This will protect the most people and have the biggest impact on reducing NHS pressures.”. The order in which people are offered the COVID-19 vaccine is based on advice from the Joint Committee on Vaccination and Immunisation (JCVI). Vaccination of residents and staff at the same time is considered to be a highly efficient strategy within a mass vaccination programme with the greatest potential impact (see below). 2020 Jul 30. The committee advises that this vaccine be used in the first phase of the programme, according to the priority order set out below. Factors associated with COVID-19-related death using OpenSAFELY. This statement will be updated following consideration of Phase 3 safety and efficacy data on other COVID-19 vaccines. There is no strong evidence that ethnicity by itself (or genetics) is the sole explanation for observed differences in rates of severe illness and deaths. The order of priority for each group in the population corresponds with data on the number of individuals who would need to be vaccinated to prevent one death, estimated from UK data obtained from March to June 2020 (see reference 3). "So whilst I do have a view that some occupations may justify some prioritisation, logistically the straightforward way to do it is through an age-based approach.". Earlier this month Perrie and Leigh-Anne delighted fans with the happy news that they are both expecting their respective first child. The union leader added: "The Government needs to make a policy decision on this matter having insisted that education is a national priority and having announced a 'big bang' return to the classroom in England.". The committee has reviewed unpublished Phase 1, 2 and 3 safety and efficacy data for the Pfizer/BioNTech mRNA vaccine. Folegatti PM, Ewer KJ, Aley PK et al. Given the lack of evidence, JCVI favours a precautionary approach, and does not currently advise COVID-19 vaccination in pregnancy. This document sets out a framework for refining future advice on a national COVID-19 vaccination strategy. As such, JCVI does not advise further prioritisation by occupation during the first phase of the programme. He said people's jobs are "not very well recorded" in GP records, so trying to target teachers would make things "even more difficult" for vaccine teams and "run the risk of missing some people". mRNA-1273 Study Group. There is good evidence that certain underlying health conditions increase the risk of morbidity and mortality from COVID-19. Many of those who are clinically extremely vulnerable are in the oldest age groups and will be among the first to receive vaccine. But the government will now obey advice from the Joint Committee on Vaccination and Immunisation (JCVI) - which today said jabs should go by age instead. Coronavirus is having a huge impact on people living with cancer. BMJ. The advice provided is to support the government in development of a vaccine strategy for the procurement and delivery of a vaccination programme to the population. Health Secretary Matt Hancock will lead a Downing Street press conference today at 5pm where he is expected to accept and adopt the JCVI's interim advice. Keech C, Albert G, Cho I et al. Headline data from vaccine trials undertaken indicate high vaccine efficacy, with no serious safety events related to the vaccine. He added switching to an occupation-based programme would be "untested and untried" and risked slowing down the rollout while "the queue is moving swiftly". This could be through culturally competent and tailored communications and flexible models of delivery, aimed at ensuring everything possible is done to promote good uptake in BAME groups and in groups who may experience inequalities in access to, or engagement with, healthcare services. Increased risk of SARS-CoV-2 infection in staff working across different care homes: enhanced CoVID-19 outbreak investigations in London care Homes. 2020 Sep 2. JCVI will continually monitor data on vaccines in development. An age-based programme will likely result in faster delivery and better uptake in those at the highest risk. Transmission of SARS-CoV-2: A Review of Viral, Host, and Environmental Factors. JCVI considered it important to understand the factors underlying health inequalities in COVID-19 giving due consideration to relevant scientific evidence, ethical principles and vaccine programme deliverability. The mRNA in the vaccine is translated and transcribed by the body to produce the spike protein. Graham NSN, Junghans C, Downes R, et al. Updated 2 December 2020, Guidance on clinically extremely vulnerable individuals. A staggering 56.6 million doses of coronavirus vaccines have now been given across the UK. We cannot afford a two metre parameter from people. COVID