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Information and public services for the Island of Jersey

L'înformâtion et les sèrvices publyis pouor I'Île dé Jèrri

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Clinically extremely vulnerable or at risk from coronavirus

Vaccination

You can book a vaccination appointment if you're:

You must bring your letter from the vaccination team to your appointment if you're clinically at risk or clinically extremely vulnerable.

Book your vaccination appointment

Symptoms

Islanders at higher risk should strictly avoid contact with someone who is displaying coronavirus symptoms.

If you develop symptoms you and your household should isolate immediately and phone the coronavirus helpline on 0800 735 5566.

It is also vital to continue to carefully follow all other public health guidance available on coronavirus symptoms and how to protect yourself and others.

Clinically extremely vulnerable (high risk/ severely vulnerable)

If you are in one of the categories below, you should have received a letter from your GP or specialist doctor explaining that you are considered at high risk of severe illness as a result of COVID-19 and more likely to need hospital treatment if you're infected. If after looking at this list, you feel you fall within the high risk category, but have not received a letter, contact your local GP surgery and ask for further advice.

Factors that mean someone is at high risk (severely vulnerable) are:

  • solid organ transplant recipients
  • people with specific cancers or receiving certain cancer treatments:
  • people with cancer who are undergoing active chemotherapy
  • people with lung cancer who are undergoing radical radiotherapy
  • people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
  • people having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
  • people having immunotherapy or other continuing antibody treatments for cancer
  • 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 chronic obstructive pulmonary disease (COPD)
  • people with rare diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (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
  • adults with Down's Syndrome
  • adults with kidney dialysis or stage 5 kidney disease

Clinically at risk (moderate risk/vulnerable)

For people of older ages, and for people with certain medical conditions, there are additional risks if you become infected with COVID-19. Factors that put someone in the moderate risk (vulnerable) category include:

  • people with less severe respiratory conditions, including: Individuals with a severe lung conditions, including those with asthma that requires continuous or repeated use of systemic steroids or with previous exacerbations requiring hospital admission, and chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary dysplasia (BPD). 
  • people with chronic heart disease, such as heart failure, including: Congenital heart disease, hypertension with cardiac complications, chronic heart failure, individuals requiring regular medication and/or follow-up for ischaemic heart disease. This includes individuals with atrial fibrillation, peripheral vascular disease or a history of venous thromboembolism. 
  • people with chronic kidney disease, such as kidney failure (stage 3 or 4)
  • people with chronic liver disease, such as hepatitis, Cirrhosis and biliary atresia
  • stroke, transient ischemic attack (TIA). Conditions in which respiratory function may be compromised due to neurological disease (e.g. polio syndrome sufferers). This includes individuals with cerebral palsy, severe or profound learning disabilities, multiple sclerosis, epilepsy, dementia, Parkinson’s disease, motor neurone disease and related or similar conditions; or hereditary and degenerative disease of the nervous system or muscles; or severe neurological disability.
  • any diabetes, including diet-controlled diabetes
  • HIV infection at all stages
  • anyone with a history of haematological malignancy, including leukaemia, lymphoma, and myeloma and those with systemic lupus erythematosus and rheumatoid arthritis, and psoriasis who may require long term immunosuppressive treatments
  • individuals being treated with systemic steroids for more than a month 
  • individuals who are receiving immunosuppressive or immunomodulating biological therapy including: but not limited to, anti-TNF, alemtuzumab, ofatumumab, rituximab, patients receiving protein kinase inhibitors or PARP inhibitors, and individuals treated with steroid sparing agents such as cyclophosphamide and mycophenolate mofetil.
  • all bone marrow or stem cell transplant recipients
  • people with problems with their spleen, for example, if you have sickle cell disease or have had your spleen removed dysfunction of the spleen: This also includes conditions that may lead to splenic dysfunction, such as homozygous sickle cell disease, thalassemia major and coeliac syndrome
  • people who are seriously overweight (a body mass index (BMI) of 40 or above)
  • severe mental illness: Individuals with schizophrenia or bipolar disorder, or any mental illness that causes severe functional impairment.
  • adult carers: Those who are in receipt of a carer’s allowance, or those who are the main carer of an elderly or disabled person whose welfare may be at risk if the carer falls ill.
  • younger adults in long-stay nursing and residential care settings 

The way people are affected by the virus varies largely across different individuals. In terms of age, the impact will likely be most linked to level of frailty, strength of immunity and the presence of underlying conditions and ill-health, rather than a person's exact age as a number alone. Individuals should see the risk as higher the older they are, but also be aware that this can vary from person to person.

Higher and lower risk activities

The below guidance sets out the principles that determine whether an activity is higher or lower risk. These principles also apply to children and young people who are at higher risk.

​Higher risk activity ​Lower risk activity
​Activities with people you don't live with are higher risk. The larger the number of different people you encounter and spend time with, the higher the risk. Larger gatherings and events are higher risk.
​Activities done on your own or with people you live with are lower risk. If you're going to spend time with people you don't live with, the smaller the number of people, the lower the risk.
​Activities where you may be less able to follow physical distancing guidance are higher risk.

This becomes higher risk still if the time spent not following physical distancing guidance is longer than 15 minutes.

​Activities where you can follow physical distancing guidelines are lower risk.

If you can't follow physical distancing guidance, the risk is lowered if the time spent not physically distancing is limited to less than 15 minutes.

