Coronavirus advice
The risks
There’s no evidence to suggest that people with spinal cord injury (SCI) are more likely to catch coronavirus. But we know that due to paralysis and a weakened cough reflex, people with SCI who contract the disease are more likely to need acute care.
Giving you the best information
The aim of the COVID-19 immunisation programme is to prevent serious disease (hospitalisation and/or mortality) arising from COVID-19.
Over the last 4 years, population immunity to SARS-CoV-2 has been increasing due to a combination of naturally acquired immunity following recovery from infection and vaccine-derived immunity (this combination is termed ‘hybrid immunity’). COVID-19 is now a relatively mild disease for most people, though it can still be unpleasant, with rates of hospitalisation and death from COVID-19 having reduced significantly since SARS-CoV-2 first emerged. Age has always been strongly associated with the risk of hospitalisation and mortality from COVID-19, with the oldest in the population being the most vulnerable.
As COVID-19 becomes an endemic disease, and with a move towards standard assessment of cost-effectiveness, the focus of the programme is shifting towards targeted vaccination of the oldest adults and individuals who are immunosuppressed. These are the 2 groups who continue to be at higher risk of serious disease, including mortality. JCVI statement on COVID-19 vaccination in 2025 and spring 2026 – GOV.UK website.
The new Green paper document Green book on Immunisation COVID-19 chapter 14a does not allow for interpretation to suit those with SCI as immunosuppressed. It details very specific immunosuppressed cohorts.
SIA are currently reviewing this advice and will update guidance on this webpage as soon as we are able.
More information
Please remember that we are here for every person living with SCI. Our support line is open Monday to Friday between 9am-5pm on 0800 980 0501 and we can also be contacted via email.
Our support network coordinators have first-hand experience of living with a spinal cord injury and can help you find the right services for you,