In reaction to the COVID-19 pandemic, the United States and foreign communities have invested billions of dollars and massive amounts of human resources to expand an effective vaccine over an unprecedented period of time, the report says. There are nearly 190 COVID-19. vaccines in preclynic progression or clinical trials in the United States, Europe and China; however, even if one or more effective COVID-19 vaccines are allowed, it is highly unlikely that sufficient amounts will be available without delay to vaccinate the giant amounts of the U. S. population.
For the initial era in which demand for vaccines exceeds supply, the committee conducted the review and drafted the report a four-phase allocation technique based on widely accepted and evidence-guided basic concepts to maximize social benefits by reducing morbidity and mortality caused by SARS-CoV-2 transmission.
Phase 1a covers approximately five% of the population and includes frontline fitness personnel (in hospitals, nursing homes or by offering home care); personnel providing health care services, such as transportation and the environment, who are also at risk of exposure to physical fluids or aerosols; and lifeguards. This organization plays a key role in maintaining the capacity of the fitnesscare system, one of the main threats of exposure for patients with COVID-19 symptoms and a higher threat of transmitting the virus to others, adding to the circle of family members.
Phase 1b covers approximately 10% of the population and includes other people of all ages with underlying and comorbid conditions (eg, cancer, severe central disease, and sickle cell anemia) that put them at particularly higher risk for disease . Severe COVID-19 or death. To the knowledge of the COVID-19 Hospitalization Surveillance Network, adults with two or more concurrent ailments make up the vast majority of other people hospitalized for COVID-19 in the U. S. Older adults (65 years and over) also they live in this phase. in crowded or collective settings, adding nursing homes, long-term care facilities, homeless shelters, organization homes, prisons or prisons. This organization faces non-unusual threat points from serious diseases and complex age-related reduced resistance and acquisition and transmission due to their living environment, where they have a limited opportunity to go through public fitness measures, such as maintain physical distance.
Phase 2 covers approximately 30% to 35% of the population and includes K-12 teachers and school personnel (including administrators, environmental facilities and maintenance personnel, and bus service drivers) and educators, who play an important role in schooling and development. Also included are critical personnel in maximum threat environments that cannot avert a major threat of COVID-19 exposure, such as personnel in food source formula and public transportation. In addition, this phase includes other people of all ages with comorbid and underlying situations that put them in a situation of maximum threat, explained by having any of the situations indexed through the Centers for Disease Control and Prevention (CDC ) as related to a growing threat of serious disease. COVID-19, and possibly some rare diseases as well. Phase 2 also includes other people living in homeless shelters or the houses of organizations for other people with disabilities and in recovery, as well as personnel who paint in those settings, as many of this organization have chronic conditioning needs physical. health care problems and hostile living environments that create potential exposure. In addition to other people in prisons, prisons and detention centers and the staff who operate in those settings, all older people who are not included in phase 1 deserve to be included in phase 2, as adults aged 65 and over more constitute approximately 80% of the reported deaths related to COVID-19 [FEMALE.
Phase 3 covers approximately 40% to 45% of the population and includes young adults, young people and staff from industries such as schools and universities, hotels, banks, exercise facilities and factories that are vital to the functioning of society and pose a major threat. exposure, as some safeguards are likely to be implemented in those workplaces. Young adults between the ages of 18 and 30 have a tendency to have wider social media than older adults, increasing their threat of infection and transmission, but are less likely to become seriously ill or die from COVID-19, making them and young people the goal of transmission prevention. .
Phase four covers all people living in the United States who did not have the vaccine in previous phases.
“Health inequalities have existed, but right now there is an awakening to the strength of racism, poverty and prejudice that magnifies the suffering and physical condition and economic difficulties imposed by this pandemic,” said committee co-chair Helene Gayle, president and CEO Chicago Community Trust. “We saw our paintings as a way to cure those mistakes and make our component to paintings towards a new commitment to publicize fitness equity. “
For each of the organizations included in each of the phases, the committee advised that STTs ensure that express efforts are made to administer the vaccine to citizens of highly vulnerable areas using the CDC Social Vulnerability Index or some other more expressive index such as the COVID-19 Community Vulnerability Index: This would incorporate the variables that the committee believes are similar highs to the disproportionate ones that have an effect of COVID-19 on other people of color: Black, Hispanic or Latino, Alaska Native Americans and Native Americans, and Hawaiian and Pacific Islander Indians were disproportionately affected by COVID-19 with higher rates of transmission, morbidity and mortality, reflecting the effect of the systemic racism that leads to at higher rates of comorbidities that increase the severity of COVID-19 infection and social disruption. Economic issues that increase the likelihood of infection, such as front-line employment, crowded living conditions, lack of access to non-public protective devices, and the inability to paint from home.
When Americans enter multiple categorizations, the report notes, the upper stage will have to take precedence. The framework provides guidance to the STLT government to tailor its risk-based criteria to these realities while maximizing benefits, mitigating physical fitness inequalities, and showing equivalent respect for all. be fair and transparent, and rely on the most productive existing evidence.
This framework may also indicate the decisions of groups, such as the Advisory Committee on Immunization Practices. In addition to the framework, the report includes recommendations that HHS should:
To help improve vaccine acceptance, CDC deserves to expand and launch a national crusade to advertise the multidimensional, multidimensional, and multidimensional COVID-19 vaccine using rigorous techniques based on evidence of threat communication and fitness, social marketing, and behavioral sciences. CDC deserves to be part of the various stakeholders and prioritize the promotion of the vaccine among other people of color and other communities where vaccine hesitation and skepticism has been documented. Moreover, the US government has not been able to do so. But it’s not the first time It deserves to play a leading role in the equitable allocation of the COVID-19 vaccine globally by opting for the COVAX facility in Gavi, the Vaccine Alliance, the deployment of the US vaccine source component. Global allocation and support to the World Health Organization and its member states to optimize the fair and equitable allocation of vaccines. Array regardless of the source of income.
There are many uncertainties affecting the allocation of the COVID-19 vaccine, such as the number and timing of available vaccine doses, the number of vaccine types available, the efficacy and protection of vaccines, the use of vaccines, and the distribution and delivery of vaccines. includes a summary of the application of the framework in various scenarios. In addition, while vaccine distribution is an essential component of pandemic response, other efforts such as social estating, testing, diagnostic testing, touch search and masking will remain vital. , especially the early stages of immunization.
“Despite the committee’s intense efforts, this framework will have to be noted as an evolving document, intended to be adapted and subtle in the face of continuous improvement in our understanding of the dynamics of the pandemic,” committee co-chair William H said. FoegeArray Emeritus Professor of International Health at Emory University and former director of the CDC. “We hope that these rules will serve as a boost to one of the maximum vital peacetime efforts this country has noticed, as well as a springboard to regain our leadership position. in the global health picture. “