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Written by: Zhu Haiqi
2021-03-07 16:24
Last update date: 2021-03-07 16:24
The new crown vaccination plan in Hong Kong is in full swing, but there have been two consecutive deaths from the Mainland's Kexing vaccination. Experts again emphasized that patients with chronic diseases should consult their doctors before getting an injection.
Some members of the public reported that the general outpatient follow-up of the Hospital Authority took several months at random, during which time it was impossible to seek advice from medical staff.
Some patient organizations have criticized that community vaccination centers are currently only relying on vaccinators to assess their condition and arranging injections are impractical. They require the government to set up a doctor-on-duty hotline for patients to call to check whether they are suitable for injection.
The level of community vaccination rate is an indicator of ending the epidemic. There were two cases of death after injecting Kexing vaccine in Hong Kong within a week. They were a 63-year-old man with high blood pressure, hyperlipidemia, diabetes, chronic bronchitis and three cardiovascular obstructions. According to the preliminary anatomy report, the expert committee of clinical event evaluation of the new crown vaccine judged that he died of myocardial infarction, which was not directly related to the vaccine; another 55-year-old female who had high blood pressure, hyperlipidemia and proteinuria, the committee will meet tomorrow (8th) to review In the case, the convener Kong Fanyi said yesterday that she believed she had died of a stroke.
Consultation with a family doctor before acupuncture. Citizens: You cannot consult with a follow-up consultation at a public hospital alone
Government experts often emphasize that patients with chronic diseases should consult their family doctors before getting an injection.
However, Ms. Huang, a hepatitis B patient, criticized on Radio Hong Kong’s "City Forum" today that she had a follow-up visit to the General Outpatient Clinic of the HA, but each follow-up was separated by a few months, during which she could not consult a doctor. "Okay. I want to get a shot (vaccine), but before I get shot, I ask the doctor to click the doctor? The government doctor is not easy for you to see."
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She originally made an appointment to get an injection at the vaccination center yesterday. Fortunately, the nurse on site checked in detail and learned that her liver enzymes had increased, and the doctor did not recommend vaccination.
Mr. Mo, who used to "Tong Bo Tsai" more than 10 years ago, is still taking heart disease drugs. He immediately canceled the appointment after he learned that someone had an injection. He didn't know whether he was suitable for the injection.
Lin Zhiyi: It is impractical for patients to judge whether they are suitable for vaccination
Lin Zhiyi, chairman of the Patient Policy Connection, criticized on the same program that the government is now relying on citizens to assess whether patients with chronic diseases are stable or not when they go to vaccination centers. It is unreliable and unrealistic. On the contrary, foreign countries will take the initiative to check the physical condition of vaccinators and confirm the situation. After the injection, the Hong Kong government was asked to take the initiative, including setting up a hotline to be answered by doctors for inquiries by vaccinators, instead of asking the public to "ask the answers" by themselves. "Persons aged 80 or above click to communicate? (They) may not understand it. "
He believes that the government's information on vaccines is not clear. He pointed out that when booking a vaccine online, it is necessary to read multiple pages, close to 6,100 words, and many parts do not need to be displayed. However, the public is concerned about the safety of vaccines and the information on chronic disease patients.
Another guest, Liu Zexing, convener of the New Crown Vaccine Advisory Committee, said that the vaccination center is not a clinic, and doctors cannot know the medical records of citizens and may not be able to provide accurate advice.
Lin Zhiyi suggested that the government should set up a hotline for the public to check with doctors whether an individual is suitable for injections.
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Lin Zhiyi retorted that the government can check the medical records of the vaccinators through the electronic medical record system "Healthcare", "If the patient is not clear, don’t confirm the status, (medical) will check the "Healthcare" before vaccination and return. Recently received bleat treatment.” Lin Weixun, vice president of the Hong Kong Society of Infectious and Infectious Diseases, said that the information provided by "Healthcare" is limited, and the patient’s admission and follow-up records are not available. Vaccination centers are required to assess the patient’s condition within a short period of time. , Excessive requirements and unfair practices.
Cui Junming, president of the Hong Kong Association of Hospital Pharmacists, also believes that the vaccination center has only two on-site doctors in charge of first aid. If chronically ill patients are to be assessed one by one, taking 2,000 people a day as an example, the scale is close to a large specialist outpatient clinic, which is definitely not enough for doctors. value.
If the public has had surgery recently and needs to be added with medicine, the injection should be given later
Liu Zexing added that if a citizen has recently undergone an operation and needs to take medicine, it should be in an unstable condition and the injection should be given at a later time.
Lin Weixun explained that if the condition is not under control, the injection is mainly because the body's immune system is struggling with chronic diseases, and the injection of vaccines will stimulate the immune system to produce antibodies. Adding to its workload may affect the stimulus response and reduce the effectiveness of the vaccine. Rather than worry that vaccines will exacerbate the side effects of chronically ill patients.
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