Surgery Times: Monday to Friday 9:00 am - 5:30 pm

18 CATHERINE STREET WATERFORD

Covid19 Vaccine Roll-Out

Firstly and most importantly everyone will get a vaccine in the State – Minister Stephen Donnelly has said in the Dail that four out of every five citizens will have been offered their first vaccine by the end of June .Vaccine supplies in this second quarter of the year have improved the HSE say.

So, if you do not fall into one of the categories listed below – you will get a vaccine through the Mass Vaccination Clinics when your age group is invited to register on the HSE Portal.They are starting with the oldest of us first and working down through age groups.

Patients over 70 years old : 

The vast majority of our patients have now  had their first vaccination and a growing number are getting their second vaccine.

In the unlikely event that you are aged  70 years and older and have NOT been contacted by us already : NB Please contact the surgery and let us know and we will give you an appointment at the next available clinic .

For more information on the Covid Vaccine you will be receiving please look at the link to the HSE Website -> Covid 19 Vaccines

VERY HIGH RISK patients aged 18-59 years old , registered with the Practice- COHORT 4

We will next be  offering this group of registered patients the Pfizer Covid 19 vaccine .

We DO NOT HAVE A START DATE yet for this Very High Risk Group of patients but we will alert relevant patients when the HSE confirm our delivery date – This is expected on or before Mid – May .

You do not need to contact us at this stage as we are putting a list together based on the strict HSE Criteria detailed below :

  • Diabetes where the patient has HbA1c > 58mmol/ml in last 12 months
  • Obesity  where patients have a BMI > 40
  • Chronic Respiratory Disease where patient is on home oxygen, pre or post transplantation or with a hospital admission related to disease in past year.
  • Patients with Prader Willi syndrome

AFTER  this group of  ‘Very High Risk Patients ‘  is catered for we will be offering a vaccine to as many AND  most importantly the sickest of the next group ( Cohort 7).This is a broader group as listed below:

High Risk Patients aged 18-59 years old – COHORT 7 

  • Cancer – Haematological – within 1 -5 years, Non-haematological – within 1 year. All other cancers on non-hormonal treatment.

  • Chronic heart (and vascular) disease – Chronic heart disease, for example: heart failure, hypertensive cardiac disease.

  • Chronic kidney disease – Chronic kidney disease with eGFR <30ml/min.

  • Chronic liver disease– for example: cirrhosis or fibrosis.

  • Chronic neurological disease or condition – Chronic neurological disease or condition significantly compromising respiratory function and/or the ability to clear secretions, for example: Parkinson’s disease, cerebral palsy.

  • Chronic respiratory disease – Other chronic respiratory disease, for example: stable cystic fibrosis, severe asthma (continuous or repeated use of systemic corticosteroids), moderate COPD.

  • Diabetes – All other diabetes (Type 1 and 2).

  • Immunocompromised – Immunocompromise due to disease or treatment, for example: high dose systemic steroids (as defined in Immunisation Guidelines for Ireland Chapter 3), persons living with HIV.

  • Inherited metabolic diseases – Disorders of intermediary metabolism not fulfilling criteria for very high risk.

  • Intellectual disability* excluding Down Syndrome (already vaccinated in Cohort4).

  • Obesity – BMI >35 Kg/m2.

  • Severe mental illness – for example: schizophrenia, bipolar disorder, severe depression not already vaccinated elsewhere.

A start date to vaccinate this group is at yet unknown but is expected to be later in May / early June . Again , you do not need to contact us at this point as this is still in the planning stage – more information to follow when we know more .

Overall , this is indeed further good news and progress for our vulnerable patients and we are dedicated to playing our part .

Patients Aged 60-69 years old :

People aged 65-69 ONLY  are being asked to register via the HSE portal – for AstraZeneca vaccination in the HSE Mass Vaccination Clinic here in Waterford.

This WILL NOT be done in the Gp Surgery- We have no role in this clinic .

This Portal has gone ‘ live ‘ on the 15th April and vaccinations are expected to start within a week.

After this group are complete – the HSE Clinic will move onto people 60-64 years old .

Please see this link to the Portal -> HSE Portal to book vaccine 

Please see this publication from the HSE about AstraZeneca in light of NIAC recommendations recently -> HSE update 

Finally , this very clear and informative publication from  Cambridge University -> AstraZeneca risk and benefit 

In Summary ,it is really important to know the risk of a clot from AstraZeneca is very , very low ….  an average of 5 per million doses administered which is 0.0005% risk.

This is an excellent vaccine and is  100% effective the experts tell us in preventing serious illness . It is particularly safe in all people over 60years of age which is why it is recommended in this age group.

If you had a clot before or a family history of clots there is no increased risk of getting a clot with this vaccine based on current information / evidence according to experts.

BUT ,What is the risk of getting a clot if you become unwell with Covid 19 infection ?

• Pulmonary embolism, or clotting on the lungs, occurs in 7.8% of people who have COVID-19
• Deep vein thrombosis (DVT), or clotting in the legs, occurs in 11.2%of people who have COVID-19
• Of those who have COVID-19 and end up in an intensive therapy unit (ITU), 23% will have some form of clot
• COVID-19 causes strokes in 1.6% of people
• Up to 30% of people who have COVID-19 will get thrombocytopenia, which is a lowering of the platelet count.

This is an evolving situation and we will update the medical advice as it becomes available.

The experts are very clear – Take the vaccine you are offered . The risk of becoming very unwell or dying from Covid 19 is far , far greater than any risk from a vaccine .

 

There is more information in the other news item on this site  titled – ‘ Coronavirus 2021’.

Please be mindful that we are still and always operating a busy Gp Surgery with all of the routine and emergency work that entails . The significant  extra workload in terms of vaccination clinics requires additional hours , hard work , a lot of logistics and pressure for everyone here in Catherine Street – most particularly our administration team .

Please be patient and understanding as we work through this very busy and important period.

Go n-eirí an t-ádh leat

 

Our strength is in offering a continuous, personalised medical service in a reliable, friendly, caring environment.

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