​Not wearing a face mask increases risk, especially when you can't follow physical distancing.
​Wearing a face mask reduces risk, especially when you can't follow physical distancing.
​Activities that are indoors are higher risk. ​Activities that are outdoors are lower risk.
​Activities associated with increased production of respiratory droplets, such as singing, shouting, coughing or breathing heavily are higher risk, when done amongst a group of people.​Activities associated with less respiratory droplet production, such as normal speech, are lower risk.
​Activities where you will have to touch surfaces or items that people you don't live with have also touched, are higher risk.

This risk is lowered when you follow good hand hygiene guidance such as washing your hands frequently with soap and water for 20 seconds or using hand sanitiser (with 60 to 70% alcohol content).

​Activities where you won't have to touch surfaces or items that people you don't live with have also touched, are lower risk.

Following good hand hygiene guidance, such as washing your hands frequently with soap and water for 20 seconds, or using hand sanitiser (with 60 to 70% alcohol content) further lowers risk.

Activity guidance

The below outlines guidance on specific activities to assist Islanders at higher risk.

​Activity
Islanders at high risk​​Islanders at moderate risk

Education and Children

Children and young people who are at high risk and their parents/guardians are advised to seek advice from their specialist doctor or care provider on whether they should attend school currently. Physical distancing and all other public health information and advice, where children are able to understand and follow this

 

Children and young people who are at moderate risk are encouraged to remain in school currently. They should strictly adhere to public health guidance including physical distancing and other public health information and advice, where they are able to understand and follow this.

If parents, guardians, or a child or young person themselves, feel that attending school is not right for them, they should speak to their specialist doctor or care provider for further advice.

Business and work

 

Islanders at high risk should undertake work from home where this is possible.

If you are at high risk, going out to work is not currently recommended, unless for example, you work alone and do not need to take public transport to travel to your workplace.

Islanders at moderate risk should undertake work from home where this is possible.

If you are at moderate risk and home working is not possible, it's advised that you continue to work where it has been agreed with your employer that this can be done safely, and public health information and advice can be followed.

Shopping, dining out and leisure

Islanders at high risk are advised to avoid indoor activities outside of their home. However, decisions are personal and the benefits of different activities should be weighed against the risk by each individual.

If you are at high risk, outdoor activities with those you live with, for example going for a walk on the beach, or meeting outdoors with a small group of friends or family, is lower risk, and will help you stay connected.

Connect Me offers support for mental and emotional health and advice on how to stay connected and active from inside your home, if you prefer not to go out.

Connect Me can also help with practical needs such as organising for shopping or other essentials to be delivered, or advising you on available financial support.

If you do go out shopping you should carefully follow key public health information and advice. You may wish to do so when shops are quieter, or only go to those shops where you feel confident that you can easily follow physical distancing guidance.

Islanders at moderate risk can undertake both outdoor and indoor activities outside their homes, but are advised to carefully follow key public health information and advice, particularly when undertaking indoor activities. If you are at moderate risk, it is strongly advised that you only take part in activities you are confident can be carried out while following this guidance.

You may choose to only go shopping, to a restaurant, or a hairdresser, where you are confident there is strict physical distancing and public health measures in place. You may also choose to do these activities less often where possible.

You may choose to make adjustments to your routine such as going shopping at quieter times.

Physical distancing

If you are at high or moderate risk, you should carefully physically distance from those you do not live with, keeping 2 metres from others where this is possible. 

You may choose to have a small number of family or friends who you do not maintain physical distancing with. However, it's strongly advised to keep the number of people you have physical contact with low.

Travel

It is recommended that Islanders at high and moderate risk avoid public transport unless it is essential, as it may be harder to maintain physical distancing and avoid touching surfaces that people you do not live with have also touched.

Car-sharing in private vehicles is discouraged unless it is with people you live with.

You are encouraged to make careful decisions about off-island travel, balancing the need to visit friends and relatives, with the risks of travel to places where there is increased viral activity. General medical advice may be needed depending on your medical condition and appropriate travel insurance should be secured.

Visitors and carers in your home

If you are at high or moderate risk, you are advised to avoid mixing indoors with individuals from outside your household. This includes limiting visits to other people’s homes, and limiting having visitors into your own home, unless it is for delivering care or other essential services. However, if you choose to mix indoors with individuals from outside your household, this should be limited to a small, consistent number of family members and friends.

Any visitors should be careful to follow public health information and advice, such as washing their hands when they enter your home, and should stay away if they have any symptoms of COVID-19. It’s also recommended that visitors wear a mask when inside your home. 

Gatherings

Those at high and moderate risk should try and keep the number of people they socialise with to smaller numbers and avoid situations where they will not be able to follow physical distancing guidelines. Gatherings with larger groups of people and those that are indoors should be avoided.

Health and dental care

Islanders at high and moderate risk should attend any medical appointments they have and seek medical advice and support where needed, whether this is COVID-19 related or not. Those at higher risk should not avoid seeking treatment because of COVID-19.


Higher risk guidance for print English

Higher risk guidance for print Polish

Higher risk guidance for print Portuguese

Children and young people higher risk guidance 

Support and resources

It is normal to feel anxious, worried, or find you need extra support with your mental health and wellbeing while we are still living with COVID-19, especially if you need to take additional measures to protect yourself.

There is support available to you through ‘Connect Me’ for ideas on how stay connected and active during this time, as well as support with your mental and emotional wellbeing, family concerns, or practical needs around having shopping delivered, or financial support.

To find out what support is available you can:

  • visit the Connect Me webpage
  • phone the coronavirus helpline and ask for 'Connect Me'
  • call your Parish Hall and ask about 'Connect Me'

COVID-19 for patients on the Primary Care Body website

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