Tag: UK Health Security Agency

  • PRESS RELEASE : Back to school advice issued amid high levels of flu, COVID-19 and scarlet fever [January 2023]

    PRESS RELEASE : Back to school advice issued amid high levels of flu, COVID-19 and scarlet fever [January 2023]

    The press release issued by the UK Health Security Agency on 2 January 2023.

    Following simple steps can help protect children, minimise the spread of illness in education and childcare settings and protect wider communities.

    Flu and coronavirus (COVID-19) are currently circulating at high levels and are likely to continue to increase in coming weeks. High numbers of scarlet fever, which is caused by group A streptococcus, also continue to be reported.

    Professor Susan Hopkins, Chief Medical Adviser at the UK Health Security Agency (UKHSA), said:

    It’s important to minimise the spread of infection in schools and other education and childcare settings as much as possible. If your child is unwell and has a fever, they should stay home from school or nursery until they feel better and the fever has resolved.

    Helping children to learn about the importance of good hand hygiene is also key, so practice regular handwashing at home with soap and warm water. Catching coughs and sneezes in tissues then binning them is another simple way to help stop illness from spreading.

    Adults should also try to stay home when unwell and if you do have to go out, wear a face covering. When unwell don’t visit healthcare settings or visit vulnerable people unless urgent.

    Remember that flu vaccination is still available for all eligible groups and is the best protection against the virus. We have seen good uptake in older age groups but vaccination among young children remains low. Flu can be very unpleasant and in some cases can lead to more serious illness. Getting your child vaccinated protects them and others they come into contact with, and it’s still not too late.

    Eligible children include:

    • those aged 2 and 3 on 31 August 2022
    • all primary school-aged children
    • some secondary school-aged children

    You can get more information getting your child vaccinated against flu on NHS.UK.

  • PRESS RELEASE : UKHSA update on scarlet fever and invasive group A strep [December 2022]

    PRESS RELEASE : UKHSA update on scarlet fever and invasive group A strep [December 2022]

    The press release issued by the UK Health Security Agency on 8 December 2022.

    Latest update

    The latest data from the UK Health Security Agency (UKHSA) continue to indicate that there is an out of season increase in scarlet fever and group A strep infections. Cases usually show steepest rises in the new year, but have increased sharply in recent weeks.

    So far this season (from 12 September to 4 December) there have been 6,601 notifications of scarlet fever. This compares to a total of 2,538 at the same point in the year during the last comparably high season in 2017 to 2018.

    In very rare occasions, the bacteria causing scarlet fever, group A streptococcus (GAS) can get into the bloodstream and cause an illness called invasive group A strep (iGAS), which can be very serious, particularly in older, younger and more vulnerable groups. iGAS cases across all age groups are slightly higher than expected at this time of year. The latest data continues to highlight a higher proportion of iGAS cases in children than we would normally see. However, iGAS remains uncommon.

    So far this season, there have been 85 iGAS cases in children aged 1 to 4 compared to 194 cases in that age group across the whole of the last comparably high season in 2017 to 2018. There have been 60 cases in children aged 5 to 9 compared to 117 across the whole of the last comparably high season in 2017 to 2018. The majority of cases continue to be in those over 45.

    Sadly, so far this season there have been 60 deaths across all age groups in England. This figure includes 13 children under 18. In the 2017 to 2018 season, there were 355 deaths in total across the season, including 27 deaths in children under 18.

    Cases of GAS usually increase during the winter and the last time significant numbers of cases were reported was in the 2017 to 2018 season. Seasons with high cases can occur every 3 to 4 years but social distancing measures implemented during the coronavirus (COVID-19) pandemic may have interrupted this cycle and explain the current increase being observed.

    Currently, there is no evidence that a new strain of GAS is circulating or any increase in antibiotic resistance. Antibiotics are the best treatment and work well against the circulating strains. The increase is likely to reflect increased susceptibility to these infections in children due to low numbers of cases during the pandemic, along with current circulation of respiratory viruses, which may increase the chances of children becoming seriously unwell. However, investigations are under way to understand if there are other factors that could be contributing to the increase this season and to better understand who is currently most affected.

    Dr Colin Brown, Deputy Director, UKHSA, said:

    Scarlet fever and ‘strep throat’ are common childhood illnesses that can be treated easily with antibiotics. Please visit NHS.UK, contact 111 online or your GP surgery if your child has symptoms of this infection so they can be assessed for treatment.

