WHO Revises COVID-19 Vaccine Recommendations for Omicron-Era

Workers walk on a street in Beijing, China, 27 March, 2023. (EPA)
Workers walk on a street in Beijing, China, 27 March, 2023. (EPA)
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WHO Revises COVID-19 Vaccine Recommendations for Omicron-Era

Workers walk on a street in Beijing, China, 27 March, 2023. (EPA)
Workers walk on a street in Beijing, China, 27 March, 2023. (EPA)

The World Health Organization has tailored its COVID-19 vaccination recommendations for a new phase of the pandemic, suggesting that healthy children and adolescents may not necessarily need a shot but older, high-risk groups should get a booster between 6 to 12 months after their last vaccine.

The UN agency said the aim was to focus efforts on vaccinating those facing the greatest threat of severe disease and death from COVID-19, considering the high-level population immunity worldwide due to widespread infection and vaccination.

The health agency defined high-risk populations as older adults, as well as younger people with other significant risk factors. For this group, the agency recommends an additional shot of the vaccine either 6 or 12 months after the latest dose, based on factors such as age and immunocompromising conditions.

Meanwhile, it said healthy children and adolescents were "low priority" for COVID-19 vaccination, and urged countries to consider factors like disease burden before recommending vaccination of this group. It said the COVID-19 vaccines and boosters were safe for all ages, but the recommendations took into account other factors like cost-effectiveness.

The WHO said in September last year that the end of the pandemic was "in sight". In a briefing on Tuesday, the agency said its latest advice reflected the current disease picture and global immunity levels, but should not be seen as long-term guidance over whether annual boosters would be needed.

The recommendations come as countries take differing approaches. Some high-income countries like the United Kingdom and Canada are already offering those at high-risk COVID-19 boosters this spring, six months after their last dose.

"The revised roadmap re-emphasizes the importance of vaccinating those still at-risk of severe disease," said Hanna Nohynek, chair of the WHO's Strategic Group of Experts on immunization, which made the recommendations.

The committee also called for urgent efforts to catch up on routine vaccinations missed during the pandemic and warned of a rise in vaccine-preventable diseases like measles.

For COVID, it said that vaccines beyond the initial two shots and a booster were no longer routinely recommended for those at "medium risk" as benefits were marginal.



Greece's 'Instagram Island' Santorini nears Saturation Point

Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP
Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP
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Greece's 'Instagram Island' Santorini nears Saturation Point

Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP
Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP

One of the most enduring images of Greece's summer travel brand is the world-famous sunset on Santorini Island, framed by sea-blue church domes on a jagged cliff high above a volcanic caldera.
This scene has inspired millions of fridge magnets, posters, and souvenirs -- and now the queue to reach the viewing spot in the clifftop village of Oia can take more than 20 minutes, said AFP.
Santorini is a key stopover of the Greek cruise experience. But with parts of the island nearing saturation, officials are considering restrictions.
Of the record 32.7 million people who visited Greece last year, around 3.4 million, or one in 10, went to the island of just 15,500 residents.
"We need to set limits if we don't want to sink under overtourism," Santorini mayor Nikos Zorzos told AFP.
"There must not be a single extra bed... whether in the large hotels or Airbnb rentals."
As the sun set behind the horizon in Oia, thousands raised their phones to the sky to capture the moment, followed by scattered applause.
For canny entrepreneurs, the Cycladic island's famous sunset can be a cash cow.
One company advertised more than 50 "flying dresses", which have long flowing trains, for up to 370 euros ($401), on posters around Oia for anyone who wishes to "feel like a Greek goddess" or spruce up selfies.
'Respect Oia'
But elsewhere in Oia's narrow streets, residents have put up signs urging visitors to respect their home.
"RESPECT... It's your holiday... but it's our home," read a purple sign from the Save Oia group.
Shaped by a volcanic eruption 3,600 years ago, Santorini's landscape is "unique", the mayor said, and "should not be harmed by new infrastructure".
Around a fifth of the island is currently occupied by buildings.
At the edge of the cliff, a myriad of swimming pools and jacuzzis highlight Santorini is also a pricey destination.
In 2023, 800 cruise ships brought some 1.3 million passengers, according to the Hellenic Ports Association.
Cruise ships "do a lot of harm to the island", said Chantal Metakides, a Belgian resident of Santorini for 26 years.
"When there are eight or nine ships pumping out smoke, you can see the layer of pollution in the caldera," she said.
Cruise ship limits
In June, Prime Minister Kyriakos Mitsotakis floated the possibility of capping cruise ship arrivals to Greece's most popular islands.
"I think we'll do it next year," he told Bloomberg, noting that Santorini and tourist magnet Mykonos "are clearly suffering".
"There are people spending a lot of money to be on Santorini and they don’t want the island to be swamped," said the pro-business conservative leader, who was re-elected to a second four-year term last year.
In an AFP interview, Tourism Minister Olga Kefalogianni echoed this sentiment and said: "We must set quotas because it's impossible for an island such as Santorini... to have five cruise ships arriving at the same time."
Local officials have set a limit of 8,000 cruise boat passengers per day from next year.
But not all local operators agree.
Antonis Pagonis, head of Santorini's hoteliers association, believes better visitor flow management is part of the solution.
"It is not possible to have (on) a Monday, for example, 20 to 25,000 guests from the cruise ships, and the next day zero," he said.
Pagonis also argued that most of the congestion only affects parts of the island like the capital, Fira.
In the south of the island, the volcanic sand beaches are less crowded, even though it is high season in July.
'I'm in Türkiye
The modern tourism industry has also changed visitor behavior.
"I listened (to) people making a FaceTime call with the family, saying 'I'm in Türkiye," smiled tourist guide Kostas Sakavaras.
"They think that the church over there is a mosque because yesterday they were in Türkiye."
The veteran guide said the average tourist coming to the island has changed.
"Instagram has defined the way people choose the places to visit," he said, explaining everybody wants the perfect Instagram photo to confirm their expectations.