Global Statistics

All countries
Updated on August 10, 2022 4:58 pm
All countries
Updated on August 10, 2022 4:58 pm
All countries
Updated on August 10, 2022 4:58 pm

Global Statistics

All countries
Updated on August 10, 2022 4:58 pm
All countries
Updated on August 10, 2022 4:58 pm
All countries
Updated on August 10, 2022 4:58 pm
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Is Asthma A Pre Existing Condition For Covid Vaccine

Q 1: Do Allergy Treatments Need To Be Stopped To Have A Covid

COVID Vaccine: How Are Pre-Existing Health Conditions Prioritized?

It is important that regular hay fever , eczema and asthma treatments are continued when having the COVID-19 vaccine.

However, it is recommended that allergen immunotherapy or venom immunotherapy injections should not be given within 48 hours of the COVID-19 vaccine injection. This avoids confusion about the cause of side effects or allergic reactions, if they occur in response to the COVID-19 vaccine or immunotherapy.

Appendix C: Clinical Trial Evidence Summary For Astrazeneca Vaxzevria Covid

Results from four clinical trials were available at time of authorization for the AstraZeneca COVID-19 vaccine. Results from an ongoing Phase 3 trial in the United States were not available at time of writing. Evidence on efficacy, immunogenicity, and safety is available for adults â¥18 years of age. The Phase 2/3 trial trial and Phase 3 trial assessed efficacy, safety and immunogenicity of the vaccine. The Phase 2/3 trial was based in the United Kingdom, while the Phase 3 trial was based in Brazil. These two studies underwent a series of protocol amendments and logistical challenges during the conduct of the trials that resulted in significant changes to the trials’ methodology. There were changes from a single to a two-dose vaccine regimen, the use of both a low dose/standard dose and standard dose/standard dose vaccine regimen, and the recruitment of progressively older study participants after the initial focus on adults 18-55 years of age. In the SD/SD vaccine regimen, study participants were randomized to receive either the AstraZeneca COVID-19 vaccine, AZD1222 or control injection. The participants randomized to the control group were administered two doses of quadrivalent meningococcal vaccine or MenACWY for Dose 1 and placebo for Dose 2 .

Evidence from the AstraZeneca COVID-19 vaccine trials has been publishedFootnote 33. Evidence from post-marketing surveillance and studies is found in the main body of this statement.

Seek Care When Needed

  • Call your healthcare provider if you have any concerns about your medical conditions or if you get sick and think that you may have COVID-19. Discuss steps you can take to manage your health and risks. If you need emergency help, call 911 right away.
  • Do not delay getting care for your medical condition because of COVID-19. Emergency departments, urgent care, clinics, and your health provider or doctor have infection prevention plans to protect you from getting COVID-19 if you need care.

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Fact: People Of All Ages Can Be Infected By The Covid

Older people and younger people can be infected by the COVID-19 virus. Older people, and people with pre-existing medical conditions such as asthma, diabetes, and heart disease appear to be more vulnerable to becoming severely ill with the virus.

WHO advises people of all ages to take steps to protect themselves from the virus, for example by following good hand hygiene and good respiratory hygiene.

Fact: Rinsing Your Nose With Saline Does Not Prevent Covid

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There is no evidence that regularly rinsing the nose with saline has protected people from infection with the new coronavirus.

There is some limited evidence that regularly rinsing the nose with saline can help people recover more quickly from the common cold. However, regularly rinsing the nose has not been shown to prevent respiratory infections.

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Where Can I Get The Covid

  • You can also visit or to find out where to get your vaccine.
  • While you have to get the second dose of the same version of the vaccine , you do not need to go back to the same location for your second dose. For example, if you go to your local pharmacy for dose one and the doctor for dose two, that is fine.
  • If your provider recommends you receive your second dose at the same facility, make sure that your appointment is scheduled in order to receive your second dose.
  • COVID-19 vaccines are not interchangeable. The safety and efficacy of a mixed-product series have not been evaluated. Both doses of the series should be completed with the same product.

