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COVID-19 Vaccination HIV — SCE Infectious Diseases MCQ

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HardTravel Medicine & VaccinationCOVID-19 Vaccination HIVSCE Infectious Diseases

A person with HIV asks whether viral suppression and a CD4 count above 500 remove eligibility for seasonal COVID-19 vaccination. What should guide the answer?

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Correct answer: D — Use the current UKHSA seasonal eligibility criteria; HIV and immunosuppression category, age and programme rules determine offers rather than an arbitrary CD4 cut-off after reassessment

The best answer is “Use the current UKHSA seasonal eligibility criteria; HIV and immunosuppression category, age and programme rules determine offers rather than an arbitrary CD4 cut-off after reassessment”. Eligibility changes by campaign, so current national criteria—not a fabricated immune threshold—must be applied. “Use only inactivated vaccines because mRNA vaccines are live” does not match the decisive clinical feature or cited guidance. “Withhold all COVID-19 vaccines in HIV” does not match the decisive clinical feature or cited guidance. “Assume no booster is ever needed after viral suppression” does not match the decisive clinical feature or cited guidance. “Vaccinate only when CD4 exceeds 500 cells/µL” does not match the decisive clinical feature or cited guidance.

Reference: UKHSA Green Book chapter 14a: COVID-19: https://www.gov.uk/government/publications/covid-19-the-green-book-chapter-14a