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Vaccine - Everyone aged 16-64 with an underlying health condition

33 replies

AlsDiner · 06/12/2020 07:36

The planned group 6 of vaccine recipients is "Everyone aged 16-64 with an underlying health condition". I can't find exactly what those underlying health conditions are though. Is there a list of specific conditions?

OP posts:
scrappydappydoo · 06/12/2020 07:43

I don’t know for sure but I assume it’s the same people who are entitled to an nhs flu jab as they have an underlying health condition.

rosie1959 · 06/12/2020 07:48

There is a list on the Gov.uk website

AlsDiner · 06/12/2020 08:15

@rosie1959

There is a list on the Gov.uk website
Thanks - I hadn't thought to look there. I've found it now. I was just interested to see if high blood pressure was on there seeing as it had been reported as high risk factor by the media, but it isn't.
OP posts:
Racoonworld · 06/12/2020 08:15

@scrappydappydoo

I don’t know for sure but I assume it’s the same people who are entitled to an nhs flu jab as they have an underlying health condition.
It’s not the same as the flu jab group, I get the free flu jab but aM not on the list for the covid injection. The list is on the gov website, table 3
AlsDiner · 06/12/2020 08:18

The committee’s advice is to offer vaccination to those aged 65 years and over followed by those in clinical risk groups aged 16 years and over.

The risk groups identified by the committee are set out below:

chronic respiratory disease, including chronic obstructive pulmonary disease (COPD), cystic fibrosis and severe asthma
chronic heart disease (and vascular disease)
chronic kidney disease
chronic liver disease
chronic neurological disease including epilepsy
Down’s syndrome
severe and profound learning disability
diabetes
solid organ, bone marrow and stem cell transplant recipients
people with specific cancers
immunosuppression due to disease or treatment
asplenia and splenic dysfunction
morbid obesity
severe mental illness

OP posts:
badlydrawnbear · 06/12/2020 08:25

@AlsDiner

The committee’s advice is to offer vaccination to those aged 65 years and over followed by those in clinical risk groups aged 16 years and over.

The risk groups identified by the committee are set out below:

chronic respiratory disease, including chronic obstructive pulmonary disease (COPD), cystic fibrosis and severe asthma
chronic heart disease (and vascular disease)
chronic kidney disease
chronic liver disease
chronic neurological disease including epilepsy
Down’s syndrome
severe and profound learning disability
diabetes
solid organ, bone marrow and stem cell transplant recipients
people with specific cancers
immunosuppression due to disease or treatment
asplenia and splenic dysfunction
morbid obesity
severe mental illness

Well, that's interesting as I have epilepsy that is well controlled by medication and had not felt that it increased my COVID risk at all. I should probably look into why it is considered a risk factor, as I work in a hospital, not with COVID patients but there is the daily possibility of being moved to a COVID area.
Dilbertian · 06/12/2020 08:35

chronic respiratory disease, including chronic obstructive pulmonary disease (COPD), cystic fibrosis and severe asthma

Does that mean 'ordinary' asthma is not included? What about asthma that is not severe, but is not well-controlled?

Confusing.

RaggieDolls · 06/12/2020 08:39

@AlsDiner, as you say, interesting that high BP isn't on there. I've failed to understand from the start of this whether a diagnosis of high BP which is well controlled with medication (so it reads as 'normal' BP) increases risk.

SexTrainGlue · 06/12/2020 08:50

This reply has been deleted

Message withdrawn at poster's request.

trappedsincesundaymorn · 06/12/2020 08:52

Well, that's interesting as I have epilepsy that is well controlled by medication and had not felt that it increased my COVID risk at all. I should probably look into why it is considered a risk factor, as I work in a hospital, not with COVID patients but there is the daily possibility of being moved to a COVID area

OH was told by his epilepsy nurse that high temperatures could trigger seizures, along with the possibility of vomiting which may disrupt his medication. Maybe that's why it's on the list.

