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  #21  
Old 26.01.2021, 18:43
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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Here in Neuchâtel you cannot self register unless you are over 75. You can't self register for a date ahead either, your DOB has to be above 75.
I am pretty sure that is the case in Zurich too. I would feel more reassured to just be on a list somewhere.
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  #22  
Old 26.01.2021, 20:45
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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Yes, my SMS said that too but it also had the link to the site I mentioned above. Perhaps since you registered very early the SMS did not include the website link. They certainly have had to iron out a lot of bugs. Maybe try going directly to the be.vacme.ch site and entering your code there? Good luck!
I just went on and I am in group E - thanks so much again!
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  #23  
Old 26.01.2021, 20:47
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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I just went on and I am in group E - thanks so much again!
YAY! I certainly hope it doesn't take until 2022 to get to the 5th letter of the alphabet...
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  #24  
Old 26.01.2021, 21:01
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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I am pretty sure that is the case in Zurich too. I would feel more reassured to just be on a list somewhere.
As I’ve mentioned, I’m waiting for my gp‘s practice to get their shots. Since it‘s a small practice, we must be patient.

Here‘s the translation from:

https://www.zh.ch/de/gesundheit/coro...s-impfung.html

First of all, they mention a shortfall of the Pfizer vaccine - allocated for care homes and people over 75. so no more appointments at the travel medicine center in Zurich (that seems to be the central vax location)

Here is the translation:

The approval of Moderna's vaccine, which is less demanding to handle, expands vaccination options. The easier handling, smaller package size and longer shelf life at refrigerator temperatures make vaccination by primary care physicians in particular possible. Here, too, however, the concept depends on the availability of the vaccine.

In a first step, 330 primary care physicians received 100 vaccine doses each in January. The primary care physicians independently allocate their quotas to their patients in the prioritized vaccination group and contact them.

In addition, defined outpatient practices and institutes have the option to register a quota of their high-risk patients for vaccination at the reference vaccination center. However, due to the lack of PfizerBioNTech vaccine at EBPI, no additional vaccination appointments can be made for February at this time.

Vaccination facilities are being continuously expanded in the canton of Zurich, depending on the amount of vaccine available. Larger quantities of vaccine are expected from the second quarter onwards, which will then allow the general population to be vaccinated.

Eleven vaccination centers based on regional hospitals
In the canton of Zurich, eleven vaccination centers will be available for the general population. In addition to three locations in the city of Zurich - at the reference vaccination center at the EBPI, at the Triemli City Hospital and at the Zurich Exhibition Center - vaccination centers are planned in cooperation with the regional hospitals in Winterthur, Affoltern am Albis, Horgen, Meilen, Dietikon, Bülach, Uster and Wetzikon. They are aimed at the mobile, healthy population from 18 to 64 years of age. Together with general practitioners and pharmacies, the vaccination centers will form a network of vaccination facilities that will make it as easy as possible for the population to access vaccination and will have a capacity of over 20,000 vaccinations per day. The pilot vaccination center at Messe Zürich will be ready by the end of February. The site at Stadtspital Triemli is on standby and can start vaccination operations as needed.

Unfortunately, it still takes some patience, but everyone who wants to will be able to get vaccinated.

All information will be continuously updated and posted here.
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  #25  
Old 29.01.2021, 12:22
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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Yet my wife’s oncologist says that she isn’t of particular risk despite having Cancer two years ago.
Switzerland has kicked a lot of people off the "vulnerable" list. If you're diabetic, have lupus, MS, Crohn's disease, are obese, asthmatic, have cancer, you're okay in Switzerland as long as you have stable disease and are not on most stronger immune suppressants (some are apparently okay)... cross the border into another country and you're suddenly high risk and get immediate access to the vaccine.
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  #26  
Old 29.01.2021, 12:36
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

Feels a bit terrible to say, but I do question the vaccines they hand out to the very frail elderly in care homes that are so close to leaving this earth, they are practically comatose. I guess it helps stop the spread & eases things for the medical workers, but I hope to never be in that situation and given a shot that makes me stay alive for even longer.
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  #27  
Old 29.01.2021, 13:14
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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Switzerland has kicked a lot of people off the "vulnerable" list. If you're diabetic, have lupus, MS, Crohn's disease, are obese, asthmatic, have cancer, you're okay in Switzerland as long as you have stable disease and are not on most stronger immune suppressants (some are apparently okay)... cross the border into another country and you're suddenly high risk and get immediate access to the vaccine.
In reality if you do have these conditions and they are stable with treatment then you’re not really at a much greater risk than anybody else.
Poorly controlled diabetes, blood pressure and other things which put you above a certain level do increase the risk.

In an ideal world they would all get the vaccine in a timely manner but when there is a limited supply of vaccines they do have to draw the line somewhere.