    Very rarely, the bacteria can get into the bloodstream and cause more serious illness called invasive group A strep. We know that this is concerning for parents, but I want to stress that while we are seeing an increase in cases in children, this remains very uncommon. There are lots of winter bugs circulating that can make your child feel unwell, that mostly aren’t cause for alarm. However, make sure you talk to a health professional if your child is getting worse after a bout of scarlet fever, a sore throat or respiratory infection – look out for signs such as a fever that won’t go down, dehydration, extreme tiredness and difficulty breathing.

    Good hand and respiratory hygiene are important for stopping the spread of many bugs. By teaching your child how to wash their hands properly with soap for 20 seconds, using a tissue to catch coughs and sneezes, and keeping away from others when feeling unwell, they will be able to reduce the risk of picking up or spreading infections.

    There are lots of viruses that cause sore throats, colds and coughs circulating. These should resolve without medical intervention. However, children can on occasion develop a bacterial infection on top of a virus and that can make them more unwell. As a parent, if you feel that your child seems seriously unwell, you should trust your own judgement.

    Call 999 or go to A&E if:

    • your child is having difficulty breathing – you may notice grunting noises or their tummy sucking under their ribs
    • there are pauses when your child breathes
    • your child’s skin, tongue or lips are blue
    • your child is floppy and will not wake up or stay awake

    Note: We analyse scarlet fever seasons from week 37 to week 36 the following year. The majority of cases would typically be seen from the beginning of February to April.

  • PRESS RELEASE : UKHSA and BGS publish updated radon map for Great Britain [December 2022]

    PRESS RELEASE : UKHSA and BGS publish updated radon map for Great Britain [December 2022]

    The press release issued by the UK Health Security Agency on 2 December 2022.

    The UK Health Security Agency (UKHSA) and the British Geological Survey (BGS) have published an updated radon potential map for Great Britain.

    The risk of developing lung cancer from exposure to radon remains low and the vast majority of buildings remain outside Affected Areas.

    Individuals and employers are encouraged to check the map to see if a radon test is advised in homes and workplaces in their area.

    The updated radon potential map, produced by UKHSA and BGS, is the first in over 10 years and provides an authoritative analysis of the likelihood of a building being in a radon affected area (an area with higher radon potential).

    Radon is a colourless and odourless gas that is attributed to 1,100 lung cancer deaths per year in the United Kingdom. The risk is highest among smokers and ex-smokers.

    For most people, the risk of developing lung cancer from exposure to radon remains low and levels of radon have not increased across the UK. However, UKHSA advises you to test your home if you live or work in an affected area. There are several methods of reducing high radon levels in buildings.

    The latest update to the map, available to view at UKradon.org, is the product of years of new analysis and research, combining the latest geological mapping with one of the largest databases of in-home measurements ever compiled.

    While the vast majority of buildings remain outside radon Affected Areas, this new map has refined our knowledge of areas where high radon levels are more likely to occur. The overall number of buildings with high radon levels remains the same.

    The radon map allows local councils, national and regional governments, social and private landlords, private homeowners and employers to assess the radon risk in their properties. It is also used in building regulations to inform where radon preventative measures should be incorporated in new buildings.

    Tracy Gooding, principal radiation protection scientist at UKHSA, said:

    While the vast majority of buildings remain outside radon Affected Areas, if the property you own is in a radon affected area, it is important that you arrange for a test. If you live in private or social rented accommodation, speak to your landlord, who should organise a test for you to carry out.

    Employers can use this map to help undertake a suitable and sufficient risk assessment and take appropriate action where necessary.

    The updated map provides information that allows property owners, landlords and employers to make informed decisions on the benefits of undertaking radon measurements and potential remediation work.

    Russell Lawley, principal geologist at BGS, said:

    Radon occurs in all rocks and soils. Using a revised statistical approach to our mapping of geology across Great Britain has enabled us to model where this geo-hazard is more likely to be present in buildings.

    This map is a significant update to the previously published version and will help to raise awareness about this geohazard.

    Guidance for radon Affected Areas can be found at UKradon.org.

    Further information on techniques available to lower elevated levels of radon is also available.

