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Transcript
Influenza Campaign 2010
CLINICAL RISK GROUPS
B1. Vaccination should be offered to people in clinical risk groups. The list below provides
examples and is not exhaustive. GP practices should take into account, on an individual basis,
the risk of infection exacerbating any underlying disease that a patient may have as well as the
risk of serious illness from flu itself and then make a clinical judgement about vaccination.
CLINICAL RISK GROUPS EXAMPLES
(DECISION MUST BE BASED ON CLINICAL JUDGEMENT)
Chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema;
bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and
bronchopulmonary dysplasia (BPD).
Chronic respiratory disease and asthma that requires continuous or repeated use of
inhaled or systemic steroids or with previous exacerbations requiring hospital
admission
Children who have previously been admitted to hospital for lower respiratory tract disease
Congenital heart disease
Hypertension with cardiac complications
Chronic heart failure
Chronic heart disease
Individuals requiring regular medication and/or follow-up for
Ischaemic heart disease
Chronic renal failure
Nephrotic syndrome
Chronic renal disease
Renal transplantation
Cirrhosis
Biliary artesia
Chronic liver disease
Chronic hepatitis
Stroke
Transient ischaemic attack (TIA)
Multiple sclerosis and related conditions
Hereditary and degenerative disease of the central nervous system
Chronic neurological disease (included in the DES Directions for Wales)
Conditions in which respiratory function may be
compromised e.g. post polio syndrome sufferers
CLINICAL RISK GROUPS EXAMPLES
(DECISION MUST BE BASED ON CLINICAL JUDGEMENT)
Type 1 diabetes
Type 2 diabetes requiring insulin or oral hypoglycaemic drugs
Diabetes
Diet controlled diabetes
Immunosupression due to disease or treatment
Patients undergoing chemotherapy leading to immunosuppression
Asplenia or splenic dysfunction
HIV infection
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) or for
children under 20kg a dose of 1mg or more per kg per day
Immunosuppression
Some immunocompromised patients may have a suboptimal immunological response to the
vaccine
Pregnant women Pregnant women not in a clinical risk group are included for
2010-11 only on the advice of the JCVI. This is because they are at increased risk from the
H1N1 swine flu virus that is expected to be the predominant circulating strain next
season