<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> usually one-off but every 5 years if splenectomy/asplenia or CKD two type of pneumococcal vaccine pneumococcal conjugate vaccine (PCV) - kids at 2,4,13 months pneumococcal polysaccharide vaccine (PPV) - adults For PPV - all >65 and asplenia or splenic dysfunction chronic respiratory disease: COPD, bronchiectasis, cystic fibrosis, interstitial lung disease. (Asthma if 'it requires the use of oral steroids at a dose sufficient to act as a significant immunosuppressant') chronic heart disease: ischaemic heart disease if requiring medication or follow-up, heart failure, congenital heart disease. Controlled hypertension is not an indication for vaccination chronic kidney disease chronic liver disease: including cirrhosis and chronic hepatitis diabetes mellitus if requiring medication immunosuppression (either due to disease or treatment). This includes patients with any stage of HIV infection cochlear implants patients with cerebrospinal fluid leaks