    The map has been updated in England, Wales and Scotland. The map for Northern Ireland, which was last updated in 2015, remains the same as before.

  • PRESS RELEASE : Concern over low rate of 2 to 3 year olds getting the flu vaccine [November 2022]

    PRESS RELEASE : Concern over low rate of 2 to 3 year olds getting the flu vaccine [November 2022]

    The press release issued by the UK Health Security Agency on 30 November 2022.

    Following the latest UK Health Security Agency (UKHSA) data showing the low uptake of the flu vaccine among 2 and 3 year olds and the high rates of under 5s being hospitalised with flu, UKHSA is warning parents of the importance of ensuring their young children are vaccinated.

    During week 46 (between 14 and 20 November), it is estimated that over 200 children under 5 were hospitalised suffering from serious complications caused by flu. These figures are estimated based on confirmed influenza cases in NHS acute hospitals.

    The uptake of the flu vaccine among 2 and 3 year olds (30.9% and 32.9% respectively in week 46) has dropped considerably when compared with the last 2 years, by around 11%.

    Flu is now circulating at higher levels than recent winter seasons and young children are particularly vulnerable and can become seriously unwell. Due to coronavirus (COVID-19) restrictions in the past couple of years most young children will not have ever encountered flu. This means they will not have built up any natural immunity to this virus, so it is particularly important for them to take up the flu vaccine this year.

    GP surgeries are inviting children aged 2 and 3 years old (age on 31 August 2022) for the nasal spray vaccination at their practices. If you haven’t heard from your GP surgery you should contact them directly to make an appointment.

    All primary school children and some secondary school children are also eligible for the flu nasal spray this year, which is usually given at school.

    Dr Conall Watson, Consultant Epidemiologist at UKHSA, said:

    Young children are particularly vulnerable to becoming very poorly from flu. For the third week running we have seen hospitalisation rates among children under 5 jump up, with a 70% increase in just the last week. Over 200 children were hospitalised because of flu in one week.

    Flu is now circulating at higher levels than recent years and because of the pandemic restrictions most young children will not have encountered flu before. This means they will have no natural immunity and are therefore at even greater risk this year.

    Two and 3 year olds can get protection with a free nasal spray vaccine from the NHS. Nobody wants their child to get sick so I strongly urge parents to book the vaccine at their GP surgery as soon as possible.

    Case study

    Anjali and Ben Wildblood from Bristol, parents of a 2-year-old boy, Rafa, wanted to share their story to encourage other parents of 2 to 3 year olds to ensure their child receives the flu vaccine. Both work as NHS consultants and had every intention of getting their son vaccinated as soon as possible, but could not attend the appointment they were offered and before they could reschedule their son became very sick. Ben and Anjali told us about their experience:

    Before we were able to get our 2-year-old son, Rafa, booked in for a flu vaccine, over the course of a weekend he became very sick, with a high temperature and breathing difficulties. He had previously suffered with croup and had been treated with steroids, but this was clearly some other very concerning respiratory problem.

    We took him into A&E where he was treated and we returned home. But his condition got worse again, with a soaring temperature and exhaustion – he had no strength whatsoever and what was so extremely worrying was that he barely had the strength to breathe; every parent’s worst nightmare.

    We returned to A&E and he was admitted to the paediatric Intensive Care Unit (ICU). Even as NHS consultants, seeing your child in ICU is a terribly frightening experience. He was put under general anaesthetic and intubated, which involved inserting a tube into his throat so he was able to breathe. His swab results came back showing he had Influenza type A. After 2 long agonising days of intubation in ICU, his condition improved and he began to recover. He is now home and doing well.

    No parent wants this for their child or to go through a similar terrible experience. We urge other parents of 2 to 3 year olds to ensure your child gets their flu vaccine as soon as possible. Our son has now been vaccinated as we wanted to be sure he was protected against other strains of flu that may be circulating.

  • PRESS RELEASE : New vaccine marketing campaign urges millions to boost their immunity this winter [October 2022]

    PRESS RELEASE : New vaccine marketing campaign urges millions to boost their immunity this winter [October 2022]

    The press release issued by the UK Health Security Agency on 23 October 2022.

    A new country-wide marketing campaign urging millions of eligible people to get their flu and COVID-19 booster vaccines to top up their immunity will launch on Monday (24 October), as almost 10 million people in England have already received their boosters.

