Explained: Covid vaccines in cancer patients

By Dr. Dhaneshwor Naorem
May 25, 2021

The COVID-19 pandemic, continues to impact many people, including cancer patients, their families, and caregivers.Vaccines help a person’s immune system to recognize and protect the body against infections. COVID-19 vaccines have been found to significantly lower the risk of getting infected with COVID-19, lower the risk of having severe disease, being hospitalized, or dying from COVID-19 if one gets infected. 

Here we’ll discuss some frequently asked questions by people with cancer or a history of previous cancer have about the COVID-19 vaccines.

1) Should cancer patients and survivors take the COVID-19 vaccine?

Patients with cancer or a history of cancer should get the COVID -19 vaccine whenever available. Many expert medical groups recommend patients with a recent cancer diagnosis and those on treatment should be given the highest priority. This is because cancer and its treatment can weaken the immune system putting such patients at risk for severe COVID-19 disease. Caregivers and household members of cancer patients should also be immunized whenever possible.

2) Is it safe for cancer patients to receive the COVID-19 vaccine?

At present, there is a lack of data regarding the safety and efficacy of COVID-19 vaccination in cancer patients. Numerous studies have shown that cancer patients are at higher risk for more severe COVID-19 disease and complications. There are no reports of increased risk for side effects of the vaccine in cancer patients. The risks of COVID-19 for cancer patients outweigh the very low risk of vaccination. Because of these, oncology groups including the American Society of Clinical Oncology (ASCO), the American Society of Hematology (ASH), and the American Society for Radiation Oncology have all recommended patients with cancer get vaccinated.

3) Is there any specific approved COVID-19 vaccine for cancer patients?

At this time, no major medical organizations have recommended getting one type of COVID vaccine over another, either for cancer patients or for other people. Health experts believe that getting the vaccine once it becomes available, whichever one it is, is most important, rather than waiting to get a specific vaccine. 

4) What are the side effects of the vaccines?

Common side effects that have been reported after getting the vaccines to include:
• Pain, redness, or swelling at the injection site
• Feeling tired
• Headache
• Fever
• Chills
• Muscle and joint pain
• Nausea

The incidence or the nature of side effects in cancer patients and survivors had been reported to be similar to with the general population. 

Some people (16%) might develop swelling or pain under the vaccinated arm. This is often a normal response by the body’s immune system to the vaccine. A swollen lymph node under the arm might cause concern since this can also be a sign of breast cancer spread.

Oncologists recommend that patients with breast cancer or a history of breast cancer get the vaccine in the arm on the unaffected side.

5) Are there any exceptions for COVID-19 vaccination among cancer patients?

There are few exceptions:

a) Vaccination should be delayed for at least 3 months following bone marrow transplantation and engineered cellular therapy to maximize vaccine efficacy.

b) Vaccination in patients undergoing intensive chemotherapy should be delayed until neutrophil count recovery.

c) Patients undergoing major surgery for cancer should have a gap of few days in-between.

In patients undergoing chemotherapy, the optimum timing for vaccination about the chemotherapy cycle is still unclear. The difference in the efficacy of the COVID-19 vaccine in terms of its immunogenic potential i.e. ability to generate antibodies against coronavirus- SARS-COV-2, when administered along with chemotherapy versus mid-cycle, is still unknown. In absence of robust data, the National Comprehensive Cancer Network (NCCN) for now recommends vaccination when available.

6) Will vaccination affect my cancer-related tests and scans?

Getting a COVID-19 vaccine might result in swollen lymph nodes under the arm in which the injection was given. Swollen lymph nodes might show up on a CT Scan or mammogram is done for breast cancer or other cancers, causing concern and confusion. It is important to communicate with your doctor if you are scheduled to get an imaging test (such as an MRI or CT scan) in the weeks after getting a COVID vaccine. 

7) Do I still need to take precautions if I get the COVID-19 vaccine?

While the vaccine can lower the risk of getting a serious disease from COVID, it doesn’t completely rule out the possibility of getting infected by the virus. It is also not yet clear how well vaccines can prevent the spread of the virus to others. Here it will be appropriate to mention that data tracking the immune response in patients with cancer who have been vaccinated are still evolving. Therefore, even after vaccination, it is advised that everyone continue to follow all COVID-19 prevention protocols.

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News Network
January 6,2025

Two cases of Human Metapneumovirus (HMPV) were reported in Bengaluru on January 6 - a 3-month-old baby who has been discharged and an 8-month-old who is recovering at a hospital in the Karnataka capital. This marks the first reported cases of HMPV in India.

The infected infants and their families have no recent travel history, ruling out exposure from other regions or countries, the health department said.

