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Mae’r Cyd\-bwyllgor ar Imiwneiddio a Brechu (y Cyd\-bwyllgor) yn bwyllgor cynghori arbenigol annibynnol, sy’n cynghori pedair adran iechyd Llywodraethau’r Deyrnas Unedig ynghylch imiwneiddio, er mwyn atal heintiau a/neu glefydau.


Fel rhan o’i adolygiad parhaus o’r rhaglen brechu rhag y ffliw, mae’r Cyd\-bwyllgor wedi cyhoeddi ei gyngor diweddaraf ar raglen 2023\-24 (dolen allanol, Saesnegy un unig), gan nodi’r carfanau sy’n gymwys i gael eu brechu yn ystod y tymor nesaf a’r brechlynnau a argymhellir. Mae’r cyngor gan y Cyd\-bwyllgor, yr wyf wedi’i dderbyn, yn adlewyrchu ei argymhellion ar gyfer y tymor presennol i raddau helaeth, gan fod y Cyd\-bwyllgor unwaith eto wedi argymell pobl hŷn, plant a’r rhai sy’n wynebu risg glinigol fel y prif grwpiau sy’n gymwys i gael brechiad rhag y ffliw.


Ers dechrau’r pandemig COVID\-19 mae’r Cyd\-bwyllgor wedi cefnogi ehangu’r rhaglen brechu rhag y ffliw dros dro i’r rhai sydd rhwng 50 a 64 oed i amddiffyn y boblogaeth rhag bygythiad posibl o COVID\-19 a’r ffliw yn cylchredeg ac i leihau pwysau ar y GIG. Ar gyfer y tymor presennol, cytunodd y Cyd\-bwyllgor y byddai’n dderbyniol brechu’r grŵp hwn, pe bai cyllid ar gael. Yn absenoldeb dadansoddiad effeithiolrwydd costau, mae’r Cyd\-bwyllgor wedi argymell yr un dull ar gyfer y tymor nesaf, hynny yw, dylai’r gwledydd frechu pobl sydd rhwng 50 a 64 oed, os oes cyllid ar gael.


Er fy mod wedi penderfynu'r llynedd i fwrw ymlaen gyda brechu’r grŵp hwn ar gyfer y tymor presennol, o ystyried y cyd\-destun ariannol hynod heriol yr ydym yn ei brofi ar hyn o bryd, byddaf yn gohirio fy mhenderfyniad ynghylch a ddylid brechu’r garfan hon nes bod mwy o ddata effeithiolrwydd costau ar gael i’w ddadansoddi. Rwy’n disgwyl bod mewn sefyllfa i wneud a chyhoeddi’r penderfyniad hwn yng ngwanwyn 2023\.


Ni ddylai hyn effeithio ar archebion brechlynnau y gwasanaeth, gan y bydd Llywodraeth Cymru yn cymryd cyfrifoldeb dros gaffael unrhyw gyflenwad ychwanegol o’r brechlyn sydd ei angen i gynnwys y grŵp 50\-64 oed, pe bai cytundeb ar eu cynnwys yn y rhaglen.


Yn gysylltiedig â hyn, rwyf wedi penderfynu tynnu’r brechlyn ffliw pedwarfalent a feithrinwyd mewn wyau oddi ar y rhestr o frechlynnau yr ydym yn eu cymeradwyo ar gyfer ad\-daliad yn 2023\-24\. Mae hyn yn seiliedig ar gyngor y Cyd\-bwyllgor na ddylid ond eu defnyddio yn y garfan 50\-64 oed sy’n wynebu risg isel neu yn lle brechlynnau eraill a ffefrir pan nad yw’r rheini ar gael.


