撰写Recently, National Health Commission released the first edition of COVID-19 vaccination technical guidelines, which newly defined five groups of people who are not suitable for vaccination, and further clarified and explained the precautions for vaccination of specific groups such as COVID-19 patients or infected people, women of childbearing age and lactation, and people with impaired immune function.
However, there are still many people who have some misunderstandings about COVID-19 vaccination: "So many people who have been vaccinated can form a group immune barrier,I can stop calling.”； "Now the epidemic is stable, why not?Wait until the epidemic is severe in winter."… how to correctly understand these problems?
The first edition of vaccination guidelines is clear,thisfiveHumanoid is not suitable for vaccination.
1. Those who are allergic to the active ingredients of the vaccine, any inactive ingredients, substances used in the production process, or those who have been allergic to similar vaccines before;
2. Vaccines have occurred before.Severe allergic reaction(such as acute allergic reaction, angioneurotic edema, dyspnea, etc.);
3. Suffering from uncontrolled epilepsy and other diseases.People with severe nervous system diseases(such as transverse myelitis, guillain-barre syndrome, demyelinating diseases, etc.);
4. Those who are suffering from fever, or acute diseases, or acute attacks of chronic diseases, or patients with uncontrolled serious chronic diseases;
5. Pregnant women.
Women of childbearing age and lactation,Can I get vaccinated?
It is worth noting that National Health Commission has made clear the vaccination recommendations for women of childbearing age and lactation. If you are pregnant after vaccination or vaccinated in the case of unknown pregnancy, based on the understanding of the safety of the above vaccine,It is not recommended to take special medical measures (such as termination of pregnancy) just because of Covid-19 vaccination.It is recommended to do a good job in pregnancy examination and follow-up. For women who have a pregnancy plan, it is not necessary to delay the pregnancy plan just because of Covid-19 vaccination. Although there is no clinical research data on the effect of Covid-19 vaccine inoculation on lactating infants, based on the understanding of vaccine safety,It is recommended to vaccinate lactating women (such as medical staff) with high risk of infection in Covid-19.. Considering the importance of breast-feeding to the nutrition and health of infants and young children, referring to the international practice, after breast-feeding women are vaccinated with Covid-19 vaccine,It is recommended to continue breastfeeding..
Previous COVID-19 patients or infected persons,Do I need to be vaccinated?
Existing research data show that reinfection is rare in Covid-19 within 6 months after infection. Previous COVID-19 virus-infected people (patients or asymptomatic infected people), on the basis of full notification, canInoculate 1 dose after 6 months..
Have kidney disease, poor immune function,Can I get vaccinated?
Can people with kidney disease and poor immune function be vaccinated? The people with impaired immune function are people with high risk of severe illness and death after Covid-19 infection. At present, there is no data on the safety and effectiveness of Covid-19 vaccine for this population (such as malignant tumor, nephrotic syndrome, AIDS patients) and human immunodeficiency virus (HIV) infected people. Immune response and protective effect of this kind of population after vaccinationMay reduce. For inactivated vaccine and recombinant subunit vaccine, according to the safety characteristics of the same type of vaccine in the past, vaccination is recommended; For adenovirus vector vaccine, although the vector virus used is replication-deficient, there is no safety data of the same type of vaccine in the past. It is recommended to vaccinate after being fully informed that the benefits outweigh the risks.
Late planting and replanting,No need to restart the immunization program?
In addition, the guide suggests that those who fail to complete the vaccination according to the procedure for 2 or 3 doses of vaccines are recommended.Replanting as soon as possible. There is no need to restart the immunization program, just replant and complete the corresponding dose. For those who complete 2 doses of inactivated Covid-19 vaccine within 14 days, one dose of inactivated vaccine should be replanted as soon as possible after 3 weeks of the second dose. For those who complete 2 doses of inactivated Covid-19 vaccine in 14-21 days, there is no need to replant. at presentStrengthening immunization is not recommended for the time being.Simultaneous vaccination with other vaccines is not recommended for the time being.. The interval between other vaccines and Covid-19 vaccine should be greater than 14 days. When rabies vaccine, tetanus vaccine and immunoglobulin need to be vaccinated due to animal injury, trauma and other reasons, the vaccination interval with Covid-19 vaccine may not be considered. However, there are still some misunderstandings about vaccination!
Your question,The answers are all here.
Do I have to fight now that everyone else has?
Some people wonder, if 70% of people can form a group immune barrier after being vaccinated with COVID-19 vaccine, does it mean that the remaining 30% of people can not be vaccinated? In fact, 70% is a basic calculation based on the existing research data, and it is the lowest limit. The significance of building an immune barrier is to block the spread and prevalence of the virus in a wide range, focusing on the embodiment of public health significance. It doesn’t mean that the remaining 30% of unvaccinated individuals will not get sick. For unvaccinated individuals, there is still the possibility of infection and even severe illness, so for individuals, it is stillThe sooner you vaccinate, the better..
Vaccination is still possible, but it’s useless?
At present, it has been reported at home and abroad that some people are still infected with Covid-19 after vaccination in COVID-19. Is it useless to vaccinate?It is impossible for all vaccines to achieve 100% protection.It is necessary to scientifically and rationally understand the effectiveness indicators of vaccines in COVID-19. In the current global pandemic situation, the significance of vaccine application in Covid-19 is mainly to prevent severe cases and hospitalized cases, reduce medical visits caused by Covid-19 infection, and avoid the occurrence of medical runs, and the research shows that the vaccine has a better effect on preventing severe cases. In addition, even after vaccination with COVID-19 vaccine, there is still the possibility of infection, but even after infection, the symptoms will be relatively mild.
Why don’t you wait until the epidemic is severe in winter?
Some people are lucky enough to think that the epidemic is stable now, so why not wait until the epidemic is severe in winter? COVID-19 is different from seasonal influenza and other respiratory diseases, which are not only more frequent in autumn and winter,It is still popular even in hot summer.. Moreover, after vaccination, antibodies can not be produced immediately. According to the results of previous clinical trials, about 90% of people can produce good immune effect after 28 days of vaccination, so it is said that early vaccination can make them feel at ease.
Of course, it needs to be reminded again: after vaccination, the protective measures are not reduced, wearing masks, keeping social distance and washing hands frequently can better protect everyone’s safety!
Source | Second Affiliated Hospital of Nanchang University
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