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  • Letters and urgent communications 2021

    Date published: 6 January 2021

    Last updated: 29 November 2022

    Advice from the Chief Medical Officer to HSC professionals for 2021

    Documents

    • HSS(MD)91/2021 - Updated policy for management of self-isolation of close contacts of Covid-19 cases - additional safeguards for health and social care staffAdobe PDF (398.48 KB)
    • HSS(MD) 81/2021 (ADDENDUM) - Neutralising monoclonal antibodies (nMABs) or antivirals for non-hospitalised patients with Covid-19 – further addendumAdobe PDF (538.48 KB)
    • HSS(MD) 90/2021 - Covid-19 therapeutic alert: neutralising monoclonal antibody and intravenous antiviral treatments for patients in hospital with Covid-19 infectionAdobe PDF (793.7 KB)
    • HSS(MD) 89/2021 - JCVI Update on advice for covid-19 vaccination of children and young peopleAdobe PDF (574.01 KB)
    • HSS(MD) 88/2021 - Updated supply disruption alert - tocilizumab (roactemra®) 162mg/0.9ml solution for injection pre-filled syringes and pre-filled pens – non Covid-19 indicationsAdobe PDF (751.36 KB)
    • HSS(MD) 87/2021 - Information about Covid-19 treatments – the panoramic study, antivirals for non-hospitalised patients with Covid-19Adobe PDF (328.72 KB)
    • HSS(MD)86/2021 - Supply disruption alert - advanz epoprostenol 0.5mg and 1.5mg powder and solvent (ph10.5) for solution for infusion vialsAdobe PDF (574.38 KB)
    • Letter from UK CMO's to Medical and Health Service Staff - 21 December 2021Adobe PDF (156.95 KB)
    • HSS (MD)85/2021 - Updated policy for management of self-isolation of close contacts of Covid-19 cases - additional safeguards for health and social care staffAdobe PDF (382.01 KB)
    • HSS (MD) 84 2021 - JCVI advice that pregnant women of any age should be considered, as a clinical risk group for Covid-19Adobe PDF (564.7 KB)
    • HSS (MD) 83/2021 - Integrated Guidance Update on health clearance of healthcare workers and the management of healthcare workers living with bloodborne virusesAdobe PDF (902.56 KB)
    • HSS (MD)82/2021 - Suspension of the 15 minute with MRNA vaccine for Covid 19Adobe PDF (616.93 KB)
    • HSS(MD) 81/2021 (Addendum) - Neutralising monoclonal antibodies (NMABS) or antivirals for non-hospitalised patients with Covid-19Adobe PDF (262.97 KB)
    • HSS(MD)81/2021 - Neutralising monoclonal antibodies (nmabs) or antivirals for non-hospitalised patients with Covid-19Adobe PDF (322.31 KB)
    • HSS(MD)80/2021 - Vaccination issues – Covid-19 vaccination programmeAdobe PDF (643.6 KB)
    • HSS(MD) 79/2021 - JCVI Issues advice on the vaccine response to the Omicron variantAdobe PDF (571.62 KB)
    • HSS(MD) 78/2021 - Immediate actions in response to new variant Sars-cov-2 identifiedAdobe PDF (239.46 KB)
    • HSS(MD) 77/2021 - Supply disruption alert - Hypovase® (Prazosin) 500microgram tabletsAdobe PDF (759.79 KB)
    • HSS (MD) 76/2021 - Update from JCVI regarding second doses for 16 and 17 year olds, boosters for 40 to 49 year olds and timing of the interval for booster dosesAdobe PDF (620.5 KB)
