Phased Allocation of COVID-19 Vaccines
ACIP COVID-19 Vaccines Work Group
Phased Allocation of COVID-19 Vaccines
Kathleen Dooling, MD, MPH ACIP meeting November 23, 2020
For more information: COVID19
Objective
Select groups for COVID-19 vaccine allocation in Phase 1a, Phase 1b & Phase 1c
Allocation of COVID-19 vaccine
Science
Implementation
Ethics
Policy Question #2
Which groups should be recommended to receive COVID-19 vaccine `X' during Phase 1?
3
Allocation of initial COVID-19 vaccine: Phase 1
Science
Science:
COVID-19 disease burden Balance of benefits & harms
of vaccine
Implementation
Ethics
4
Allocation of initial COVID-19 vaccine: Phase 1
Science
Implementation:
Values of target group Feasibility
Implementation
Ethics
5
Allocation of initial COVID-19 vaccine: Phase 1
Science
Ethical Principles:
Maximize benefits &
minimize harms Promote justice Mitigate health inequities Promote transparency
Implementation
Ethics
6
Proposed Groups for Phase 1 vaccination
August ACIP meeting
Phase 1a: -Healthcare Personnel
Phase 1b: -Essential Workers -High-Risk Med Conditions -Adults 65 years old
High-Risk Medical Conditions >100M
Essential workers ~87M
Healthcare personnel ~21M
Adults 65 years old ~53M
Proposed groups for Phase 1 vaccination
Healthcare Personnel 1 (~21million)
Essential Workers (non -healthcare) 1
(~87 million)
Adults with high -risk medical conditions 2
(>100 Million)
Adults age 65 year3s (53 Million)
Examples
Hospitals Long-term care facilities Outpatient Home health care Pharmacies EMS Public health
Food & Agriculture Food Service Transportation Education Energy Police Firefighters Manufacturing IT & Communication Water & Wastewater
Obesity Severe Obesity Diabetes COP Heart Condition Chronic kidney Cancer Smoking Solid Organ Transplant Sickle cell disease
Community Dwelling Congregate ~3M4 -Skilled Nursing Facility (~1.3 M) -Assisted living Facilities (~0.8 M) -Residential care communities (~0.6 M) -HUD Senior Housing (~0.3M)
1. -essential-critical-infrastructure-workforce 2. -ncov/need-extra-precautions/people-with -medical conditions.html?CDC_AA_refVa=lhttps%3A%2F%2F%2Fcoronavirus%2F201-9 ncov%2Fneed-extra-precautions%2Fgroups-at-higher-risk.html 3. United States Census Bureahuttps://ics/population/older -aging.html 4. Vital and Health Statistics, Series 3, Number 43 ()
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