Covid: Households of adults with weak immune systems to be prioritised for vaccine

Coronavirus vaccine Credit: PA Wire/PA Images

People who are living in a house with an adult with a weakened immune system are to be prioritised for Covid-19 vaccinations.

However, children under the age of 16 are not part of the new advice from the government.

The Joint Committee on Vaccination and Immunisation (JCVI) said people over the age of 16 who are living in a house with an adult with a weakened immune system - such as those with blood cancer, HIV or are having immunosuppressive treatment such as chemotherapy - should be prioritised for their vaccine.

It is hoped the move will help to limit the spread to those with a weaker immune system, who are immunosuppressed or vulnerable adults, and are less able to fight infections naturally.

The NHS in England has been told to offer jabs to this group after the Government accepted the recommendation.

People receive their covid-19 jabs at a vaccination hub at Villa Park, in Birmingham, the home of Aston Villa. Credit: PA

People who are immunosuppressed are at high risk of Covid-19 and the JCVI said recent evidence suggests that they may not respond as well to the Covid-19 vaccine as others.

There is growing evidence that the vaccine may reduce the transmission of the virus, the advisers added.

As a result, the JCVI said adults who live with immunosuppressed adults should be prioritised for their jab alongside people who have underlying health conditions which put them at a higher risk of Covid-19.

Professor Wei Shen Lim, chair of Covid-19 immunisation for the JCVI, said: "The vaccination programme has so far seen high vaccine uptake and very encouraging results on infection rates, hospitalisations and mortality.

"Yet we know that the vaccine isn’t as effective in those who are immunosuppressed.

"Our latest advice will help reduce the risk of infection in those who may not be able to fully benefit from being vaccinated themselves."

The COVID-19 jab is being offered at vaccination centres Credit: PA

Do I live with someone with a weakened immune system? What counts as immunosuppressive?

Most people in this group are already likely to have been told they are clinically extremely vulnerable.

  • Patients having chemotherapy leading to immunosuppression,

  • Patients undergoing radical radiotherapy

  • People who have received solid organ transplants

  • Bone marrow or stem cell transplant recipients

  • Anyone with a history of haematological malignancy, including leukaemia,lymphoma, and myeloma

  • People with HIV infection at all stages

  • Those with multiple myeloma or genetic disorders affecting the immune system

  • Anyone with rheumatoid arthritis and psoriasis who may require long-term immuno-suppressive treatments


How have health experts responded?

Dr Mary Ramsay, head of immunisation at Public Health England, added: "Our surveillance systems and research studies are showing that the Covid-19 vaccines can reduce asymptomatic infection and limit transmission of the virus.

"By vaccinating those who live with adults who are immunosuppressed, we can further help protect vulnerable people."


In a letter to Prof Lim, Health Secretary Matt Hancock said: “I am asking NHS England and Improvement to take this advice forward and prioritise household contacts of the severely immunosuppressed for vaccination as you recommend.

"My officials have also shared your advice with colleagues leading the Covid-19 vaccines programmes in each of the four nations of the UK."

The JCVI has not made the same recommendation about family members of children who are immunosuppressed, or children under the age of 16 who live with immunosuppressed adults.

Commenting on the news, Gemma Peters, chief executive of Blood Cancer UK, said the charity was “delighted” at the announcement.

She added: "This is a great result, but it is not the only thing people with blood cancer need.

"Following initial evidence that at least one of the vaccines is not as effective in people with blood cancer and that they may benefit from getting a second dose more quickly, the JCVI needs to give doctors the power to decide when to give a second dose to their blood cancer patients.

"We hope the JCVI will be quicker in acting on this than they have been for prioritising household members, as every day that passes means more people are missing out on getting a second dose at the time their doctor thinks works best for them."