(KHN) – Although it has created a public demand for limited vacancies for vacancies against covid-19, what about the vacancy of mayors for adult adults with various illnesses. Between them, patients with cancer receive active treatment, patients with dementia near the end of their lives and people with autoimmune diseases.
Recently, various readers have asked me if the best families with these affectionate children should be vaccinated. This is a medical expert application and solicit the advice of varios. All suggestions are made that the people who are in contact with their doctors and their medical practitioners should contact each other.
The council of experts can be consulted as the states are beginning to offer vacancies to adults aged 65, 70 or 75 years, including those with serious medical complaints. Twenty-five percent of this was reported, according to The New York Times’ latest poll.
Ask: My mother of 80 years has chronic chronic lymphocytic leukemia. During the week, his oncologist does not say “yes” or “no” about the vaccine. After much pressure, he finally replied: “It does not work for you, your immunological system is compromised to produce anti-cancer”. She asks if she can take the vaccine of all modes, because if she has to offer a protection clause, she is the one who has finished talking to her.
First, some basic concepts. The major adults, in general, responded very well to the vacancies against covid-19 which he received a special authorization from the Administration of Medicines and Foods (FDA, by its English seals). In large clinical trials patronized by the drug manufacturers Pfizer and Modern, the vacancies will have a substantial protection against major diseases, with an efficacy for the major adults that oscillates between 87% and 94%.
For people over 65 years of age or older, treatment is not included in these studies. As a result, it is not clear what degree of protection you will receive.
El Dr. Tobias Hohl, Head of the Sloan Kettering Cancer Center’s Infectious Diseases Service Center at the New York City Center, suggests that three deberian factors influence patients’ decisions: Their vacancies are effective and my risk is grave gravity by covid-19? With respect to the risk, signaled that the major adults are the people with the highest probability of undergoing burial and die due to covid-19, which represents approximately 80% of the deaths up to the time, a convincing argument for evacuation.
With respect to security, there is no evidence at this time that patients will be able to experience more probable secondary effects of the Pfizer-BioNTech and Modern vacancies than other individuals. In general, we are confident that these vacancies are safe for patients [con cáncer]», Including the major patients, dijo el Dr. Armin Shahrokni, geriatrics and oncologist at Memorial Sloan Kettering.
The exception, which applies to all, only to patients with cancer: the persons who are allergic to the components of the vaccine against covid-19 or who have experienced severe allergic reactions after receiving a first dose should not receive the vaccines against the coronavirus.
Efficacy is a consideration for patients who have subliminal cancer or treatment that inhibits their immunological system. In particular, patients with cancer and ganglion ganglia can experiment with a response to the vacancies, along with patients who are undergoing chemotherapy or radiotherapy.
Included in this case, “we take all the reasons to believe that if your immunological system is functioning, responding to the vaccine at some point”, and it is likely to be beneficial, says Dr. William Dale, President of Cuidado Médico and Director of the City of Hope Research Center for Cancer Research, an integral center for cancer in the Los Angeles borough.
In some cases, a balance can be considered between the moment of treatment and the evacuation. For those with serious illnesses who “need therapy as soon as possible, we do not need to return the treatment [del cáncer] why we want to preserve the immunological function and vacancies »against the covid, dijo el Dr. Hohl, del Memorial Sloan Kettering.
An influential group intends to program the antiviral vaccination “between cycles of chemotherapy, if possible”, says the Dra. Catherine Liu, Professor of the Division of Infections and Infectious Diseases at the Fred Hutchinson Cancer Research Center, in Seattle.
In the new weeks published at the end of last week, the Integral Red National of Cancer, an alliance of oncology centers, instead of patients who are active in treatment are prioritized for the vacancies that are possible. An exception opmerklik: the patients he received cell transplants madre or transplants of medea osea deben will hope for less than three months before receiving the vacancies, recommend the group.
The Medical and Scientific Director of the Estadounidense Society of Cancer, Dr. William Cance, said that his organization was “firmly in favor of vaccinating patients and survivors of cancer, especially adult mayors.” In the case of vacancies, it is also recommended that patients with cancer who have contraindicated covid-19 receive therapies with antiseptic antiseptic, if their oncologists screen their good candidates. These infusion therapies, from Eli Lilly and Co and Regeneron Pharmaceuticals, are based on synthetic cells to help fight infections.
