Majority of Scots will take COVID-19 vaccines in the future

A report published yesterday by Healthcare Improvement Scotland finds that the majority of Scots will take COVID-19 vaccines in the future, based on their experiences with COVID-19.

The survey, commissioned by the Scottish Government, asked questions about people’s motivations around vaccination as we move away from the pandemic.

Uptake of the COVID-19 vaccine has been high and the survey asked people if they would take up new offers of COVID-19 vaccination, or, if not, to understand their reasons why.

The Citizens’ Panel survey, which ran between November 2022 and February 2023, found that of the 667 people who responded to the survey, the majority of respondents (72%) said they would take up the offer of the COVID-19 vaccine in the future. The survey also found that of those who will take up the offer of the COVID-19 vaccine in future, their main reasons were to protect themselves (88%) and to protect others (82%).

One respondent said: “If I can do this to help myself and others, and know the vigorous testing the vaccines have gone through, then why wouldn’t I accept the vaccine?”

Some 12% said they would decline the offer and 17% were not sure. Where respondents did not want it, the most common reason given was concern over possible long-term side effects of the vaccine.

In addition, all respondents were asked if their decision about getting the COVID-19 vaccine has changed over time. The majority said that their decision has not changed (82%). Some 16% said they wanted it at first, but now they don’t, and just 2% said that they didn’t want it at first but now they do.

The survey asks if people are more or less likely to take up the offer of other vaccines, such as flu or childhood vaccines, based on their COVID-19 vaccine experiences, with 36% saying  more likely, 56% saying it’s made no difference, and just 7% saying they are less likely.

Simon Watson, Medical Director at Healthcare Improvement Scotland, said: “Vaccination is an absolutely essential element of our response to COVID-19 including future variants. It is vital to protect individuals, their families and the wider population of Scotland.”

Clare Morrison, Director of Community Engagement at Healthcare Improvement Scotland, said: “The findings around vaccination motivations highlight the positive public attitudes towards vaccination, as well as potential areas for improvement, mainly around the need to develop clear and accessible information about vaccine side effects and the benefits of vaccination including their effectiveness against serious illness.”

The report recommends the Scottish Government should continue to consider how to ensure positive and accessible vaccination experiences for all.

It also notes the Government should consider exploring people’s concerns further and their experiences around side effects. Developing further clear and accessible messaging around side effects, and the benefits and effectiveness of vaccination against serious illness may help address this.

Visit our Community Engagement website to access the full report.

‘Continued improvement’ in A & E performance as winter pressures ease

Resilience committee holds further meeting

The Scottish Government’s resilience committee (SGoRR) met again yesterday to discuss the challenges facing health and social care this winter.

Chaired by First Minister Nicola Sturgeon, the meeting focussed on hospital occupancy, and the measures being taken to reduce levels of delayed discharge and find care placements and packages for those clinically fit to leave hospital.

The most recent A&E statistics have shown a continued improvement in performance, with 70.1% of people being admitted, transferred or discharged within four hours – the best performance since May.

Additional funding has also been made available Health and Social Care Partnerships who have the responsibility of providing care packages for those in their locality, to provide 300 interim care home beds for people who no longer need to be in hospital. So far, 162 people have entered interim care facilities paid for using this additional funding.

The SGoRR meeting was also attended by the Health Secretary, other cabinet ministers, the Chief Medical Officer and senior representatives from NHS boards, COSLA, Integration Joint Boards and the Scottish Ambulance Service.

The First Minister said: “The continued improvement in A&E performance is something to be welcomed, but there is still much work being done on safely freeing up hospital capacity and easing pressures elsewhere in the system. That is why we are continuing to pursue a range of measures to enable people to leave hospital as soon as possible when it is clinically safe for them to do so.

“We remain indebted to the health and social care staff in all parts of Scotland who have continued to do an outstanding job, despite the extra challenges that winter has presented.”

Figures showing the uptake of additional interim care placements and the total number of people in interim care placements.