HMPV is a respiratory virus that often causes mild symptoms resembling a cold but can lead to other complications, particularly in infants, the elderly, and those with weakened immune systems. The virus can occasionally trigger pneumonia or exacerbate chronic respiratory conditions. Cases typically rise during the winter and early spring.

The Centre announced on Sunday that it is monitoring HMPV and other respiratory viruses, especially following recent reports of increased respiratory illnesses in China. A Joint Monitoring Group (JMG) convened on January 4 to evaluate the situation, with representatives from the World Health Organisation (WHO), National Centre for Disease Control (NCDC), Indian Council of Medical Research (ICMR), and other health organisations participating.

Respiratory illnesses in China align with seasonal variations caused by viruses such as influenza, RSV, and HMPV. Current surveillance data from India does not indicate any unusual surge in respiratory infections, according to the Ministry of Health and Family Welfare.

As a precaution, the Centre has increased laboratory capacity for HMPV testing. The ICMR will monitor HMPV trends throughout the year, alongside other respiratory illnesses such as influenza-like illness (ILI) and severe acute respiratory infections (SARI). A robust network of surveillance systems, including those operated by ICMR and the Integrated Disease Surveillance Programme (IDSP), continues to track respiratory infections across the country.

Hospitals have been advised to strengthen isolation protocols for suspected cases, ensure the availability of essential medicines, and promptly report ILI and SARI cases through the Integrated Health Information Platform (IHIP).

Precautions to Take:

To reduce the risk of HMPV infection, individuals are advised to:

  • Wash hands frequently with soap and water for at least 20 seconds.
  • Avoid close contact with people who have respiratory symptoms.
  • Wear masks in crowded or high-risk areas, especially during seasonal outbreaks.
  • Maintain good indoor ventilation by keeping windows open when possible.
  • Disinfect commonly touched surfaces regularly, such as doorknobs, toys, and tables.
  • Monitor infants, the elderly, and people with chronic illnesses for symptoms like persistent cough or breathing difficulties.
  • Seek prompt medical attention if respiratory symptoms worsen or persist. 

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News Network
January 1,2025

Udupi: In a shocking case of investment fraud, a 72-year-old man from Udupi, Karnataka, lost Rs 49 lakh after falling prey to a deceptive stock market scheme. The incident highlights the growing menace of online scams targeting unsuspecting individuals.

According to the complaint filed by Francis Castelino, an unknown individual added his son's mobile number to a WhatsApp group titled "Stock Market Navigation." The group shared stock market insights and promised lucrative returns, convincing Castelino’s son to invest. Trusting the information, the son persuaded his father to make substantial investments.

On December 30, 2024, Castelino transferred Rs 17,00,000, his wife contributed Rs 10,50,000, and their son invested Rs 21,50,000 to the bank account provided by the fraudsters. 

However, when Castelino attempted to withdraw the invested money, he and his family were pressured to reinvest further. Realizing that the promised profits and their principal amount were not forthcoming, the family approached the police for help.

A case has been registered at the Udupi CEN Police Station under Sections 66(C) and 66(D) of the IT Act and 318(4) BNS. Investigations are underway to track down the culprits and recover the lost funds.

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News Network
January 7,2025

firewestbank.jpg

Israeli settlers shielded by the occupation troops have stormed several villages in the West Bank, setting Palestinian homes, farms and vehicles on fire.

Palestinian media reported that the violent settler attacks took place on Monday night in the villages of Turmus Ayya, Tuqu', Hajjah, Fara'ata, al-Funduq and Immatain.

Prior to the raids, far-right Israeli social media groups had posted messages calling on members to join in on rampages against Palestinian villages.

The attacks took place although Israeli rights groups had demanded preventative actions by the regime's authorities.

“Once again, the army is doing nothing to prevent settler violence. This time, too, the writing was on the wall, and notices calling for riots in the villages were distributed publicly among settlers,” the Yesh Din right group said.

Settler violence has escalated significantly since October 7, 2023, when Israel unleashed a genocidal war on the Gaza Strip.

So far, the Tel Aviv regime has killed at least 45,854 Palestinians, mostly women and children, and injured 109,139 others, in its brutal Gaza onslaught. 

Israel confiscates more Palestinian land

Separately on Monday, the Wafa news agency reported that Israeli authorities had seized 262,000 square meters of Palestinian land in Jaba’, al-Ram, Kafr 'Aqab, and Mukhmas, all situated in the al-Quds governorate.

Israeli human rights organization Ir Amim said that the occupying regime is seeking to annex the confiscated area to the illegal Geva Binyamin settlement.

More than 600,000 Israelis live in over 230 settlements built since the 1967 Israeli occupation of the West Bank and East al-Quds.

While all Israeli settlements are illegal under international law, Israel keeps expanding them in blatant violation of United Nations Security Council resolutions.

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