    Adverts will air across television, radio, social and digital media, stressing the importance of people getting both vaccines to increase their protection this winter.

    Targeted communications for individuals with long term health conditions, pregnant women and ethnic minority communities, with a particular focus on those with low vaccine confidence, will also appear, and will include examples of where vaccine uptake rates have been low in the past.

    More than 10 million people are expected to have received their COVID-19 autumn booster in England by Monday, with 49.5% of those 65 and over getting their flu jab, helping protect against serious illness throughout the winter.

    Latest COVID-19 data has shown continued high rates of cases and hospitalisations in recent weeks.

    Cases of flu have climbed quickly in the past week, indicating that the season has started earlier than normal. This is leading to increased pressure on emergency departments, with rates of hospitalisations and ICU admissions rising fastest in children under 5.

    Deputy Prime Minister and Health and Social Care Secretary, Thérèse Coffey received her autumn booster this week and urges those eligible to take up the offer as soon as possible, saying:

    Our COVID autumn booster and flu vaccination programmes are in full swing. Vaccines are our best line of defence against both viruses and will help keep people out of hospital this winter.

    While we have made great progress with almost 10 million people already boosted, including me, we are actively encouraging, through our new marketing campaign, everybody eligible to come forward for both jabs as soon as possible.

    Vaccination for flu is currently behind last season for pre-schoolers (12.1% in all 2 year olds and 12.8% in all 3 year olds), pregnant women (12.4%) and under 65s in a clinical risk group (18.2%).

    Vaccines are the best defence against both viruses and will help reduce the amount of people requiring hospital treatment, reducing pressure on the NHS.

    Deputy Chief Medical Officer for England, Dr Thomas Waite said:

    The restrictions we had in place to curb the spread of COVID and protect the NHS last year also prevented the flu virus from spreading as we would normally expect to see, so levels of immunity in the population are likely quite low.

    Flu has started circulating at low levels, mainly in children and younger people at the moment. As winter approaches, we can expect flu and COVID cases to rise in all age groups. Getting vaccinated against both viruses is the most important thing you can do to reduce your chances of getting seriously ill. If eligible please come forward for your jabs as soon as you can – it is important to be protected before any winter surges begin.

    Dr Mary Ramsay, Director of Immunisations at UK Health Security Agency, said:

    “The latest data follows the pattern we predicted, and a difficult winter is expected.

    This year we want people to think about COVID-19 and flu as equally important – and both vaccines will provide a ‘boost’ this winter. COVID-19 vaccine protection decreases over time and topping up immunity will help to provide better protection against new variants.

    So far, we have seen millions of people getting their vaccines, particularly older age groups who remain at risk of severe illness and deaths from both diseases. Having both vaccines will help to protect you and to protect the health service so we can continue to treat patients with other conditions.

    I urge everyone who is eligible to book your vaccine as soon as you can and not to delay – you could be in contact with flu or COVID-19 tomorrow.

    NHS director for vaccinations and screening, Steve Russell said:

    Thanks to the efforts of staff, the NHS autumn booster programme has vaccinated twice as many people as it had at this stage last year with almost 10 million people getting their COVID-19 boosters already.

    We are seeing evidence of increasing levels of COVID and flu infections in the community and care homes, and so ahead of what will be a very challenging winter, it is vital that everyone eligible gets protected; it has never been easier to get your vaccines, so book in without delay.

    Building on the success of the 2021 to 2022 COVID-19 vaccination campaign, this year’s campaign will stress that the protection provided by vaccines wanes over time, so everyone eligible should boost their immunity by getting both vaccines ahead of a difficult winter.

    The adverts use blue (flu) and yellow (COVID-19) halos to represent the protection both vaccines provide. They will run on TV, video on demand, radio, social and digital channels. Highly targeted, eye-catching information on digital channels will help to reiterate the importance of boosting your immunity ahead of a difficult winter by booking jabs early.

    The NHS Winter Vaccines chatbot will return, helping to guide those who are searching online for the right information. This instant online conversation tool was first developed to support last winter’s campaign and answers frequently asked questions with trusted NHS information in a single place.

    Multicultural community activity will see teams of campaign ambassadors engage with a range of different ethnic groups who tend to be more vaccine hesitant. This will take place across the country in high footfall places of worship and nearby community settings. Dedicated radio adverts and unique social media material will reinforce key messages.

