12-20-2020, 03:40 PM
(12-20-2020, 10:24 AM)dabigv13 Wrote: New CDC ACIP guidance on vaccine distribution. The new 1b designation now is for 75+, and "frontline" essential workers.Note that although the slide name includes "December 2020", the doses expected to be distributed in 2020 will not cover all of group 1a.
This is a change, previously 1b was all essential workers, and 1c was 65+.
slides
....
https://cdc.gov/vaccines/acip/meetings/d...oling.pdf…
The 202M in 1a-c is more than the number of courses in the original 100M courses. But, another purchased 100M doses from Moderna will push us to 150M courses. We are still way short.
Curious that they didn't put population numbers for group 2.
I see no recommendation about seropositive people to be delayed until later.
The CDC recommendations leaves out caretakers (aides or family members who take care of high-risk individuals).
It includes teachers (4+M if only including K-12 teachers, =13.3% of 30M "frontline essential"), including those where school districts are closed, and includes 24yo teachers. It does not pay attention to the timing of any vaccination relative to their work year. (While the NASEM uses "K-12 teachers", the CDC uses "teachers", which I wonder if that will include Nick Saban and David Shaw.
The CDC recommendations are quite a bit different than the NASEM framework (slide 9).
The CDC "essential workers" listed here is not the same as "essential workers" earlier in the year. Maybe they will define it the same, but their examples are not inclusive. Note that the entire entertainment industry (including pro sports) is not included (nor was it in the US concept of essential industry).
The CDC's graph on p16 is, IMO, distorted because "all deaths" includes an extra 20% (Feb. & March) of months of all-cause deaths when there were almost no COVID deaths. It would look different if it was of, say, June to Dec. 16.
Slide 39 "Example of phase 1 ..." is distorted because (1) it uses doses rather than courses, (2) it estimates all 24M 1a plus many 1b are vaccinated within 6 weeks, when vaccination requires 2 doses 3 or 4 weeks apart. So, they require 48M doses before the first dose allocated for 1b. Even at their 10M doses/week, the chart doesn't properly show when those two doses are given.
These recommendations ignore which groups have any safety data of the vaccines (it includes pregnant females; 16-18yo; those who already had noticeable COVID).
