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In Need-le HSE to offer Covid vaccine to at-risk people aged 16 to 69 from next week

Hospitals are being asked to find as many people as possible in this group as quickly as possible from their records based on their illnesses.

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Someone receives a Covid-19 vaccine (Ben Birchall/PA)

Someone receives a Covid-19 vaccine (Ben Birchall/PA)

Someone receives a Covid-19 vaccine (Ben Birchall/PA)

The HSE is to begin offering the vaccine to people aged 16 to 69 years with underlying conditions who are at very high risk of severe illness due to Covid-19 next week.

They are to be offered the Oxford AstraZeneca vaccine, except for those aged 16 and 17, SundayWorld.com has learned.

Hospitals are being asked to find as many people as possible in this group as quickly as possible from their records based on their illnesses.

They will then contact the patients to arrange vaccination through the hospital process.

Those aged 16 and 17 cannot be given the AstraZeneca vaccine.

GPs were told today that “some people at very high risk will be difficult to contact through the hospital system."

The HSE is working on a plan to contact them also but the details are not worked out at this point.

The Irish College of General Practitioners were told that at this point people who are concerned do not need to do anything or contact anyone.

There is no requirement for GPs to make representations on their behalf.

For the moment patients should wait to hear from the hospital they attend.

Those aged 16-69 and at very high risk of severe Covid-19 disease are:

Cancer patients

All cancer patients actively receiving (and/or within 6 weeks of receiving) systemic therapy with cytotoxic chemotherapy, targeted therapy, monoclonal antibodies or immunotherapies and radical surgery or radiotherapy for lung or head and neck cancer.

  • All patients with advanced/metastatic cancers.
  • Chronic kidney disease
  • Chronic kidney disease, on dialysis, or eGFR <15 ml/min.
  • Chronic neurological disease or condition
  • Chronic neurological disease or condition with evolving ventilatory failure (requiring non-invasive ventilation), for example: motor neurone disease, spinal muscular atrophy.

Chronic respiratory disease

Chronic severe respiratory disease, for example: severe cystic fibrosis, severe COPD, severe pulmonary fibrosis.

Diabetes

Uncontrolled diabetes, for example: HbA1C ≥58mmol/mol.

Immunocompromised

Severe immunocompromise due to disease or treatment, for example, Transplantation: - Listed for solid organ or haematopoietic stem cell transplant (HSCT) - Post solid organ transplant at any time - Post HSCT within 12 months Genetic diseases: - APECED** - Inborn errors in the interferon pathway Treatment: - included but not limited to Cyclophosphamide, Rituximab, Alemtuzumab, Cladribine or Ocrelizumab in the last 6 months.

Inherited metabolic diseases*

Disorders of intermediary metabolism/at risk of acute decompensation, for example: Maple Syrup Urine Disease.

Intellectual disability*

Down Syndrome.

Sickle cell disease*

Obesity

BMI >40 Kg/m2.



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