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    Home > Medical News > Pharmaceutical Marketing > Fourth, the vaccination of the elderly - an investigation report from the frontline of epidemic prevention and control

    Fourth, the vaccination of the elderly - an investigation report from the frontline of epidemic prevention and control

    • Last Update: 2022-12-30
    • Source: Internet
    • Author: User
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    90.
    37%, which is the current proportion of people in the country who have completed the full vaccination of the new crown virus vaccine; 86.
    6% and 66.
    4%, respectively, the proportion
    of people over 60 years old and over 80 years old who have been fully vaccinated.
     
    With the weakening of Omicron's pathogenicity, the popularization of vaccination, and the accumulation of prevention and control experience, China's epidemic prevention and control is facing a new situation and new tasks
    .
     
    The comprehensive group of the joint prevention and control mechanism of the State Council optimized the implementation of the "new ten articles" for epidemic prevention and control, and accelerated the promotion of new crown virus vaccination
    for the elderly.
    The Central Economic Work Conference just held also proposed that it is necessary to optimize epidemic prevention and control measures according to the situation, conscientiously implement various measures for epidemic prevention and control in the new stage, focus on the prevention and control of the elderly and groups suffering from basic diseases, and strive to maintain health and prevent severe diseases
    .
     
    Why emphasize the need to vaccinate older people? Does vaccination work? Is vaccination safe? Reporters launched investigations
    on the front line of epidemic prevention and control.
     
    How necessary is it – the defense line of the elderly group is relatively weak
     
    Li Cuiwen, 78, lives in a remote village
    in the central province.
    The children are all in the city, and on weekdays, they bring rice and flour oil, vegetables grown in their own fields, and go to the town once a month to catch a fair
    .
     
    "I can't see any outsiders
    .
    " Li Cuiwen and his wife have not been vaccinated against the new crown virus so far, "Is it that everyone has been vaccinated, even if we don't fight, they can't infect us?" ”
     
    Li Cuiwen
    is not the only one with similar questions.
    In this regard, Xia Gang, director of the Department of Health and Immunization of the National Bureau of Disease Control and Prevention, said that a considerable number of disabled and semi-disabled elderly people in China live at home for a long time and rarely go out, but they may still be infected
    during the process of accompanying relatives or visiting relatives.
     
    Compared with the previous strains of the new crown virus, Omicron's virulence is weakening, but it has become more contagious
    .
    The extremely fast transmission rate multiplied by China's huge population base, even if the severe disease rate and mortality rate are already very low, the number of people at risk cannot be underestimated
    .
     
    During the epidemic in Shanghai from March to June this year, compared with unvaccinated people, the risk of death was reduced by 98.
    08% for people over 60 years old who completed booster immunization, and 95.
    83%
    for people over 80 years old who completed booster immunization.
     
    At the press conference of the joint prevention and control mechanism of the State Council held a few days ago, Xia Gang introduced that according to research, if the elderly over 80 years old are not vaccinated with one dose of vaccine, the risk of death after infection with the new crown virus is about 14.
    7%; If 1 dose of vaccine is given, the risk of death drops to 7.
    16%; If 3 doses of vaccine are given, the risk of death is reduced to 1.
    5%.

     
    "I strongly urge accelerated vaccine boosters, with a particular focus on vulnerable populations such as the elderly
    .
    " Zhong Nanshan, an academician of the Chinese Academy of Engineering, said
    .
     
    Effectiveness – survey data show a significant reduction in the risk of severe disease
     
    In Chongqing, 84-year-old recovered patient Zhang told reporters that he suffered from a number of underlying diseases such as hypertension and diabetes, completed the third dose of vaccination in July this year, was infected with the new crown virus in November, and was quickly and effectively controlled after treatment, and has been discharged from the hospital
    .
     
    On December 16, in the homes of residents in Honghe Road Community, Zhongshan Road Street, Yongchuan District, Chongqing City, mobile vaccination teams conducted pre-vaccination consultations and physical tests
    for vaccinated elderly people.
    Photo by Xinhua News Agency reporter Huang Wei
     
    "Studies at home and abroad have confirmed that vaccination has a good effect
    in preventing severe disease and death.
    " Xia Gang said that the elderly are more likely to develop severe disease or even death after being infected with the new crown virus, and the benefits of vaccination against the new crown virus are the greatest
    .
     
    Beijing Ditan Hospital admitted more than 100 cases of new coronary pneumonia patients
    over 80 years old at its peak.
    Chen Xiaoyou, vice president of the hospital, introduced that the vaccination rate of these elderly patients is generally low, and the incidence of severe disease after illness is relatively high, especially after the new crown combined with underlying diseases, which causes more
    exacerbations.
     
    Ding Zhen, director of the Department of Respiratory and Critical Care Medicine of Hefei Binhu Hospital, a designated treatment hospital for new coronary pneumonia in Hefei, told reporters: "For some elderly groups with underlying diseases such as hypertension and diabetes, new coronavirus infection may aggravate the inflammatory reaction in the body, aggravate the condition of the underlying disease, and even cause multiple organ failure
    .
     
    Ding Zhen introduced that from their clinical treatment observations, the elderly who have been vaccinated are relatively less likely to worsen their condition, and the time required for nucleic acid to turn negative is shorter
    .
     