NHS Lothian marks 2nd anniversary of COVID-19 vaccine roll out

2.5 million doses given across the region

NHS Lothian is marking two years since Scotland’s roll out of the COVID-19 vaccine began on 8 December 2020. Since then, more than 14.5 million doses of the vaccine have been administered in Scotland with 2,451,177 of those being given across Lothian.

The initial effort to protect people from the deadly virus was the biggest logistical operation Scotland had seen since the Second World War.

Thousands of volunteers signed up to help NHS staff, mass vaccination centres were rapidly assembled in major cities and mobile units toured the country.

This rapid deployment meant a million Scots were jabbed within three months – averting 27,656 deaths, according to the World Health Organisation, which noted Scotland’s quick uptake.

Health Secretary Humza Yousaf commented: “When marking this milestone we must first remember all those who have lost a loved one to this virus and reflect on what has been an incredibly challenging time for everyone.

“As a nation we can be incredibly proud of our world-leading vaccination programme.

“This could not have happened without the incredible efforts of staff and volunteers across the country. Unfortunately COVID-19 has not gone away and I continue to urge everyone to take up the offer of a vaccination when they become eligible.”

Pat Wynne Nurse Director for Primary and Community Care, NHS Lothian said: “The past two years have been a hugely challenging time for everyone and we are hugely grateful to our team of vaccinators, support staff and to everyone who has come forward for vaccination as we mark the second anniversary of the COVID-19 vaccine roll out in Scotland.

“COVID-19 is still circulating and it can spread more easily during the winter months. So if you’re eligible and you’ve not had your vaccine yet please book an appointment online today for both your flu and COVID-19 vaccines, or attend one of our drop-in clinics. By getting vaccinated you can top up your protection and reduce the risk of becoming seriously unwell from the virus.”

Those who are eligible can book an appointment online at nhsinform.scot/wintervaccines or attend a drop-in clinic.

You can find out if you are eligible at nhsinform.scot/wintervaccines. More information on Lothian’s drop-in clinics is available at:

https://www.nhslothian.scot/HealthInformation/Immunisation/WinterVaccination/Pages/default.aspx

Two years of Covid-19 vaccines

More than 14.9 million doses of the COVID-19 vaccination have been administered in Scotland since the first jab was given exactly two years ago.

The initial effort to protect people from the deadly virus was the biggest logistical operation Scotland had seen since the Second World War. 

Thousands of volunteers signed up to help NHS staff, mass vaccination centres were rapidly assembled in major cities and mobile units toured the country.

This rapid deployment meant a million Scots were jabbed within three months – averting 27,656 deaths, according to the World Health Organisation, which noted Scotland’s quick uptake.

Health Secretary Humza Yousaf said: “On this day we must first remember all those who have lost a loved one to this virus and reflect on what has been an incredibly challenging time for everyone. 

“As a nation we can be incredibly proud of our world-leading vaccination programme. 

“This could not have happened without the incredible efforts of staff and volunteers across the country. Unfortunately, COVID-19 has not gone away, and I continue to urge everyone to take up the offer of a vaccination when they become eligible. Vaccination reduces the risk of serious illness from the virus.

“Appointments can be booked online at NHS Inform and a number of drop-in clinics are now in operation – details of these are available on local NHS board websites and social media posts.

David Speirs volunteered to help the vaccination effort in March 2021 and is still involved in the national programme. He said: “I applied for the vaccinator training programme when I saw the advert in March 2021.

“I wanted to do something to give back. When I passed the training in May 2021, I felt accomplished and really proud of what we all had achieved being part of the first group. It’s been brilliant to be part of an incredible process to protect people. I maybe the person holding the needle, but behind me there are thousands of others getting us all to this point.”

54 year old Chris Mackinnon is due to receive his winter booster today. He said: “I want to do all I can to stay safe for myself, friends, and family this Christmas. I have been fortunate in that I have not had COVID-19 and I want it to stay that way.”

33 year old Francesca McDonald is also due to be vaccinated today and said: “As someone who is immune-compromised, I’ve been pretty timely at keeping up to date with my vaccinations throughout.

“I have just had a baby so I am delighted be getting this additional protection against COVID-19 so I can enjoy Christmas with my new arrival without worrying about the virus.”

