Tribune. In a decision of December 17, 2020, the High Authority for Health (HAS) provided for the vaccination of subpopulations who were not elderly but were particularly vulnerable and exposed to SARS-CoV-2 very early in the countryside. Dialysis and kidney transplant patients are directly cited.
This prioritization, which Renaloo demanded, is absolutely necessary, since the risk of death from Covid-19 for these patients is of the order of 15%, equivalent to that of residents of residential establishments for dependent elderly people (Ehpad) , although it very often concerns much younger people.
The vaccination campaign began in France on December 23, 2020. To date, the vaccination of these “ultra-priority” patients has not, outside of the HAS, been the subject of any institutional information. It does not appear in the official vaccination schedule. It just wasn’t organized.
Awaiting “government instructions”
The compulsory presence three times a week of dialysis patients in the centers would facilitate the administration of the vaccine. On the other hand, kidney transplant teams follow at least one, and often even several thousand kidney transplant patients, and are faced with the great difficulty of carrying out their vaccination within a timeframe compatible with the urgency it implies.
In the field, patients testify. Some are said to be still waiting for government instructions to vaccinate them.
Others are sent directly to vaccination centers, where they obviously face refusals, since only professionals over 50 and over 75 are currently priority.
Some teams are already planning to limit vaccination to only a part of their patients: those who will be lucky enough to have a scheduled consultation in the next few weeks, the oldest – whereas, de facto, the most 75-year-olds will access vaccination centers in a few days, closely followed by those over 65 – or even the happy few, selected to participate in clinical studies.
Avoidable death and sequelae
All the others will be left without solution, referred at a later date or to their general practitioner, who is obviously not in a position to answer them.
Some turn in desperation to the information services of Medicare, which quickly confirms to them that“They are not priority”.
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