Clinically Vulnerable Families πŸ’™πŸ’œπŸ’— Profile picture
Nov 8, 2025 β€’ 10 tweets β€’ 4 min read β€’ Read on X
🧡 This autumn the UKHSA is rightly worried, as 'flu is a real risk...

TLDR:
Clinically Vulnerable people ALL need 'flu vaccines + antivirals this year (if symptomatic or exposed) + confused infection control guidance.

If you are Clinically Vulnerable, please read on...

1/ Graph showing the early rise of flu in the UK.
This year's strains aren't looking good:

The infections have started earlier.
A(H3N2) strains are dominant - and linked to worse outcomes.
A shifted strain (slightly different to vaccines) is also doing the rounds.

2/ Summary:  Influenza is now circulating in the community with earlier than usual onset of activity in the 2025 to 2026 season, and with an A(H3N2) drifted strain (K, also known as J.2.4.1) predominating  A(H3N2) predominance is associated with higher morbidity and mortality, particularly in the elderly, than when A(H1N1) predominates  All eligible groups should be encouraged to get vaccinated with the 2025 to 2026 seasonal influenza vaccine as soon as possible  Prompt antiviral post exposure prophylaxis and treatment for seasonal influenza should be offered to eligible groups  Antivirals gui...
If you have been invited for a vaccine, or live with a Clinically Vulnerable person (but don't qualify) please consider getting a vaccine - they can be as cheap as Β£9.95.

Everyone benefits from 'flu vaccines and children (up to 16) are offered them for free in school.

3/ Image of a banner outside a shop. A pharmacist is on the picture. She is has black straight hair, brown eyes, a big smile and is wearing a cream suit jacket with a staff badge.  Superdrug  *REMINDER!!!  IT'S FLU VACCINATION SEASON  Flu Jab Service provided by our healthcare professionals  Noyne Pharmacist  MEMBER PRICE £9.95  NORMAL PRICE £19.95  MEMBERS SAVE MORE  Service available here  Help protect yourself against several strains of the flu this season with one simple visit in-store. وو
If you are eligible for the NHS flu vaccine because you in a higher-risk group (due to age or health conditions), this year it also means you are eligible for antivirals either:

πŸ€’ If you have 'flu symptoms

or

🌬 If you have been exposed to someone with 'flu

4/ The image shows a box of Tamiflu 75 mg hard capsules. Active ingredient: The active ingredient is oseltamivir.
If you get flu-like symptoms:
Antiviral treatment shouldn’t wait for a lab result.

High-risk patients should be treated promptly because antivirals work best early (ideally within 48hrs).

Call your GP or NHS 111.

5/ As per NICE TA158, following relevant exposure, antiviral prophylaxis should be offered to eligible people in at-risk groups irrespective of vaccination status in light of the evidence outlined above of a drifted strain. At risk groups include those age 65 years and over, under 6 months of age, pregnant women and anyone in a clinical risk group (see Green Book influenza chapter).  Infection prevention and control advice  Guidance on measures to prevent and control respiratory virus infections should be followed including appropriate ventilation, hand hygiene and the use of personal protecti...
Antivirals (after exposure):

Have you been in close contact with a confirmed/suspected flu case?

High-risk people should be offered preventive antivirals. These are also time-critical. Seek advice within 48hrs of exposure.

6/
UKHSA is suggesting infection control:

Ventilation, grouping of patients, and hand hygiene have been recommended.

Healthcare workers with symptoms should mask.

... but universal masking?!?!

7/ Appropriate IPC measures remain a cornerstone of mitigating the spread of influenza and other respiratory viruses. Based on local risk assessment, health and care settings should consider implementing appropriate interventions such as ensuring ventilation is optimised, and applying appropriate isolation and cohorting of suspected or confirmed influenza cases. Health care workers with mild upper respiratory tract infections should consider using a face mask in clinical settings, and mask use may also be appropriate for patients and staff in  1  areas where undifferentiated respiratory infect...
NHS labs have already moved into full in-season surveillance to track strains and resistance.

That means better, faster information for guiding treatment - which is reassuring for patients.

8/
Our recommendations:

πŸ’‰ Get vaccinated (flu and Covid, if you can)

😷Wear a close fitting high-grade (FFP2/FFP3) mask in high-risk indoor public spaces.

