{"id":49830,"date":"2021-03-15T17:47:02","date_gmt":"2021-03-15T16:47:02","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=49830"},"modified":"2021-03-19T15:54:48","modified_gmt":"2021-03-19T14:54:48","slug":"nick-hopkinson-covid-19-vaccination-people-with-asthma-deserve-basic-respect","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/15\/nick-hopkinson-covid-19-vaccination-people-with-asthma-deserve-basic-respect\/","title":{"rendered":"Nick Hopkinson: Covid-19 vaccination\u2014people with asthma deserve basic respect\u00a0"},"content":{"rendered":"<p><i><span style=\"font-weight: 400\">\u201cWhy have asthma sufferers been removed from vaccination priority group six? Are we not at risk of suffering more severe illnesses from covid? Why do we get the flu jab but not a covid jab?\u201d<\/span><\/i><\/p>\n<p><i><span style=\"font-weight: 400\">Boris Johnson \u201cI think that there\u2019s a bit of a misunderstanding. I think people have got the idea that people with asthma, with severe asthma are not being vaccinated. That\u2019s not right. Anybody who is clinically vulnerable for any reason, including the asthmatic, are in the priority groups.\u201d [<\/span><\/i><a href=\"https:\/\/twitter.com\/10DowningStreet\/status\/1370311146545278977?s=20\"><i><span style=\"font-weight: 400\">Friday 12<\/span><\/i><i><span style=\"font-weight: 400\">th<\/span><\/i><i><span style=\"font-weight: 400\"> March<\/span><\/i><\/a><i><span style=\"font-weight: 400\">]<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400\">This exchange played out on Twitter last week. In fact, the question from a person with asthma was reasonable and factually based. Johnson may not be on top of the details of vaccine policy, but treating it with more respect might have produced a more helpful response. Why did the Prime Minister think the person was asking it? Disappointingly, 48 hours and a flurry of responses later, this exchange is still on the Number 10 <\/span><a href=\"https:\/\/twitter.com\/10DowningStreet\/status\/1370311146545278977?s=20\"><span style=\"font-weight: 400\">Twitter feed<\/span><\/a><span style=\"font-weight: 400\"> without correction.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Since early in the pandemic it has been clear that some medical conditions increase an individual\u2019s risk from covid-19. Respiratory viruses are known to trigger asthma attacks and it was reasonable to think that the disease would be a risk factor. Those defined as having severe asthma were included on the list of people who were \u201cclinically extremely vulnerable\u201d and offered support to \u201cshield.\u201d Other people with less severe asthma were defined as \u201cclinically vulnerable\u201d and have lived and experienced the last year accordingly.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">With covid vaccine rollout, the <\/span><a href=\"https:\/\/www.gov.uk\/government\/publications\/covid-19-the-green-book-chapter-14a\"><span style=\"font-weight: 400\">JCVI<\/span><\/a><span style=\"font-weight: 400\"> has focussed on vaccinating healthcare workers and those groups identified as being at greatest risk of death\u2014care home residents, the clinically extremely vulnerable, and older people with the aim of vaccinating all over 50s and vulnerable groups by May.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Given prior announcements and based on who is advised to receive an annual flu jab, the expectation was that people with asthma would be included in the clinically vulnerable band 6 vaccination wave. The announcement on 14<\/span><span style=\"font-weight: 400\">\u00a0February that this would still only be available to a group with <\/span><a href=\"https:\/\/www.england.nhs.uk\/2021\/02\/nhs-offers-covid-jab-to-clinically-vulnerable-and-people-65-to-69\/\"><span style=\"font-weight: 400\">more severe asthma\u2014<\/span><\/a><span style=\"font-weight: 400\">those with asthma that requires continuous or repeated use of systemic steroids, or with a previous exacerbation requiring hospital admission\u2014came as a shock to many. There was an outpouring of complaint against the charity <\/span><a href=\"https:\/\/www.asthma.org.uk\/\"><span style=\"font-weight: 400\">Asthma UK<\/span><\/a><span style=\"font-weight: 400\"> who were simply reporting the policy change, not making it.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The basis for JCVI\u2019s decision includes a judgment that the available population data do not show an increased risk of death from covid-19 except among those with severe disease. There may also be pragmatic considerations about speed and simplicity in the rollout process.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">This reduction in the assessed risk ought to have been good news story for people with the condition. Instead, poor communication and the breakdown in trust in government since the <\/span><a href=\"https:\/\/www.ucl.ac.uk\/news\/2020\/aug\/cummings-effect-led-loss-confidence-uk-government\"><span style=\"font-weight: 400\">Cummings affair<\/span><\/a><span style=\"font-weight: 400\">, coupled to a lack of basic respect in addressing the issue, has led many people with asthma to be frustrated, scared, and angry. They deserve better.<\/span><\/p>\n<p><b><i>Nicholas S Hopkinson<\/i><\/b><i>, reader in respiratory medicine, National Heart and Lung Institute, Imperial College, London, medical director of the British Lung Foundation and Chair of ASH. <\/i><a href=\"https:\/\/twitter.com\/COPDdoc\" target=\"_blank\" rel=\"noopener noreferrer\">@COPDdoc<\/a><\/p>\n<p><em><strong>Competing interests<\/strong>: none declared.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cWhy have asthma sufferers been removed from vaccination priority group six? Are we not at risk of suffering more severe illnesses from covid? Why do we get the flu jab [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/15\/nick-hopkinson-covid-19-vaccination-people-with-asthma-deserve-basic-respect\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":49831,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18889],"tags":[],"class_list":["post-49830","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nick-hopkinson"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nick Hopkinson: Covid-19 vaccination\u2014people with asthma deserve basic respect\u00a0 - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/15\/nick-hopkinson-covid-19-vaccination-people-with-asthma-deserve-basic-respect\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nick Hopkinson: Covid-19 vaccination\u2014people with asthma deserve basic respect\u00a0 - The BMJ\" \/>\n<meta property=\"og:description\" content=\"\u201cWhy have asthma sufferers been removed from vaccination priority group six? 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