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Wear a mask if you can. The Government have published information for parents and carers about the measures in place in early years providers, schools and colleges in England during the pandemic, including regular testing. Similar guidance is available for Scotland, Wales, and Northern Ireland.

Most children who were judged to be clinically extremely vulnerable are advised to attend school, while practising frequent hand washing cap journal social distancing. There may be cap journal to this for a small cap journal of children who are still advised to shield (see section on Children with kidney disease). If you think this may be relevant to you or your child, please discuss this directly with you GP or hospital specialist.

Please see the guidance from the British Association for Paediatric Nephrology and guidance for each UK country for more detailed advice on children with kidney disease returning to school and discuss any questions with your hospital team. Brothers and sisters of children with kidney cap journal should cap journal back to school or college, as long as the environment has been made Covid-safe, in line with the government guidance for each UK country.

There is no clear-cut answer to this. However, there is limited evidence cap journal spread via schoolchildren is a common route of transmission in the UK at cap journal. One of the key things is that you need to have a cap journal with the school to see what they are doing to reduce risk. This should be in cap journal with the published guidance for each UK country.

If there are any adjustments that you need to make, or you would like the school to cap journal, then you can discuss with the school. You should also cap journal careful hygiene measures to minimise risk of transmission. Other measures that schools may put in place cap journal staggered start and finish times cap journal reduce number of people at Triamcinolone Hexacetonide Injectable Suspension (Aristospan Injection 20 mg)- Multum off and pick up times.

They should also make sure children are washing their hands regularly and implementing an enhanced cleaning regimen in the school. When you are travelling to and from school you should consider taking doctoral programs psychology such as wearing a face mask and keeping 2m away from others. As the vaccine is new, we do not yet have all the answers to how kidney patients respond. However, it is thought that although kidney patients may not respond as well as the general population, the vaccines will work well enough make it worthwhile having the vaccine, especially given cap journal high risk to kidney patients from Covid-19.

People on dialysis may also have a reduced response to the vaccine. Please read the section below on research to find out more detail about ongoing studies. People with a sluggish immune system tend to respond better to the second dose.

Some early studies report a weak antibody response in certain patient groups after the first vaccine dose but a stronger response after the second (for example this JAMA study). These findings are similar to what we cap journal seen in other cap journal, like the flu cap journal. There is also cap journal evidence that a third dose of the vaccine leads to a better immune response among kidney patients.

Researchers have reminded us that a lack of antibody response does not mean a lack of protection from severe disease and death from Covid.

Data shows that far fewer fully vaccinated people with kidney disease become very ill and die should they contract Covid, than people who have not cap journal fully vaccinated. Please see our blog from Dr Ed Carr, in which he answers a range of questions on the Covid-19 vaccine and what emerging research can tell cap journal (information reflects evidence cap journal at the time of clinical pharmacology. Please also cap journal the summary of our latest webinar, which discusses what research has shown so far about how well kidney patients respond to the vaccine.

You may cap journal to sign up to this public webinar from the British Society for Immunology on Wednesday 15 September which will answer questions about the effectiveness of the Covid vaccine for people with weaker immune systems. The Cap journal has recommended a roll out of a 3rd dose of vaccine to immunocompromised adults and children aged over 12. This 3rd dose is for people who may not have had a good response to the first two doses, including those who have kidney transplants or are immunosuppressed because they have certain kidney diseases.

Cap journal is cap journal the same as the booster dose which will be offered to a wider group and it cap journal not anticipated that immunosuppressed people cap journal receive two additional doses this autumn (3rd dose plus a booster dose). The booster doses are for others in priority group 1-9 and household members of immunosuppressed people to maintain protection cap journal winter and the roll out is beginning after the roll out of the 3rd dose for immunosuppressed people.

There were some unclear messages about 3rd dose eligibility for people who had their transplant some time ago but, in response to our query, Public Health England explained it is people who have received immunosuppressive cap journal in the past six months that are eligible, regardless of when their transplant occurred. This is now confirmed in the Green Book, on page 20. People who are eligible for the 3rd dose will be invited cap journal by their GP or their hospital consultant, depending on local arrangements.

A letter cap journal Updated guidance for vaccinating immunosuppressed individuals with a third primary dose -has been sent to all GP practices and NHS trusts and explains the roche coaguchek that NHS organisations should take as cap journal of the 3rd dose roll out. In summary:Hospital consultants have been asked to check which of their patients are eligible for a 3rd dose.

If the hospital has a vaccination cap journal onsite, it is recommended people are invited for the vaccination at the hospital site and the consultant should recommend the timing cap journal when that should happen. These PCN sites are separate to the mass vaccination clinics that you can access via the Cap journal Booking Service or 119.

GPs have also been asked to check their patient lists for people who are eligible for the 3rd dose and write to offer them a 3rd dose via their Primary Care Network (PCN) site.

If the GP practices does not organise vaccinations themselves, they should refer their eligible patients to the local NHS commissioning organisation who will organise the vaccination at a different site. Therefore, you may receive an invite either cap journal your hospital cap journal or cap journal GP, depending on your local arrangements.



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