vaccines are being distributed in the UK based on the priority list set out by the JCVI, so when will people aged 65 and over get the Covid vaccine? ", Geoff Barton, general secretary of the Association of School and College Leaders, said he was "disappointed". Mutambudzi M, Niedzwiedz C, Macdonald et al. The new coronavirus vaccine priority list has been revealed - but key workers are not set to be prioritised. These models assume an available vaccine is both safe and effective in older adults (see reference 19). There is evidence that infection rates are higher in residential care home staff (see references 20 to 23), than in those providing domiciliary care or in healthcare workers. ... GOV.UK: demonstrating your COVID-19 vaccination status for travelling abroad www.gov.uk. In order to interrupt transmission, mathematical modelling indicates that we would need to vaccinate a large proportion of the population with a vaccine which is highly effective at preventing infection (transmission). Coronavirus (COVID-19) vaccination. "On balance we felt it was simpler to keep everything as straightforward as possible.". When you subscribe we will use the information you provide to send you these newsletters. The newsletter is emailed out first thing every morning, at 12noon and every evening. The second phase will see the remaining 21million adults who have not yet had the jab by mid-April offered first doses up until July 31. Never miss a moment by signing up to our newsletter here. People with severe asthma who were told to shield were in priority group four, while some others - including sufferers who have ever had an emergency admission - are in group six. John Apter, national chair of the Police Federation, called it a “contemptible betrayal of police officers”. Ladhani SN, Chow JY, Janarthanan R et al. Dr Mary Ramsay, Head of Immunisations at Public Health England (PHE), said there was emerging evidence about the success of both the Pfizer and AstraZeneca vaccine in reducing cases and deaths. When compared to persons without underlying health conditions, the absolute increased risk in those with underlying health conditions is considered generally to be lower than the increased risk in persons over the age of 65 years (with the exception of the clinically extremely vulnerable). Today’s announcement also provoked fury from Asthma UK - which said not all those with the condition are in the first phase of the rollout. Britain has suffered one of the worst death tolls globally from the pandemic, but has also had one of the fastest vaccine … There is clear evidence that certain black, Asian and minority ethnic (BAME) groups have higher rates of infection, and higher rates of serious disease, morbidity and mortality. The move means anyone aged 16 and up will be eligible for a vaccine in Germany, scrapping the existing priority criteria based on age, jobs and pre-existing medical … Women should be advised not to come forward for vaccination if they may be pregnant or are planning a pregnancy within three months of the first dose. Many individuals who are clinically extremely vulnerable will have some degree of immunosuppression or be immunocompromised and may not respond as well to the vaccine. Most vaccine candidates focus on immunisation with the spike glycoprotein, which is the main target for neutralising antibodies following infection. Individuals considered extremely clinically vulnerable have been shielding for much of the pandemic (see reference 24) . This advice is provided to facilitate the development of policy on COVID-19 vaccination in the UK. It is estimated that taken together, these groups represent around 99% of preventable mortality from COVID-19. Frontline healthcare workers (HCWs)* in direct patient contact … In England, the NHS says it has given first doses to … Charlotte Appleyard, a Derbyshire teacher, launched a … A spokesman said: "Age is assessed to be the strongest factor linked to mortality, morbidity and hospitalisations, and because the speed of delivery is crucial as we provide more people with protection from COVID-19. Protecting them protects the health and social care service and recognises the risks that they face in this service. Other COVID-19 vaccines are in development, with some in late stage trials. Safety and immunogenicity of ChAdOx1 nCoV-19 vaccine administered in a prime-boost regimen in young and old adults (COV002): a single-blind, randomised, controlled, phase 2/3 trial. The mRNA encodes the SARS-CoV-2 full length spike protein. Downing Street said it was “right” to follow the JCVI’s advice which “will protect the most people and have the biggest impact on reducing NHS pressures”. AstraZeneca COVID-19 vaccine uses a replication deficient chimpanzee