I know that a lot of deaths from COVID have occurred in care homes but I have also questioned the logic of vaccinating some of those people.
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  #28  
Old 29.01.2021, 14:46
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

I have to say that I am also wondering whether vaccinating the very elderly first was the most effective plan. To give a personal example, My mother is 88, she is fully compos mentis, has lived alone for 37 years following the death of my father and is very capable, but following a fall she has become effectively housebound. She lives in the UK and has received the Pfizer jab. As she pointed out, it will make very little difference to her life. One of my brothers and his wife see her regularly and do a few little jobs around the house for her. It would surely have made more sense to vaccinate people like them first, carers if you will, who are still active in society and who, in bald terms, have a lot more life to lose if either were seriously incapacitated by the virus or at worst lost their lives. Protecting them would have by definition protected her.


In my example, both my sister-in-law and my brother work. My sister-in-law is a Practice Nurse and therefore contributes to society and the economy and so is at higher risk herself anyway. An impossible judgement to make perhaps, but maybe some compromise between life expectancy and the economy would be a better way to go and do a lot more to stop the spread. I wouldn't want to see very elderly people isolated and certainly don't feel that they have low value in society but vaccinating one carer (on the assumption that a vaccinated person cannot contaminate others) could protect the very vulnerable in care homes and with the provision of visits being allowed from relatives with a negative test result also helps to prevent isolation.

I am not suggesting the very elderly should not be vaccinated at all, just wondering if there could be a better way and help us all to get out of this awful situation faster.
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  #29  
Old 29.01.2021, 14:54
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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I would feel more reassured to just be on a list somewhere.
Actually this could help also those in charge to have a better idea of how many people want to get a vaccine in near future...

On the other hand I personally think it would have been better to give priority to medical and nurseries workers. And then to proceed with those at high risk. I am neither so I am less likely to be subjective but may also miss some points. My standing is that those who put their lives at risk to help others deserve to be given preference to be protected. This is more fair imo and also encourages people to do jobs that are so much needed now.
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  #30  
Old 29.01.2021, 14:55
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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I It would surely have made more sense to vaccinate people like them first, carers if you will................ Protecting them would have by definition protected her.
Apart from the fact, that they do not know if the vaccine stops you carrying and spreading the virus or not. It's possible vaccinated people could still pass the disease to non-vaccinated people.
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  #31  
Old 30.01.2021, 13:31
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

One of the primary objectives of the Swiss vaccination programme is to keep the old and vulnerable out of hospital and more particularly intensive care. The vaccines don't appear to prevent you being infected, but do allow you to survive if you are. Hence vaccinating health care workers, whilst being a good thing for them, won't necessarily help an awful lot in preventing transmission of the disease.

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I have to say that I am also wondering whether vaccinating the very elderly first was the most effective plan. To give a personal example, My mother is 88, she is fully compos mentis, has lived alone for 37 years following the death of my father and is very capable, but following a fall she has become effectively housebound. She lives in the UK and has received the Pfizer jab. As she pointed out, it will make very little difference to her life. One of my brothers and his wife see her regularly and do a few little jobs around the house for her. It would surely have made more sense to vaccinate people like them first, carers if you will, who are still active in society and who, in bald terms, have a lot more life to lose if either were seriously incapacitated by the virus or at worst lost their lives. Protecting them would have by definition protected her.


In my example, both my sister-in-law and my brother work. My sister-in-law is a Practice Nurse and therefore contributes to society and the economy and so is at higher risk herself anyway. An impossible judgement to make perhaps, but maybe some compromise between life expectancy and the economy would be a better way to go and do a lot more to stop the spread. I wouldn't want to see very elderly people isolated and certainly don't feel that they have low value in society but vaccinating one carer (on the assumption that a vaccinated person cannot contaminate others) could protect the very vulnerable in care homes and with the provision of visits being allowed from relatives with a negative test result also helps to prevent isolation.

I am not suggesting the very elderly should not be vaccinated at all, just wondering if there could be a better way and help us all to get out of this awful situation faster.
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  #32  
Old 30.01.2021, 19:16
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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There are two options to chose from on the Bern website

Which people need the letter and which done?

...chronischen Krankheiten: Erkrankung des Herzens, der Atemwege, der Niere, des Immunsystems / Bluthochdruck / Adipositas (BMI ≥ 35) / Zuckerkrankheit

Those are ZH guidelines, but I guess they are actually valid across the confederation.

