MIL-OSI Translation: Employees aged 50 to 64 with co-morbidities can be vaccinated by occupational physicians

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MIL OSI Translation. Government of the Republic of France statements from French to English –

Source: Republic of France in French

Credits: © cherryandbees – AdobeStock

Since February 25, 2021, occupational physicians have been able to vaccinate employees aged 50 to 64 who are volunteers with co-morbidities. Following the HAS opinion of February 2, 2021, the Directorate General of Labor communicated on February 16 a protocol for vaccination by occupational physicians using the AstraZeneca (AZ) vaccine. Occupational health services are therefore part of the vaccination campaign defined by the health authorities, in particular that of priority audiences. How’s it going ? Explanations with Service-Public.fr.

A protocol from the Directorate General of Labor (DGT) specifying the modalities of their intervention was sent to the occupational health services. Like city doctors, occupational physicians must contact the dispensary pharmacy of their choice to identify themselves and obtain doses of the AstraZeneca vaccine, under the same quota regime. Occupational physicians must respect the prioritization of target audiences as well as the ethical rules that apply to any vaccination act (respect for the person’s consent, medical confidentiality, etc.).

Who is concerned ?

This concerns people aged 50 to 64 inclusive with co-morbidities with Covid-19, that is to say:

cardiovascular pathologies [complicated arterial hypertension (hypertension) (with cardiac, renal and vascular complications), history of stroke, history of coronary artery disease, history of cardiac surgery, NYHA stage III or IV heart failure];
unbalanced or complicated diabetes;
chronic respiratory pathologies liable to decompensate during a viral infection (obstructive pulmonary disease, severe asthma, pulmonary fibrosis, sleep apnea syndrome, cystic fibrosis in particular);
obesity (with body mass index (BMI) ≥ 30);
progressive cancer under treatment (excluding hormone therapy);
Child Pugh score at least stage B cirrhosis;
congenital or acquired immunosuppression;
major sickle cell syndrome or history of splenectomy;
motor neuron diseases, myasthenia gravis, multiple sclerosis, Parkinson’s disease, cerebral palsy, quadriplegia or hemiplegia, primary cerebral malignancy, progressive cerebellar disease;
cancers and malignant haematological diseases during treatment with chemotherapy;
severe chronic kidney disease, including dialysis patients;
people with solid organ transplants;
people transplanted by allogeneic hematopoietic stem cell transplantation;
chronic poly-pathologies with at least two organ failure;
certain rare diseases and particularly at risk in case of infection;
Trisomy 21.

In what conditions ?

The employer or the occupational health service inform all employees (including those placed in partial employment) of the possibility of being vaccinated by the company’s occupational health service when this possibility exists.
Volunteer employees contact the health service. As a rule, the occupational physician knows the employee’s state of health. If this is not the case, it is desirable that the employee bring the documents justifying his pathology.
The occupational physician may possibly contact directly the employees whom he has identified as suffering from a targeted pathology during a previous visit to offer them vaccination. However, employees retain the absolute choice of being vaccinated or not, and, if applicable, of the doctor to whom they refer. Employees may prefer to speak to their attending physician.
The employer cannot require an employee to be covered by this vaccination. This is indeed not mandatory but recommended. It requires the prior informed consent of the volunteer worker to be vaccinated.
The doctor does not have the right to inform the employer of vaccinated employees, nor of their acceptance or refusal of the vaccination. No decision of unfitness can thus be drawn from the sole refusal of the employee to be vaccinated.
Vaccination takes place preferably in the premises of the occupational health service and not in premises set up within companies.
After the injection, you should stay on site for about 15 minutes as a safety measure.
The vaccination booster (2nd dose) takes place between 9 and 12 weeks after the 1st dose.
The vaccines are provided free of charge by the state. They do not cost the employer or the employee anything.

EDITOR’S NOTE: This article is a translation. Apologies should the grammar and / or sentence structure not be perfect.

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