    Around 33 million people are eligible for the flu vaccine and 26 million people are eligible for the COVID-19 booster.

  • PRESS RELEASE : UKHSA and ONS release estimates of excess deaths during summer of 2022 [October 2022]

    PRESS RELEASE : UKHSA and ONS release estimates of excess deaths during summer of 2022 [October 2022]

    The press release issued by the UK Health Security Agency on 7 October 2022.

    Initial analysis by the UK Health Security Agency (UKHSA) shows that across the 5-heat periods in the summer of 2022, the estimated total excess mortality (excluding coronavirus (COVID-19)) in England was 2,803 for those aged 65 and over. This is the highest excess mortality figure during heat-periods observed since the introduction of the Heatwave plan for England in 2004.

    In July, some places in England recorded temperatures of over 40 degrees Celsius for the first time in recorded history and UKHSA issued its first ever Level 4 Heat Health Alert. From 17 to 20 July, when temperatures were at their highest, there were an estimated 1,012 excess deaths in those aged over 65.

    The heat-period in the summer of 2022 with the highest excess mortality overall was from 8 to 17 August, which saw an estimated 1,458 excess deaths (excluding COVID-19) in those over the age of 65.

    These figures demonstrate the possible impact that hot weather can have on the elderly and how quickly such temperatures can lead to adverse health effects in at-risk groups.

    Similarly, ONS analysis from the same timeframe – June to August 2022 – for all age groups and for England and Wales, shows a recorded 3,271 deaths above the 5-year average. This represents a 6.2% increase. This is slightly higher than the UKHSA figure as it does not exclude deaths from COVID-19, those under the age of 65 and does include data for Wales.

    Isabel Oliver, Chief Scientific Officer at UKHSA, said:

    These estimates show clearly that high temperatures can lead to premature death for those who are vulnerable. Higher excess deaths occurred during the hottest days this year and a warming climate means we must adapt to living safely with hotter summers in the future.

    Prolonged periods of hot weather are a particular risk for elderly people, those with heart and lung conditions or people who are unable to keep themselves cool such as people with learning disabilities and Alzheimer’s disease.

    Sarah Caul, Head of Mortality Analysis at the ONS, said:

    During the UK summer of record-breaking temperatures, there was an increase in deaths. However, these spikes around the hottest days were followed by periods of below average mortality. This is likely to be a result of short-term mortality displacement, especially among older age groups, where people died a few days or weeks earlier than expected. This trend is consistent with what we have seen in previous summers with heatwave periods.

    It is also the case that despite peaks in mortality during heatwaves, the majority of days in the winter period (December to March) show a higher number of deaths than we see during summer.

  • PRESS RELEASE : UKHSA monitoring Ebola outbreak in East Africa [October 2022]

    PRESS RELEASE : UKHSA monitoring Ebola outbreak in East Africa [October 2022]

    The press release issued by the UK Health Security Agency on 6 October 2022.

    The risk to the public in the UK is very low and there are currently no cases of the disease confirmed in the UK. A public health alert has been issued to urge healthcare professionals to be vigilant to the symptoms in patients who have recently returned from affected areas and to remind them of the established procedures for infection control and testing.

    Ebola virus disease (EVD) is a rare but severe infection. It is caused by the Ebola virus, a filovirus that was first recognised in 1976 and has caused sporadic outbreaks since in several African countries.

    Dr Meera Chand, UKHSA Director of Clinical and Emerging Infection, said:

    UKHSA constantly monitors emerging infection threats in collaboration with partners across the world. We are aware of an outbreak of Ebola cases in Uganda and are monitoring the situation closely. The risk to the public in the UK is very low.

    Background

    There has never been a case of Ebola virus disease contracted in the UK. Two cases contracted overseas were transported to the UK in 2014. Both recovered after treatment in specialist high consequence infectious disease (HCID) units.

  • PRESS RELEASE : Parents warned about dangers of children missing vaccines [September 2022]

    PRESS RELEASE : Parents warned about dangers of children missing vaccines [September 2022]

    The press release issued by the UK Health Security Agency on 29 September 2022.

    The UK Health Security Agency (UKHSA) is urging parents and guardians to ensure their children are up to date with all their routine childhood immunisations including polio and measles, mumps and rubella (MMR) vaccinations. This comes as new data shows vaccination coverage for young children fell last year for virtually all programmes.