Chronische Krankheiten
  • Krankheit wie oben beschrieben in Behandlung mit Medikamenten oder sonstiger Dauertherapie
  • Krankheit wie oben beschrieben mit höchstem Risiko (schriftliche ärztliche Bestätigung notwendig)

...chronic illnesses: Heart, respiratory, kidney, immune system / high blood pressure / obesity (BMI ≥ 35) / diabetes

Chronic diseases
  • Illness as described above in treatment with medication or other long-term therapy
  • Illness as described above with the highest risk (written medical confirmation required)

I called the covid hotline and the Bern covid number but I don't think I got a clear answer

If you are one of those below (which lists chronical diseases with specified severity), you can get it now after providing the certificate. If yours is less severe, then you should wait after all 65+ get the vax. I don't know if the certificate will be needed in this case.

https://www.zh.ch/de/gesundheit/coro...ml#-1006427143

This is actually ZH website but I believe the guidelines are federal.

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  #33  
Old 30.01.2021, 20:33
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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In reality if you do have these conditions and they are stable with treatment then you’re not really at a much greater risk than anybody else.
Poorly controlled diabetes, blood pressure and other things which put you above a certain level do increase the risk.

In an ideal world they would all get the vaccine in a timely manner but when there is a limited supply of vaccines they do have to draw the line somewhere.

I know that a lot of deaths from COVID have occurred in care homes but I have also questioned the logic of vaccinating some of those people.
Do you have evidence of that? Because I have a family member who was involved in the recommendations in Ontario and having high blood pressure (stable or not) is worse than having HIV. Having diabetes, well controlled isn't much better since SARS-CoV-2 severely destabilises blood glucose control and all vascular diseases.

But hey, look up the science in other countries before wondering the arrogance of Bag in thinking swiss people are somehow immune.
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Old 30.01.2021, 21:06
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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One of the primary objectives of the Swiss vaccination programme is to keep the old and vulnerable out of hospital and more particularly intensive care. The vaccines don't appear to prevent you being infected, but do allow you to survive if you are. Hence vaccinating health care workers, whilst being a good thing for them, won't necessarily help an awful lot in preventing transmission of the disease.
Indeed, if that is the case. In fact, evidence from Israel suggests that vaccinated people cannot contaminate others. If that is true then there could be a more effective vaccine roll-out. I absolutely agree that if in doubt, we must protect the vulnerable first. A moot point as we have woefully few vaccines and the initiative which has already begun of vaccinating health care workers who care for the most at risk has now been abandoned (or so it would appear based on my son's notification from his hospital).
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Old 31.01.2021, 00:36
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

I‘m somewhat surprised that practising GPs wouldn‘t know about the risk categories. The information is out there and was actively distributed to health professionals. Also available at https://www.bag.admin.ch/dam/bag/de/...06.2020_DE.pdf It appears to be the same list posted by LifeStrain. Yes, the categories are federal.

Last edited by missenglish; 31.01.2021 at 00:50.
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  #36  
Old 01.02.2021, 07:04
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

Am based in Kt Zurich and have been told by my specialist praxis that they registered me on January 4th and should expect a call from the Vaccination Centre, which is yet to occur.

Would be keen to hear from others based in Zurich and your experiences with the process. Feel free to PM!

Stay safe & healthy!
[ a ]
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  #37  
Old 01.02.2021, 07:44
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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I‘m somewhat surprised that practising GPs wouldn‘t know about the risk categories. The information is out there and was actively distributed to health professionals. Also available at https://www.bag.admin.ch/dam/bag/de/...06.2020_DE.pdf It appears to be the same list posted by LifeStrain. Yes, the categories are federal.
I would be surprised too. Certainly in Neuchâtel the GPs were all informed as were the specialists dealing with vulnerable patients.
I would think the other cantons would be the same.
The Neuchâtel cantonal website also published the list of risk categories which is identical to the one posted by Lifestrain but in French.
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Old 01.02.2021, 23:50
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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I would be surprised too. Certainly in Neuchâtel the GPs were all informed as were the specialists dealing with vulnerable patients.
I would think the other cantons would be the same.
The Neuchâtel cantonal website also published the list of risk categories which is identical to the one posted by Lifestrain but in French.
The info to health professionals (oodles of it) is a national effort. The only explanation I can think of is that that particular GP isn‘t a member of any medical association. If I was the patient, I‘d be asking questions.
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  #39  
Old 02.02.2021, 01:23
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Re: Corona / covid vaccine for chronic conditon guys - who needs a medical letter?

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The info to health professionals (oodles of it) is a national effort. The only explanation I can think of is that that particular GP isn‘t a member of any medical association. If I was the patient, I‘d be asking questions.
Or there was a language misunderstanding or they spoke to someone that was not informed etc... healthcare workers are under a lot of pressure.

I got a rather confused explanation for the nurse I spoke to at first, so I WhatsApped the Doc himself and he came back within 24 hours. I know they are under pressure because another doctor died and they were handed a block of 500+ old folks to take care off, all with manual hand written records.
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