Koronovirus: Vaccination of teachers and vulnerable people in Group B in May



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For its course National Vaccine Coverage Plan Against him coronavirus The president of the National Vaccination Committee spoke on Monday afternoon. Maria Theodoridou and the Secretary General of Primary Health Care Marios Themistocleous.

For AstraZeneca vaccine and thrombosis cases

For his part, Maria Theodoridou mentioned in the context of the preventive suspension of vaccines in several EU countries with the AstraZeneca vaccine.

He stressed that Greece agreed with the decisions of E.European Medicines Agency (EMA), continuing the vaccination process normally with this vaccine.

As Ms Theodoridou said, “There is still insufficient evidence to show that the vaccine is completely associated with cases of thrombosis or with the rare reported phenomenon of thrombosis and diffuse vascular coagulation.

All Covid 19 vaccines protect against the coronavirus, but not against other diseases. Conditions that lead to death should not be associated with the vaccine.

The International Society for Thrombosis and Haemostasis strongly recommends vaccination even for people taking blood thinners or blood thinners.

Tips for Low Vaccination Rates for Doctors and Nurses

However, Ms Theodoridou’s report on the issue of Covid 19 hospital spread caused a sensation.

“The cases of hospital dispersion worry us a lot. We know that the percentages of healthcare workers who are vaccinated could be much better, but we hope this will change, ”said Ms Theodoridou.

As he said, “there are cases in which people are vaccinated even after the administration of both doses of the vaccine, but these in percentage do not exceed 0.2%. However, such a thing should not be raised as an excuse, not to carry out vaccines ”.

Themistocleous: Opening of the dating platform for Vaccination Group A

For his part, the Secretary General for Primary Health Care, Marios Themistokleous, presented the data on the evolution of vaccinations in our country.

As he said:

  • 29,000 vaccinations were carried out on Monday – 1,464,000 vaccinations were carried out within the framework of Operation Freedom
  • 993,000 of our fellow citizens have already received a dose of vaccine (9.74%)
  • 415,000 of our fellow citizens have been vaccinated with both doses

Since Friday, more than 100,000 appointments have been made for people with very high-risk diseases (Vaccination Group A).

“The vaccination rate is accelerating based on the availability of vaccines,” repeated Themistokleous.

For catering and tourism, pointed that after vaccination of Group B in May, but also of teachers There will be planning if they will be vaccinated and specific professional groups.

Information on prioritizing patients with high-risk diseases

According to emvolio.gov.gr, the prioritization of this population group includes patients suffering from the diseases described in the following table (table 1) as well as those receiving medication in table 2.
See the presentation in detail here.

Table 1

High risk diseases

ICD 10

Transplant

  • Solid organ or hematopoietic cell transplantation
  • People on the waiting list for an organ transplant

Z94, T86

Renal insufficiency

  • Hemodialysis or peritoneal dialysis.

N18, N19, Y84.1

  • Cystic fibrosis

E84

Cancer in treatment

  • Solid organ cancer in people undergoing treatment (chemotherapy, radiation therapy, immunotherapy, or other treatment) *
  • Hematological cancer in the last five years **

C00 to 97 (excluding hematologic cancer)

D37 to D48

C81 to C86, C88

C90 to C95

Serious chronic respiratory diseases

  • Chronic respiratory disease for which oxygen is used at home (as certified by the insurance company)
  • Chronic obstructive pulmonary disease with FEV1 <30% [FEV1: forced expiratory volume in 1st second] by therapeutic protocol
  • Interstitial lung disease

J44

J84

Severe heart disease

  • Recent acute myocardial infarction (last three months) ***
  • Heart failure with ejection fraction <40% by treatment protocol (including cardiomyopathy, congenital heart disease, valvular disease)
  • Pulmonary hypertension

I21 to I23

fifty

I27, I28

Severe liver disease

  • Hepatic failure with portal hypertension, cirrhosis of the liver with portal hypertension

K72, K72.1, K72.9, K76.6,

K74, K74.4, K74.5, K74.6,

K70.3, K70.4

Immunosuppression

  • Autoimmune / autoimmune diseases or other diseases under moderate to high risk immunosuppressive or immunomodulatory therapy ****
  • Primary immunodeficiencies
  • HIV with CD4 <200 cells / μL

D80-D84

Other diseases

  • Down’s Syndrome
  • Other special situations at the request of the attending physician.

Q90

  • *People in cancer treatment since 1/1/2019
  • **People who have been diagnosed with hematologic cancer since 1/1/2016
  • *** People with a diagnosis of acute myocardial infarction since 12/1/2020
  • **** Includes patients with idiopathic inflammatory diseases of the gastrointestinal tract (idiopathic inflammatory bowel disease), liver (autoimmune hepatitis), skin (psoriasis, blistering skin diseases), renal lupus erythematosus (primary or subclinical), vasculitis, myositis, scleroderma, S. Sjögren , etc.) or other disease, who are receiving the drug in Table 2.

Table 2

Immunosuppressive / immunomodulatory treatment Moderate – high risk

ATC code

Glucocorticoids

Prednisolone, methylprednisolone (pos / IV) *

H02AB06, H02AB04

Non-biological agents

Azathioprine (AZA)

L04AX01

Cyclophosphamide (CYC)

L01AA01

Cyclosporine (CsA)

L04AD01

Leflunomide (LEF)

L04AA13

Methotrexate (MTX)

L04AX03

6-mercaptopurine (6-MP)

L01BB02

Mycophenolate acid (MPA)

L04AA06

Mycophenolate mofetil (MMF)

L04AA06

Tacrolimus

L04AD02

Biological factors

Abatacept

L04AA24

Anti-IL1 (Anakinra, Canakinumab)

L04AC03, L04AC08

Anti-IL6 (tocilizumab)

L04AC07

Anti-IL12 / 23 (Ustekinumab)

L04AC05

Anti-IL17 (Brodalumab, Secukinumab)

L04AC12, L04AC10

Anti-TNF (Adalimumab, Certolizumab pegol, Etanercept, Golimumab, Infliximab)

L04AB04, L04AB05, L04AB01, L04AB06, L04AB02

Belimumab

L04AA26

Αanti-B cell (rituximab)

L01XC02

Targeted synthetic agents

Apremilast

L04AA32

JAK inhibitors (tofacitinib)

L04AA29

* Prednisolone> 20 mg daily for> 30 days or 700 mg total dose for 2 months.

The correspondence of the most used steroids is as follows:

  • Prednisolone 5 mg
  • Methylprednisolone 4 mg
  • Dexamethasone 0.75 mg
  • Hydrocortisone 20 mg
  • Betamethasone 0.6 mg per week
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