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Health

New advice to those who are Clinically Extremely Vulnerable – previously ‘shielding’

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THE ADVICE to those who are clinically extremely vulnerable, previously ‘shielding’ has changed from today (Dec 22) to advise those within this group that they should no longer attend work or school outside the home.

This is particularly the case for those whose work requires them to be in regular or sustained contact with other people, or where individuals share a poorly ventilated workspace for long periods. Letters from the Chief Medical Officer for Wales (CMO) will be issued confirming this advice but will take some time to reach individuals due to the festive period. These letters can be used as evidence for the purposes of claiming statutory sick pay.

The Welsh Government said that this decision has been taken based on number of factors but has been influenced most recently by the significant recent growth in rates of infection, possibly due to the new variant of the coronavirus. We have also taken account of the pressures we see on our health service with increasing hospitalisations. This advice will be reviewed on a three weekly basis aligned to the Welsh Government reviews of alert levels across Wales.

Individuals in this group are already subject to the regulations in place at level 4 https://gov.wales/alert-level-4 and therefore must stay at home as much as possible. However I would wish to emphasise that the group can still go outside to exercise and also to attend medical appointments. We must remain conscious of the harms associated with isolation for long periods and therefore those in this group can remain part of a support bubble, as long as they take care.
We have been clear that the safest option for people within this group is not to be part of a Christmas Bubble. However if they choose to do so they should follow the advice provided on our website https://gov.wales/christmas-advice-people-who-were-shielding which includes keeping contacts to an absolute minimum, meeting for short periods in well ventilated areas, maintaining strict hand and surface hygiene and staying 2 metres away from others.
As letters will be unavoidably delayed, I am asking members and stakeholders to help us to communicate this message. I am also asking employers to take note of the change to advice and support their employees to follow it.
Guidance for those who are Clinically Extremely Vulnerable will be updated as soon as possible on the following link https://gov.wales/guidance-protecting-people-defined-medical-grounds-extremely-vulnerable-coronavirus-covid-19
This statement is being issued during recess in order to keep members informed. Should members wish me to make a further statement or to answer questions on this when the Senedd returns I would be happy to do so.

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Health

Covid cases in Wales now doubling every six and a half days

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THE CORONAVIRUS situation in Wales is not looking good, latest figures suggest with cases doubling every six-and-a-half days. This was the stark warning of Wales’ chief medical officer Frank Atherton on Monday (Jul 12).

There have been almost 1,200 new confirmed Covid cases in Wales for the last 48-hour period.

The latest update from Public Health Wales on Monday, July 12 recorded 1,190 more positive cases to bring the total since the pandemic began to 225,691. There were no further deaths meaning the overall total remains 5,579.

Wales’ infection rate has risen to 136.1 cases per 100,000 population based on the seven days between Jul 1 and July 7 – up on 127 on Sunday. Fifteen of Wales’ 22 local authorities are now reporting more than 100 positive cases per 100,00 people.

The figures are based on the date a test was done, not the date a test was put on the system, meaning it is an accurate reflection of how fast the virus is spreading in Wales.

Dr Atherton was speaking at the Welsh Government coronavirus briefing days before the latest review of restrictions in Wales.

He said that the R number for Wales was now estimated to be between 1.8 and 1.9 by Public Health Wales – this is one of the highest rates reported at any point since the peak of the first wave.

He said at the briefing: “This means every person who is infected is going on to infect almost another two people.”

Dr Atherton was joined by Dr Gillian Richardson, who oversees the vaccine roll-out programme in Wales, who warned that young people were particularly vulnerable.

She said: “Only about 75% of 18 to 39-year-olds have had a first dose. This means one in four in this age group are still not protected. These young adults are vulnerable to infection, serious illness and life-changing long-Covid, as well as loss of earnings if they have to self-isolate as cases of the Delta variant are increasing in this age group.”

She added: “We can confidently say that vaccines have weakened the link between infections, serious illness and hospitalisations and deaths. But they haven’t broken the link.