    • Addendum to HSS(MD) 75/2021 - Patients requiring Astrazeneca Vaccine as a boosterAdobe PDF (540.45 KB)
    • HSS(MD) 75/2021 - Patients Requiring Astrazeneca Vaccine as a BoosterAdobe PDF (557.44 KB)
    • HSS(MD) 74/2021 - Updated supply disruption alert - champix® (varenicline) 0.5mg and 1mg tabletsAdobe PDF (603.23 KB)
    • HSS(MD) 73/2021 - Supply disruption alert - tocilizumab (roactemra®) 162mg/0.9ml solution for injection pre-filled syringes and pre-filled pens – non covid-19 indicationsAdobe PDF (595.81 KB)
    • HSS(MD) 72/2021 - Supply disruption alert - diazepam rectubes® 2.5mg rectal solutionAdobe PDF (715.25 KB)
    • HSS(MD) 71/2021 - Vaccine Supply for the Covid-19 Booster Vaccination ProgrammeAdobe PDF (587.02 KB)
    • HSS(MD) 70/2021 - Universal vaccination of children and young people aged 12-15 years against Covid-19Adobe PDF (570.03 KB)
    • HSS(MD) 69/2021 - Covid-19 booster vaccine programme for winter 2021/22Adobe PDF (631.15 KB)
    • Addendum HSS(MD)68/2021 - Deployment of the Pfizer and Moderna covid-19 vaccines in general practice - governance, handling and preparation requirementsAdobe PDF (89.54 KB)
    • HSS(MD) 68/2021 - Deployment of Pfizer and Moderna Vaccines in General PracticeAdobe PDF (321.69 KB)
    • HSS(MD) 67/2021 - The use of Unlicensed Medicines in the Treatment of Covid-19Adobe PDF (392.44 KB)
    • Statement from the UK Chief Medical Officers on Water Fluoridation – 23 September 2021Adobe PDF (121.78 KB)
    • HSS(MD) 66/2021 - Advice on third primary dose for Covid-19 VaccinationAdobe PDF (766.94 KB)
    • HSS(MD)65/2021 - Addendum (no 2) - Covid-19 therapeutic alert: neutralising monoclonal antibodies in the treatment of Covid-19 in hospitalised patients - updateAdobe PDF (366.73 KB)
    • HSS(MD) 65/2021 (Addendum) - Covid-19 therapeutic alert: casirivimab and imdevimab (ronapreve®) for patients hospitalised due to covid-19Adobe PDF (552.94 KB)
    • HSS(MD) 65/2021 - Covid-19 therapeutic alert: casirivimab and imdevimab (ronapreve®) for patients hospitalised due to covid-19Adobe PDF (292.62 KB)
    • HSS(MD) 64/2021 (Addendum) - Seasonal influenza vaccination programme 2021/22Adobe PDF (413.53 KB)
    • HSS(MD) 64/2021 - Seasonal influenza vaccination programme 2021/22Adobe PDF (1.43 MB)
    • HSS(MD) 63/2021 - Covid-19 therapeutic alert: interleukin-6 inhibitors (tocilizumab or sarilumab) for adult patients hospitalised due to Covid-19Adobe PDF (233.75 KB)
    • Interim Clinical Commissioning Policy: IL-6 inhibitors (tocilizumab or sarilumab) for hospitalised patients with COVID-19 (adults) - 31 January 2022Adobe PDF (248.35 KB)
    • UK CMOs letter on Universal Vaccination of Children and Young People aged 12-15 years against COVID-19Adobe PDF (770.78 KB)
    • CMO letter to Parents, Pupils and school community - September 2021Adobe PDF (196.95 KB)
    • HSS (MD) 62/2021 - Shingles Vaccination Programme – Eligibility Criteria for 2021/22 and Introduction of Shingrix® for ImmunocompromisedAdobe PDF (328.27 KB)