    In October 2022, The Lancet Infectious Diseases published the results
    of a study based on real-world vaccinated populations published by a research team from the School of Public Health, Li Ka Shing School of Medicine, The University of Hong Kong.
    The study showed that the effective rate of preventing severe disease in the elderly over 60 years old receiving two doses of domestic inactivated vaccine was about 70%, and the effective rate of preventing severe disease after the third dose of booster immunization reached more than
    95%.
     
    Geometry of safety – clear contraindications to vaccination to ensure maximum safety
     
    In the past few days, in Huanghuagang Street, Yuexiu District, Guangzhou, the average number of elderly people who take the initiative to consult and make appointments for vaccination has exceeded 300 per day, a significant increase
    over usual.
     
    Uncle Yu and Aunt Ye, who live in the farming community, had concerns about vaccination due to underlying diseases
    .
    After many door-to-door publicity visits by community staff and volunteers, Aunt Ye was vaccinated under the doctor's health monitoring and had no adverse reactions
    .
    The next day, Uncle Yu also completed the vaccination
    .
    "Now that I know, my previous concerns are superfluous
    .
    "
     
    The reporter found in many places that the enthusiasm of the elderly for vaccination has increased significantly recently, but some elderly people are still worried about vaccine safety
    .
    Many elderly people admitted to reporters that they were mainly worried about "old age, underlying diseases, and adverse reactions after vaccination"
    .
     
    "Chronic diseases such as diabetes and high blood pressure are not absolute contraindications to the new crown virus vaccination, as long as these chronic diseases are well controlled and in a stable period, the new crown virus vaccine
    can be vaccinated.
    " Zheng Zhongwei, director of the Science and Technology Development Center of the National Health Commission and leader of the vaccine research and development special class working group of the scientific research group of the joint prevention and control mechanism of the State Council, said
    .
     
    According to the situation of vaccine research and development and the practice of vaccination work, the joint prevention and control mechanism of the State Council has clarified the contraindications to vaccination of the elderly in the "Work Plan for Strengthening New Coronavirus Vaccination for the Elderly", including four types of situations
    in which vaccination cannot be or suspended.
    At the same time, local health departments should implement the "four haves" requirement of vaccination with emergency emergency personnel at or above the second level of general hospitals, first-aid equipment and medicines, 120 ambulances on site, and green channels for treatment in general hospitals above the second level to ensure the safety
    of vaccination.
     
    Carry out training on determining contraindications to vaccination step by step, and guide medical staff to scientifically determine contraindications to vaccination; Selected well-known doctors and students from various specialties to form a vaccination advisory group to patiently answer various consultation questions.
    .
    .
    Many places are refining the work of answering questions and answering questions to eliminate the doubts
    of the elderly about vaccination to the greatest extent.
     
    How convenient is it - the "last 100 meters" are constantly opening up
     
    Every Tuesday, Thursday and Saturday afternoon, it is the day
    when the "medical light riding team" in the apple orchard street in Shijingshan District, Beijing is vaccinated.
    The "Medical Light Riding Team" is composed of 5 to 6 people from the street, community workers and medical staff, divided into two groups for household vaccination, each group can enter about
    12 households.
     
    "Conduct a health assessment before entering the household, ask whether the elderly have underlying diseases, look at past medical history, etc.
    , to confirm whether the elderly are suitable for vaccination
    .
    " Luo Yan, one of the medical staff of the "Medical Light Riding Team" and the medical department of Beijing Rehabilitation Hospital affiliated to Capital Medical University, said, "After the assessment, we further communicated with the family, and after the family agreed, they signed the informed consent form and carried out vaccination
    .
     
    Similar situations have recently occurred in many places
    .
    The Jinbi Yayuan community in Baiyun District, Guangzhou has opened a special vaccination session for the elderly over 60 years old
    .
    Ms.
    Liu, 63, suffers from rheumatoid arthritis, and the medical staff inquired about her physical indicators in detail, assessed her compliance with the vaccination requirements, and directed her to receive the third dose of the vaccine
    .
     
    Li Zizhen, director of the community health service center of the community health service center of the Dongcheng Street Office in Jieshou City, Anhui Province, told reporters that twenty or thirty elderly people have come to receive the new crown virus vaccine every day recently, and the consultation calls are also from morning to night
    .
    Local mobile door-to-door vaccination service teams have been set up, equipped with first-aid equipment and medicines, and can come to the door
    at any time.
     
    Set up green channels for the elderly, temporary vaccination sites, mobile vaccination vehicles, etc.
    ; Medical staff with rich experience in diagnosis and treatment and vaccination are selected to form vaccination teams, carry common equipment and drugs needed during post-vaccination observation, and provide door-to-door vaccination services for disabled and semi-disabled elderly people.
    .
    .
    Many places are optimizing various convenience measures as required, opening up the "last 100 meters"
    of vaccination for the elderly.
     
    For the country's 267 million people over the age of 60, every 1 percentage point increase in vaccination rate means that more than 2 million people have built a barrier
    against severe disease and death.
    "The Spring Festival is coming, and now vaccination generally starts to be effective in half a month, which is of great benefit
    to prevent large-scale transmission when a large number of people migrate home during our Spring Festival and Spring Festival.
    " Zhong Nanshan said
    .
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