5月31日:英国公共卫生更新了屏蔽建议

2020年3月,许多慢性肺曲霉病患者被要求保护自己免受暴露于冠状病毒COVID-19,因为他们被认为特别容易受到呼吸道病毒感染的影响。

早在2020年3月,COVID-19大流行病就在迅速发展,人们对我们能否通过各种社会隔离措施在英国遏制大流行存有疑问,因此,特别适合最脆弱的人群受保护的。我们对病毒及其传播方式知之甚少,哪些人群可能更容易受到感染和出现严重症状。

最近,到2020年5月下旬,英国的大流行目前已得到控制,该社区的病例数每周迅速下降,估计在5月10日至21日之间为17%(AskZoe).

存在扩展屏蔽的真正风险,这将对健康,尤其是那些屏蔽的心理健康产生总体不利影响,因此,重要的是,我们将人数限制为绝对必须的人,并放宽对那些人的限制。必须在足够安全的情况下进行操作。

英格兰的整体权力机构是英国公共卫生(PHE),他们已发布 更新了以下准则 在这里屏蔽的人 2020年5月31日。 

发生了什么变化

考虑到现在的COVID-19疾病水平大大低于首次采用屏蔽的时间,政府已更新了针对屏蔽人员的指南。

受到屏蔽的人仍然脆弱,应继续采取预防措施,但只要愿意,只要他们能够维持严格的社会距离,就可以离开家。如果您选择在户外度过时间,可以与您自己的家庭成员在一起。如果您独自一人居住,则可以与另一个家庭的一个人在户外度过时光。理想情况下,每次都应该是同一个人。如果您外出,则应格外小心,保持2米的距离,以尽量减少与他人的接触。本指南将得到定期审查。

进一步阅读 学校信息 和 工作场所 适用于居住在人们被屏蔽的家庭中的人们。本指南仅供参考。

 

给威尔士的建议 (已更新,但PHE建议可能有所不同)

给苏格兰的建议 (尚未更改,因此现在与英格兰和威尔士不同)

给北爱尔兰的建议 (尚未更改,但可能会在6月8日更改)

2020年冠状病毒爆发通告:4月10日,英国曼彻斯特国家曲霉病中心的所有患者的通告。

NAC关怀

A plea to all NAC patients

As you will be aware the NHS faces unprecedented times due to the Coronavirus pandemic. The National Aspergillosis Centre (NAC) team are extremely busy working on the frontline.

We are currently still trying to offer telephone consultations in place of face to face appointments. However, we are currently overwhelmed with the numbers of calls still required. May we politely request again that you call us to postpone all non-urgent telephone appointments.

Chronic Pulmonary Aspergillosis (CPA) Patients

Many patients have also been in contact with us regarding NHS social shielding letters and support. The National Aspergillosis Centre (NAC) has now sent letters to all NAC registered patients (and their GPs) who have a diagnosis of chronic pulmonary aspergillosis (CPA) advising that they are extremely vulnerable and should follow social shielding advice.

For further details on shielding and protecting highly vulnerable people click here.

All patients living in England will be added to the government’s list of extremely vulnerable people and can register for support at https://www.gov.uk/coronavirus-extremely-vulnerable

NOTE: There is separate advice for patients living in Scotland, Northern Ireland and Wales. For country-specific information regarding social shielding please follow these web links or contact you GP:

Allergic Bronchopulmonary Aspergillosis (ABPA) Patients

Patients with Allergic Bronchopulmonary Aspergillosis (ABPA)Severe Asthma with Fungal Sensitisation (SAFS) requiring to shield should have been identified by the NHS database searches across the UK. These searches were based on the medication you take to control your asthma. If you have not received a letter you believe you have severe asthma you should first contact your local respiratory consultant or GP for advice. Please note that the National Institute for Health and Care Excellence (NICE) have defined severe asthma for the purposes of COVID-19 as follows:

“asthma that requires treatment with high-dose inhaled corticosteroids (see inhaled corticosteroid doses for NICE’s asthma guideline) plus a second controller and/or systemic corticosteroids to prevent it from becoming ‘uncontrolled’, or which remains ‘uncontrolled’ despite this therapy.”

Aspergillus bronchitis and Aspergillus sinusitis Patients

Aspergillus bronchitis and Aspergillus sinusitis have not been identified as risk factors for serious complications from COVID-19. If you have one of these conditions alone, you should not follow shielding advice. Instead, you should follow social distancing guidelines.

For further guidance on social distancing click here

ANNOUNCEMENT for all patients of the National Aspergillosis Centre

NAC关怀

The National Aspergillosis Centre(NAC)  is situated in the Manchester University NHS Foundation Trust (MFT) at Wythenshawe, Manchester, UK. As the coronavirus SARS-CoV-2 outbreak spreads throughout the UK all hospitals are having to devote most of their activity to help with treating people who have been infected by coronavirus and who are having severe symptoms. Consequently, MFT is shutting down normal outpatient clinics to release staff from their normal duties until at least 1st June 2020. NAC patients are high risk so we have developed our policy to inform and carry on caring for our patents during this time. All patients will get a letter explaining all of this in addition to this note.

NAC Outpatient clinics (26/03/2020)

  • MFT has instructed for all out-patient clinics to be cancelled from 26/03/20.
  • All new NAC patient appointments will be re-scheduled until after 31/05/20.
  • A letter has now been sent to all NAC patients with follow-up appointments from 26/03/20 until 31/05/20 to advise them that their face to face appointment has now been converted to a telephone appointment that will be conducted in the same week as their scheduled appointment.
  • In order to significantly reduce the number of consultations patients have been asked in this letter to call our secretarial team to re-arrange their appointment unless it is absolutely necessary.
  • Two attempts will be made to telephone each patient; thereafter if no contact can be made their appointment will be re-scheduled by 3 to 6 months.
  • If patients are deemed by a consultant to require face to face review following telephone consultation they will be booked into NAC clinic on a Friday morning. No face to face consultations will occur on a Wednesday P.M or Thursday A.M.
  • If a patient requiring face to face review has symptoms suggestive of COVID-19 they will be asked to self-isolate for 7 days prior to being reviewed in the hospital.
  • Telephone consultations will be held during the same week as the patient scheduled appointment. Due to staffing constraints scheduled appointment times cannot be adhered to. Where blood or sputum sampling is required to inform patient management postal packs will be sent out to patient homes.
  • Patients that telephone NAC clinic administrators will be assessed, re-scheduled until after 31/05/20 or passed to a specialist nurse.
  • Patients who contact the booking centre should be directed to email idandnacadmin@mft.nhs.uk
  • Weekly patient Zoom support meetings are now taking place every day 10am. Register at https://zoom.us/meeting/register/uZQocO-trj8pElzq-0Z9wqj4p-xoVd0CGg
  • Monthly patients support meetings at NAC will now take place online at the same address, starting 02/04/2020