    Vaccination rates have fallen over several years and additional disruption caused by the coronavirus (COVID-19) pandemic, beginning in March 2020, is likely to have caused some of the decreases in vaccine coverage seen in 2020 to 2021 and 2021 to 2022 compared to earlier years.

    It is important vaccination coverage is recovered as soon as possible to levels recommended by the World Health Organization (WHO) of 95% for all childhood immunisation programmes to help prevent the spread of avoidable serious – and sometimes deadly – diseases such as measles and polio.

    The latest vaccination statistics from UKHSA and NHS Digital for children up to 5 years of age in the UK (COVER programme) show coverage decreased for 13 out of the 14 routine vaccination programmes measured in 2021 to 2022.

    Only 89.2% of children at 24 months had completed their first dose of the MMR vaccine, which is a decrease from 90.3% in the previous year.

    Coverage for the second dose of MMR by age 5 years was also down by nearly 1%.

    Coverage for the first dose of MMR at 24 months was less than 90% in 61 (out of 149) local authorities.

    Coverage also decreased for the 6-in-1 and 5-in-1 vaccine, which protects against diphtheria, pertussis, tetanus, polio, disease caused by Haemophilus influenzae type b and hepatitis B, among children aged 12 months, 24 months, and 5 years.

    Since the introduction of the measles vaccine in 1968 it is estimated that 20 million measles cases and 4,500 deaths have been prevented in the UK.

    Measles is highly contagious so even a small decline in MMR uptake can lead to a rise in cases. Since international travel has resumed closer to pre-pandemic levels, it is more likely that measles will be brought in from countries that have higher levels of the disease and cause outbreaks.

    Measles can lead to complications such as ear infections, pneumonia, and inflammation of the brain which require hospitalisation and on rare occasions can lead to long term disability or death.

    The NHS is running a MMR catch-up campaign so some parents may be contacted directly.

    Low polio vaccination rates in parts of London have left communities vulnerable to the spread of poliovirus, which has been detected in parts of North and East London through sewage surveillance. To date, no clinical cases of polio have been identified but health services have been urged to remain vigilant to any cases of paralysis in children.

    A polio vaccination campaign, recommended by the expert immunisation committee JCVI, is under way in London for all 1- to 9-year-olds, either as a booster dose or catch-up and it’s important all parents take up this offer as soon as possible to help protect their child.

    Dr Vanessa Saliba, Consultant epidemiologist at UKHSA, said:

    Measles is highly contagious and can be dangerous, and it is extremely worrying that we are seeing levels of uptake of the MMR vaccine falling among young children. It is also vitally important that children get their polio vaccinations to help prevent the risk of paralysis.

    I would urge parents to check that all children are up to date with their vaccines, and if not to get them booked in as soon as possible to make sure they have maximum protection against what can be terrible diseases.

    Childhood vaccines also boost population immunity levels, helping prevent outbreaks, so by taking up all vaccinations for our children, we play our part in keeping these diseases confined to the past.

    Anyone who is unsure if their child is up to date with all their routine vaccinations should check their child’s red book (personal child health record) in the first instance. If you are still not sure, or if you need to bring your child up to date with their vaccines, contact your GP practice to check and book an appointment.

  • PRESS RELEASE : Second vaccine doses to be offered to those at highest risk from monkeypox [September 2022]

    PRESS RELEASE : Second vaccine doses to be offered to those at highest risk from monkeypox [September 2022]

    The press release issued by the UK Health Security Agency on 23 September 2022.

    Clinics continue to prioritise first doses for those at highest risk.

    The UK Health Security Agency (UKHSA) has announced that second doses of the smallpox (Jynneos) vaccine will be offered to people at highest risk from monkeypox, in order to maximise protection against the virus.

    This targeted approach is also supported by modelling published in today’s technical briefing 8 which suggests vaccinating 25% of the groups most at risk could significantly reduce the risk of transmission.

    Whilst sexual health clinics will continue to prioritise offering first doses to those at highest risk, some clinics will also begin to offer eligible people a second dose to provide longer term protection.

    The Joint Committee on Vaccination and Immunisation (JCVI) has endorsed UKHSA’s proposal to offer second doses to those at highest risk, while continuing efforts to maximise uptake of the first dose within this group.