Winter vaccines | NHS inform

Winter vaccines for remaining priority groups

Over-50s can book their winter vaccines from tomorrow (October 24) protecting them from COVID-19 and flu and easing pressure on the NHS this winter.

Those aged 50-64 can book an appointment on the NHS Inform website making it simple to arrange a time which suits them. Appointments can also be rescheduled online – with a national helpline available for those without internet access.

More than 870,000 people have already come forward for their COVID-19 and flu vaccines, including healthcare staff, care home residents, over 65’s and those at high risk – with over 1.7 million vaccines being administered.

Over two million Scots are being offered both vaccines during the course of the programme and a nationwide marketing campaign – ‘Don’t let your protection fade’ – is raising awareness of the importance of topping up protection against the illnesses – so far, 93.9% of people have received both flu and COVID-19 jabs at the same appointment.

Public Health Minister Maree Todd said: “Uptake continues to be encouraging showing the people of Scotland are keen to protect not just themselves, but their loved ones and the NHS. People who are vaccinated are less likely to become seriously unwell from COVID-19 or flu.

“We are working hard to ensure Scotland maintains its reputation as a leading nation for vaccine uptake – continuing the huge success of the vaccination programme since it was first rolled out in December 2020.

“The flu virus is always changing and COVID-19 protection can fade over time so I would ask everyone eligible to take up the offer of their winter vaccines so we can all stay safe over the winter months.”

1,741,484 COVID-19 and flu vaccines have been delivered since the winter vaccine programme launched.

Both new bivalent vaccines, which target Omicron and the original variant of COVID-19, are being deployed alongside existing vaccines, though the vaccination individuals receive will depend on age and vaccine availability. Both the current and new bivalent vaccines provide good protection from severe illness and hospitalisation from known COVID-19 variants.

Rearrange or opt-out of your vaccination appointment | NHS inform

Winter vaccines | NHS inform

Those without access to the internet can call the national helpline on 0800 030 8013.

Anyone aged 12 years and over who has missed an appointment for their initial course of the COVID-19 vaccine can reschedule through the NHS Inform online.

Appointments for children under 12 must be booked/rescheduled by calling 0800 030 8013. 

Scotland’s winter vaccination programme gets underway

Latest step in fight against COVID-19

People aged 65 and over as well as frontline health and social care staff will be first in line for a winter booster jab to protect the most vulnerable from COVID-19 and ease the pressure on hospitals.

Letters with appointment times for those aged 65 and over will begin landing on doormats this week so the NHS can get ahead of any potential surge in infections.

The booster jabs will be given at the same time as the flu vaccine to those eligible where possible – evidence shows that administration of both vaccines together is a safe and efficient way to deliver maximum protection over the winter months.

From 22 August the online portal will be available for health and social care workers to book their appointments. Staff should book on the portal or follow advice from their boards on any local arrangements.

Appointments for all other priority groups will be made available as the programme progresses – people in those groups should wait until they are contacted or called forward.

The programme follows advice from the Joint Committee on Vaccinations and Immunisation (JCVI) which recommended vaccinating people as soon as possible to have the best chance of mitigating the impact of COVID-19 over the winter.

Health Secretary Humza Yousaf said: “As was the case in previous rounds of the vaccination programme, spring/summer boosters have enjoyed very high uptake among eligible groups with 86% of older adult care home residents and 93% of those aged 75 and over gaining an important additional layer of protection at a time when Covid cases rose sharply.

“I’d like to thank all those who have worked so hard to ensure that Scotland still has the highest overall uptake of first, second and third doses in the UK.

“Following the JCVI’s recommendations, we will roll out the winter booster programme getting jabs in arms from early September to ensure those most at risk are protected over winter.

“Vaccination remains the best way to protect your health and those around you – I strongly encourage everyone to take up the offer of a booster jab when they get the call up.”

All children aged 1 to 9 in London to be offered a dose of polio vaccine

As further poliovirus has been detected in sewage, JCVI recommends that polio vaccine booster doses should be offered to children across London.