Continue Medications And Preventive Care

  • Continue your medicines and do not change your treatment plan without talking to your healthcare provider.
  • Have at least a 30-day supply of prescription and non-prescription medicines. Talk to a healthcare provider, insurer, or pharmacist about getting an extra supply of prescription medicines, if possible, to reduce your trips to the pharmacy.
  • Follow your current treatment plan to keep your medical condition under control.
  • When possible, keep preventive care and other routine healthcare appointments with your provider. Check with your provider about safety precautions for office visits and ask about telemedicine or remote healthcare visit options.
  • Learn about stress and coping. You may feel increased stress during this pandemic. Fear and anxiety can be overwhelming and cause strong emotions.

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Blood Products Human Immunoglobulin And Timing Of Immunization

NACI recommends that COVID-19 vaccines should not be given simultaneously with monoclonal antibodies or convalescent plasma.

To date, there is insufficient evidence on the receipt of both a COVID-19 vaccine and anti-SARS-CoV-2 monoclonal antibodies or convalescent plasma for treatment or prevention. Therefore, timing of administration and potential interference between these two products are currently unknown. Administration of these products close together may result in decreased effectiveness of a COVID-19 vaccine and/or anti-SARS-CoV-2 monoclonal antibodies because the monoclonal antibodies have high affinity for the spike protein expressed by the vaccines, which could prevent the production of antibodies stimulated by the vaccine.

In the post-exposure setting, expert clinical opinion should be sought on a case-by-case basis when deciding whether anti-SARS-CoV-2 monoclonal antibodies would be appropriate to administer after receipt of COVID-19 vaccine, taking into consideration the risk of exposure and the risk of severe COVID-19 disease in the individual.

To date, there is also insufficient evidence on the receipt of both a COVID-19 vaccine and any monoclonal antibodies or convalescent plasma for treatment or prevention of non-COVID-19 disease. Therefore, timing of administration and potential interference between these two products are currently unknown and expert clinical opinion should be sought on a case-by-case basis.

People Who Should First Consult With Their Doctor Before Getting Either Of The Pfizer/biontech Or Moderna Vaccines

South Florida hospital giving COVID-19 vaccine to teens with pre-existing conditions
  • Anyone with a history of anaphylaxis or non-severe immediate allergic reactions to other vaccines

Discuss risks of vaccine and whether to wait to receive the vaccine. If its decided you can receive the vaccine, you must undergo a 30-minute observation period after receiving it to ensure theres no allergic reaction.

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People Who Are Homebound

The Health Department coordinates vaccination for people who are homebound through a partnership between local home health and EMS agencies.

This includes people who are eligible by their age grouping and are both homebound and in the service of local home health agencies .

We know that there are homebound community members who do not receive home health services who will need to be vaccinated. Once the group of homebound people who are connected to home health agencies are vaccinated, we expanded this service by reaching out through numerous partners, including primary care, Agencies on Aging, and municipalities to identify people to include in the second phase of outreach.

Characteristics Of Included Primary Studies

Based on included SRs, a total of 356 primary studies were assessed for eligibility. After the exclusion of 196 papers, 160 remained for data extraction . Of those, 59 studies were single-centre studies, 77 studies followed a multi-centre approach, while the remaining studies came from diverse settings . All but 15 studies had a cohort design. The number of participants in the primary studies varied between 36 and 89,756. To minimise methodological heterogeneity, we excluded nine studies from the main analysis since they reported community-based estimates only . For each study, we provided information regarding the COVID-19 case definition . In over 90% of the articles polymerase chain reaction and/or viral sequencing was used. In 5% of the studies, PCR was used in at least 82% of the included cases or PCR was used alongside with / or was substituted by a blood test for SARS-Cov-2 IgG/IgM for antibodies or radiologic findings. In 2.5% of the studies, ICD-10 codes or a mix of PCR, clinical diagnosis or ICD-10 codes were used however, the proportion of each method was not stated. Only in 1.8% of the articles, the authors did not explicitly state how COVID-19 cases were diagnosed. We decided to include the latter studies to obtain a complete overview over analyses conducted regarding our research question.

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Some Are Still At The Front Of The Queue

It is important to note that some asthmatics are still considered clinically vulnerable, including those with severe asthma, and those who suffer frequent asthma attacks or are regularly hospitalised. These people are a higher priority for vaccination.