    • HSS (MD) 61/2021 - Labelling of Fluenz Tetra® Vaccine during 2021/22 Influenza SeasonAdobe PDF (390.53 KB)
    • HSS (MD) 60/2021 - Potent Synthetic Opioids Implicated in Increase in Drug OverdosesAdobe PDF (300.77 KB)
    • HSS (MD) 59/2021 - Updated policy for management of self-isolation of close contacts of covid-19 cases who are fully vaccinated - additional safeguards for health and social care staffAdobe PDF (627.54 KB)
    • HSS (MD) 58/2021 - Update to UK Guidance on Patient Consent for Blood TransfusionAdobe PDF (654.57 KB)
    • HSS (MD) 57/2021 - Pause on Vaccination of Low Priority Groups and Change to the Ordering Process for Pneumococcal Polysaccharide Vaccine (Pneumovax®23), Vaccine for the National Immunisation ProgrammeAdobe PDF (344.28 KB)
    • HSS (MD) 56/2021 - Further updated advice from JCVI regarding children aged 16 and 17 years of ageAdobe PDF (489.86 KB)
    • HSS (MD) 55/2021 - Supply Disruption Alert – Glipizide (Minodiab®) 5mg TabletsAdobe PDF (527.11 KB)
    • HSS (MD) 54/2021 – Updated JCVI Advice re Children 12-17 Years of AgeAdobe PDF (487.68 KB)
    • HSS (MD) 53/2021 - Supply disruption alert - tinzaparin sodium (10,000 iu/ml) 3,500 units in 0.35 ml and 4,500 units in 0.45 ml pre-filled syringesAdobe PDF (593.66 KB)
    • HSS (MD) 52/2021 - Change of dose interval between the pfizer-biontech and moderna covid-19 vaccinesAdobe PDF (395.51 KB)
    • HSS (MD) 51/2021 - Polyethylene glycol (peg) laxatives and starch-based thickeners: potential interactive effect when mixed, leading to an increased risk of aspirationAdobe PDF (253 KB)
    • HSS (MD) 50/2021 - Revised RQIA/GAIN hyperkalaemia guidelineAdobe PDF (191.18 KB)
    • HSS (MD) 49/2021 - Fully vaccinated Health & Social Care Staff told to self-isolate as a close contact may be permitted to attend work in exceptional circumstancesAdobe PDF (479.66 KB)
    • HSS (MD) 48/2021 - Use of European Medicines Agency (EMA) Authorised Medicines in Northern IrelandAdobe PDF (536.91 KB)
    • HSS (MD) 47/2021 - Personal protective equipment and heat - Risk of heat stressAdobe PDF (277.52 KB)
    • HSS (MD) 46/2021 - Palivizumab passive immunisation against respiratory syncytial virus (RSV) in at risk pre-term infants - PLEASE NOTE THAT THIS ADVICE HAS NOW EXPIREDAdobe PDF (473.83 KB)
    • HSS (MD) 46/2021 - Covid-19 rapid policy statement - PLEASE NOTE THAT THIS STATEMENT HAS NOW EXPIRED Adobe PDF (380.47 KB)
    • HSS (MD) 45/2021 - EU Settlement Scheme – Access to Healthcare for EU, EEA and Swiss Citizens Resident in Northern Ireland by 31 December 2020Adobe PDF (260.2 KB)
    • HSS (MD) 44 2021 - Supply Disruption Alert - Dexamethasone 0.1% (Maxidex®) 5ml Eye DropsAdobe PDF (718.31 KB)
    • HSS (MD) 43/2021 - UK Patient Safety Alert NatPSA2021005MHRA- Philips ventilator, CPAP and BiPAP devices Potential for patient harm due to inhalation of particles and volatile organic compoundsAdobe PDF (331.12 KB)
    • HSS (MD) 42/2021 - Supply Disruption Alert - Champix® (Varenicline) 0.5MG and 1mg TabletsAdobe PDF (568.9 KB)
    • HSS (MD) 41/2021 – Hepatitis C becomes a Notifiable Disease in Northern IrelandAdobe PDF (170.71 KB)