“This is why it’s really important to have high levels of vaccination in all age groups and also why we need to work together to keep coronavirus under control because this virus can still cause harm, especially if rates rise very steeply, as we are expecting.”

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Health

Health board upbeat about vaccination programme as 500,000th injection given

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THE 500,000th COVID-19 vaccine was given this weekend, with more than 72% of the population across Carmarthenshire, Ceredigion and Pembrokeshire now having had their first dose.

To mark this achievement, Hywel Dda University Health Board (UHB) is recognising all involved in this extraordinary effort and thanking those who have come forward for their vaccine.

From the administration of the first vaccine at Glangwili Hospital in early December, the programme for mid and west Wales was able to expand at great speed thanks to the involvement of primary care colleagues in GP practices and community pharmacies and the opening of mass vaccination centres across the three counties.

All elements of the programme have been supported along the way by volunteers, partner organisations and a range of staff ‘behind the scenes’ including IT, the health board’s Command Centre, pharmacy teams, public health, security staff and many more.

Steve Moore, Chief Executive of Hywel Dda UHB said, “It is something that has been said previously, but it can’t be overstated what an undertaking a mass vaccination programme of this scale has been.

“It has only been possible thanks to the many organisations, teams and individuals who have worked tirelessly over the past eight months.

“This milestone has been reached at a time when we are sadly seeing an increase in COVID cases across our region, but thanks to the vaccine we are hopeful that our hospitals will not experience the same demand as was seen in the first and second wave.

“We will keep working to do more and increase take up beyond 75%, and deliver second doses for everyone that needs one, but we need everyone’s help to do this.

“Every dose administered, and every person protected really does make a difference. The vaccines are safe and effective. Your second dose of vaccine is important for longer lasting protection against COVID-19 and against the Delta variant.”

No one left behind is a key principle to the Welsh vaccination programme. Whilst the uptake of the COVID-19 vaccine in Wales has been extremely high, there are still groups of the population who, despite receiving more than one offer, remain unvaccinated.

The NHS will always be ready for you if you didn’t take up your first offer of COVID-19 vaccination for whatever reason but have changed your mind, it is never too late to arrange an appointment.

If you would like to book your first dose please contact the health board in any of the following ways to request an appointment:

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Health

Urgent second dose vaccine appointments issued for mass vaccination centres

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SECOND dose Oxford AstraZeneca appointments for mass vaccination centres across Carmarthenshire, Ceredigion and Pembrokeshire have been urgently issued for week beginning 24 May, Hywel Dda University Health Board has confirmed. 

The health board has identified a technical issue that has caused a delay in appointment letters being issued to people who received their first Oxford AstraZeneca at a mass vaccination centre between Monday 8th March and Sunday 14 March.  

This issue has now been rectified and the health board has urgently posted appointment letters to everyone affected. SMS (text messages) have also been sent to those the health board has mobile numbers for.

 

The technical issue has also resulted in some people who had a first vaccine at a GP practice receiving an appointment inviting them to attend a mass vaccination centre. If you received your first vaccine at a GP practice you must attend your GP practice for your second dose to ensure the correct vaccine is available for you.  

If you have received an invite to attend a mass vaccination centre in error, there is no need to contact the health board as these appointments have automatically been cancelled. Please disregard the mass vaccination centre invite and keep your appointment with your GP or wait for them to contact you with your appointment time if you have not already received one.

Bethan Lewis, Interim Assistant Director of Public Health at Hywel Dda UHB, said: “As soon as we identified there had been a delay with second vaccine appointments being issued to people who had their first Oxford AstraZeneca vaccine at a mass vaccination centre between Monday 8th March and Sunday 14 March we immediately reissued all letters and sent SMS text messages wherever possible. 

“These appointments are due to start Monday 24 May so it is possible some people may receive their appointment letter late and we apologise for this but please don’t worry if this happens to you.   “If you receive your letter and the appointment has past, please contact our booking team on 0300 303 8322 so we can book you a new appointment. We will make sure you have your second appointment on schedule. Please wait to receive your letter before phoning us. We thank you for your understanding and patience.” 

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