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dc.contributor.authorHealth Information and Quality Authority (HIQA)
dc.date.accessioned2020-08-05T14:24:43Z
dc.date.available2020-06-15T13:53:52Z
dc.date.available2020-06-17T14:48:32Z
dc.date.available2020-07-27T11:10:54Z
dc.date.available2020-07-27T11:16:47Z
dc.date.available2020-07-31T10:43:20Z
dc.date.available2020-08-05T14:24:43Z
dc.date.issued2020-07-29
dc.identifier.urihttp://hdl.handle.net/10147/627797
dc.descriptionIreland, protective measures are being taken to protect vulnerable groups who may be at risk of severe illness from coronavirus disease (COVID-19), in particular extremely medically vulnerable groups. On 27 March, the Health Protection Surveillance Centre (HPSC) issued guidance on ‘cocooning’ for these groups, which is a practice used to protect or shield those who may suffer the most from coming into contact with the virus.(1) The extremely medically vulnerable groups, defined by the HPSC in Ireland, include: • People aged ≥ 70 years • Solid organ transplant recipients • People with specific cancers: o people with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer o people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment o people having immunotherapy or other continuing antibody treatments for cancer o people having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors o 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 cystic fibrosis, severe asthma, pulmonary fibrosis/ lung fibrosis/ interstitial lung disease and severe COPD • People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as 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. On 27 March, the specific advice given to these groups was to stay at home at all times and avoid any face-to-face contact with others. It was announced on 1 May that those cocooning could go outside for a walk, provided they followed strict physical distancing and hygiene guidelines. However, avoidance of shops is still recommended. This was outlined in guidance by the HPSC and includes meeting people in groups of up to four people outdoors.(2) On 5 June, as restrictions were eased for the general population, the advice for those cocooning was updated to include more activities outside the home. These now include measures aimed at minimising the risk of acquiring COVID-19 infection, such as leaving the home to go for a drive, visiting shops and public services, when receiving visitors, and for members of the public supporting those who are cocooning when they are outside their home (see Table 1 for all measures). Similar measures have been implemented in other settings to protect vulnerable groups. We undertook a rapid review of public health guidance on COVID-19, to summarise the range of advice and recommendations that have been issued to protect vulnerable groups who may be at risk of severe illness from the virus.en_US
dc.language.isoenen_US
dc.publisherHealth Information and Quality Authority (HIQA)en_US
dc.subjectCOVID-19en_US
dc.subjectCORONAVIRUSen_US
dc.subjectVULNERABLE ADULTSen_US
dc.subjectSELF-ISOLATIONen_US
dc.subjectCOCOONINGen_US
dc.titleRapid review of public health guidance on protective measures for vulnerable groups in the context of COVID-19 [v28.0]en_US
dc.typeReporten_US
dc.typeOtheren_US
dc.language.rfc3066English
refterms.dateFOA2020-06-15T13:53:53Z


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