Mae brechu rhag y ffliw yn rhan o Raglen Frechu’r Gaeaf yn erbyn Feirysau Anadlol ac mae’n flaenoriaeth strategol i Lywodraeth Cymru. Yn 2022\-23 cafodd y rhaglen brechu rhag y ffliw ei chyflawni am y tro cyntaf ochr yn ochr ag ymgyrch brechiadau atgyfnerthu COVID\-19 yr hydref ac rydym yn bwriadu gweithredu yn yr un modd y flwyddyn nesaf, pan fo’n bosibl, i gynyddu’r nifer sy’n manteisio ar y brechiadau ac i amddiffyn cymaint o bobl sy’n agored i niwed ag y gallwn.


Bydd Cylchlythyr Iechyd Cymru yn cael ei gyhoeddi cyn bo hir gan Brif Swyddog Meddygol y GIG yng Nghymru, er mwyn hysbysu’r gwasanaeth o’r cyngor y mae’r Cyd\-bwyllgor wedi’i gyhoeddi a beth y mae hyn yn ei olygu i Gymru. Bydd y cylchlythyr hefyd yn rhoi arweiniad i’r rhai sy’n rhoi’r brechiadau ynglŷn â charfanau, gan dynnu sylw at y brechlynnau mwyaf effeithiol y gellir eu had\-dalu a argymhellir i’w defnyddio’r flwyddyn nesaf.


Rwy’n hynod ddiolchgar o hyd i’r GIG ac i bawb sy’n rhan o’r rhaglen frechu am eu gwaith caled parhaus.







Translation:


 
The Joint Committee on Vaccination and Immunisation (JCVI) is an independent expert advisory committee, which advises the four United Kingdom Government’s health departments about immunisation, for the prevention of infections and/or disease. 


As part of its ongoing review of the Influenza vaccination programme, the JCVI has published its latest advice on the 2023\-24 programme (external link), which details both the cohorts eligible for vaccination for next season and the recommended vaccines. The advice from the Committee, which I have accepted, largely mirrors their recommendations for the current season, in that, the Committee has again recommended older people, children and those at clinical risk as the main groups eligible for flu vaccination.


Since the beginning of the COVID\-19 pandemic JCVI has been supportive of the temporary expansion of the influenza programme to those aged between 50 and 64 years of age to protect the population from the potential threat of co\-circulation of COVID\-19 and influenza and alleviate pressure on the NHS. For the current season, the Committee agreed that it would be acceptable to vaccinate this group, if funding was available. In the absence of cost\-effectiveness analysis, the Committee has recommended the same approach for next season, that is, nations should vaccinate 50\-64 year olds, if funding is available.


Whilst I took the decision last year to proceed with vaccination for this group for the current season, given the extremely challenging financial context we are currently experiencing, I have decided to defer my decision on whether to vaccinate this cohort until further cost\-effectiveness data is available for analysis. I expect to be in a position to make and announce this decision in spring 2023\. 


This should not impact on the ordering of vaccines by the service, as Welsh Government will take responsibility for the procurement of any additional vaccine supply required to cover the 50\-64 year old group, should their inclusion in the programme be agreed.


Connected to this, I have made the decision to remove the QIVe vaccine from the list of vaccines we approve for reimbursement in 2023\-24\. This is based on the advice from the JCVI that it should only be used in the low risk 50\-64 cohort or as a substitute when other preferred vaccines are unavailable.


Influenza vaccination is part of the annual Winter Respiratory Vaccination Programme and is a strategic priority for Welsh Government. In 2022\-23 the influenza vaccination programme was for the first time delivered alongside the COVID\-19 autumn booster vaccination campaign and we plan to operationalise in the same way for next year, where possible, to maximise take up and protect as many vulnerable people as we can.


A Welsh Health Circular will shortly be issued from the Chief Medical Officer to the NHS in Wales, to notify the service of the published JCVI advice and what this means for Wales. The circular will also provide immunisers with guidance on cohorts, highlighting the recommended, most effective reimbursable vaccines for use next year.


As ever, I am extremely grateful to the NHS and everyone involved in the vaccination programme for their continued hard work.