Following the discovery of type 2 vaccine-derived poliovirus in sewage in north and east London, the Joint Committee on Vaccination and Immunisation (JCVI) has advised that a targeted inactivated polio vaccine (IPV) booster dose should be offered to all children between the ages of 1 and 9 in all London boroughs.

This will ensure a high level of protection from paralysis and help reduce further spread of the virus.

Nationally the overall risk of paralytic polio is considered low because most people are protected from this by vaccination.

Many countries globally provide an additional dose of polio-containing vaccine as part of their childhood vaccination schedule. The NHS in London will contact parents when it’s their child’s turn to come forward for a booster or catch-up polio dose – parents should take up the offer as soon as possible.

The programme will start with the areas affected, where the poliovirus has been detected and vaccination rates are low. This will be followed by rapid rollout across all boroughs.

This booster dose will be in addition to the NHS childhood vaccination catch-up campaign across London, where childhood vaccination uptake is lower than the rest of the country. It’s important all children aged 1 to 9 – even if up to date with their vaccinations – accept this vaccine when offered to further strengthen their protection against the poliovirus.

Following the findings earlier this year of type 2 poliovirus (PV2) collected from the Beckton sewage treatment works, further upstream sampling undertaken by the UK Health Security Agency (UKHSA) and the Medicines and Healthcare products Regulatory Agency (MHRA) has now identified at least one positive sample of the poliovirus, currently present in parts of the following boroughs:

  • Barnet
  • Brent
  • Camden
  • Enfield
  • Hackney
  • Haringey
  • Islington
  • Waltham Forest

The sampling has also detected the virus in lower concentrations and frequency in areas adjacent to the Beckton catchment area to the South (immediately below the Thames) and to the east of Beckton. However, it is not clear whether the virus has established itself in these areas or if the detections are due to people from the affected area visiting these neighbouring areas.

The level of poliovirus found and the high genetic diversity among the PV2 isolates suggests that there is some level of virus transmission in these boroughs which may extend to the adjacent areas. This suggests that transmission has gone beyond a close network of a few individuals.

A total of 116 PV2 isolates have been identified in 19 sewage samples collected in London between 8 February and 5 July this year, but most are vaccine-like virus and only a few have sufficient mutations to be classified as vaccine derived poliovirus (VDPV2).

VDPV2 is of greater concern as it behaves more like naturally occurring ‘wild’ polio and may, on rare occasions, lead to cases of paralysis in unvaccinated individuals.

UKHSA is working closely with health agencies in New York and Israel alongside the World Health Organisation to investigate the links between the poliovirus detected in London and recent polio incidents in these 2 other countries.

Dr Vanessa Saliba, Consultant Epidemiologist at UKHSA, said: “No cases of polio have been reported and for the majority of the population, who are fully vaccinated, the risk is low.

“But we know the areas in London where the poliovirus is being transmitted have some of the lowest vaccination rates. This is why the virus is spreading in these communities and puts those residents not fully vaccinated at greater risk.

“Polio is a serious infection that can cause paralysis but nationally the overall risk is considered low because most people are protected by vaccination. The last case of polio in the UK was in 1984, but decades ago before we introduced the polio vaccination programme around 8,000 people would develop paralysis every year.

“It is vital parents ensure their children are fully vaccinated for their age. Following JCVI advice all children aged 1 to 9 years in London need to have a dose of polio vaccine now – whether it’s an extra booster dose or just to catch up with their routine vaccinations. It will ensure a high level of protection from paralysis. This may also help stop the virus spreading further.”

Jane Clegg, Chief Nurse for the NHS in London said: “While the majority of Londoners are protected from polio, the NHS will shortly be contacting parents of eligible children aged 1 to 9 years old to offer them a top-up dose to ensure they have maximum protection from the virus.

“We are already reaching out to parents and carers of children who aren’t up to date with their routine vaccinations, who can book a catch-up appointment with their GP surgery now and for anyone not sure of their child’s vaccination status, they can check their Red Book.”

UKHSA, working with MHRA, has already increased sewage surveillance to assess the extent of spread of the virus and are currently sampling 8 sites across London.