adenovirus as a vector that encodes the full-length SARS-CoV2 spike protein. London Care Home Investigation Team. He said police had lost 29 officers including seven in Scotland Yard, adding: "This is not about pitting us against others. The priority list is … Police officers should be given priority on the vaccination list, a North Wales … We also use cookies set by other sites to help us deliver content from their services. Get the day's biggest news stories delivered straight to your inbox by signing up here. Go to: Priority groups for coronavirus (COVID-19) vaccination: advice from the JCVI, 30 December 2020. Good vaccine coverage in BAME groups will be the most important factor within a vaccine programme in reducing inequalities for this group. JCVI asks that DHSC consider occupational vaccination in collaboration with other government departments. medRxiv [Preprint]. After JCVI has been given the opportunity to review Phase 3 data on this vaccine, this statement will be updated. 2020 Sep 17:M20-5008. England; Coronavirus (COVID-19) United Kingdom; Coronavirus (UK) Coronavirus (England) But other asthma sufferers must now wait until their age band in the normal course of the rollout. Some 18.7million UK adults have now received their first dose of the Covid vaccine. In March 2020, the World Health Organisation (WHO) declared a SARS-Cov-2 pandemic. Lancet Nov 18 2020. Data from the Pfizer/BioNTech vaccine trials undertaken in over 40,000 individuals indicate high vaccine efficacy, with no serious safety concerns observed. When sufficient data on vaccine safety and efficacy are available, these will be considered by JCVI and this statement will be updated. N Engl J Med. The following charities have worked with the NHS to produce advice about the coronavirus (COVID-19) vaccine and certain health conditions. Given the current epidemiological situation in the UK, all evidence indicates that the best option for preventing morbidity and mortality in the initial phase of the programme is to directly protect persons most at risk of morbidity and mortality. The priority list for the coronavirus vaccine overlooks the role of teachers and other front-line workers, an MP has said. Symptoms are commonly reported as a new onset of cough and fever, but may include headache, loss of smell, nasal obstruction, lethargy, myalgia, rhinorrhoea, taste dysfunction, sore throat, diarrhoea, vomiting and confusion. Sahin U, Muik A, Derhovanessian E et al. Safety and immunogenicity of the ChAdOx1 nCoV-19 vaccine against SARS-CoV-2: a preliminary report of a phase 1/2, single-blind, randomised controlled trial. Data also indicate that the absolute risk of mortality is higher in those over 65 years than that seen in the majority of younger adults with an underlying health condition (see below). Teachers, police officers, firefighters and other key workers are not set to be the next group of priorities in the final stage of the UK's Covid vaccine … 2020 Sep;81(3):411-419. More than two-thirds of UK adults - 36 million people - have had a first dose of a Covid vaccine, while a third of adults are now fully vaccinated with two doses. ... us at webnews@metro.co.uk. COVID-19 disease first emerged as a cause of severe respiratory infection in Wuhan, China in late 2019. "The UK Government remains on course to meet its target to offer a vaccine to all those in the phase one priority groups by mid-April, and all adults by the end of July.”. 2020 Aug;584(7821):430-436. Occupation and risk of severe COVID-19: prospective cohort study of 120,075 UK Biobank participants, Public Heath England report – Beyond the data: understanding the impact of COVID-19 on BAME groups. Germany will ditch its Covid vaccine priority list and start offering jabs to all adults from June 7, Health Minister Jens Spahn said Monday, as the inoculation drive in Europe's top economy gathers pace. The risk groups identified by the committee are set out below: Individuals within these risk groups who are clinically extremely vulnerable are discussed separately (see above). This means that available data are likely to underestimate the risk in this group. To be assured that outcome is maximised however, JCVI would like to see early and regular comprehensive vaccine coverage data so that the Committee can respond if high priority risk groups are unable to access vaccination in a reasonable time frame. David Salisbury, a former Director of Immunisation for the government, told the BBC he backed the age-based approach because it was the quickest way to get first doses into arms. If you have a health condition that means you are eligible for the COVID-19 vaccine, or you are an adult carer, the NHS will contact you to arrange your vaccination appointment. What