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Who are at-risk patients?

  • those with a chronic illness requiring regular follow up, e.g. chronic respiratory disease (including chronic obstructive pulmonary disease, cystic fibrosis, moderate or severe asthma and bronchopulmonary dysplasia), chronic heart disease (including acute coronary syndrome), chronic renal failure, diabetes mellitus, haemoglobinopathies, chronic liver disease, chronic neurological disease (including multiple sclerosis and hereditary and degenerative disorders of the CNS).
  • those who are immunosuppressed due to disease or treatment including those with missing or non-functioning spleens.
  • all cancer patients.
  • patients with any condition that can compromise respiratory function, e.g. spinal cord injury, seizure disorder, or other neuromuscular disorder, especially those attending special schools/ day centres
  • persons with Down syndrome.
  • those with morbid obesity, i.e. body mass index over 40.
  • all pregnant women (vaccine can be given at any stage of pregnancy).
  • healthcare workers.
  • Carers.
  • household contacts of at-risk persons.
  • out-of-home care givers to at-risk persons. 
  • residents of nursing homes and other long stay institutions.
  • people with close regular contact with pigs, poultry or water fowl.

Extra “at risk” criteria for children 6 months and older

  • children with moderate to severe neurodevelopmental disorders such as cerebral palsy and intellectual disability.
  • children on long-term aspirin (because of Reye’s syndrome). 

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