With the increase of age, the immunity of the elderly population declines. Compared with the young and middle-aged population, they have more underlying diseases and are more prone to Infected. Research shows that the two important factors that lead to severe illness and death after infection with the new crown are age and underlying diseases. These two factors are precisely reflected in the elderly, which makes the elderly face a higher risk of disease after infection. .
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Even if you don’t go out often, other family members may bring the risk of new coronavirus infection home, causing infection and illness in the elderly at home. Said the situation is more serious.
After a period of popular science, many elderly people are in a very urgent mood to be vaccinated against the new crown vaccine, but due to their underlying diseases and the vaccination of the new crown vaccine The understanding of taboos is not accurate enough, so there are always some concerns about getting the new crown vaccine. Based on the contents of the Technical Guidelines for Novel Coronavirus Vaccination (First Edition) and the instructions for the new crown vaccine, the taboos and related issues of the new crown vaccination are now further sorted out and reviewed. Clear, let’s take a look!
COVID-19 vaccine is recommended
☑ For dust mites, food (eggs, peanuts, seafood, mangoes), pollen , alcohol, penicillin, cephalosporin or other drug allergy, not in the allergic attack is recommended vaccination.
☑ Suffering from heart disease, coronary heart disease and other diseases, the stable stage is not the acute attack stage, it is recommended to be vaccinated. ; The heart is equipped with stents, bypasses, pacemakers, and vaccination is also recommended in stable conditions.
☑ Hypertension drugs are well controlled, blood pressure is relatively stable for a period of time, vaccination is recommended. High blood pressure drug control is stable, blood pressure is less than 160/100mmHg, vaccination is recommended.
☑ Stable control of diabetes drugs, fasting blood glucose ≤13.9mmol/L, no acute complications (ketoacidosis, hyperosmolar state, lactic acidosis), vaccination is acceptable. It is recommended to inoculate when the glycosylated hemoglobin is below 7mmol/L. Various medications used to treat diabetes, including insulin injections, are not contraindicated for vaccination.
☑ Hypothyroidism patients take a stable dose of levothyroxine (Uthyroxine) and their thyroid function is normal, so vaccination is recommended.
☑ Chronic eczema has no obvious flare-ups, and vaccination is recommended.
☑ The current symptoms of chronic urticaria are not obvious, and vaccination is recommended.
☑ If the symptoms of chronic rhinitis are not obvious, vaccination is recommended.
☑ Chronic hepatitis does not require medication, and liver function is normal, so vaccination is recommended.
☑ Tuberculosis is not active, and vaccination is recommended.
☑ Stomach ulcer, liver cirrhosis, and stable disease can be vaccinated.
☑ Acute type of psoriasis such as non-pustular type, it is recommended to be vaccinated.
☑ In the non-acute stage of chronic obstructive pulmonary disease, with no obvious cough and asthma, vaccination is recommended.
☑ Ankylosing spondylitis has no acute pain manifestations, and vaccination is recommended.
☑ In the recovery period after lumbar disc herniation, hip replacement, fracture, etc., vaccination is recommended as long as the condition is stable.
☑ Depression medication is well controlled, life and work are as usual, vaccination is recommended.
☑ allergic rhinitis and allergic asthma, vaccination is recommended.
☑ High uric acid, vaccination is recommended in stable condition.
☑ Eat health products or take health care Chinese medicine, it is recommended to be vaccinated.
☑ Immune system diseases (systemic lupus erythematosus, rheumatoid arthritis, ankylosing spondylitis, Sjögren’s syndrome, etc.) Inactivated new crown vaccine and recombinant subunit new crown vaccine are recommended when the condition is stable.
☑ Nephrotic syndrome; immunosuppressive drugs after kidney transplantation; AIDS patients and HIV-infected patients are recommended to receive inactivated vaccines and recombinant subunit vaccines.
☑ Those with previous COVID-19 infection (patient or asymptomatic infection) can receive 1 dose of COVID-19 vaccine after 6 months on the basis of full notification.
COVID-19 vaccine population
(disease or symptoms) Vaccination after remission)
☑ Fever (underarm body temperature ≥37.3°C) caused by any cause (cold, wound infection, local inflammation) suspend vaccination until symptoms are relieved and health is in good condition , vaccination is recommended.
☑ Acute diseases such as gout attack, severe cold, myocardial infarction, cerebral infarction, etc., suspend vaccination.
☑ Acute exacerbation of chronic disease, or uncontrolled severe chronic disease, withhold vaccination. People with chronic diseases with stable health status and good drug control are not considered as contraindicated groups for new crown vaccination, and it is recommended to be vaccinated.
☑ For patients with malignant tumors before and after surgery, during chemotherapy and radiotherapy, vaccination should be postponed. Half a year after the end of radiotherapy, chemotherapy and other related treatments, it is recommended to be vaccinated if the immune system has returned to normal and the health status is relatively stable after assessment by the clinician.
