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New Covid vaccine arrives first in West Wales

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THE FIRST person in the UK to receive the Moderna vaccine against Covid-19 got their jab at 8:30 in the morning of Wednesday, April 7, at West Wales General Hospital.
The recipient was Elle Taylor, aged 24. Ms Taylor is an unpaid carer from Ammanford.
Speaking after receiving the vaccine, the 24-year-old, who works at a further education college, said: “I’m very excited and very happy.
“I’m an unpaid carer for my grandmother, so it is very important to me that I get it, so I can care for her properly and safely.
“My grandmother has had her first dose and she is going for her second dose on Saturday.”
Miss Taylor said she only found out on Tuesday evening that she was to be the first in the UK to receive the jab by Moderna, an American company.

HEALTH BOARD ‘DELIGHTED’

The Medicines and Healthcare Products Regulatory Agency (MHRA) authorised the Moderna vaccine as safe and effective in January 2021 following rigorous clinical trials.
Moderna is the third Covid-19 vaccine distributed in the UK.
Two other vaccines, the Pfizer vaccine and the Astra Zeneca vaccine, are already in use across the UK. 31 million people across the UK have received their first shot of one of those vaccines since the inoculation programme began in December last year.
Supplies arrived in Wales on Tuesday, April 6.
5,000 doses were delivered to vaccination centres in the Hywel Dda University Health Board area.
The Moderna vaccine is a two-dose vaccine given at an interval of between four and twelve weeks.
Ros Jervis, Director of Public Health for Hywel Dda University Health Board, added: “We’re delighted to be able to use the Moderna vaccine for deployment across west Wales.
“We will be using this new vaccine, alongside Oxford Astra-Zeneca, to continue the immunisation’s roll out to our communities in Carmarthenshire, Ceredigion and Pembrokeshire.
“We are incredibly lucky to have a third vaccine in Wales, with a long shelf life and the ability to be easily transported, to help deliver the vaccination programme to small clinics across our rural communities.”

THE MODERNA VACCINE EXPLAINED

The Moderna vaccine does not contain the virus to produce immunity.
It cannot give you COVID-19.
The injection stimulates the body’s natural defences (immune system). It works by making the body produce its own protection (antibodies) against the virus that causes the COVID-19 infection.
The vaccine delivers the ‘instructions’ that cells in the body can use to make antibodies to fight the virus that causes COVID-19.
As with any vaccine, Moderna may not fully protect all those who receive it. Those who get it may not be fully protected until two weeks after the vaccine’s second dose.
In trials, the vaccine was 94.1% effective in preventing Covid-19 infection in patients with no prior history of the disease. It was 100% effective in preventing patients from developing the severe Covid-19 symptoms that lead to hospitalisation.
Although the Moderna vaccine is the priciest of the vaccines yet rolled out, it has an advantage over the Pfizer vaccine. It can be stored in a regular fridge for up to fourteen days after its delivery to a vaccination centre.
It contains no ingredient derived from animals.

A KEY MILESTONE

Health Minister Vaughan Gething said: “This is another key milestone in our fight against the COVID-19 pandemic. The third vaccine for use in Wales significantly adds to our defences in the face of coronavirus. It will help to protect our most vulnerable.
“Every vaccine given to someone in Wales is a small victory against the virus, and we would encourage everyone to go for their vaccine when invited.
“If people cannot attend their appointment, we ask them to let the health board know via the contact details provided in their invitation as this vaccination slot can be offered to someone else rather than be wasted.
“Once you have been vaccinated, you should continue to follow guidance, staying two metres apart, washing your hands and wearing a face covering to protect those around you.
“I want to thank all those who have been working tirelessly to deliver the vaccine across Wales and help us meet our second milestone of offering a vaccine to all phase one priority groups. I also want to thank the 1.5 million people in Wales that have already come forward for their vaccine and done their bit in this national effort.”
Welsh Conservative deputy health spokesperson and candidate for Ceredigion and Mid and West Wales, Amanda Jenner, said: “The Conservative UK Government’s decision to go it alone has been fully vindicated with the phenomenal results of the British vaccination programme.
“The roll-out of the Moderna vaccine, administered by our outstanding NHS and volunteers, will boost our ability to protect Welsh people and restore our freedoms.”

