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Covid Boosters for the severely immunosuppressed Posted on 14 Sep 2021

Covid boosters are now being offered to patients with immunosuppression due to disease or treatment, this includes those patients who:

undergoing chemotherapy leading to immunosuppression,

patients undergoing radical radiotherapy, solid organ transplant recipients, bone marrow or stem cell transplant recipients,

HIV infection at all stages,

multiple myeloma or genetic disorders affecting the immune system (e.g.

IRAK-4, NEMO, complement disorder, SCID).

Individuals who are receiving immunosuppressive or immunomodulating

biological therapy including, but not limited to, anti-TNF, alemtuzumab,

ofatumumab, rituximab, patients receiving protein kinase inhibitors or

PARP inhibitors, and individuals treated with steroid sparing agents such as

cyclophosphamide and mycophenolate mofetil.

Individuals treated with or likely to be treated with systemic steroids for

more than a month at a dose equivalent to prednisolone at 20mg or more

per day for adults.

Anyone with a history of haematological malignancy, including leukaemia,

lymphoma, and myeloma and those with systemic lupus erythematosus

and rheumatoid arthritis, and psoriasis who may require long term

immunosuppressive treatments.

Most of the more severely immunosuppressed individuals in this group

should already be flagged as Clinically Extremely Vulnerable. Individuals who are not yet on the CEV list but who are about to receive highly immunosuppressive interventions

or those whose level of immunosuppression is about to increase may be

therefore be offered vaccine alongside the CEV group, if therapy can be

safely delayed or there is sufficient time (ideally two weeks) before therapy

commences.

Some immunosuppressed patients may have a suboptimal immunological

response to the vaccine.  If you feel you fit the category please let the surgery know and ask for a message to be left with Jo or Julie who will then text you the details of the clinics running.  

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