In a way it is good news for asthmatics: the evidence so far indicates that they are no more likely to suffer from severe COVID than people without asthma. Some studies have even shown that asthmatics have a slightly reduced chance of dying from COVID.

Fact: People Should Not Wear Masks While Exercising

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People should NOT wear masks when exercising, as masks may reduce the ability to breathe comfortably.

Sweat can make the mask become wet more quickly which makes it difficult to breathe and promotes the growth of microorganisms. The important preventive measure during exercise is to maintain physical distance of at least one meter from others.

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Q 1: Are There Any People Who Should Not Receive The Covid

People who have anaphylaxis in response to the first dose of the COVID-19 vaccine should be referred to a clinical immunology/allergy specialist to be assessed before they consider receiving a second dose,

People with a confirmed allergy to ingredients in a vaccine should discuss having another type of vaccine that does not contain that ingredient with their clinical immunology/allergy specialist.

How Can Someone With Medicaid Coverage Receive A Monoclonal Antibody

Monoclonal antibodies authorized under the EUA are covered benefits under Texas Medicaid and include sotrovimab and casirivimab/imdevimab combination. Treatment with these drug therapies do not require any prior authorization or approval by Superior HealthPlan.

Monoclonal antibody therapy is given as a one-time dose through intravenous infusion or injected subcutaneously when being used preventatively or when IV infusion is not possible and would lead to delay in treatment. Monoclonal antibody therapy may not be administered in patients that are hospitalized or are requiring oxygen therapy. They are administered outpatient only. Outpatient infusion units may be standalone facilities or located within a hospital or doctors office. Specially trained nursing staff administer and monitor patients receiving infusions ordered by physicians. Note: these infusions are not available through local pharmacies.

Casirivimab/imdevimab and sotrovimab are authorized for use in adults and pediatric patients 12 years of age and older weighting at least 40 kg/88 lbs.

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International Monitoring Of Post

Below, we draw attention to brief summaries of post-COVID-19 vaccine myocarditis accounts from Israel, the UK, Europe, Canada, and the USA. At the time of writing this report, event monitoring, clinical confirmation, patient outcomes and exploring a causal relationship with the vaccines remain in progress between respective governing health agencies and COVID-19 vaccine manufacturers. However, adjustment of product safety information risk statements is already being recommended and communicated to health care professionals.

One of the earliest reports was from Israel where from April 2021, the Ministry of Health detailed, by early June, over 62 cases of myocarditis out of 5 million vaccinated exclusively with the Pfizer mRNA vaccine . Notably, the cases were predominantly younger than 30 years of age, mainly male, and had received their second dose of vaccine within the preceding 3 days. Importantly, all were previously well and although 60 had recovered within less than a week, there were 2 deaths against COVID-19, adverse events and dosing regimen are being closely studied.

Appendix B: Clinical Trial Evidence Summary For Moderna Spikevax Covid

VERIFY: Having a medical condition does not guarantee COVID-19 vaccine eligibility

Pivotal Phase 1, 2, and 3 trials are being conducted for the Moderna COVID-19 vaccine. Evidence on efficacy, immunogenicity, and safety is available for adults â¥18 years of age. Studies did not include participants from long term care facilities. The Phase 3 portion of the trial involved 30,413 study participants randomized to receive either the vaccine or placebo. The data presented below are for an interim analysis, therefore the time of follow-up is not consistent but was a median of two months after the second dose for all participants. Evidence from post-marketing surveillance and studies is found in the main body of this statement.

Evidence from the ongoing Phase 2/3 trial was published on August 11, 2021 Footnote 172, after NACIâs review of the evidence. Evidence from post-marketing surveillance and studies is found in the main body of this statement.

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Effectiveness In Individuals 65 Years Of Age

In the absence of sufficient data from clinical trials to date on the efficacy of the AstraZeneca COVID-19 vaccine in those 65 years of age and older, a review of three observational studies in the UK published as pre-prints on real-world vaccine effectiveness in this age group has been conducted to inform NACI’s recommendations in this age group. The findings of this review are summarized below.