☑ People with uncontrolled epilepsy and other serious neurological disorders (eg, transverse myelitis, Guillain-Barre syndrome,demyelinating disease, etc.) withhold vaccination.
People who cannot be vaccinated against the new crown vaccine
☑ Those who are allergic to vaccine components and excipients should not be vaccinated, and the new crown will be inactivated. Vaccine excipients mainly include: disodium hydrogen phosphate, sodium chloride, sodium dihydrogen phosphate, aluminum hydroxide.
☑ Those who have had severe allergic reactions (such as acute allergic reactions, angioedema, dyspnea, etc.) to the new crown vaccine or similar vaccines in the past cannot be vaccinated.
Senior COVID-19 vaccination program
Senior vaccination program is the same as for adults over 18,Specifically:
1. Inoculate 2 doses of new coronavirus inactivated vaccine (Vero cells); the recommended interval between 2 doses is ≥3 weeks, and the first 2 doses to be completed as early as possible within 8 weeks.
2. One dose of recombinant new coronavirus vaccine (type 5 adenovirus vector).
↑The above two vaccines should be vaccinated 1 dose boost 6 months after the last dose of vaccination,
span>You can also sequential booster immunization.The program is as shown below.
3. Inoculate 3 doses of recombinant new coronavirus vaccine (CHO cells); the recommended interval between adjacent doses is ≥4 weeks. The second dose should be completed within 8 weeks after the first dose, and the third dose should be completed within 6 months after the first dose.
For specific vaccine selection and vaccination procedures, you can consult your local vaccination clinic.
COVID-19 vaccine precautions for the elderly
01
Before Vaccination
1. Learn about COVID-19 vaccination , to understand the inoculation process at the inoculation point. Determine in advance whether you need to make an appointment;
2. According to the requirements of the vaccination site, bring relevant ID documents and mobile phones to show the health code;
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3. Rest well before vaccination to keep the body in a better physiological state, it is best not to inoculate on an empty stomach;
4. Wear loose clothing on the day of vaccination , Easy to put on and take off, warm clothes, convenient for vaccination and avoid catching cold;
5. If it is before boosting immunization, you can check the type of new crown vaccine that has been vaccinated through Beijing Healthbao in advance .
02
At time of vaccination
< p>1. Wear a mask throughout the vaccination period, line up in an orderly line according to the sign of the vaccination site, and maintain a social distance of more than one meter;
2. Actively inform the doctor about your health status before vaccination , the recent vaccination of other vaccines, the recent medication information, read carefully, fill in the informed consent form truthfully and sign;
4. Put on the clothes you take off in time, keep warm, and avoid catching a cold.
03
Post vaccination
< p>1. Observe the inoculation site for 30 minutes and leave if there are no symptoms. On the day of the injection, keep the local hygiene of the injection site, avoid water at the injection site, and prevent infection;
2. Such as local pain, flushing, induration, malaise, fever, headache, etc. Usually no treatment is required and it can recover on its own. If you have persistent fever, high fever or other obvious symptoms of physical discomfort, you should seek medical treatment in time and report to the vaccination site;
3. Avoid strenuous exercise after vaccination and maintain a stable life .
Attention! “Avoid pit” tips
People who inject human immunoglobulin should follow the relevant requirements in the instructions of the new crown vaccine to avoid affecting the immune effect.
The new crown vaccine is not recommended to be given at the same time as other vaccines. The interval between other vaccines and the new crown vaccine should be greater than 14 days.
In any case, when rabies vaccine, tetanus vaccine, rabies immune globulin, tetanus immune globulin need to be vaccinated due to animal injury, trauma, etc., the interval is not considered, and the above vaccines and Immunoglobulin.
If you have been vaccinated with rabies vaccine, tetanus vaccine, rabies immune globulin, tetanus immune globulin, etc., you need to complete the last dose of the above vaccines first, and it is recommended to receive the new crown vaccine after 14 days.
There is no need to carry out nucleic acid and antibody testing for the new coronavirus before vaccination. It is also not recommended to routinely test antibodies as a basis for the success of immunization after vaccination with the new crown vaccine.
The basic immunization of inactivated vaccine requires two doses of vaccination. Those who have not completed the vaccination according to the program are recommended to revaccinate as soon as possible without restarting the immunization program as soon as possible. Booster immunizations should be administered as soon as possible 6 months after completion of the second dose.
If the inactivated vaccine has completed 2 doses within 14-21 days, there is no need to re-vaccinate.
At this stage, our city has launched two new crown booster immunization methods – homologous booster and sequential booster. Citizens who meet the requirements for vaccination should choose the appropriate vaccine to complete the vaccination as soon as possible.
No matter which way of strengthening, you only need to strengthen 1 stitch. Sequential booster immunization and homologous booster immunization cannot be received at the same time. Citizens who have completed homologous booster cannot receive sequential booster.
※If you have other health conditions or symptoms, do notIt is easy to judge by yourself, please consult the clinician or the on-site doctor for details.
Source: Basic Public Health Service Project Promotion Platform
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