VACCINE SUPPLIES

Starting from the middle of last year, the UK Government secured a deliberate oversupply of vaccine to ensure continuity of supply.
As part of that strategy, the Department of Health placed provisional orders – pending approval by the medicines’ regulator – of seven different vaccines in different stages of development.
The UK has ordered 40 million doses of Pfizer’s vaccine, 100 million doses of the Oxford vaccine, and 17 million doses from Moderna.
A further four vaccines are either in clinical trials or awaiting MHRA approval:  Novavax (60 million doses, Janssen (30 million doses), Valneva (60 million doses),  GlaskoSmithKline (60 million doses).
The number of Covid-19 vaccine doses on order is enough to fully inoculate the UK’s entire population twice.

BOARD STATEMENT ON VACCINATION PROGRAMME
194,057 people in our three counties have now received their first dose of the vaccine, and 47,087 people are fully vaccinated having received both doses.
We will have offered a first dose of the vaccine to all those in priority groups 5-9 by Sunday 18 April.
To ensure no one is left behind, this week the health board has launched an appeal asking people in groups 1 to 9 who have not been contacted to get in touch to arrange their first vaccine dose.
If one or more of the following applies to you and you have not received your first vaccine appointment, please contact the health board on 0300 303 8322 or by email [email protected].uk by Friday 16 April:

  • are aged 50 or over
  • are aged 16 to 64 and have underlying health conditions that put you at increased risk of COVID-19 mortality
  • work in a care home or in health and social care in Carmarthenshire, Ceredigion or Pembrokeshire
  • are the primary unpaid carer of an elderly or disabled adult who is at increased risk of COVID-19 mortality, or a child with severe neuro-disabilities
Please be patient if you haven’t been contacted about your vaccine yet and we politely ask that you do not contact the health board or your GP to ask about your vaccine. You will be contacted when it is your turn.

THE SECOND DOSE

Second doses are essential for longer-term protection, so it’s important that everyone comes forward for their full course when called.
When you will be contacted for your second vaccine dose depends on which vaccine you have received.
We are asking anyone who received the Pfizer vaccine and has not received a second vaccine appointment yet, to get in touch as soon as possible on 0300 303 8322. Please note our phone lines get very busy at times and you may have to wait for the call to be answered. You can also contact us by emailing your name and contact phone number to [email protected].uk
The health board aims to complete all second Pfizer vaccine doses by week commencing Monday 12 April.
To check which vaccine you received, look at the card given to you when you received your first vaccine. It will say if you received either the Pfizer BioNtech vaccine or the Oxford AstraZeneca vaccine.
If you received a first vaccine dose of the Oxford AstraZeneca vaccine, we politely ask that you do not contact your GP practice or health board at this time to ask about a second vaccine appointment. You will be contacted when it is your turn for a second dose – we are calling those who received a Pfizer first dose at this time.
Care home residents, people aged over 80 and all other priority groups who have received the Oxford AstraZeneca vaccine at the GP surgery will be contacted between 11 to 12 weeks following their first vaccine with an appointment time.
Confidence is building around the effectiveness of the vaccines.

Emerging evidence is clear on the impact of the vaccine in preventing severe disease and hospitalisation. That is now playing out in admissions to our hospitals, and thankfully, numbers of deaths from coronavirus being reported.
UK and EU regulators have also been very clear about the safety of the vaccines. The benefits of vaccination far outweigh any possible risks.
All three vaccines are safe and effective.

Health

Doctor sounds alarm about scurvy cases among children

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A DOCTOR warned of re-emerging cases of scurvy, a disease caused by vitamin C deficiency, among children and young people in Wales.

Dana Beasley, Wales deputy officer at the Royal College of Paediatrics and Child Health, raised concerns about a lack of vitamin C from fruit and vegetables in children’s diets.

She told the Senedd’s health committee: “I never thought I would see this in my lifetime as a paediatrician in a developed country, I’ve seen children with vitamin C deficiency: scurvy.

“This is something out of books from pirate stories long, long ago. We have seen children in Wales with vitamin C deficiency, it’s tragic.

