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<p>For phase one of the vaccine programme, the underlying principles at the forefront
of the Joint Committee on Vaccination and Immunisation (JCVI) advice are to reduce
mortality and morbidity, and to protect the National Health Service and social care
systems. Having considered a number of different vaccination strategies, the robust
evidence indicates that the best option for preventing mortality in the initial phase
of the programme is to directly protect persons most at risk.</p><p>Having identified
age as being the biggest determining risk factor to increased mortality the JCVI has
advised for cohort one vaccinations should be prioritised for older care home residents
and staff given the high levels of severe outcomes in this cohort. This is followed
by health and social care workers, then to the rest of the population aged 50 years
old and above in order of age and clinical risk factors.</p><p>Those undergoing haemodialysis
have been prioritised in priority cohort six as defined in the Green Book Chapter
14a for those with chronic kidney disease. Further information is available at the
following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/961287/Greenbook_chapter_14a_v7_12Feb2021.pdf"
target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/961287/Greenbook_chapter_14a_v7_12Feb2021.pdf</a></p>
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