Victoria’s latest outbreak is an abrupt reminder Australians are very vulnerable to outbreaks while we have such low vaccination coverage.

Many eligible people have been happy to “wait for Pfizer” and delay getting the AstraZeneca vaccine, and there are various reasons why some people have chosen this path.

But perhaps many don’t realise it might not be an either-or decision going forward. As Fiona Russell and John Hart write, evidence is emerging we might be able to “mix and match” COVID vaccines in future.

For example, and pending regulatory approval, people might be able to have AstraZeneca as the first dose, followed by a different vaccine such as Pfizer as the second dose.

Preliminary evidence so far suggests this approach is safe and effective. One Spanish lab study found people given one shot of AstraZeneca, followed by a dose of Pfizer, showed very strong immune responses.

It’s likely Australia’s COVID immunisation schedule will change again in future. Until then, the authors argue it’s critical eligible people don’t delay getting vaccinated with the vaccine that’s offered to them right now.

Meanwhile, schools have been closed yet again amid Victoria’s snap lockdown. A team of paediatricians and vaccine researchers argue we should urgently prioritise teachers and all school staff for COVID vaccination. It’s one strategy that might, alongside others, potentially lower the risk of spread in schools and increase confidence in allowing schools to remain open in times of low community transmission.

Liam Petterson

Deputy Editor, Health + Medicine

Attila Balazs/EPA/AAP

Can I get AstraZeneca now and Pfizer later? Why mixing and matching COVID vaccines could help solve many rollout problems

Fiona Russell, The University of Melbourne; John Hart, Murdoch Children's Research Institute

One study found antibody levels were significantly higher in people who received one dose of AstraZeneca then a Pfizer booster dose.

Shutterstock

We need to prioritise teachers and staff for COVID vaccination — and stop closing schools with every lockdown

Asha Bowen, Telethon Kids Institute; Archana Koirala, University of Sydney; Margie Danchin, Murdoch Children's Research Institute

It's an absolute priority we find and use ways to support kids to continue face-to-face learning in times of low community transmission, especially primary schools.

KYDPL KYODO/AP

Can the Olympics still be cancelled? Yes, but the legal and financial fallout would be staggering

Jack Anderson, The University of Melbourne

The decision to cancel the games lies ultimately with the International Olympic Committee – an extraordinary power that explains why Tokyo is pressing ahead.

Peter Dejong/AP

Four seismic climate wins show Big Oil, Gas and Coal are running out of places to hide

Jacqueline Peel, The University of Melbourne; Ben Neville, The University of Melbourne; Rebekkah Markey-Towler, The University of Melbourne

To date, courts have often been reluctant to interfere in what is viewed as an issue best left to policymakers. These recent judgements, and others, suggest things are changing.

Tim Gouw/Pexels

Selecting what matters: skill shortages are no basis for picking permanent migrants

Brendan Coates, Grattan Institute; Will Mackey, Grattan Institute

Most skills shortages are temporary. When migrations resumes, the ones we select will be here for decades.

Shutterstock

Multiple-choice exams favour boys over girls, worsening the maths gender gap

Silvia Griselda, The University of Melbourne

An analysis of data from the Programme for International Student Assessment (PISA) has found the gender gap in maths tests increased where papers contained more multiple choice questions.

The Wilds at Rising Festival will be closed during Melbourne’s seven day lockdown. Eugene Hyland/Rising

Rising on pause; Dark Mofo ticket sales delayed. The government must insure our arts events

Brian Long, The University of Melbourne; Guy Morrow, The University of Melbourne

Melbourne's snap-lockdown proves festivals are still vulnerable. If the government doesn't provide insurance, arts organisations may decide it's not worth the risk.

NSA

Declassified Cold War code-breaking manual has lessons for solving ‘impossible’ puzzles

Richard Bean, The University of Queensland

Researchers tried several times to have the document declassified, including in 1992, 2004 and 2016. It was initially written to help American NSA agents crack difficult codes messages.

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