is clear is that certain health conditions are associated with increased risk of serious disease, and these health conditions are often overrepresented in certain BAME groups. The JCVI vaccine authority has announced the order in which healthy adults under 50 should get the jab - with 40-49s first, then 30-39s, then 18-29s last, Get our daily coronavirus email newsletter with all the news you need to know direct to your inbox. Age-based programmes are usually easier to implement and therefore achieve higher vaccine uptake. Some 18.7million UK adults have now received their first dose of the Covid vaccine. The protein then acts as an intracellular antigen to stimulate the immune response. “Occupations that are less likely to be able to work from home have higher COVID-19 mortality rates than those that can work from home,” the group added. Phase 1/2 study of COVID-19 RNA vaccine BNT162b1 in adults. 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Vivaldi 1: coronavirus (COVID-19) care homes study report, Guidance on shielding and protecting people who are clinically extremely vulnerable from COVID-19 Walsh EE, Frenck R, Falsey AR et al. The decision could anger teachers' unions and Labour, who had demanded priority for teachers as schools return in England from March 8. Consideration has been given to vaccination of household contacts of immunosuppressed individuals. We’d like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services. Vaccination priority groups. There are no data as yet on the safety of COVID-19 vaccines in pregnancy, either from human or animal studies. Your information will be used in accordance with our, It had been hoped teachers would get the jab first in the second phase - but it's less practical, The JCVI's advice will prioritise people by age in Phase 2 - starting with people in their 40s, Stark slides suggest men are at greater risk - but they will not be prioritised, The announcement prompted fury from the Metropolitan Police Federation, Today's announcement also prompted fury from Asthma UK, Slides from the briefing showing the vaccine rollout has ramped up in recent weeks, Health Secretary Matt Hancock is expected to accept the JCVI's recommendations in a briefing tonight, No10 showed slides saying the vaccine is proving effective, Subscribe to Daily Mirror and Sunday Mirror newspapers, Sam and Billie Faiers' biological dad - violence, wedding snub and why he's not on Mummy Diaries, Horror injuries of football coach tortured by thugs with 'nonse' carved into skin, Prince Harry raps Fresh Prince Of Bel-Air theme song - with surprise Meghan appearance, Queen's Christmas present to Archie stuns James Corden - and tot uses it every day, ISIS bride Shamima Begum loses Supreme Court appeal to return to the UK, Student dies from sepsis after ringing GP surgery 25 times to be refused appointment, 'I inherited £250K at six but it ruined my life - strangers still ask me for money', Prince Harry 'revels in new freedom - but freezes when it comes to the Queen and William', UK Covid-19 alert level lowered as threat of NHS being overwhelmed is reduced, Masks and tests in secondary schools won't be mandatory - but are 'highly recommended', Woman on verge of tears has 'faith restored' as lads on bikes rush to her aid in park, Jo Remedios was on the verge of tears when she lost her keys while out walking her dog in New Ferry, until these three boys stopped to help and track down the keys, Prince William breaks cover after brother Harry accuses royals of 'total neglect', Prince William has visited The Spartans FC and Community Association as part of his seven-day tour of Scotland after Prince Harry made further accusations against the royals, Model, 23, says she won’t amputate leg even though it adds 7st to bodyweight, EXCLUSIVE: Mahogany Geter, who was born with lymphedema, said she has had to rise above online trolls as she responds to their nastiness saying "I now believe I'm beautiful on the inside and out", Kate McCann's "horror" at hotel staff's note before Madeleine's disappearance, Maddy's mum Kate was shocked when she spotted the note a year after her daughter's disappearance when she was finally allowed to see the Portugal police's files, 'Cruel Martin Bashir cheated my love George Best and tricked and betrayed me', EXCLUSIVE: The ex-wife of football icon George Best says he felt cheated and manipulated by a TV interview with shamed reporter Martin Bashir and the upset stayed with him till he died, Return of big weddings from June 21 to 'get go-ahead next week' in joy for couples, Boris Johnson is expected to say that wedding limits will be removed as part of the final step in his roadmap out of restrictions.
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