πŸͺŸ Open windows in healthcare and consider buying air filters.

🧼 Wash your hands.

🏠 And PLEASE stay at home sick.

9/
If you are unsure whether you qualify for a vaccines please read the Green Book for Influenza:



10/ assets.publishing.service.gov.uk/media/6838317b…Image
Image

β€’ β€’ β€’

Missing some Tweet in this thread? You can try to force a refresh
γ€€

Keep Current with Clinically Vulnerable Families πŸ’™πŸ’œπŸ’—

Clinically Vulnerable Families πŸ’™πŸ’œπŸ’— Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @cv_cev

Mar 18
Meningitis
* Important thread for those who prefer balanced and factual information *

In order to understand risk we need to break down a few things....

🦠Risk from the bacteria
πŸ’™πŸ’œπŸ’— Individual risk
πŸŽ“ Environmental risks
1/
The Kent outbreak is predominantly MenB (Group B). This is a serious infection - and potentially an adapted strain - investigations are ongoing...

Bacterial meningitis is rare but more severe than viral, and up to 1 in 10 cases of bacterial meningitis in the UK is fatal.

2/
MenB isn't new. There are around 300 cases of MenB per year in the UK, even with vaccination programmes.

What's unusual is the cluster - multiple cases linked to a single location in a short window. It has now spread to a student at a second university in Canterbury, Kent.
3/
Read 9 tweets
Mar 5
UK COVID INQUIRY - CVFπŸ’™πŸ’œπŸ’—
@AdamWagner1 Closing Submissions

The Covid Inquiry has good ventilation protocols (as advised by CVF at the start of the Inquiry) including HEPA filters.

Under 1000ppm is therefore the safe threshold ( but without it would be under 800ppm).

1/
We need to understand airborne transmission in order to make all indoor environments safer for everyone, and especially for Clinically Vulnerable people.

2/
The need for Clinically Vulnerable people to have:

Safety
Support
& Status

3/
Read 14 tweets
Mar 1
🚨COVID INQUIRY ROUND UP (Wk2)

This week saw CVF's evidence & organisations representing: disability, domestic abuse, faith, migrants, homeless, prisons, local government.

Expert evidence focused on: later life, LGBTQ+, race and gender inequalities (Dr Clare Wenham, below)

1/
EXPERT RACIAL INEQUALITIES

Prof Laia BΓ©cares discussed the risks in multigenerational households where there were keyworkers and children in schools.

2/
EXPERT LATER LIFE
Prof @JamesNazroo

CVF were concerned that many older people, who were at high risk, were not supported to shield - which included advice on how to stay safe, as well as food deliveries and community outreach.

3/
Read 15 tweets
Feb 26
🚨 NEW DfE GUIDANCE
- VENTILATION & AIR QUALITY -

Clean air matters - especially for #ClinicallyVulnerable children, staff and families. This is an important recognition that airborne transmission is preventable.

1/ Image
But the proposed COβ‚‚ thresholds are too high. 800ppm should be the upper limit - not 1500ppm. By 1500ppm, air is already significantly rebreathed. That’s not a precautionary standard for children, let alone those at higher risk.



2/gov.uk/government/pub…
If we’ve learned anything from the pandemic, it’s that minimum compliance is not the same as safety. #ClinicallyVulnerable pupils cannot β€œchoose” lower exposure if the baseline standard is poor.

3/
Read 8 tweets
Feb 25
🚨FINAL CVF EVIDENCE

We would encourage you to watch @lara_wong 's inquiry evidence in full.

However, out amazing team have clipped these extracts for you!

1/
CVF's Survey

In the summer of 2025, CVF gathered in depth survey evidence about the impacts of the pandemic on CV households - which has now been shared multiple times to inquiry experts and others.

2/
People were commonly told that

"They should hurry up and die so that they could get their lives back."

3/
Read 31 tweets
Feb 18
🚨 Profs Herrick & @Azeem_Majeed on clinical vulnerability

We are grateful that data collected by CVF (last year) was used by @covidinquiryuk to highlight some of the ongoing impacts faced by Clinically Vulnerable people.

1/
You can have a sneak (advanced) peak at @lara_wong's witness statement on behalf of Clinically Vulnerable Families...

Many and varied consequences (relating to mental health) were identified.
2/
Long term mental health impacts persist to this day.

3/
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(