* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Influenza Campaign 2010
Survey
Document related concepts
Compartmental models in epidemiology wikipedia , lookup
Diseases of poverty wikipedia , lookup
Infection control wikipedia , lookup
Eradication of infectious diseases wikipedia , lookup
Hygiene hypothesis wikipedia , lookup
Public health genomics wikipedia , lookup
Fetal origins hypothesis wikipedia , lookup
Epidemiology wikipedia , lookup
Seven Countries Study wikipedia , lookup
Epidemiology of metabolic syndrome wikipedia , lookup
Alzheimer's disease research wikipedia , lookup
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