Infectious Disease

The following section of vaccinations ought to embrace sufferers over the age of 75, in accordance with ACIP

December 21, 2020

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The next phase of COVID-19 vaccinations in the US should include patients aged 75+ and key frontline workers, including first responders, a CDC panel said on Sunday.

In a 13: 1 vote, the Advisory Committee on Immunization Practices (ACIP) voted to recommend who should be included in the next two phases of vaccination after healthcare workers and residents of long-term care facilities received the first dose of Pfizer and BioNTech -Vaccine under an Emergency Authorization (EUA) last week.

Covid-19 vaccination

Patients over 75 and key frontline workers should be a priority in the next wave of COVID-19 vaccinations, according to a CDC panel. Photo credit: Adobe Stock.

The FDA issued a second EEA for a COVID-19 vaccine on Friday after an advisory committee approved its use last week. Doses of this vaccine, developed by Moderna Inc. and the NIH, will be available this week, government officials said.

In addition to patients aged 75 and over and first aiders, according to the ACIP, phase 1b should also include postal workers, employees in local public transport, employees of grocery stores and patients who work in the food, agricultural and manufacturing industries.

These workers “are in sectors that are essential to the functioning of society and are at a much higher risk of being exposed to SARS-CoV-2,” the working group said.

The ACIP recommended that the next phase of vaccinations, Phase 1c, include patients between the ages of 65 and 74, patients between the ages of 16 and 64 with high-risk diseases, and other key workers, including patients in transportation and logistics, food should be service, construction, finance, information technology and communications, energy, media, law, public safety, and water and sanitation.

Amesh A. Adalja, MD

Amesh A. Adalja

Amesh A. Adalja, MD, The senior scientist at the Johns Hopkins Center for Health Security said of the ACIP vote: “[reflects] A good approach to moving out of this public health emergency. “

“Since the beginning of the pandemic, it has been clear that age is a major contributor to hospitalizations and deaths, so vaccinating those 75 and older is a data-driven practice that will have an impact,” Adalja said.

“There are also many people in the community whose jobs put them at unique risk because they involve activities that cannot be done remotely. These people are the key to the day-to-day functioning of society, ”he said. “When a resource like the Pfizer and Moderna vaccines are limited, it is important to use the vaccine in a way that has the greatest impact, and I think the ACIP priority groups are doing just that.”

Reference:

CDC. ACIP COVID-19 Vaccines Working Group: Phase Allocation of COVID-19 Vaccines: https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2020-12/slides-12-20/02-COVID-Dooling.pdf. Accessed December 21, 2020.

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Monica Gandhi, MD, MPH)

Monica Gandhi, MD, MPH

The ACIP’s latest recommendations for subsequent group prioritization for COVID-19 vaccination seek to offset the need to restore society to function and protect the most vulnerable. To do this, the four stages are listed below in the order of those to be vaccinated. The goal is to get all Americans who qualify to be vaccinated within the next 6 months.

  • Phase 1a is health care workers and residents / employees of long-term care facilities.
  • Phase 1b is people aged 75 and over and key frontline workers, defined as firefighters / police. Teachers and educational staff; Food and agriculture; Manufacture; public transportation, grocery, post office and proofreaders.
  • Phase 1c are people aged 65 to 74 years; People aged 16 to 64 with high-risk diseases (e.g. cancer, chronic kidney disease, COPD, heart disease, organ transplantation, obesity, sickle cell disease, smoking, pregnancy, type 2 diabetes); and essential employees who are not represented in 1b (in particular transport, catering, construction, finance, information technology and communication, energy, media, law, public safety, water / sewage).
  • Phase 2 is all other people aged 16 and over.

I am generally in favor of these recommendations and I think they strive to find a balance to protect those who have essential functions in our society to get them moving again and to protect the vulnerable. Specifically, I agree with classifying teachers in the Essential Frontline category because of the impact of inconsistent personal learning on children. Not everyone will be happy with these recommendations, and the main concern will be not to include the 65 to 74 year olds in phase 1b. However, I think the balance between helping society function and protecting the vulnerable has been difficult. It did a great job.

Monica Gandhi, MD, MPH

Professor of Medicine

Associate Chief, Division of HIV, Infectious Diseases, and Global Medicine

University of California, San Francisco

Disclosure: Gandhi does not report any relevant financial information.

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