aifa.
WHEN TO DO IT – The note specifies that “it is recommended to administer a second booster dose (second booster) with mRna” anti Covid “vaccine in the dosages authorized for the booster dose, provided that a minimum interval of at least 120 days has elapsed from the first dose of recall”.
WHO SHOULD NOT DO IT – The indication for the fourth dose of the anti Covid vaccine “at the moment it does not apply to subjects who contracted Sars-CoV-2 infection after the first booster dose“is written in the note.
It also reaffirms “the priority of putting in maximum protection all subjects who have not yet received the first booster dose, and for whom the same has already been recommended and to promote, recalling its absolute importance, the administration of the fourth dose vaccination in all subjects with marked impairment of the immune response due to causes related to the underlying disease or pharmacological treatments, and in subjects undergoing solid organ transplantation. It should be remembered that for the latter category the administration of the fourth dose must be considered equivalent to a booster dose, consisting of the three-dose primary vaccination course “.