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New Crown Vaccine | Experts teach you to prepare before the injection Zeng Tongbo and food and drug allergies should have a physical examination?

2021-03-19T00:16:46.518Z


[Notices for Vaccine Allergies, Chronic Diseases, and Pregnant Women with Kexing/Fubitai Vaccines] The new crown vaccination program in Hong Kong has been launched. Starting this week, the eligible group will be expanded to include citizens over 30 years old and foreign domestic helpers.


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Written by: Chen Shuxia

2021-03-19 08:00

Last update date: 2021-03-19 08:00

[Notices for Vaccine Allergies, Chronic Diseases, and Pregnant Women with Kexing/Fubitai Vaccines] The new crown vaccination program in Hong Kong has been launched. Starting this week, the eligible group will be expanded to include citizens over 30 years old and foreign domestic helpers, but there have been many cases in response In case of abnormal accidents, some citizens plan to undergo a physical examination before vaccination for peace of mind.

Some experts believe that before chronically ill patients and the elderly decide to vaccinate, the most important thing is whether their condition is stable or not. If the condition suddenly deteriorates, such as a spike in blood sugar or blood pressure, or heartache or shortness of breath, it is safer to consult a doctor and recover after surgery. Or for patients who have had a heart pass.

For young people, if you have ever had a severe allergic reaction, regardless of the type of allergy, you should pay special attention.

It may not be beneficial for most people to have a physical examination before the injection, because it only reflects the situation at the moment.

Family doctors who assisted in vaccination pointed out that starting from this week, the number of citizens who asked about their physical condition before the injection has increased by about 20%. After consultation, about 6 citizens have been "dismissed" for temporary vaccination, including blood pressure. 200 elders.

▼Fobitai Vaccination Center Process▼

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Patients with acute myocardial infarction and stroke can be vaccinated 3 to 6 months after recovery

There have been 7 deaths after Kexing vaccination in Hong Kong, of which 6 people were involved in cardiovascular problems. Recently, there were also dizziness, rash and other discomforts among people who had been vaccinated with Fubitai.

The Department of Health issued the "Temporary Vaccination Guidelines" for Koxing Vaccine to doctors for the first time a few days ago, stating that certain people should not be vaccinated, including:

1. Has had a severe allergic reaction to the new coronary pneumonia vaccine, other inactivated vaccines or any other vaccines, 2. Suffered from severe neurological diseases, 3. Suffered from a severe long-term illness with uncontrolled illness, and 4. Pregnant women and breastfeeding women .

Those who have had acute myocardial infarction and stroke recently should be vaccinated 3 to 6 months after recovery. Patients suffering from long-term diseases such as diabetes and hypertension should also delay vaccination if their condition is not under control or the medication is being adjusted. .

However, specific indicators such as blood sugar and blood pressure are not suitable for vaccination.

Physical examination may take time or affect the schedule of vaccination

Respiratory specialist Liang Zichao pointed out that there is currently no evidence that a physical examination before vaccination is beneficial. Because a one-time physical examination only reflects the current situation, "only physical instability can be ruled out", and the risk of occasional disease cannot be ruled out. It will also affect the progress of vaccination. "Depending on family confidence is more than anything else."

He also pointed out that Europe, the United States, Brazil, and Turkey also did not provide medical examinations for citizens over 60 years of age who are planning to be vaccinated.

▼See the details of the scheduled vaccination and side effects of Kexing and BioNTech in the 3 pictures▼

Many vaccine misunderstandings in the market cause false alarms for the elderly

Liang Zichao continued that Hong Kong is different from other regions. The elderly are among the first to be vaccinated. At this stage, there is no data showing that vaccines will increase the risk of stroke or heart disease. "Health care first", he believes that the expert committee should disclose more vaccination data in other regions to help the public understand.

One to two weeks after you pass the injection, you can get an injection or you can wait and see

He continued that the key to whether patients with chronic diseases and the elderly decide whether to vaccinate or not depends on whether their condition is stable. If there has been follow-up consultation and the condition is under control, "there should be no problem." However, if the condition deteriorates, such as a spike in blood sugar or blood pressure, For sudden heartaches and shortness of breath, "you must first see your doctor for evaluation." As for patients who have recovered from the operation or who have undergone Tongbozi surgery, he pointed out that, in other areas with severe epidemics, one to one after the operation. Injections have been available for two weeks, but Hong Kong suggested that the relevant patients could stay for a few months to "wait and see" their condition due to the slowdown of the epidemic. "But if the condition is stable, there is no spike in blood sugar or blood pressure, and there is no worsening, it is okay (injection)."

▼Full list of 29 vaccination centers on Hong Kong Island, Kowloon, New Territories and Outlying Islands▼

Be careful when you have a history of allergies and get a nucleic acid vaccine

For young people, Liang Zichao said that unless there is a history of allergies, in general, there is no need to make a special physical examination. "But if you have a history of allergies, or have had acute severe allergies, you must be careful when you get a nucleic acid vaccine (mRNA)." When people with food or seafood allergies need to pay special attention, he said that if they are only mildly allergic, the problem is not big, but if they are serious, such as edema, rheumatism, shortness of breath, etc., they are serious. You must consult a doctor first.

As for the use of steroids, he said that there is no evidence to show conflict with the vaccine, but there are few data at this stage. "If you are worried, you can ask the doctor again."

▼Professor Yuan Guoyong injected himself with Fubitai vaccine▼

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Liang Guoling, Chief Operating Officer of Health Care International Medical Group, pointed out that the demand for medical examination services in the group has not increased. He pointed out that physical examination is a health care function, "all good." He believes that to increase Hong Kong people's confidence in vaccination, doctors need to do their best to explain.

When responding to enquiries, the Christian United Nethersole Community Health Service, which provides a physical examination plan, pointed out that the demand for physical examination services has not increased due to the launch of the vaccination plan, and there is no statistical data on the physical examination at the clinic before vaccination.

▼Which new crown vaccine will the four chief executives receive?

Some hospitals provide special "pre-vaccination check-up service." The Allergy Center of Sanatorium and Hospital conducts check-ups for people with a history of drug or vaccine allergy to assess the risk of allergy to the COVID-19 vaccine. Patients at risk of allergies will receive Refer to a specialist in immunology and allergy for further testing, including skin prick test and/or intradermal injection of diluted substances containing relevant excipients.

The Sanatorium and Hospital replied that after the vaccination plan was launched, the demand for in-hospital physical examination services has stabilized.

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New crown pneumonia, new crown vaccine, vaccination, vaccination, Fubitai vaccine, China Kexing

Source: hk1

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