Clinically Vulnerable Families πŸ’™πŸ’œπŸ’— Profile picture
Nov 8 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

Oct 23
CVFπŸ’™πŸ’œπŸ’—'s Closing Statement

⚠️SAFE
- Schools must be made safe.

πŸ‘©β€πŸ«SUPPORT
- Children must be given appropriate support to continue their education at home.

πŸ›‘οΈSTATUS
- Clinical Vulnerability must be recognised as aΒ distinctΒ group in the Equality Act.

1/ @AdamWagner1 KC
⚠️SAFETY
"There is good evidence that many schools can be made safer for Clinically Vulnerable children and those in Clinically Vulnerable families."

Ventilation is uncontroversial!

2/
Ventilation works!

"There is sufficient evidence and consensus now for the Inquiry to recommend that clear air is prioritisedΒ inΒ schools"

3/
Read 7 tweets
Oct 21
🚨Boris Johnson - Children & Young People

Message to Gavin : 6/7/20
GW "need to push on the push compulsary attendance, and the message of normality"

AW "[You] encouraged him to continue the job.

Would you agree this was months before the vaccine...?"
BJ "Yes"
1/ @AdamWagner1
AW "Do you think in that race to return to normality [summer 2020] Clinically Vulnerable families may have been left behind?"

BJ "Getting back to school... would have been the best for all C&YP, CV or not."

2/
Johnson knew it would endanger our lives!!!

AW "It was sometimes not safe"

BJ "There was always going to be an argument... from that position... you were going to create a situation in which Vulnerable parents would be exposed to the virus picked up by kids in schools."

3/
Read 14 tweets
Oct 20
🚨Whitty is on the stand today... follow this thread.

CTI "What about children who lived with parents who were still at risk...?"

Whitty "The risk to shielding adult... will be increased somewhat, but the risk to the child... scarring their life chances indefinitely."

1/
CW "Risk-benefit taking a child-centred approach, was to prioritise the needs of the children.

I don't think [there is] convincing evidence, that was with the benefits of hindsight, an incorrect judgement."

- Don't the needs of the children include not killing their parents?
2/
CTI "But looking at if from the perspective of a child who might be a very difficult position... to be in."

CW "The need to have a conversation with the doctor [or nurse] their family know."
___

How would these conversation reduce risks?
Wouldn't it waste the time of HCWs?
3/
Read 23 tweets
Oct 16
🚨UKHSA - Dr Shona Aurara

The system of control in schools was not effective for an airborne virus.

CVF's questions from @AdamWagner1 KC

NB/ There was a HUGE amount of content - our amazing team are working on prioritising the best clips for you actively!

1/
Adam had to work hard today to try to hold UKSHA to account!

2/
AW "By reducing the isolation period [to 3 days], as well as restricting testing unless advised by a healthcare professional, that meant that infectious children were likely to be returning to classrooms?"

SA "Infectious period... viral shedding... balance of risk..."

3/
Read 41 tweets
Oct 16
πŸ“’BORIS JOHNSON has been implicated by others as the major decision-maker when it came to schools.

CVF look forward to the opportunity for @AdamWagner1 KC to potentially cross-examine him next Tuesday!

1/
Secret plans were available to control risks in schools, but they weren't published... because they didn't want schools to have "an excuse not to open in September [2020]"

2/
The DfE seemed to agree with Johnson's "let the bodies pile high" approach.

Susan Acland-Hood "There are some things so great that they genuinely need to be weighed up against mass fatalities"

3/
Read 14 tweets
Oct 8
Professor Steve Turner, President of the Royal College of Paediatrics and Child Health (@RCPCHtweets) @SteveTurnerABDN.

"children, mercifully, were spared from the harm of that came from Covid. Even my most sick patients .... it was their parents who were unwell...."

1/
Advice on shielded children.

"The College was pleased that the UK government adopted the College's advice on shielding for babies, children and young people. Recommending that most but not all C&YP did not need to shield."

2/
"We knew very early on..."

"Children who've had kidney transplants, whose immune systems were suppressed [...] but the virus bounced off them."

NB/ This is the *only* group of children still prioritised 2x a year for vaccines.

3/
Read 8 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!

:(