    • HSS (MD) 40/2021 - Remdesivir for Patients Hospitalised with COVID-19 (Adults and Children aged 12 Years and over) COVID-19 Therapeutic AlertAdobe PDF (358.62 KB)
    • Interim Clinical Commissioning Policy: Remdesivir for patients hospitalised with COVID-19 (adults and children 12 years and older) Version 3Adobe PDF (674.89 KB)
    • HSS (MD) 39/2021 - Change of Dose Interval between COVID-19 VaccinesAdobe PDF (224.48 KB)
    • HSS (MD) 38/2021 - Vaccination Protocol for COVID-19 Vaccine ModernaAdobe PDF (1.13 MB)
    • HSS (MD) 37/2021 - Vaccination protocol update for Covid-19 vaccine Astrazeneca - 26 May 2021Adobe PDF (1.09 MB)
    • HSS (MD) 36/2021 - Change to the Supply Route of Pneumococcal Polysaccharide Vaccine (Pneumovax®23), Vaccine for the National Immunisation ProgrammeAdobe PDF (360.75 KB)
    • HSS (MD)35/2021 - Use of the Astrazeneca Vaccine: Advice on Updated JCVI StatementAdobe PDF (261.69 KB)
    • HSS (MD) 34/2021 - MHRA and JCVI ANNOUNCEMENT regarding Astrazeneca Vaccine Updated Contraindications and Next StepsAdobe PDF (605.51 KB)
    • HSS (MD) 33/2021 - JCVI Announcement regarding COVID-19 Vaccination during Pregnancy and Next StepsAdobe PDF (480.23 KB)
    • HSS (MD) 32/2021 - Vaccination Protocol for COVID-19 Vaccine BNT162b2 (Pfizer / Biontech) and Update to Vaccination Protocol for COVID-19 Vaccine AstrazenecaAdobe PDF (1.65 MB)
    • HSS(MD) 31/2021 - End of the 2020/21 flu season and related issuesAdobe PDF (224.26 KB)
    • HSS (MD) 30/2021 - Supply Disruption Alert – Propofol Emulsion for Infusion and Injection (All Strengths) – UpdateAdobe PDF (509.69 KB)
    • HSS(MD) 29/2021 (Addendum) - Covid-19 therapeutic alert – withdrawal of the recommendation for consideration of inhaled budesonide as a treatment optionAdobe PDF (641.9 KB)
    • HSS (MD) 29/2021 - COVID-19 Therapeutic Alert - Inhaled Budesonide for Adults (50 Years And Over) with COVID-19Adobe PDF (324.74 KB)
    • HSS (MD) 28/2021 - COVID-19 Vaccine Astrazeneca and Thromboembolic Events with Concurrent Low Platelet CountsAdobe PDF (213.78 KB)
    • HSS (MD) 27/2021 - Palivizumab Passive Immunisation against Respiratory Syncytial Virus (Rsv) in At-Risk Pre-Term InfantsAdobe PDF (194.21 KB)
    • HSS (MD) 26/2021 - Vaccination Protocol for COVID-19 Vaccine AstrazenecaAdobe PDF (1001.15 KB)
    • HSS (MD) 25/2021 - Convalescent Plasma in the management of hospitalised patients with Covid-19Adobe PDF (185.97 KB)
    • HSS (MD) 24/2021 - UK Patient Safety Alert NATPSA/2021/001/MHRA - Becton Dickinson (BD) Intra-Venous (IV) and Gravity Feed Infusion SetsAdobe PDF (2.45 MB)
    • HSS (MD) 23/2021 - Supply Disruption Alert - Repaglinide 1mg and 2mg TabletsAdobe PDF (814.74 KB)
    • HSS (MD) 22/2021 – Supply Disruption Alert – Discontinuation of Morphine Sulphate (Mst Continus®) 20mg, 30mg, 60mg, 100mg and 200mg Prolonged Release Granules for Oral Suspension (Napp Pharmaceuticals)Adobe PDF (606.2 KB)
    • HSS (MD) 21/2021 - COVID-19 Therapeutic Alert – Interleukin-6 Inhibitors (Tocilizumab or Sarilumab) for Hospitalised Patients with COVID-19 Pneumonia (Adults) - UpdateAdobe PDF (351.6 KB)
