People with Trisomy 21, those who had a organ transplant and the kidney patients on dialysis must be a priority for vaccination against Covid-19 regardless of their age, the High Health Authority recommended on Tuesday. Until now, these pathologies were considered a priority criterion, but only in the elderly.
In addition, the HAS has added new pathologies (or “comorbidities”) to the list of those which give rise to priority vaccination according to age groups: psychiatric disorders, dementia, chronic liver disease (especially cirrhosis), and history of stroke (stroke). They join in this list obesity, cancers, COPD (respiratory disease) and respiratory failure, heart failure and “complicated arterial hypertension”.
- “Age is the predominant factor in the occurrence of severe forms and deaths linked to Covid-19”, recalls the HAS in an opinion issued on Tuesday. But “if age plays a major role, the presence of certain comorbidities is also a risk factor for serious forms and death “, she emphasizes.
In addition to the formally listed comorbidities and regardless of age, the HAS recommends giving priority for vaccination to “people considered particularly vulnerable by their doctor and presenting rare and serious pre-existing conditions or serious disabilities predisposing them to a particularly increased risk of dying” du Covid (severe immune deficiencies, malignant hemopathies, rare diseases …).
Finally, she emphasizes “special attention” which must be worn by people suffering from several of these pathologies, “who are among the people to be vaccinated as a priority”. “Indeed, studies show that the combination of three comorbidities brings almost the same level of risk of dying” only if you are in the upper age group but without pathology.
The HAS relied on two French studies to quantify the risk of dying from Covid in hospital according to one’s age. This is the Epi-Phare study (conducted by the Health Insurance and the ANSM drug agency), and a study carried out by the Bordeaux medical information department. They confirm that the risk increases with age. Thus, 50-64 year olds have “3 times more risk of dying” of Covid than 18–49 year olds. This risk rises to 7 times more for 65–74 year olds, 10 times more for 75–80 year olds and 16 times more over 80 years.