“Vitamin C deficiency is rare but I’ve seen it, there’s been several cases but vitamin D deficiency is more frequent.

“It’s heartbreaking to see because our children are not well – we’re already robbing them of a healthy adult life before they even start school.”

In September, a medical journal warned scurvy – a disease which, if untreated, can lead to potentially fatal bleeding – is re-emerging due to the cost of living and poor diets.

Giving evidence to a health committee inquiry on obesity, Dr Beasley pointed to  2021 research which found Welsh children are among the least fit in the world.

Wales received an “F” in the study of 60 countries and the paediatrician warned “so many children” are deficient in vitamin D due to malnutrition and a lack of outdoor activity.

She said: “Children over five and young people should move for an hour a day every day but research has shown that probably 20% of boys maybe do that and 14% of girls.

“That’s shocking, absolutely shocking.”

Dr Beasley told Senedd members: “Cwm Taf’s got the biggest obesity rates [but] hasn’t got any sustained level two or three obesity services. Hywel Dda, that’s got the biggest rate of overweight children with about 28%, hasn’t got any services at all. That’s not right.”

Rocio Cifuentes, the children’s commissioner for Wales, pointed to a Food Foundation report showing 1,000 calories of healthy food costs £8.80 compared with £4.30 for unhealthy food

Rocio Cifuentes has been appointed as the new Children's Commissioner for Wales
Rocio Cifuentes is the Children’s Commissioner for Wales

She said: “Healthy food currently is more expensive and that is a reality that parents who are struggling will have to grapple with and will have to make unhealthier choices.

“They will be forced to – their financial circumstances will dictate that.”

Ms Cifuentes warned of a “huge society-wide challenge” on screen time, emphasising that parents need to lead by example.

She told the committee: “Overall, there’s huge evidence that screen time is increasing for children and young people, and that it’s having a really detrimental impact on their physical health, mental health, education and social skills.”

More than a quarter of children aged four or five in Wales are overweight or obese, according to latest statistics for 2022/23.

The children’s commissioner warned of a “deprivation gap”, with children from the poorest postcode areas significantly more likely to be overweight or obese.

Ms Cifuentes called for a duty to have “due regard” to the UN convention on the rights of the child to be applied to councils as well as Welsh ministers.

She said this would ensure children’s rights form part of councils’ thinking when, for example, taking decisions to close swimming pools or parks.

During an earlier evidence session on February 13, Jonathan Bone, of Nesta Cymru, outlined the innovation charity’s blueprint which aims to halve obesity.

He urged the Welsh Government to go beyond  plans to restrict “buy one get one free”-style deals by banning all price promotions on less healthy products in bigger retailers.

He told the committee: “The modelling suggested that this would lead to a 29% relative reduction in obesity rates, which is 40 times more impactful than the volume price promotions policy currently being drafted.” 

Dr Bone called for mandatory targets for larger retailers to improve the average healthiness of food sold, suggesting this could lead to a 25% fall in obesity rates.

He said: “Over the past 30 years, the majority of government strategies have focused on policies that require individual action and over this time obesity rates have doubled – so these kinds of approaches clearly aren’t working.”

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Health

Welsh NHS Confederation calls for long-term workforce plan

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Leaders urge government to address staffing challenges

THE WELSH NHS Confederation has responded to an Audit Wales report highlighting workforce challenges in the health and social care sector, calling for a fully funded, long-term staffing plan.

Darren Hughes, director of the Welsh NHS Confederation, said: “We welcome Audit Wales’ report on NHS workforce challenges. It’s no secret that the workforce is the lifeblood of the NHS and social care services.”

He reiterated long-standing calls for the Welsh Government to invest in a costed Long-Term Plan to create a sustainable workforce, ensuring the NHS and social care services can meet future demand.

Growing workforce, rising costs

Hughes acknowledged ongoing efforts to reduce reliance on agency staff and fill vacancies but warned that while the NHS workforce is expanding, staffing costs are rising unsustainably.

“Audit Wales rightly questions the sustainability of these rising staffing costs in the current financial climate,” he said.

Multi-disciplinary teams needed

NHS leaders believe that multi-disciplinary teams are key to meeting the evolving needs of the population. However, Hughes expressed concerns over the lack of a national workforce plan and unclear system leadership arrangements.

