Although until recently experts said there should be a two-week break between COVID-19 and the next vaccine, the new recommendations are different. Now, according to the recommendations of the Lithuanian Society for Infectious Diseases (LID), it makes it possible to vaccinate three vaccines in different parts of the body during one visit – against COVID-19, and against influenza, and against pneumococcal infection.
Among other things, it is added that those vaccinated against COVID-19 may also be vaccinated against encephalitis caused by ticks or other diseases (e.g. tetanus / diphtheria, meningococcal infection, etc.) at the same visit.
It should be noted that the decision to be vaccinated against several diseases in one visit or at any patient-friendly interval was made in accordance with the guidelines of the Centers for Disease Control and Prevention.
It is explained that the aim is not only to facilitate the vaccination process for the population, but also to reduce excessive visits to medical institutions.
According to experts, vaccination against COVID-19 and also against influenza and pneumococcal infection is important to prevent a more complicated course of the disease. It should be noted that in patients with, for example, corona flu and virus, the form of the disease and treatment are more complicated, which increases the chance of serious complications (heart attack, stroke, etc.).
The recommendation is for security reasons
As noted by the head of the Infectious Diseases Clinic of LSMU Kaunas Hospital Prof. Auksė Mickienė, this instruction is given on the basis of international recommendations.
“Once the vaccine has started, when there was a lack of knowledge, it is advisable to take a two-week break for safety reasons. It was also important because of the side effects – if the temperature rises, there will be pain, you do not know from which vaccines it happened.
However, based on sufficient experience with the COVID-19 vaccine and knowledge of the combination of other vaccines, this recommendation has been made. It makes sense to vaccinate several vaccines at once. Of course, people will decide for themselves how they want to behave, “she said.
The idea is very old
Infection Prof. Hubble. Dr. Vytautas Usonis also confirmed that the two-week break between vaccines has been abandoned, and the idea of vaccinating several vaccines simultaneously is very old.
“The first combined vaccines are probably over the age of 70. This is not a new thing – look at the child’s vaccination calendar how many vaccines are given to a child in one day. And all this is explained in a practical and theoretical way. For vaccines.
For example, there is a flu vaccine, it is a four-component vaccine and there is a mixture of 4 strains of the flu virus. And we say it’s a flu shot, but it’s a flu shot. So it has been known for a long time, though maybe it seems like a novelty in adult immunization methods. But it’s no wonder – there are a lot of things that have been used for 10 years, and now they are being discovered as new, “the doctor explained.
Stops logistical problems
Here the interviewee saw more logistical issues that make the recommendation in question difficult to implement.
“In most cases, COVID-19 is given at special points and not at the family doctor. Here the problem arises, because the family doctor is the institution that guarantees the vaccination of all vaccines. Primary care physicians are the network that provides the national program. COVID -19 in one place, other vaccines in another, “he noted.
Health Minister Aronas Dolkis recently promised that all GPs can already be vaccinated against the corona virus if they wish.
However, not everyone is in a hurry to do so, first of all, just because of the logistical nuances already mentioned. However, another reason mentioned is the general decrease in the number of people who want to get vaccinated.
According to SAM, it has provided vaccines to all primary health services, but not all institutions have yet expressed the need for vaccines.
“Institutions assess the extent of vaccines independently and indicate the desired amount of vaccines through the municipal vaccine coordinator,” the ministry’s representative, Julianz Gallianskis, responded on the tv3.lt portal.
The vaccine storage regulation has changed
According to Paulius Kibisha, head of the Polyclinic in Kaunas, he told the tv3.lt portal, so far the largest influx of people vaccinated against COVID-19 has remained at the vaccine center, but it is already necessary for GPs to receive the vaccine.
“We are concentrating the vaccine center in the ice arena, we know this need, in Kaunas at least five chains of private medical institutions are vaccinating their patients. We are also still vaccinating people in the ice arena, but it will be until November 30, after which we plan to transfer the vaccine to Our 5 units, “said the head of the Polynesian.
