The government is pushing the COVID-19 vaccination rate to 70% or even higher. The "vaccine allergy safety clinic" of the Hospital Authority, which evaluates patients with a history of allergies, has a waiting time until 2028 or even longer.
Clinic doctors said that more than half of the cases actually do not need to be referred. It is blamed on frontline doctors and patients who do not know the referral criteria; however, some frontline doctors think that the criteria are confusing and the information is inconsistent, which will only make doctors more conservative judges that the patients are not suitable for injections and slow down vaccination. Rate.
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Lin Yonghe said that patients who had angioedema after injections in the past were also suitable for vaccinating the new crown vaccine. However, the Kexing Vaccine Instructions of the Department of Health stated that they had had similar reactions to inactivated vaccines and were not suitable for injections.
(Kexing vaccination instructions)
The Hospital Authority launched its allergy clinic service in March this year, but like other public hospital services, it has faced the tragic situation of high referrals, long waiting lists, and slow service.
A medical staff revealed that a female patient with angioedema reaction to the inactivated vaccine went to the vaccination center and hoped to get an injection, but after learning that she was sensitive, she wrote a referral letter to the allergy clinic. Unexpectedly, one month Subsequent replies do not meet the referral criteria.
Li Xi (second from left), clinical assistant professor of immunology and allergy at the Department of Internal Medicine of the University of Hong Kong, said that angioedema belongs to the minimum level of the Hong Kong Society of Allergy and Medical Association guidelines and is suitable for injection of the new crown vaccine, and no referral is required.
(Information Picture/Photo by Liao Yanxiong)
Li Xi, a doctor at an allergy clinic and clinical assistant professor of immunology and allergy at the University of Hong Kong’s Department of Internal Medicine, said that angioneurotic edema is at the lowest level according to the guidelines of the Hong Kong Society of Allergy and Medicine. Allergies appear after the vaccine is another matter.
However, the Department of Health's vaccination instructions for Kexing vaccines stated that people who have had severe allergic reactions to Kexing vaccines or other inactivated vaccines, such as angioedema, should not be vaccinated with Kexing vaccines.
Lin Yonghe said that angioedema is suitable for vaccinations against the new crown, but the Department of Health's vaccination instructions for Kexing confuses some doctors.
(Data Picture/Photo by Zhong Weide)
The criteria for the suitability of injections are confused. Front-line doctors are at a loss as to what to do
Lin Yonghe, a family doctor who provides Kexing vaccination services, said that angioedema is suitable for the new crown vaccine, but the Department of Health's Kexing vaccination instructions have confuses some doctors. It is estimated that "most of the Kexing studies were healthy. People, there is no research data on chronically ill patients.” Therefore, pharmaceutical manufacturers are more cautious in their recommendations.
Lin Yonghe said that due to different guidelines, some front-line doctors may be more conservative in judging whether patients are suitable for injections. "Poppy patient", I hope the authorities can unify the guidelines so that citizens who are suitable for vaccination will not lose confidence in the injection.
He Xuegong, a child immunological allergy and infectious disease specialist, pointed out that injections may cause skin allergies or cause public concern, but they are not too risky and are suitable for injections.
(Profile picture / Photo by Luo Junhao)
He Xuegong, chairman of the Hong Kong Society of Allergy Medicine and a specialist in childhood immunization, allergy and infectious diseases, pointed out that injections may cause skin sensitivity or cause public concern, but they are not too risky. They are all suitable for injections, but when the skin is sensitive and the throat is swollen If you have multiple allergies, it is more serious and requires individual assessment of the risk of injections.
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