Vaccine distribution

Diverse priority grouping of who gets vaccines

occupation, sickest or most medically vulnerable, stage of life, social vulnerability, lottery

Occupation

Health care workers (Professional status & proximity to pandemic-affected patients)

Vaccine manufactures

Emergency service workers

Basic infrastructure (food distribution, transport, etc)

Stage of life

children (minimize infection in community and they have a longest life ahead)

adolescence to pre-middle age (future collective benefit)

Social vulnerability

homeless

hard to reach groups

socially stigmatized (prisoners, obese)

Sickest or most medically vulnerable

have pre-existing conditions are at higher risk

Lottery

procedures applies to whole population rather than setting priority groups in advanced

Priority 1

frontline/essential workers

Priority 2

Ages 65 and over in nursing homes

racial/ethnic groups with a higher risk of infection, severe disease, death

underlying chronic conditions liked to high risk and live in crowded environments

Priority 3

Underlying chronic conditions linked to a higher risk of severe disease/death who can safely socially distance

High BMI who attend school remotely

65 or older who can work remotely and shelter at home

Priority 4

Young, healthy adults working in crowded environments

Young, healthy adults aged 18 – 22 living in college dorms

Healthy adults under age 65 or older living in prisons

Healthy adults under age 65 or older working in high-exposure environments

No special priority

can be up to the government's discretion on distributions

Ultimate goal of vaccine distribution

prevent the most illness and save the most lives

Benefitting the greatest number of people

Maximizing quality of life years saved (QALYS)

Minimizing years of life lost (YLL)

Saving the worst off

Saving those most likely to recover

Saving those most likely to contribute to a flourishing society

Saving those who can most usefully contribute to minimizing impact of pandemic

Targeting those most likely to play significant role in spreading infections

Ex: Children

Promoting justice, solidarity and trust in government and public health systems

Those most likely to get vaccines have

rapid digital connection

time to repeatedly refresh link or hold on phone for hours

ability to travel to vaccination sites

trust in safety and efficacy of vaccine

Many who are highest risk for severe illness and death have not sought vaccine due to

lack of awareness

barrier to vaccine access

concerns about vaccines

Strategies to mitigate disparities

Prioritize to zip codes most severely affected and have high indexes of economic hardship

Partner with local health care institutions, community organizations, and other trusted sources

Prioritize distribution to those who face mobility/transportation barriers

Simplify registration process

Partner with local health care institutions, community organizations,

and other trusted sources

promote vaccine awareness and uptake within local communites

Prioritize distribution to those who face mobility/transportation barriers

Deliver vaccine to homebound older person

Vaccination sites near public transportation

Hours of operation accessible to those who work during standard business hours

Simplify registration process

Options that don’t require internet or digital platforms

Accessible to those with limited English proficiency or limited literacy

Should not require nonessential documentation

Options that do not require pre-registration