If/when an effective and safe vaccine against SARS-CoV-2 is developed, what group(s) should be vaccinated first? For that matter, who should currently be prioritized for protection from COVID-19? Data and logic suggest the answer to both questions is the same, at least in the United States: Black, Hispanic, and Native American workers deemed essential. These groups disproportionately fill many essential worker roles. Furthermore, they are at significantly elevated risk of serious illness or death from COVID-19. Therefore, people disproportionately doing work considered essential during this pandemic also incur greater relative risk of contracting and dying from the disease. The accelerated pace of vaccine development requires demonstration of effectiveness and safety in Black, Hispanic, and Native Americans. This in turn mandates that clinical trial populations include participants from these groups at sufficient statistical power, which has been a problem in the past. Essential workers at elevated risk for COVID-19 due to their race/ethnicity should be prioritized for vaccination when it becomes available as well as preventive measures now. This healthcare policy initiative could positively impact larger societal needs, including economic recovery, healthcare disparities, and progress with race relations. See:
Preprint Who Should Be Vaccinated First Against SARS-CoV-2?
Elderly people with underlying conditions that put them at high risk of severe COVID-19 disease.
Oh, I have a deja vu... I thought that I have answered that already...
I offer my view:
Frontline healthcare workers everywhere, at medical doctors level (basic primary care), and apart from MDs all nurses in hospitals and nursing homes for the elderly, everywhere (in all countries)...
Yes, this discussion was previously started in the general ResearchGate discussions. I re-introduce it now into the COVID-19 interest group, where it is more appropriate.
Apologies for the duplication,
High risk subjects having comorbidities, elderly patients, immunocompromised, pregnant ladies and special groups.
Pessoas que estão na linha de frente no combate a covid-19 - pessoas ligadas a saúde.
Healthcare workers are the first one to be vaccinated in Brazil in a phase 3 trial of COVID-19 vaccine.
Two injections over 3 months. Efficacy will be known then.
1. https://www.thenational.ae/world/asia/coronavirus-chinese-vaccine-starts-final-tests-in-brazil-1.1052679
Pregnant women should get the first priority. Read this article to find out why? https://doi.org/10.4236/ojog.2020.1050060
Data from clinical cases should inform our response on those to be placed on vaccine priority. Most susceptible/likely to be exposed groups are in my opinion most eligible. The list may include the Elderly and those in the front lines (patients care and lab workers/researchers).
Medical stuff, Public health inspectors and Epidemiologists of infection diseases. Also senior population, Social workers.
According to the informations today I would be very cautious:
https://www.cdc.gov/mmwr/volumes/67/wr/pdfs/mm6742a4-H.pdf
https://pubmed.ncbi.nlm.nih.gov/7747525/
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Elderly people with underlying conditions that put them at high risk of severe COVID-19 disease.
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