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Singapore

UPDATED COVID-19 VACCINATION REQUIREMENTS AND BIVALENT VACCINES: HERE'S WHAT YOU
NEED TO KNOW

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Singapore


UPDATED COVID-19 VACCINATION REQUIREMENTS AND BIVALENT VACCINES: HERE'S WHAT YOU
NEED TO KNOW

The Ministry of Health has issued new guidelines on how to determine if a
COVID-19 vaccination is "up-to-date". 

Members of public waiting in an observation area after they received the
COVID-19 vaccination. (Photo: CNA/Marcus Mark Ramos)

LAKEISHA LEO

Lakeisha Leo
07 Oct 2022 10:35PM (Updated: 28 Oct 2022 12:10PM)
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SINGAPORE: The Ministry of Health (MOH) on Friday (Oct 7) announced that
Singapore will transit from tracking the number of COVID-19 vaccine doses taken
to an "up-to-date vaccination" definition regime.

Under the updated arrangement, MOH said everyone should keep up to date with the
latest vaccination recommendations, such as three complete mRNA or Novavax doses
or four Sinovac-CoronaVac doses for minimum protection.


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Those aged 50 and above should also receive an additional booster dose between
five months to one year from their last dose, to keep up to date with their
COVID-19 vaccination, said MOH.

Besides the updated vaccination regime, the original Moderna/Spikevax vaccines
will be replaced with the updated bivalent version.

Here is what you need to know about the updated recommendations: 


MINIMUM PROTECTION AGAINST COVID-19

Under the updated vaccination arrangement, MOH said all individuals should keep
up to date with the latest recommendations and ensure they "achieve minimum
protection". 

To achieve minimum protection against COVID-19, those aged five and above should
complete three mRNA or Novavax/Nuvaxovid vaccine doses, or four doses of the
Sinovac-CoronaVac vaccine. 


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Individuals will be considered up to date with their COVID-19 vaccination if
they have received the minimum protection, and if their last vaccine dose was
received within the past year, said MOH. 

The arrangement is similar to Influenza vaccination, where individuals are
advised to get their shots periodically so as to protect themselves against new
strains of the endemic virus as they arise, the ministry added.  


ADDITIONAL BOOSTER FOR THOSE AGED 50 AND ABOVE

Those aged 50 and above who have achieved minimum protection should also receive
an additional booster dose between five months to a year from their last jab in
order to keep up to date with their vaccination. 

The updated bivalent COVID-19 vaccine is also recommended for this group, said
the Health Ministry. 

From Oct 17, those in this age group as well as those who have yet to achieve
minimum protection will be able to receive the updated bivalent vaccine under
the National Vaccination Programme. 


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(Image: Ministry of Health)


MODERNA/SPIKEVAX BIVALENT COVID-19 VACCINE 

MOH also announced that the current mRNA vaccines will be replaced by bivalent
vaccines, as recommended by the expert committee on COVID-19 vaccination. 

The updated bivalent vaccines will provide better protection against newer
COVID-19 variants, added MOH. 

In September, the Health Sciences Authority (HSA) granted interim authorisation
for the Spikevax Bivalent Original/Omicron COVID-19 jab by Moderna. The vaccine
comprises two components that target the original SARS-CoV-2 strain and the
Omicron BA.1 variant respectively. 

From Oct 17, the original Moderna/Spikevax vaccines will be replaced with the
updated bivalent version for all vaccinations. This is for all adults aged 18
and above. 

Those aged 50 and above, or people who have yet to achieve minimum protection
against COVID-19, are advised to opt for the bivalent vaccines as they are
at higher risk of severe illness.


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Individuals may walk into any Joint Testing and Vaccination Centre offering the
Moderna/Spikevax jab from Oct 17 onwards to receive their dose. The various
centres can be located via the VaccineGoWhere website.


PFIZER'S COMIRNATY BIVALENT BOOSTER

HSA also granted interim authorisation for Pfizer's Comirnaty bivalent booster
vaccine on Oct 25.

It comprises two components - 15 micrograms targeting the original SARS-CoV-2
strain and 15 micrograms targeting the Omnicron BA.4 and BA.5 variants.

The Comirnaty bivalent vaccine is authorised for use as a booster shot for
people aged 12 and above who have received primary series COVID-19 vaccination.

Children aged between five and 11 will also be able to receive the Comirnaty
vaccine as a booster dose.

RELATED:

CNA EXPLAINS: WHAT IS A BIVALENT COVID-19 VACCINE, AND HOW WILL IT PROTECT ME?

MODERNA'S BIVALENT COVID-19 VACCINE TO ARRIVE BY END-SEPTEMBER, PFIZER'S SHOT
BEING EVALUATED: ONG YE KUNG


SINOVAC-CORONAVAC ALLOWED AS BOOSTER DOSE

There are people aged 18 and above who have been vaccinated with three doses of
Sinovac-CoronaVac but have yet to receive a booster. 

MOH said that this was a cause for concern as the regime does not confer the
minimum protection required.

According to the Health Ministry, local data has shown that compared to two
doses of the mRNA vaccines, three doses of the Sinovac-CoronaVac vaccine does
confer protection against severe disease. 

The three-dose Sinovac-CoronaVac vaccine regime has an effectiveness of 70 per
cent, compared to more than 80 per cent with three doses of mRNA vaccines. 

For better protection, MOH recommended those who have only received three doses
of the Sinovac-CoronaVac vaccine to receive the updated Moderna/Spikevax
bivalent vaccine, or alternatively, the Pfizer-BioNTech/Comirnaty or
Novavax/Nuvaxovid vaccine. 

However, the Sinovac-CoronaVac vaccine will now also be allowed as a booster
dose, without the need for proof of medical ineligibility to the mRNA or
Novavax/Nuvaxovid vaccines, said the Health Ministry. 

This is "to encourage those who otherwise have not received a booster
vaccination to minimally receive a booster dose". 

RELATED:

COVID-19 VACCINATION FOR CHILDREN AGED 6 MONTHS TO 4 YEARS TO START FROM OCT 25

ALL COVID-19 VACCINATION-DIFFERENTIATED MEASURES TO BE LIFTED FROM OCT 10: MOH


BOOKMARK THIS: OUR COMPREHENSIVE COVERAGE OF THE COVID-19 PANDEMIC AND ITS
DEVELOPMENTS

Download our app or subscribe to our Telegram channel for the latest updates on
the coronavirus pandemic: https://cna.asia/telegram

Source: CNA/lk/rc(zl)


RELATED TOPICS

COVID-19 MOH Pfizer-BioNTech Moderna Sinovac Novovax


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