Estimating the initial priority population for COVID-19 vaccination by state

On December 1, 2020, the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization (ACIP) was the first RecommendationHealthcare professionals and long-term care facility residents adopted by the CDC director should be first provided with the COVID-19 vaccine after being approved or approved by the FDA (see Appendix A). ACIP recommendations Health care workersPeople at high risk of becoming infected with COVID-19 are essential for maintaining medical performance during a pandemic.In addition, it recognizes it caregiver When infected with the virus, there is an increased risk of serious illness, accounting for 40% of all deaths from COVID-19. The state has the authority to make its own allocation decisions, but in most cases it will follow the ACIP guidelines of the first priority group.

This analysis provides new national and state-level estimates of the number of healthcare workers and caregivers who are expected to receive the COVID-19 vaccine first and become part of the group, and for this first priority. Get insights into. Population varies from state to state. These estimates are based on an analysis of 2019 American Community Survey (ACS) and Certification and Survey Provider Enhanced Reports (CASPER) data.

Our health care workers’ estimates are lower than others because they are more likely to come into direct contact with patients based on their profession and are limited to those who currently work in the healthcare setting with a workforce. There is a possibility. Includes workers who provide direct clinical care, such as doctors, nurses and assistants. Workers who directly support patients, such as environmental staff and food staff. And the frontline supervisors and managers of these professions. In addition, estimates are based on the living conditions of health care workers. Some healthcare professionals may work in jurisdictions other than their place of residence. For example, many healthcare professionals in the District of Columbia live in Virginia and Maryland. Our national estimates of long-term care resident include individuals living in certified long-term care facilities and ancillary living facilities, but not other individuals living in other living environments. Due to data limitations, state-level estimates do not include people living in living support facilities or other living environments.

Survey results

It is estimated that 19.7 million adults work in the medical field nationwide, of which about 15.5 million are in direct contact with patients. In addition, the number of residents of long-term care facilities is 1.2 million, and the number of residents of long-term care facilities is about 800,000. Together, healthcare professionals in direct contact with patients and residents of either long-term care or living support facilities account for approximately 17.6 million people in the United States, or approximately 7% of the adult population.

The number of people in this first priority group varies widely from state to state. The number of adults in direct contact with patients or residents of long-term care facilities ranges from 23,800 in Washington, DC to approximately 1.7 million in California, but the proportion of adults in these groups is approximately. It is 4.4%. In Washington, DC, seven states have reached at least 8%, with North Dakota having the highest share (10%), followed by Pennsylvania (8.3%), Minnesota (8.1%), and Rhode Island (8.1%). I will. As mentioned earlier, these estimates do not include people living in living facilities or other living environments.

Discussion

Ministry of Health and Social Welfare (HHS) Announcement about it 40 million times Sufficient vaccines will be available to vaccinate 20 million people by the end of December 2020, given that the most advanced major vaccine regiments in the approval process will need to be vaccinated twice. There is a possibility of becoming.Recent media Report Indicates that the number of vaccines available for early distribution may be lower than initially predicted. The HHS will allocate vaccinations to states based on their proportion of the total adult population in the United States, but so far no information has been published regarding the actual number of vaccines assigned to each state.

Differences in the number of health care workers and caregivers across the state can have a heterogeneous impact across the state on the ability to vaccinate priority populations using the first vaccine assignment. Some states have sufficient supply to vaccinate their priority population, while others lack it, and it may be necessary to decide who will go first among the people in this first group. Hmm. In addition, when states assign vaccines to the local level, the ability of counties, municipalities, and healthcare systems to vaccinate health care workers and caregivers can vary depending on vaccine supply and community demographics. If the supply is insufficient to fully vaccinate the first priority population, ACIP will first provide vaccines to healthcare professionals whose jurisdiction requires proximity to other people (within 6 feet). He said he might consider doing Additional factors Lower prioritization of healthcare professionals may be considered. Similarly, because ACIP risks COVID-19-related deaths for residents of these environments, the jurisdiction may first provide vaccinations to skilled nursing facility residents and health care workers. It states that it may be considered.