The Welsh government issued guidance shielding early on in the pandemic. Over 70,000 people in Wales were contacted and advised about shielding and protecting themselves. This guidance is for people, including children, who are at very high risk of severe illness from coronavirus (COVID-19) because of an underlying health condition, and for their family, friends and carers. This guidance will apply to individuals in our homes.
The extremely vulnerable referred to in this guidance include:
People falling into this extremely vulnerable group include:
Solid organ transplant recipients
People with specific cancers:· people with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
· people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
· people having immunotherapy or other continuing antibody treatments for cancer
· people having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
· people who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs
People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD.
People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell).
People on immunosuppression therapies sufficient to significantly increase risk of infection.
Women who are pregnant with significant heart disease, congenital or acquired.
Shielding is for your personal protection, it is your choice to decide whether to follow the measures we advise. Individuals who have been given a prognosis of less than 6 months to live, and some others in special circumstances, could decide not to undertake shielding. This will be a deeply personal decision. We advise calling your GP or specialist to discuss this.
If you think you fall into one of the categories of extremely vulnerable people listed above and you have not received a letter by Sunday 29 March 2020 or been contacted by your GP, you should discuss your concerns with your GP or hospital clinician.
We understand this is an anxious time and people considered extremely vulnerable will understandably have questions and concerns. Plans are being readied to make sure you can rely on a wide range of help and support.
Those at increased risk of severe illness from coronavirus should be particularly stringent in following social distancing measures. It is important to understand what social distancing is and how important it is. Social distancing.
This group includes those who are:
aged 70 or older (regardless of medical conditions)
under 70 with an underlying health condition listed below (i.e. anyone instructed to get a flu jab as an adult each year on medical grounds):
-chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
-chronic heart disease, such as heart failure
-chronic kidney disease
-chronic liver disease, such as hepatitis
-chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
-problems with your spleen – for example, sickle cell disease or if you have had your spleen removed
-a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets or chemotherapy
-being seriously overweight (a BMI of 40 or above)
those who are pregnant
avoid close contact with people who have symptoms of coronavirus
Avoid contact with people who have symptoms of coronavirus
Any staff in this category may be furloughed if they are given a letter identifying them as being in this vulnerable group.
Your no longer attend social activities, such as going to pubs, restaurants, theatres and cinemas, cafes as the government has ordered them to close.
Avoid events with large groups of people