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Here are the precautions people with suppressed immune systems should take before returning to work – Pittsburgh, Pennsylvania

Pittsburgh, Pennsylvania 2021-07-21 12:42:00 –

Many vaccinated pandemic restrictions have been lifted, but for millions of people who are in a state of suppressing the immune system and may not have much protection from the COVID-19 vaccine. Is getting harder. The Control and Prevention Advisory Committee on Immunization and Prevention (ACIP) has asked if a third dose is needed to protect people with weakened immunity from COVID-19 because the vaccine may not work well. Discuss about. To understand how to navigate face-to-face work and return to other activities, but they have limited information. At the American Cancer Society. The COVID-19 vaccine works well and provides important protection against death and hospitalization for most people. However, there are no vaccines that can be 100% preventable, and although relatively rare, there are groundbreaking cases. It is not always clear how much protection a vaccine provides for people with a weak immune system. These people are also more vulnerable to severe COVID-19 and more vulnerable to long-term infections, making them more likely to infect their families with the virus. Makarov said there is ongoing debate in the cancer community about boosters. .. Last month’s study by Johns Hopkins researchers suggested that additional shots might help raise antibody levels in another immunodeficient group: an organ transplant recipe that did not respond completely at the original dose. Ent. Some patients have reported receiving extra injections themselves, but so far this is not recommended by the CDC. “Unfortunately, it’s difficult to provide real-world concrete guidance,” said Dr. Marci Lynn Dryes, director of infection control and hospital epidemiologist. The Healthcare Epidemiology Association of American Contact to ACIP for ChristianaCare. “There is no really good commercial reliable test to say if they responded to the vaccine just because we know there is a risk that they may not respond to the vaccine at all, So that’s a little “There are tests to see if people have produced antibodies after vaccination and some doctors have provided them, but the CDC does not recommend it.” Technical Has an antibody test for spike proteins. The problem is, “I really don’t know what level is protective,” said Dr. Amy Edwards, Associate Medical Director of Childhood Infection Control at UH Rainbow Baby and Children’s Hospital in Cleveland. Reacts to vaccines, but believe it or not, antibodies aren’t everything. We know that your T cell response also plays a major role in viral immunity, “Edwards added. I don’t think it’s protected you’ll get a negative antibody response. Or, conversely, you may have antibodies, but you have the false belief that T cells aren’t working well and are protected, “says Edward. The CDC made the same recommendations to certain immunodeficient groups on Friday. The group includes organ transplant recipients, people receiving chemotherapy for cancer, people with certain blood cancers, and people taking dialysis and medications that suppress the immune system, according to Makarov. All need to wear masks in the crowd, keep social distances and pay attention to hand hygiene. The CDC also recommended avoiding the crowd and poor ventilation indoor spaces .. Amber Clayton, who runs the Human Resources Management Association and the HR Knowledge Center, n immunodeficiency states may be considered to have a disability under the Americans with Disabilities Act. They may be able to get what is known as a reasonable accommodation. This includes working from home, shifting shifts, and moving office space away from others, even if others are expected to return full-time. “Then they won’t be exposed,” Clayton said. If not protected by the Disability Act, the employer may have a policy of providing reasonable adaptation to individuals who are considered “temporary disabilities.” According to experts, the best option for anyone, whether or not their immune system is weakened, is to get vaccinated and recommend vaccination to everyone else. I’m thinking about myself, but the more people who can get the vaccine, the more we can protect young children and those who can’t get the vaccine because of medical reasons, “Drees said. .. “We are all together and will not get out of the pandemic and return to normal until we actually get a much higher immunization rate.”

Although vaccination has lifted many pandemic restrictions, millions of people with immune system depression may not have much protection from the COVID-19 vaccine, making their lives better. It’s getting harder.

On Thursday, the Centers for Disease Control and Prevention’s Immunization Implementation Advisory Committee (ACIP) gave a third injection to protect immunocompromised people from COVID-19 because the vaccine may not work well. Discuss whether it is necessary.

