Extremely high risk of severe illness
Some groups of people are considered to be at extremely high risk of severe illness with COVID-19 and should strictly follow shielding measures. Their household and other contacts should strictly follow social distancing measures in order to protect them.
This group includes people who:
- have had solid organ transplants
- have cancer and are receiving active chemotherapy
- have lung cancer and are either receiving or previously received radical radiotherapy
- have cancers of the blood or bone marrow, such as leukaemia, lymphoma or myeloma who are at any stage of treatment
- are receiving immunotherapy or other continuing antibody treatments for cancer
- are receiving other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibiotors
- have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs
- have severe chest conditions such as cystic fibrosis or severe asthma and severe COPD
- have rare diseases that significantly increase the risk of infections such as SCID and homozygous sickle cell
- are receiving immunosuppression therapies that significantly increase risk of infection
- an absent spleen or have had their spleen removed
- renal dialysis treatment
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