“Now more than ever, we must work together across NHS and social care boundaries to find long-term solutions to recruitment and retention,” he added.

The Welsh NHS Confederation represents the country’s seven local health boards, three NHS trusts, Health Education and Improvement Wales, and Digital Health and Care Wales.

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Health

‘Postcode lottery’ concerns over fertility treatment

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COUPLES seeking fertility treatment in Wales face a postcode lottery in terms of access to services, a Senedd Member warned.

James Evans, the Conservatives’ shadow health secretary, said the eligibility criteria for NHS-funded fertility treatments varies across the country.

Mr Evans called for the Welsh Government to standardise the criteria to make sure everyone has equal access to treatment and provide people with greater choice.

He said: “There are notable differences in the fertility treatments offered across different health boards and patients often lack autonomy to choose their preferred treatment centre.”

Mr Evans raised the example of ICSI, a treatment for men with infertility, during health questions in the Senedd on February 12.

He said: “For those people with low sperm counts, that is the only way in which they can actually access fertility treatments but some centres don’t do that.”

Peter Fox cautioned that male infertility issues are often overlooked despite studies showing that male factors contribute to 30% to 50% of cases in Wales.

He added: “When males are diagnosed… they’re often left in the dark with no support offered to them because most of the treatment services are focused toward the women.

“A lot of those men are left feeling frustrated – they feel shame, they feel anger – because they don’t feel like they get the mental support needed to get through that time in their lives.”

Standing in for health secretary Jeremy Miles, who was ill, Sarah Murphy, the mental health minister, said one in six couples will struggle with infertility.

She explained that the Human Fertilisation and Embryology Authority regulates the NHS and private sector, setting out the treatments and procedures available.

Raising commissioning policy on fertility services, Ms Murphy stressed: “I think it’s really important to emphasise, though, that this is a specialist service.

Labour MS Sarah Murphy speaking in the Senedd
Sarah Murphy, minister for mental health and wellbeing

“It is not something that is provided across every health board.”

Ms Murphy pointed to services provided in clinics in Cardiff and Swansea, adding: “I understand completely that there will be people out there where this is not ideal, I do.”

She told the Senedd: “There absolutely shouldn’t be any shame or stigma around this – it’s not as uncommon as maybe people think.”

Plaid Cymru MS Mabon ap Gwynfor
Plaid Cymru MS Mabon ap Gwynfor

Mabon ap Gwynfor, Plaid Cymru’s shadow health secretary, warned of high levels of homelessness, mental health issues and financial insecurity among unpaid carers.

He said only 6% of unpaid carers were able to access personal needs assessments during 2024 despite a right to one being enshrined in Welsh law a decade ago.

Mr ap Gwynfor raised concerns about a “chronic lack of capacity” to conduct assessments, with councils facing spending pressures of £559m in 2025/26.

Dawn Bowden, the Welsh Government’s social care minister, recognised the picture, saying: “This is something that I hear consistently from unpaid carers … and carers’ organisations.”

Merthyr Tydfil and Rhymney MS Dawn Bowden
Merthyr Tydfil and Rhymney MS Dawn Bowden

Ms Bowden added: “I want to reassure you, Mabon, that we know we are nowhere near where we need to be with this and this is very much a priority piece of work.”

Plaid Cymru’s Sioned Williams said one in three women will have an abortion in their lives as she criticised a lack of services within Wales despite warnings since 2018.

She told the Senedd that nowhere in Wales offers surgical termination beyond 16 weeks nor any type of abortion after 20 weeks.

Ms Williams said: “If a woman needs access to abortion services beyond this up to the legal limit of 24 weeks, they must travel out of Wales for treatment, usually to Liverpool or London.

Plaid Cymru's shadow social justice minister, Sioned Williams
Plaid Cymru’s shadow social justice minister, Sioned Williams

“Although abortions at later gestations account for only 2% of all abortions, the women who require them are some of society’s most vulnerable.”

Ms Murphy pointed to the ten-year women’s health plan, adding that she has sought to move the issue up the agenda with work on a specialist abortion service under way.

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