Until then, people with weak immunity need to understand how to return to face-to-face work and other activities, but information is limited.

“We certainly have some questions about this,” said Dr. Laura Makarov, senior vice president of prevention and early detection of the American Cancer Society.

COVID-19 vaccines work well and for most people they provide important protection against death and hospitalization. However, there are no 100% defensive vaccines, and although relatively rare, there are breakthrough cases.

It is not always clear how much protection a vaccine provides for people with weak immunity. These people are also more vulnerable to severe COVID-19 and more vulnerable to long-term infections. That is, they are also more likely to infect their families with the virus.

Makarov said there is ongoing debate in the cancer community about boosters.Study from Johns Hopkins Researcher Last month, it was suggested that additional shots might help raise antibody levels in another immunodeficient group: organ transplant recipients who did not respond completely at the original dose. Some patients have reported taking extra shots themselves, but so far this is not what the CDC recommends.

“Unfortunately, it is difficult to provide specific guidance,” said Dr. Marci Lynn Dreams, Chief Infection Prevention Officer and Hospital Epidemiology Officer at Christiana Care and ACIP Liaison Officer of the American Medical Epidemiology Association. I will. “There is also no really good commercial reliable test to say if they responded to the vaccine just because we know that they may not respond to the vaccine at all, so it’s a bit It ’s a little guesswork. ”

There are tests to see if people have produced antibodies after vaccination, and some doctors have provided them, CDC is not recommended It.

“Technically, there’s an antibody test for peplomer proteins. The problem is that you don’t really know what level is protected,” said UH Rainbow Baby’s and Children’s Hospital Associate Medical Director for Pediatric Infection Control. One Dr. Amy Edwards said. Cleveland.

“Now, if your antibody is completely negative, you probably didn’t respond to the vaccine, but believe it or not, the antibody isn’t everything. Your T cell response also plays a big role. We know that we are doing viral immunity, “Edwards added.

“Therefore, there is concern that someone will get a negative antibody response and think they are not protected, or conversely, they may have antibodies, but their T cells. Doesn’t work very well and they have the false belief that they are protected, “Edward said.

For now, groups such as the American Cancer Society Advise people Weaken the immune system due to cancer or its treatment, even vaccination, stick to familiar pandemic public health measures.

CDC Same recommendations For a particular immunodeficient group on Friday.The· Included group People who are organ transplant recipients, who are receiving chemotherapy for cancer, who have certain blood cancers, who are on dialysis, or who are taking medications that suppress the immune system.

According to Makarov, they all need to wear masks in the crowd, stay socially distant, and pay attention to hand hygiene.

The CDC also recommended avoiding crowds and poorly ventilated indoor spaces.

Amber Clayton, who runs the HR Knowledge Center at the Society for Human Resource Management, said that some people with weakened immunity may be considered disabled under the Americans with Disabilities Act. It was. They may be able to get what is known as a reasonable accommodation. This includes working from home, shifting shifts, and moving office space away from others, even if others are expected to return full-time. “Then they won’t be exposed,” Clayton said.

If someone is not protected by the Disability Act, the employer may have a policy of providing reasonable accommodation to an individual who is considered a “temporary disability.”

“Everyone will have to evaluate their situation and decide what is the best option,” Clayton said.

And, according to experts, the best option for everyone, whether immunocompromised or not, is to get vaccinated and encourage everyone else to get vaccinated.

“I know everyone is thinking about themselves, but the more people who can get vaccinated, the younger children and those who can’t get vaccinated because of medical reasons. You can protect it, “Drees said. “We are all together and will not get out of the pandemic and return to normal until we actually get a much higher immunization rate.”

Here are the precautions people with suppressed immune systems should take before returning to work Source link Here are the precautions people with suppressed immune systems should take before returning to work

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