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Morning Briefing

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Tuesday, Dec 8 2020

Full Issue

Who Is First? US Has 24M High-Priority People, Only Enough Vaccine For 20M

There won't be sufficient supply in the initial batch of vaccines to inoculate the nation's 21 million high-priority health workers and 3 million nursing home residents. That leaves tough decisions ahead for states and the health industry.

Hospitals are rushing to firm up plans for deciding which health-care workers can receive the Covid-19 vaccine first, with initial supplies widely expected to fall short of the amount needed to vaccinate all high-priority workers. December vaccine deliveries are expected to be enough for about 20 million people, according to federal officials. That is slightly less than what is needed to vaccinate all front-line medical professionals and long-term care residents鈥攖he groups that a Centers for Disease Control and Prevention advisory panel has recommended should be first in line.聽(Evans, 12/7)

While there鈥檚 widespread agreement that health care and other front-line workers should be the first recipients, the competition for the second and third tiers has business leaders making their case to the state-level agencies that will largely be responsible for deciding who comes next. Manufacturers, airlines, banks and the food industry are all pushing for their workers to receive the vaccine sooner rather than later. (Gangitano, 12/7)

Dr. Francis Collins, director of the National Institutes of Health, says millions of people in high-risk groups will likely "start rolling up their sleeves" to get a COVID-19 vaccine soon. An advisory committee to the Food and Drug Administration is meeting on Thursday to talk about the Pfizer vaccine. The same committee of scientists and health experts will meet again on Dec. 17 to talk about the Moderna vaccine. Both vaccines have been highly effective in trials, according to the companies. (King, 12/7)

With the coronavirus pandemic surging and initial vaccine supplies limited, the United States faces a hard choice: Should the country鈥檚 immunization program focus in the early months on the elderly and people with serious medical conditions, who are dying of the virus at the highest rates, or on essential workers, an expansive category encompassing Americans who have borne the greatest risk of infection? Health care workers and the frailest of the elderly 鈥 residents of long-term-care facilities 鈥 will almost certainly get the first shots, under guidelines the Centers for Disease Control and Prevention issued on Thursday. But with vaccination expected to start this month, the debate among federal and state health officials about who goes next, and lobbying from outside groups to be included, is growing more urgent. (Goodnough and Hoffman, 12/5)

Vaccines that protect against Covid-19 are on the way. What should older adults expect? The first candidates, from Pfizer and Moderna, could arrive before Christmas, according to Alex Azar, who heads the US Department of Health and Human Services. (Graham, 12/8)

Also 鈥

The Rev. Liz Walker鈥檚 job is to minister to souls at Roxbury Presbyterian Church in Boston. But lately it鈥檚 her parishioners鈥 physical health 鈥 and their immune systems 鈥 keeping her up at night. Walker, a former journalist who was the first Black woman to co-anchor a newscast in Boston, was so troubled by her congregants鈥 suspicion of a coronavirus vaccine that she asked Anthony S. Fauci, the government鈥檚 top infectious-disease expert, to speak with them. (Fadulu, 12/7)

Around half of New York City's firefighters are not inclined to take a coronavirus vaccine when it becomes available, the head of the Uniformed Firefighters Association (UFA) told "Your World" Monday. Over the weekend, the New York Post reported that an internal survey showed that 55% of UFA聽members answered聽鈥淣o鈥 when asked, 鈥淲ill you get the COVID-19 Vaccine from Pfizer when the Department makes it available?" The paper reported that more than 2,000 of the UFA's 8,200 active members were surveyed. (Creitz, 12/7)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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