The DGS publishes the list of 10 priorities for the vaccination of 12-15 year olds against Covid-19

The health guidelines of the DGS on childhood illnesses eligible for vaccination against Covid-19 have finally been “published”. But the development hasn’t done much to calm growing criticism, in large part because it’s taken so long to come.

Jornal de Notícias perhaps did the best job of presentation, exactly as it appears on the DGS site (pages 11-12)

  • Active malignant tumor – underway or awaiting initiation of systemic antineoplastic therapy (cytotoxics, immunomodulators, anti-hormones and therapies directed against molecular tumor targets) and / or radiotherapy;
  • Transplantation – candidates transplanted and transplanted from hematopoietic progenitors (allogeneic and autologous) or solid organ;
  • Immunosuppression – asplenia, congenital asplenia, depranocytosis, sickle cell syndromes (Hg S / Hg ; Hg S / Hg C), thalassemia major, primary immunodeficiencies; people on chronic therapy with biological drugs, or prednisolone> 20 mg / day, or equivalent;
  • Neurological diseases – and / or neuromuscular diseases, including cerebral palsy and muscular dystrophies);
  • Developmental Disorders – Trisomy 21 and severe and profound intellectual development disorders;
  • Diabetes;
  • Obesity – BMI> 120% of P97 or> 3Z-Score;
  • Cardiovascular disease with ventricular dysfunction; cardiomyopathies (including congenital heart disease and genetic syndromes associated with heart disease); heart disease associated with severe cyanosis and pulmonary hypertension;
  • Chronic renal failure – on dialysis and stage III, IV and V renal failure;
  • Chronic lung disease – Chronic respiratory disease on OLD or ventilation therapy; severe asthma under systemic corticosteroid therapy; bronchiectasis; cystic fibrosis and alpha-1-antitrypsin deficiency.

For those who cannot instantly identify these conditions, this is because they are fortunately rare in children – but those unlucky enough to have them are much more susceptible than their healthy peers to any type of infection. , be it SARS-CoV-2 or any other virus / bacteria / fungi or parasites.

The paper edition of the Resident published tomorrow addresses the “chaos” around the issue of Covid vaccinations for children in Portugal while in Porto, Professor Caldas Afonso, pediatric coordinator of Lusíadas hospital, told the tabloid Correio da Manhã that by next year healthy children as young as six months could receive them.

Dr Afonso recently participated in a European study on this topic, the document explains – and is a strong advocate for vaccination in the 12-15 age group.

Colleagues in the profession, however, have called for “caution” and seem to have to continue to do so (click here).

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