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Poor coronavirus vaccine should go to first-line healthcare workers first, report suggests

 


The Johns Hopkins Health and Safety Center team recommends that people working on vaccine production and distribution should also first line up to get the vaccine.

“The main reason for including these candidate groups in Tier 1 is that their prioritization is likely to avoid the greatest harm overall,” the Center’s report reads.

According to the World Health Organization, 29 vaccines are in human clinical trials worldwide. There are four in the United States. By the end of the year, federal health officials said they would know if one or more would work safely and would like to start distributing sometime early next year. However, companies are already increasing production in case the vaccine works, but not enough to vaccinate everyone immediately.

“It can take months before vaccination becomes available to most US residents. Bottlenecks at various stages of the vaccine manufacturing process (eg vial or syringe supply, filling and finishing processes). However, it can cause additional delays in vaccine availability,” the report reads.

The US Centers for Disease Control and Prevention’s Advisory Committee on Vaccination Practices and the National Academy of Medicine are studying the question of who should get it first.

The Johns Hopkins team, including health and safety experts, vaccine researchers, bioethicists, and specialists in patient safety and access to vaccines, wanted to communicate.

The US government is on social media about the coronavirus vaccine, which is slow to act as anti-boxers spread

“It is important to emphasize that we do not provide a definitive set of recommendations on who should be prioritized for vaccination,” they warned. But they said their candidate group should be taken seriously.

Ranking is required even within the priority group. “There will not be enough vaccine supplies for all members of the Tier 1 candidate group to be vaccinated at the same time,” the report reads.

First, they suggested, “the most important thing to maintain an ongoing COVID-19 response.” After that, teachers, public transport workers, food supply workers, etc. will be the most important ones to maintain a “core social function”.

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And the forefront: those with the highest risk of serious injury or death and their caregivers. Vaccination of caregivers may be more important because some people at risk may not be able to get the vaccine safely or develop a strong immune response, they said.

The second layer should include health care workers who are not directly involved in the coronavirus response. Pharmacy staff; people living far away from healthcare; electricity, hygiene, and other major workers. Delivery staff; deployed troops; and police.

“Immunization does not eradicate SARS-CoV-2 from the planet, and COVID-19 can be endemic, even after widespread immunization, due to sporadic cases and occasional outbreaks Is high, the report warns.

Need a Vaccine Distribution Plan-Now

There are also cost considerations. “Most people may not have the out-of-pocket costs of the vaccine itself (which has not yet been established), but due to associated costs (such as the need to travel to the vaccination site or take off from work). Some economic hurdles,” the report notes. “Providing vaccination in more traditional locations requires more investment and innovation, which we find convenient, approachable, and safe for many vulnerable and undervalued people. .”

The federal government needs to coordinate vaccination efforts and ensure that the policies apply equally. The report states that it is essential for people to trust that the process is fair and secure.

The Johns Hopkins team said it was essential to do it right.

“The early stages of a vaccination campaign will affect every aspect of our private and public life,” they wrote.

“If the distribution, distribution, and administration of vaccines are not properly handled and communicated clearly, there is a risk of diminishing confidence in governments and public health and healthcare systems,” they added.

“On the other hand, if the allocation strategy is ethical, consistent across the country, fair, and informed by a group of key advocates, the vaccination campaign may go smoothly and be accepted by the public. Higher, more lives saved, faster economic recovery.”

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