AlsDiner · 06/12/2020 09:09

[quote SexTrainGlue]The list you have linked is the CEV (priority 4 list)

The 16-64 (priority 6) list in in table 3 of this guidance (sorry that this is provisional version, but I don't think anything changed other than age dropping fro 18)

assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/941450/Greenbook_chapter_14a_v2.pdf[/quote]
Ah - thanks for the correct link. Here's Table 3 for those interested:

Table 3 Clinical risk groups 16 years of age and over who should receive COVID-19 immunisation.
Chronic respiratory disease
Individuals with a severe lung condition, including those with asthma that
requires continuous or repeated use of systemic steroids or with previous
exacerbations requiring hospital admission, and chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema;
bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and
bronchopulmonary dysplasia (BPD).
Chronic heart disease and vascular disease
Congenital heart disease, hypertension with cardiac complications, chronic
heart failure, individuals requiring regular medication and/or follow-up for
ischaemic heart disease. This includes individuals with atrial fibrillation,
peripheral vascular disease or a history of venous thromboembolism.
Chronic kidney disease
Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic
syndrome, kidney transplantation.
Chronic liver disease Cirrhosis, biliary atresia, chronic hepatitis.
Chronic neurological disease
Stroke, transient ischaemic attack (TIA). Conditions in which respiratory function may be compromised due to neurological disease (e.g. polio syndrome sufferers). This includes individuals with cerebral palsy, severe or profound learning disabilities, Down’s Syndrome, multiple sclerosis,
epilepsy, dementia, Parkinson’s disease, motor neurone disease and related
or similar conditions; or hereditary and degenerative disease of the nervous system or muscles; or severe neurological disability.
Diabetes mellitus Any diabetes, including diet-controlled diabetes.
Immunosuppression
Immunosuppression due to disease or treatment, including patients undergoing chemotherapy leading to immunosuppression, patients
undergoing radical radiotherapy, solid organtransplant recipients, bone
marrow or stem cell transplant recipients, HIV infection at all stages, multiple myeloma or genetic disorders affecting the immune system (e.g. IRAK-4, NEMO, complement disorder, SCID).
Individuals who are receiving immunosuppressive or immunomodulating
biological therapy including, but not limited to, anti-TNF, alemtuzumab, ofatumumab, rituximab, patients receiving protein kinase inhibitors or PARP inhibitors, and individuals treated with steroid sparing agents such as
cyclophosphamide and mycophenolate mofetil.
Individuals treated with or likely to be treated with systemic steroids for more than a month at a dose equivalent to prednisolone at 20mg or more per day (any age).
Anyone with a history of haematological malignancy, including leukaemia, lymphoma, and myeloma and those with systemic lupus erythematosus and rheumatoid arthritis, and psoriasis who may require long term
immunosuppressive treatments.
Some immunosuppressed patients may have a suboptimal immunological response to the vaccine.
Asplenia or dysfunction of the spleen
This also includes conditions that may lead to splenic dysfunction, such as homozygous sickle cell disease, thalassemia major and coeliac syndrome.
Morbid obesity Adults with a Body Mass Index ≥40 kg/m².
Severe mental illness Individuals with schizophrenia or bipolar disorder, or any mental illness that causes severe functional impairment.
Adult carers
Those who are in receipt of a carer’s allowance, or those who are the main carer of an elderly or disabled person whose welfare may be at risk if the
carer falls ill.
Younger adults in long-stay nursing and residential care settings
Many younger adults in residential care settings will be eligible for vaccination because they fall into one of the clinical risk groups above.
Given the likely high risk of exposure in these settings, where a high proportion of the population would be considered eligible, vaccination of the whole resident population is recommended.
Younger residents in care homes for the elderly will be at high risk of exposure, and although they may be at lower risk of mortality than older residents should not be excluded from vaccination programmes (see priority 1 above).

OP posts:
ThatDamnKrampus · 06/12/2020 09:10

[quote SexTrainGlue]The list you have linked is the CEV (priority 4 list)

The 16-64 (priority 6) list in in table 3 of this guidance (sorry that this is provisional version, but I don't think anything changed other than age dropping fro 18)

assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/941450/Greenbook_chapter_14a_v2.pdf[/quote]
That is interesting, I thought I would be in group 6. I have asthma and have been using a mild steroid inhaler since March, but not sure I will qualify under that (I do have the flu jab on the nhs every year) but I will qualify as I get carers allowance (I look after my autistic adult daughter).

LemonTT · 06/12/2020 09:11

OP there are 2 categories of at risk. One is extremely vulnerable and the other is broadly the rest of the at risk groups.