He added that changes to the vaccine storage regulation will make the vaccination process easier.
“Vaccines can now be stored in the refrigerator for about a month, there is no barrier to the need for 18 very low temperatures. So anyone can plan a month, a week, already sent to those institutions that expressed desire. Of course, the quantities of something are not large”, – did not hide P. Kibisha.
Who can get vaccinated for free?
People who want to get vaccinated against several different diseases at once during one visit can do so by registering at the main health facility where they are registered.
You can get the flu shot for free:
• People aged 65 and over;
• Pregnant (at any time during pregnancy);
• People with chronic diseases regardless of age (including children);
• Health workers (including dentists);
• People living in care and social care institutions (including child care institutions).
Pneumococcal infection vaccine is free for children aged 2 to 18 years, belonging to the following risk groups:
• Patients with bronchial asthma (J45-J46), cystic fibrosis (E84), bronchiectasis (J47);
• Patients with cerebral palsy (G80), joint and muscular diseases (G70-G73);
• have congenital heart defects (Q20-Q25);
• People with diabetes (E10-E14);
• Patients with tumors (C00-D48);
• Patients with chronic kidney disease (N04, N18);
• Children undergoing hemodialysis and peritoneal dialysis (Z49.1, Z49.2, N18.5);
• Patients with chronic liver disease (K71.3-K71.7, K73-K74, Q44.2);
• In immunocompromised states: immunodeficiency (D80-D84), rheumatic diseases (M05-M08, M30-M36, M79.0), post-hematopoietic stem cells or transplantation of human organs or tissues (Z94), congenital or acquired asphyxia (D73). 0, Q89.01);
• Children with cochlear implants (Z96.2);
• Patients with HIV or HIV infection (B20-B24, Z21).
The vaccine is also free for adults belonging to the following risk groups:
• Patients with chronic kidney disease when the glomerular filtration rate
• Patients with nephrotic syndrome (N04);
• People undergoing dialysis or peritoneal dialysis (Z49.1, Z49.2, N18.5);
• Patients with tumors (C00-C96, D46-D47);
• People after hematopoietic stem cell transplantation (Z94.8);
• People after parenchymal organ transplantation (Z94);
• Patients with rheumatic diseases (M02-M08, M13, M30-M36, M45, M46);
• Patients with hepatic fibrosis and cirrhosis (K74);
• People with hyposplanism and congenital asphyxia (D73.0, Q89.01);
• People with cerebrospinal fluid leakage (G96.0);
• People with cochlear implants (Z96.2);
• People with HIV disease or HIV infection (B20-B24, Z21);
• People with iatrogenic immunosuppression (D89.8);
• Subjects with immunodeficiency with dominant antibody lesions (D80), combination immunodeficiency (D81), immunodeficiency with other major disorders (D82), normal immunodeficiency (D83), or other immunodeficiency (D84);
• Type 1 diabetes (E10);
• other diabetes specified (E13);
• Type 2 diabetes (E11) if they are about to undergo surgery;
• Type 2 diabetes (E11) if they are over 65 years of age and have been diagnosed with type 2 diabetes with many microvascular and other non-vascular complications (E11.71), type 2 diabetes with renal complication (E11.2), type 2 diabetes with Circulatory complication (E11.5), cardiomyopathy (I42), cardiomyopathy in diseases classified elsewhere (I43), at least one ischemic heart disease (I20-I25), heart failure (I50) or in at least one of the relevant chronic lower respiratory tract diseases (J40-J43, J45-J47);
• Patients with other chronic obstructive pulmonary disease (J44);
• Patients with heart failure (I50).
All residents can get vaccinated against COVID-19 free of charge by registering online at koronastop.lt or by calling 1808. Every Thursday, all Lithuanian municipalities invite to get vaccinated without registration.