We have now received the list of extremely vulnerable patients who should have received a shielding letter.
Welsh Government have put together a list of frequently asked questions and their answers.
Please remember that “extemely vulnerable” patients are different from “at risk” patients. A list of the at risk categories is also given below. At risk patients will not be receiving a letter. They DO NOT need to completely isolate for 12 weeks but should strictly adhere to the social distancing guidance, https://gov.wales/coronavirus-social-distancing-guidance
This guidance encourages them to work from home if possible, but that will be a discussion between the individual and their employer.
Extremely vulnerable patients (need to following shielding advice):
- Solid organ transplant recipients
- People with specific cancers
- People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
- People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
- People having immunotherapy or other continuing antibody treatments for cancer
- People having other targeted cancer treatments, which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors.
- People who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs.
- People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD)
- People with severe single organ disease (e.g. Liver, Cardio, Renal, Neurological)
- People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as Severe Combined Immunodeficiency (SCID), homozygous sickle cell disease)
- People on immunosuppression therapies sufficient to significantly increase risk of infection
- Pregnant women with significant heart disease, congenital or acquired
- Children (up to the age of 18) with significant heart disease, congenital or acquired
At risk groups (need to follow strict social distancing advice) :
- aged 70 or older (regardless of medical conditions)
- under 70 with an underlying health condition listed below (ie anyone instructed to get a flu jab as an adult each year on medical grounds):
- chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
- chronic heart disease, such as heart failure
- chronic kidney disease
- chronic liver disease, such as hepatitis
- chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
- problems with the spleen – for example, sickle celldisease or if you have had your spleen removed
- a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tabletsor chemotherapy
- being seriously overweight (a BMI of 40 or above)
- those who are pregnant