A further 15 sites in London will start sewage sampling in mid-August, and 10 to 15 sites will be stood up nationally to determine if poliovirus is spreading outside of London.

UK donates 1 million more doses of Oxford-AstraZeneca vaccine to Bangladesh

Bilateral vaccine donation will expand Bangladesh’s COVID-19 vaccination campaign and further strengthen Brit Bangla Bondhon between the UK and Bangladesh.

The UK bilaterally donated 1 million doses of the Oxford-AstraZeneca vaccine to Bangladesh. The vaccine consignment arrived in Bangladesh on 23 February 2022. This bilateral donation from the UK will reinforce Bangladesh’s fight against the coronavirus pandemic and the country’s economic recovery.

Prior to this, the UK donated over 4 million doses of the AstraZeneca vaccine to Bangladesh in December 2021 through COVAX facilities.

While welcoming the second consignment of vaccines donation from the UK, the British High Commissioner HE Robert Chatterton Dickson said: “We welcome the arrival of 1 million doses of the AstraZeneca vaccine from the UK to Bangladesh. This bilateral donation adds to the 4 million doses that the UK donated through COVAX last year.

“This support from the UK takes us one step ahead to defeat the pandemic and further strengthens our commitment to stand with the people of Bangladesh to recover faster and build a healthier and prosperous future.”

Complementing the vaccine donations, the UK’s Foreign Commonwealth and Development Office (FCDO), through its delivery partners, created an enabling environment for the Government of Bangladesh to accelerate and expand the vaccination program as well as reduce the transmission of the infection especially among the low-income people.

This includes support for on-line vaccine registration for the disadvantaged, raising awareness, additional healthcare provider and technician support, training of health workers including vaccinators, and transporting vaccines to the districts as well as to the schools across the country.

Since the pandemic started, the UK government has reprioritised more than £55.9 million to fund Bangladesh’s National Preparedness and Response Plan to tackle COVID-19 including support for Rohingya refugees and the host communities.

The UK has been at the forefront of the global response to COVID-19. Last year at the G7, the UK committed to donate 100 million doses by June 2022. 80% of those UK doses will be distributed through the COVAX facility. Earlier, the UK kick-started efforts to establish COVAX facility in 2020, providing a total of £548 million to fund vaccines for lower income countries.

Scotland announces Autumn/Winter COVID-19 booster programme

Additional doses will be given from September

A further booster vaccination will be offered to those at highest risk of severe COVID-19 disease from September, in line with other nations in the UK. 

Following final advice on the autumn/winter booster programme from the Joint Committee on Vaccination and Immunisation (JCVI), the following groups will be offered an additional dose in a community clinic:

  • residents in a care home for older adults and staff working in care homes for older adults 
  • frontline health and social care workers
  • all adults aged 50 years and over
  • those aged 5 to 49 years in a clinical risk group, including pregnant women  
  • those aged 5 to 49 years who are household contacts of people with immunosuppression
  • carers aged 16-49 years

Where possible, these boosters will be given at the same time as the flu vaccination to those who are eligible.

As with previous campaigns, vaccinations will be offered first to frontline health and social care workers and those who are most vulnerable to the effects of the virus. Letters will be sent out to the first eligible groups next month with appointments beginning in September.

Discussions on the details of the delivery timetable are underway with health board partners and more information will be made available in due course.  However in the meantime, those eligible for a booster need not do anything. 

Health Secretary Humza Yousaf said: “The vaccination programme in Scotland continues to be a huge success and this is testament to the efforts of everyone involved in its delivery and all those who took up their appointment offers.  

“Vaccination has been our most effective tool against coronavirus. However, the degree of protection offered wanes over time.

“We know that those in high-priority groups are at higher risk of serious illness from COVID-19, and I therefore welcome this latest advice from the JCVI and can confirm that boosters will be offered to all those in eligible groups.

“The additional booster dose will improve your level of protection significantly and is the best way to protect yourself, your family and of course the NHS when we head into the busy winter months.

“I continue to encourage everyone to receive the doses they are eligible for as and when they become available.”