Question: ¿Deberia my mother, of 97 years, who lives in a nursing home with dementia, receives the vaccine against covid-19?
El Gobierno de EE.UU. and the 50 states recommend vacancies against covid-19 for residents of health centers at large plaza, the majority of cuales have Alzheimer’s disease and other cognitive deterrent types. It is an effort to detain the nightmare of deaths and deaths related to covid, which has been extended to nursing homes and assisted living facilities: 37% of all deaths by covid have been mediated by others.
The Alzheimer’s Association also strongly recommends vaccination against covid-19, «both for people [con demencia] living in high-rise places like many women living in the community, said Beth Kallmyer, Vice President of Attention and Support.
“What do you believe in this question is” Will I really want to be able to see the benefits of vacancy? ‘», Dijo el Dr. Joshua Uy, Medical Director of Philadelphia Senior Citizens and Director of Becas Geriátricas de la Escuela Perelman of the University of Pennsylvania.
Potential benefits include not killing or killing covid-19 cause, receiving family visits from friends, interacting with other residents and participating in activities, suggested Uy. (This is a separate list). As these benefits initiate a few weeks after the residents of a center are fully equipped, “I recommend the vaccine to a person of 97 years with significant dementia”, said Uy.
Minimize Sufrimiento is a key consideration, say Dr. Michael Rafii, Associate Professor of Vlín Neurology at the Keck School of Medicine, University of Southern California. “Including if a person has dementia in a terminal stage, must do everything possible to reduce the risk of diarrhea. And this vaccine brings a great deal of protection to the people against the seriousness of covity, “he said.
“My advice is that all deberians should be evacuated, independently of the stage of dementia in which they encounter,” said Rafii. This includes patients with dementia at the end of their lifetimes in palliative care, anotó.
If it is possible, one should be careful to look for a tranquilizer, even if it is a mascara and an aguja, the action can provoke anxiety in patients with dementia. “The people who administer the vaccine explain who they are, who are pregnant and who use a mascara in a clear and simple language,” Rafii suggested.
Question: I have 80 years and I have type 2 diabetes and I have autoimmune disease. Do you have to leave the vacancy?
There are two parts to this question. The first thing to do with comorbidities is to have more of a medical affection. ¿Deben los majos adults met comorbilidades recibir la vacuna contra el covid-19?
Absolutely, because tienen un burgemeester riesgo de enfermarse gravemente de covid, dijo el Dr. Abinash Virk, Specialist in Infectious Diseases and Co-President of the Launch of the Vaccine Against the Covid-19 of the Clinic Mayo.
“Pfizer & Modern’s studios will specifically observe majorities and comorbidities, and will show that the response to the evacuation is similar to that of the more young people,” he said.
The second part has to do with autoimmune diseases such as lupus or rheumatoid arthritis, which also affects the people in mayor. The preoccupation here is that a vacancy could trigger inflammatory responses that could exacerbate these conditions.
Philippa Marrack, president of the Department of Immunology and Genealogical Medicine of the National Jewish Health, in Denver, said there are no rigorous data on patients with autoimmune diseases responding to Pfizer and Modern vacancies.
Hasta ahora, no han surgido motivos de preocupacion. “More than 100,000 people have received these vacancies now, including some who probably had autoimmune diseases, and did not have systematic information on problems,” Marrack said. If patients with autoimmune thrusts are actually preoccupied, they need to talk to their physicians about returning the medication as soon as there are other vacancies against the covid with different formulations, suggestion.
Last week, the National Society of Multiple Sclerosis (EM) recommended that the City of Multiple Sclerosis Patients, another serious autoimmune infection, receive Pfizer or Modern vacancies against covid-19.
“It is not probable that the vacancies provoke a recurrence of the EM or the emperors the chronic symptoms of the EM. The risk of countering covid-19 is great with crèches any risk of having a rematch of the EM on duty », dijo in a communication.
– KHN (Kaiser Health News) is a news service with fine fines that cover health topics. It is an independent editorial program of KFF (Kaiser Family Foundation) which is not affiliated with Kaiser Permanente.