    • HSS (MD) 20/2021 COVID-19 Vaccines : Weekly Publication of Yellow Card Safety DataAdobe PDF (230.36 KB)
    • HSS (MD) 19/2021 - COVID-19 Therapeutic Alert – Colchicine in the Management Of COVID-19 Positive Patients – Use Only in a Clinical Trial SettingAdobe PDF (280.92 KB)
    • HSS (MD) 18/2021 - Supply Disruption Alert - Phyllocontin® (Aminophylline) 225mg and 350mg Modified Release TabletsAdobe PDF (1.2 MB)
    • HSS (MD) 17/2021 - Supply Disruption Alert – Propofol Emulsion for Infusion and Injection (All Strengths)Adobe PDF (553.47 KB)
    • HSS (MD) 16/2021 - COVID-19 Therapeutic Alert - Interleukin-6 Inhibitors (Tocilizumab or Sarilumab) for Critically Ill Patients With COVID-19 Pneumonia (Adults) – UpdateAdobe PDF (327.61 KB)
    • HSS (MD) 15/2021 - COVID-19 Therapeutic Alert – Antimicrobials (Azithromycin and Doxycycline) not Beneficial in the Management Of COVID-19 – (SARS-CoV-2) Positive PatientsAdobe PDF (300.2 KB)
    • HSS (MD) 14/2021 - Safety of Antiepileptic Drugs in Pregnancy: Updated Advice Following Comprensive Safety ReviewAdobe PDF (274.03 KB)
    • HSS (MD) 13/2021 - Updated Guidance on Timing of COVID-19 Vaccine Dosing Interval in Patients due to Receive Treatment with ImmunosuppressantsAdobe PDF (489.62 KB)
    • HSS (MD) 12/2021 - Supply Disruption to Stoma Care ProductsAdobe PDF (84.01 KB)
    • HSS (MD) 11/2021 - Prescribing of Vitamin D as a Preventative Measure against COVID-19Adobe PDF (205.76 KB)
    • HSS (MD) 10/2021 - Guidance on the Use of the COVID-19 Vaccine Astrazeneca to Vaccinate Housebound PatientsAdobe PDF (563.1 KB)
    • HSS (MD) 9/2021 - New Variants of SARS-CoV-2 Virus (Brazilian Variants); Action for the Health ServiceAdobe PDF (229.33 KB)
    • HSS (MD) 8/2021 - Supply Disruption Alert - Methylprednisolone Powder for Solution for Injection (All Strengths)Adobe PDF (495.07 KB)
    • HSS (MD) 7/2021 - Support Doctors throughout the Covid-19 PandemicAdobe PDF (353.77 KB)
    • HSS (MD) 6/2021 - COVID-19 Therapeutic Alert – Interleukin-6 Inhibitors (Tocilizumab Or Sarilumab) for Patients admitted to Critical Care Settings with COVID-19 Pneumonia (Adults)Adobe PDF (331.32 KB)
    • HSS (MD) 5/2021 - Data Capture from the Covid-19 Vaccination ProgrammeAdobe PDF (181.82 KB)
    • Interim Position Statement: Interleukin-6 inhibitors (tocilizumab or sarilumab) for patients admitted to ICU with COVID-19 pneumonia (adults)Adobe PDF (197.39 KB)
    • HSS (MD) 4/2021 - Timing of Interval between Covid-19 Vaccine DosesAdobe PDF (461.13 KB)
    • HSS (MD) 3/2021 - Seasonal Influenza Vaccination Programme 2020/21 – Extension to 50-64 Year OldsAdobe PDF (293.12 KB)
    • HSS (MD) 2/2021 - Deployment of COVID-19 Vaccine Oxford / AstraZeneca - Governance, Handling and Preparation in General PracticeAdobe PDF (242.19 KB)
    • HSS (MD) 1/2021 - Lithium Carbonate (Priadel®) 200mg and 400mg Modified Release Tablets – Updated Supply Disruption AlertAdobe PDF (790.99 KB)
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