I note you took 3 minutes to look and write down the information from the government website. If this is an issue that worries you, I would recommend a bit more time studying the information published. The internet will just fill your head with misinformation, posted by people who don’t spend enough time to find out facts from reputable sources. Or people trying to be deliberately misleading.

AlsDiner · 06/12/2020 09:13

[quote RaggieDolls]@AlsDiner, as you say, interesting that high BP isn't on there. I've failed to understand from the start of this whether a diagnosis of high BP which is well controlled with medication (so it reads as 'normal' BP) increases risk. [/quote]
I think at first they didn't know whether it was the fact of having high BP itself that was the risk factor or whether it was the antihypertensives, in particular ACE inhibitors, that were the risk factor. So if you tried to find this out then you couldn't get a straight answer. There has been a very recent study that is now saying it's not the antihypertensives that are the risk factor. I'll try and find it.

OP posts:
AlsDiner · 06/12/2020 09:22

@LemonTT

OP there are 2 categories of at risk. One is extremely vulnerable and the other is broadly the rest of the at risk groups.

I note you took 3 minutes to look and write down the information from the government website. If this is an issue that worries you, I would recommend a bit more time studying the information published. The internet will just fill your head with misinformation, posted by people who don’t spend enough time to find out facts from reputable sources. Or people trying to be deliberately misleading.

I couldn't find it, hence asking here if anyone knew of a list I could go and look at. I then copied it over here in case anyone else was interested. And then replaced it whensomeone kindly gave me the correct list.

It doesn't worry me, by the way - it interests me to see if I'm in any of the categories. I'm having a discussion about the coronavirus vaccine in a coronavirus chat topic.

"I note you took 3 minutes to look" Hmm

OP posts:
user1471530109 · 06/12/2020 09:22

I'm a bit confused. If the original list you posted is for priority 4, and CEV patients. Diabetes is on both the first list and the second one posted? Is possibly the first CEV list for those diabetics classed an 'not good control'?

SexTrainGlue · 06/12/2020 09:32

The list you've linked isn't exactly the CEV list, and I think I've list the plot a bit about which list is the correct one currently in force.

Worried that I might have got it wrong and potential for inaccurate info about vax is quite high. I hope another poster comes along who knows definitely where the definitive cat 6 list is

AlsDiner · 06/12/2020 09:33

RaggieDolls it was this article that I was thinking of in my earlier post (it has a link to the study in it). It doesn't actually say in it anything about the risk of high BP on its own though - this is just about the antihypertensives.
www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health/coronavirus-and-ace-inhibitors#Heading1

OP posts:
AlsDiner · 06/12/2020 09:36

@SexTrainGlue

The list you've linked isn't exactly the CEV list, and I think I've list the plot a bit about which list is the correct one currently in force.

Worried that I might have got it wrong and potential for inaccurate info about vax is quite high. I hope another poster comes along who knows definitely where the definitive cat 6 list is

Thanks for helping - I appreciate it and you found more than I did anyway! It's really hard trying to find the correct information - I was just going round in loops trying to find the group 6 list of conditions and all I could get was "underlying conditions" with no clue add to what those conditions were.
OP posts:
SexTrainGlue · 06/12/2020 09:40

It's loosely based on the flu jab group, plus in at least one version they included cohabitants of the severely immunosuppressed (eg those with blood cancer) plus family carers, plus all those in residential settings that did not fit the priority 1 definition of a care home

It's possible, I suppose, that it might not be finalised until nearer the time when the immunisation process reaches that level priority. Which must be rather unsettling for those who would rather have more certainty

Iremembertheelderlykoreanlady · 06/12/2020 09:43

CEV (group 4) is anyone who has had a shielding letter

CV (Group 6) is the list posted above

TheSunIsStillShining · 06/12/2020 10:26

I'm gutted that they left IBD off the list.

lljkk · 06/12/2020 10:26

I kind of thought hypertension was a byproduct of other conditions, it doesn't usually exist by itself, that's why it's hard to put it into the risk factor list by itself.

Haenow · 06/12/2020 10:37

@TheSunIsStillShining

I'm gutted that they left IBD off the list.
They can’t name every condition but hopefully you’d be included in the immunosuppressant category. :)
notevenat20 · 06/12/2020 10:46

About one third of the deaths could have been prevented if we had just vaccinated care home residents, about another third for everyone else over 80. That is about 40,000 people for not that many vaccinations. I think they have their priority order right.