The Hong Kong government announced earlier that the 7 doctors who were suspected of being arrested for over-distributing needle slips will lose the needle-free slips they issued. Some patient organizations worry that it will be more difficult for the public to receive needle-free slips in the future.
According to the new crown vaccine guidelines issued by the Centre for Health Protection to private doctors on September 2, there are eight categories of people who can be issued needle-free papers, including those who have recovered from the new crown pneumonia and who have been severely sensitive to the new crown vaccine in Hong Kong. Needle-free paper.
Family doctor Lin Yonghe said that many patients think that they cannot get injections, but generally speaking, the number of people who are not suitable for vaccination is very small. Like many doctors, he has issued no more than ten pieces of needle-free paper. If in doubt, consult your family doctor.
▼On September 22, the police arrested three doctors who were suspected of spamming "needle-free paper"▼
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According to the new crown vaccine guidelines issued by the Centre for Health Protection to private doctors on September 2, it can be simply divided into eight categories of people who can receive needle-free papers, including those who have recovered from the new coronary pneumonia, who have been severely sensitive to the vaccine, and who have been severely affected by the new crown vaccine in Hong Kong. Sensitive, patients who have received monoclonal antibody or convalescent plasma therapy in the short term, organ transplantation in the short term, B cell immunosuppressive therapy and chemotherapy in the short term, and uncontrolled severe chronic Needle-free paper is issued for diseases and acute diseases.
In addition, the guidelines emphasize that if a patient is not suitable for a certain vaccine, other alternative vaccines should be considered.
▼On September 22, Lu Chongmao and officials received the fourth dose of Sinovac vaccine and influenza vaccine▼
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▼Eight types of people can get needle-free paper▼
1) Have had a severe allergic reaction to the vaccine
According to the guidelines, people who have had a systemic allergic reaction to the vaccine should be banned from getting the vaccine until an allergist evaluates it.
If the citizen is assessed and found that he is unable to receive any of the new crown vaccines available in Hong Kong, a vaccine exemption will be issued.
Patients with a history of severe drug allergies may be allergic to the vaccine excipient polyethylene glycol (PEG), so it is recommended to receive the Sinovac vaccine without PEG.
Patients with a history of severe drug allergies may be allergic to the vaccine excipient polyethylene glycol (PEG), so it is recommended to receive the Sinovac vaccine without PEG.
(Provided by family doctor Lin Yonghe)
2) Cancer patients undergoing chemotherapy
The guidelines state that cancer patients can generally be vaccinated against the new coronary pneumonia, but because they are undergoing immunosuppressive therapy, the effectiveness of the vaccine may be greatly reduced.
For cancer patients treated with chemotherapy, however, it is common to separate vaccination and chemotherapy treatment by one to two weeks to avoid overlapping side effects and increase the immune system's response to the vaccine.
3) Received B cell immunosuppressive therapy in the short term
The guidelines emphasize that vaccination should be given to patients receiving immunosuppressive therapy, but if the patient is receiving or has received B-cell immunosuppressive therapy, vaccination may be considered until 3-6 months after the patient has stopped treatment to increase the possibility of immunity.
4) Received monoclonal antibody or convalescent plasma treatment in the short term
According to WHO instructions, there is currently no data on the safety or efficacy of monoclonal antibodies or convalescent plasma to be used as part of the treatment of COVID-19, but as a precautionary measure, vaccination should be delayed for at least 90 days to avoid antibody treatment interfering with vaccine-induced immune response.
According to the WHO, there is currently no data on the safety or efficacy of monoclonal antibodies or convalescent plasma to be used as part of the treatment of COVID-19.
(Photo provided by Queen Mary Hospital)
5) Have received an organ transplant within a short period of time
The guidelines state that vaccines can help patients who have undergone organ transplants to prevent new coronary pneumonia infection and reduce severe disease and mortality, but if patients have received hematopoietic stem cell transplantation (HSCT), inactivated vaccines can generally be given 3 to 6 months after HSCT. start.
If the patient has undergone hematopoietic stem cell transplantation (HSCT), inactivated vaccines can generally be started 3 to 6 months after HSCT.
(file picture)
6) Have a severe allergic reaction to the new crown vaccine
Eligible for a history of serious adverse events (AEFIs) such as hospitalization, persistent or significant disability/incapacity following a Covid-19 vaccine, and an inability to receive any Covid-19 vaccines after the event as assessed by a registered physician Medical Waiver.
7) Those who have recovered from COVID-19
Those who have recovered from the new coronary pneumonia can take one less shot. Generally speaking, if they have not been vaccinated, they can receive the first dose of the vaccine 30 days after recovery. A second dose of the vaccine is available. For details, please refer to the New Coronary Pneumonia Vaccine website.
Those who have not been vaccinated can receive the first dose of the vaccine 30 days after recovery, and those who have received a dose of the vaccine can be vaccinated 30 to 150 days apart.
(New Coronary Pneumonia Vaccine Website)
8) Uncontrolled severe chronic and acute diseases
Suffering from severe chronic disease that is not satisfactorily controlled, especially symptomatic, or acute/unstable disease requiring treatment and medical attention, and who are undergoing treatment modification for better disease control, generally defer vaccination, based on clinical judgment .
If the patient's diabetes and hypertension are not well controlled, it is recommended to take treatment before considering vaccination, until the chronic diseases are better controlled, then the new crown vaccination should be revisited.
People with acute myocardial infarction can also receive the new crown vaccine 2 to 4 weeks later, as long as the condition is stable, the new crown vaccine can be considered.
Family doctor Lin Yonghe believes that the number of people who are not suitable for vaccination is very small.
(File photo/Photo by Zhong Weide)
Family doctor Lin Yonghe said that many patients think that they cannot get injections, but generally speaking, there are very few people who are not suitable for vaccination.
Even if it is not suitable for vaccination at that time, it is usually not suitable for a long time. For example, if the condition of acute heart disease is stable after one month, it can be vaccinated. Like many doctors, I have issued no more than ten pieces of needle-free paper. If in doubt, consult your family doctor.
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