Replica of vulnerable patients In the day of COVID-19 It seems to be forgotten.

kidney diseaseHe is just one of a group of vulnerable patients known as Group 608, in which people aged 60 years and older have seven chronic diseases, including chronic respiratory disease. cardiovascular diseases chronic kidney disease Stroke, cancer, diabetes and obesity including pregnant women This group of patients In the last four or five years In addition to having to fight against the disease you have it is also necessary to be shaken by epidemics like COVID-19.

At the conference “The situation of COVID-19 and the need for protection among people at risk” organized by the Royal College of Physicians of Thailand and the Infectious Diseases Society of Thailand There are medical experts who will come to give a proper understanding.

Mr. Thanaphon Dokkaew, representative of the Citizens Network for Health Rights, the Health Forum patient group, and the Kidney Friends Association in Thailand. One of those patients with kidney disease is a kidney that has been actively working on the rights and welfare of patients for a long time. He has direct experience himself.patients with kidney disease little immunity Has problems easily from the disease.

When it is stuckCOVID 19 Therefore, there is a chance of being more seriously ill than the general population. Especially for patients with end-stage renal disease who are on hemodialysis, peritoneal dialysis or who have received a kidney transplant. If you are infected with COVID-19, the death rate is as high as 30-40 percent. Therefore, we are devoting all our energy to vulnerable patients. Get care from the government in areas that patients cannot manage or take responsibility for themselves.

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Thailand’s infection and death statistics are the highest in ASEAN.

Prof. Phirun Mutsikapan, President of the Infectious Diseases Association of Thailand He revealed that the outbreak of COVID-19 There is still a high level. From the beginning of 2024 to September 16, 2024, more than 700,000 people have been infected, requiring more than 48,000 hospitalizations and 205 deaths, considered the highest numbers of infections and deaths in Southeast Asia

Professor Dr. Phirun further revealed that the group 608, when they were sick withCOVID 19 They are 2 to 3 times more likely to become seriously ill and 2 to 10 times more likely to die, compared to younger people or people without co-morbidities.

“The symptoms don’t just get worse when they’re infected. But it also affects the state of the disease that the patient suffers from. Because of covid-19 It’s not just an infection of the respiratory tract. But it is a disease that can appear in many members. Because the disease can spread throughout the body. Causes problems for various organ systems such as blood clots. Myocarditis, heart failure, and kidney failure increase the risk of death. “

The booster dose of the COVID vaccine is still needed.

forpatients with kidney diseaseWhen infected with COVID-19 The disease attacks different groups. Including the kidneys, which are responsible for filtering waste from the body.COVID 19 It destroys kidney cells and promotes kidney inflammation. Decreased efficiency of the kidneys. Acute Kidney Injury (AKI) occurs Therefore, medical experts strongly recommend vulnerable patients You should get a vaccine that will help reduce its severity. It can reduce the death rate

Prof. Dr. Sasisophin Ciattiburanakul, a representative of the Royal College of Physicians of Thailand said that the increased dose of the COVID vaccine is still necessary because of COVID-19. There are persistent mutations that occur in people who have been vaccinated or infected a long time ago. Existing immunity may not protect against infection. Especially in risk groups Therefore, it is necessary to get the vaccine increased.

Current data show that the booster vaccine is about 60-70% effective in preventing serious illness and death. Because the risk of serious illness and death increases many times in this group of people. This shows the importance of vaccines in reducing the burden of disease in this group of patients.

Prevention is better than cure

Mr. Thanaphon expressed his opinion that the government department should focus on health promotion and prevention of COVID-19. with increased vaccination Especially for groups of people with chronic diseases and people at risk. Most patient groups have been cautious since the onset of COVID-19. It is to protect ourselves as advised by doctors and experts, which we can do ourselves.

But protecting ourselves with vaccines is beyond our ability. Therefore, I would like to appeal to those who have relevant responsibilities to help consider and provide enough vaccines to the people. Even though the vaccine may not be necessary for some people, But people with chronic diseases and people at risk are still needed.

The government sector should focus on health promotion and prevention of COVID-19. By supporting the vaccination increase Especially for people with chronic diseases. Currently, we have problems: 1. Inaccessibility of services Not having access to the vaccine 2. If you have access, you have to take out a loan. Had to go bankrupt to get medicine If the government department sees the importance and wants the quality of life of the Thai people to be good. I want patients’ quality of life to be good. Reduce the risk of serious illness to the point where you need to go to hospital. When you are infected with COVID once, you have to go to the hospital for 7 to 14 days.

“What is the cost of medical care, including medication, doctor’s fees, medical equipment?” It’s a lot of money compared to cheaper vaccines,” said Mr Thanaphon.