All three observational studies assessed one dose of either the Pfizer-BioNTech or the AstraZeneca vaccines in the United Kingdom. The results below pertain only to the AstraZeneca portion of the studies. The studies were conducted during the period when the B.1.1.7 variant was rapidly becoming the dominant circulating strain in their respective geographic regions. Approximately 50% of laboratory samples were found to have a profile consistent with the B.1.1.7 variant in early December, 2020 in England, and 43% in Scotland in early January, 2021. By mid to late February, the B.1.1.7 variant represented almost 100% of circulating strains in England, and was considered the dominant strain in Scotland.

Overall summary of evidence

In adults 65 years of age and over, observational data available from pre-prints from the United Kingdom have shown a reduction in the risk of symptomatic disease and hospitalization starting from two weeks following one dose of AstraZeneca vaccine.

Detailed summary of each study:




Can You Get Sick With Covid

Yes, people can still catch the virus after getting vaccinated. CDC is calling these vaccine breakthrough cases. However, most people who do get COVID-19 post-vaccination develop mild symptoms and are less likely to get hospitalized or die from the virus.

Remember, no vaccine is 100% effective. In clinical trials, the Pfizer/BioNTech vaccine was shown to be 95% effective in preventing symptomatic illness. The Moderna vaccine was shown to be 94.5% effective in preventing symptomatic illness. The Johnson & Johnson vaccine was 66% effective in preventing moderate to severe COVID-19, and 85% effective in preventing severe or critical disease.

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Migrant Farm Worker Vaccination Initiative

To ensure equitable access to vaccine for migrant farm workers, we work closely with our local health offices across the state, along with partners Bridges to Health and the Open Door Clinic, who have established connections to migrant agricultural communities. Little Rivers Health Care is supporting these efforts in the Upper Valley region of Vermont. These small, on-site vaccinations are customized to meet the needs of different farms that are home to congregate living spaces. They are for farm workers who meet the current eligibility criteria, along with fellow farm workers living in the same household.

Concomitant Administration With Other Vaccines

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NACI recommends that COVID-19 vaccines may be given concomitantly with, or at any time before or after, other vaccines*.

* including live, non-live, adjuvanted, or unadjuvanted vaccines

Since each COVID-19 vaccine has been authorized in Canada, evidence on the efficacy/effectiveness, immunogenicity, and safety of these vaccines has been accumulating. Combined with the extensive data and experience on the concomitant administration of non-COVID-19 vaccines for routine immunizations, NACI has concluded that a precautionary approach of separating the time between administering COVID-19 and non-COVID-19 vaccines is now no longer necessary and recommends that COVID-19 vaccines may be administered concomitantly with , or any time before or after, non-COVID-19 vaccines . The concomitant administration of COVID-19 with non-COVID-19 vaccines will facilitate influenza vaccine programs in the fall and winter months and other routine vaccine programs that may have been delayed were disrupted due to the COVID-19 pandemic.

Informed consent should include a discussion of the benefits and risks given the limited data available on administration of COVID-19 vaccines at the same time as, or shortly before or after other vaccines. Studies to assess the safety and immunogenicity of concomitant administration of COVID-19 vaccines with other vaccines are ongoing.

NACI will continue to monitor the evidence and update recommendations as needed.

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Heterogeneity Of The Effect Estimates

Although we selected evidence for clearly defined outcomes and considered WHO regions separately, the strength of associations for the same pre-existing conditions was quite variable. This variability might have stemmed from differences in study designs, the included populations and methodological approaches. Regarding the type of included studies, nearly all studies had a retrospective cohort design. Also, most studies defined COVID-19 case based on PCR. Therefore, these factors are not likely to have influenced the results to a great extent.

Differences in the definitions of the pre-existing conditions and composition of the patient groups might have also contributed to the variability. For the meta-analyses, we did not compose larger disease groups and treated every individually defined chronic condition separately whenever possible. This approach allowed the identification of conditions, such as liver cirrhosis and interstitial lung disease, that are associated with a markedly increased risk of death due to COVID-19. Meta-analyses for associations between bodyweight, particularly obesity, and included COVID-19 outcomes presented a challenge due to differences in the definitions among the studies.

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