What categories of people are eligible for vaccine priority? What are the pathologies that are evaluated in order to be able to quickly access immunization against Covid-19? On the basis of the analyzes carried out in the scientific studies available so far, l‘age and the presence of pathological conditions represent the main variables of correlation with mortality for Covid-19Precisely on the basis of these evidences, the strategic vaccination plan suggests an order of priority of the categories of people to be vaccinated in the continuation of the vaccination campaign based on age and the presence of pathological conditions:
The categories
Category 1:
High frailty (extremely vulnerable people; severe disability) Category 2: People aged between 70 and 79 years
Category 3: People aged between 60 and 69 years
Category 4: People with comorbidities aged <60, without that connotation of gravity reported for extremely vulnerable people
Category 5: Rest of the population aged <60 years
The following categories are also considered priority, regardless of age and pathological conditions, such as: teaching and non-teaching, school and university staff, armed forces, police and public aid, prison services and other residential communities.
The pathologies that give the right to priority
But what are they the pathologies assessed as particularly critical, which characterize category 1, why are they linked to a high lethality rate for Covid-19?
Respiratory diseases
– Idiopathic pulmonary fibrosis
– Other respiratory diseases that require oxygen therapy
Cardio-circulatory diseases
– Advanced Heart Failure (NYHA III-IV)
– Post cardiogenic shock patients
Neurological diseases
– Amyotrophic lateral sclerosis and other motor neuron diseases
– Multiple sclerosis
– Muscular dystrophy
– Infantile cerebral palsy
– Patients being treated with biological drugs or immunosuppressive therapies (family members must also be vaccinated)
– serious Miastenia
– Dysimmune neurological diseases
Diabetes / other severe endocrinopathies (such as Addison’s disease)
– People with type 1 diabetes
– People with type 2 diabetes who need at least 2 diabetes medications or who have developed complications
– Subjects with Addison’s disease
– Subjects with panhypopituitarism
Cystic fibrosis
Patients to be considered by definition high fragility due to the respiratory implications typical of the underlying pathology.
Renal failure / renal disease
Patients undergoing chronic dialysis treatment
Autoimmune Diseases – Primary Immunodeficiencies
– Patients with severe pulmonary impairment or marked immunodeficiency (cohabitants must also be vaccinated)
– Patients with immunosuppression secondary to therapeutic treatment (cohabitants must also be vaccinated)
Liver disease
Patients diagnosed with liver cirrhosis
Cerebrovascular diseases
– Cerebral ischemic-hemorrhagic event that compromised the neurological and cognitive autonomy of the affected patient
– People who have suffered a “stroke” in 2020 and for previous years with a ranking greater than or equal to 3
Oncological pathology
– Patients with advanced malignant tumor disease not in remission
– Oncological and onco-haematological patients treated with immunosuppressive drugs, myelosuppressive drugs or less than 6 months after the suspension of treatment (cohabitants must also be vaccinated)
Hemoglobinopathies
Patients with thalassemia, sickle cell anemia
Down syndrome
Due to their partial immunological competence and the very frequent presence of congenital heart disease, all patients with Down syndrome are considered fragile.
Solid organ and hematopoietic stem cell transplantation
– Patients on the waiting list or transplanted with solid organ (cohabitants must also be vaccinated)
– Patients waiting or undergoing transplantation (both autologous and allogeneic) of haematopoietic stem cells (HSC) after 3 months and up to one year, when immunosuppressive therapy is generally suspended (cohabitants must also be vaccinated)
– HSC transplant patients even after the first year, in case they have developed a chronic graft versus host disease, on immunosuppressive therapy (cohabitants must also be vaccinated)
Grave obesit
Patients with a BMI greater than 35
HIV
Patients diagnosed with AIDS or <200 CD4
In the case of minors who fall within the definition of extremely vulnerable and who cannot be vaccinated due to lack of vaccines suitable for their age group, vaccinate their parents / guardians / custodians.
Vaccine and disability
As regards serious disabilities, we mean physical, sensory, intellectual, mental disabilities pursuant to law 104/1992 art.3 paragraph 3 (cohabiting family members and caregivers who provide assistance free of charge or under contract must also be vaccinated).
The vaccination campaign: things to know
Under 60 with minor pathologies
After people aged between 70-79 years and between 60 and 69 years it is up to the under 60s with comorbidities (with relative exemption codes) without that connotation of gravity reported for the highly frail category. The types of pathologies taken into consideration are the same as those assumed for extremely vulnerable people, but the level of severity considered lower.
Respiratory diseases
Cardio-circulatory diseases
Neurological diseases Diabetes / other endocrinopathies
HIV
Renal failure / renal disease
Hypertension
Autoimmune Diseases / Primary Immunodeficiencies
Liver disease
Cerebrovascular diseases
Oncological pathology
March 11, 2021 (change March 11, 2021 | 19:33)
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