    There are no current plans to widen the offer of vaccination beyond the existing priority cohorts, though this decision will be kept under review.

    The NHS will call forward those that are eligible for vaccination. Second doses will be offered from around 2 to 3 months after the first dose to maximise protection.

    As of 20 September, more than 45,000 people have received a dose of the vaccine including over 40,000 gay, bisexual and other men who have sex with men who are at highest risk of exposure.

    In order to maximise the number of people that can be vaccinated, more clinics will offer the vaccine using intradermal administration in the coming weeks. This safe and clinically approved approach has been positively received by patients and staff where it has been used already.

    UKHSA has confirmed delivery of 20,000 additional vaccines from Bavarian Nordic, the single global supplier of the vaccine being used in response to the current outbreak of monkeypox in the UK. The vaccines are available for NHS services to order and are being distributed now, with a further 80,000 vaccines expected to arrive later this month.  The use of intradermal administration will mean that everyone at highest risk will have access to two doses of monkeypox vaccine in the coming months.

    As of 16 September, there are 3,585 confirmed and highly probable cases of monkeypox in the UK. Following a clear peak of more than 60 cases per day in mid-July, the number of cases has decreased throughout August and continues to fall, with less than 15 cases per day on average in early September.

    Analysis of wider infection trends suggests changes in behaviour in the groups most at risk may have contributed to the reduced case rates.

    Dr Gayatri Amirthalingam, Deputy Director, Public Health Programmes at UKHSA said:

    It’s encouraging that we’re continuing to see fewer cases of monkeypox reported in the UK and we are grateful to everyone who has followed advice about potential symptoms, isolated as part of this outbreak or come forward for a vaccination to help limit transmission.

    Prioritising vaccine stock where possible for second doses for those at highest risk will help us maximise protection and interrupt transmission. When you are called forward for vaccination, please take up the offer.

    Professor Sir Andrew Pollard, chair of the JCVI, said:

    The JCVI has endorsed the UKHSA’s proposal that vaccination to protect against monkeypox should continue to be prioritised for those at highest risk of exposure to the virus, including offering second doses to individuals once they become eligible.

    This approach will ensure the globally-limited supplies are used most effectively, continuing to break chains of transmission, as well as providing those at highest risk of exposure with longer-lasting protection.

    The use of the intradermal vaccination method at some clinics also means more doses can be drawn from the vials, helping to maximise the reach of the UK’s supplies and ensure second doses for all those eligible. The JCVI will keep the offer of monkeypox vaccination under review to ensure it continues to have the maximum impact on the current outbreak.

  • PRESS RELEASE : JCVI advises use of additional bivalent vaccine for autumn booster campaign

    PRESS RELEASE : JCVI advises use of additional bivalent vaccine for autumn booster campaign

    The press release issued by the UK Health Security Agency on 3 September 2022.

    Published advice updated to include an additional bivalent vaccine now approved by the Medicines and Healthcare products Regulatory Agency (MHRA).

    Following on from the previous advice on which vaccines should be used in this year’s autumn booster programme, the Joint Committee on Vaccination and Immunisation (JCVI) has updated its published advice to include an additional bivalent vaccine now approved by the Medicines and Healthcare products Regulatory Agency (MHRA).

    Studies indicate the Pfizer-BioNTech bivalent vaccine produces a marginally higher immune response against some variants than the Pfizer-BioNTech mRNA Original ‘wild-type’ vaccine. The clinical relevance of these small differences is uncertain

    ‘Bivalent’ vaccines have been developed by global manufacturers since the emergence and dominance of the Omicron variant. These vaccines are targeted against antigens (substances that induce an immune response) from 2 different COVID-19 strains, or variants.

    All of the available booster vaccines offer very good protection against severe illness from COVID-19. As more vaccines continue to be developed, the committee will consider their use in the autumn programme.

    Professor Wei Shen Lim, Chair of COVID-19 immunisation on the JCVI, said:

    It is very encouraging that more vaccines continue to become available and we now have another option to add to the vaccines already advised for the autumn booster campaign.

    Winter is typically the time of greatest threat from respiratory infections. We strongly encourage everyone who is eligible to have their booster vaccine this autumn when it is offered. This is our best defence against becoming severely ill from COVID-19.