STREAMING NOW: Watch Now

Who gets Covid-19 vaccine next? Older adults and 'frontline essential workers,' CDC advisers recommend

Vaccine advisers to the US Centers for Disease Control and Prevention voted 13-1 on Sunday to recommend that both older adults, ages 75 and older, and "front...

Posted: Dec 21, 2020 3:42 AM

Vaccine advisers to the US Centers for Disease Control and Prevention voted 13-1 on Sunday to recommend that both older adults, ages 75 and older, and "frontline essential workers" including first responders be next in line to receive Covid-19 vaccines.

That would put those people in "Phase 1b" of allocating the vaccine nationwide.

That committee vote also included prioritizing adults ages 65 to 75, people ages 16 to 64 with high-risk medical conditions and "other essential workers" in "Phase 1c" of allocation.

"They really serve to address the current lack of vaccine supply and address those individuals with the highest risk for disease," Dr. José Romero, chair of the Advisory Committee on Immunization Practices and secretary of the Arkansas Department of Health, said about the recommendations.

The Advisory Committee on Immunization Practices met on Sunday to discuss Phases 1b and 1c of vaccine distribution.

In a previous meeting earlier this month, the group voted on Phase 1a, which advised giving the first round of vaccines to health care workers and residents of long-term care facilities.

There are two Covid-19 vaccines -- Pfizer/BioNTech's and Moderna's -- currently authorized for emergency use in the United States.

Who is an essential worker?

A work group within the advisory committee defined frontline essential workers as "workers who are in sectors essential to the functioning of society and are at substantially higher risk of exposure" to the coronavirus that causes Covid-19.

The frontline essential workers in Phase 1b include first responders, people in the education sector, those who work in food and agriculture, those in manufacturing, corrections workers, US postal service workers, public transit workers and grocery store workers.

It is estimated that there are about 30 million frontline essential workers in the United States.

The category of other essential workers in Phase 1c includes people in transportation and logistics, food service, construction and shelter and housing, finance, IT and communication, the energy sector, the media, the legal sector, public safety and water and wastewater industries.

It is estimated that there are about 57 million other essential workers in the United States.

The 'hardest' vote

"This is without doubt the hardest vote that I have taken in my six and a half years on the committee," said Romero.

"I am confident that we have arrived at this by examining the data thoroughly, and that what we are providing -- as has been stated before -- the ultimate decision will be at a local level. But what we are providing governors and health officials with is a framework, which is supported by evidence," Romero said.

He voted "yes" on the proposed Phase 1b and 1c recommendations.

Committee member Dr. Peter Szilagyi, who also voted "yes," agreed that the decision was difficult.

"I truly wish everyone could get the vaccine today, and I know high-risk individuals are not included in Phase 1b," said Szilagyi, who is in the department of pediatrics at the University of California at Los Angeles. "But over several months, as vaccine supply ramps up, every American will have access to these safe and effective vaccines."

The one "no" vote came from Dr. Henry Bernstein, who is a professor of pediatrics with the Zucker School of Medicine at Hofstra. Bernstein explained that he voted no because he felt that the science about Covid-19 morbidity and mortality is similar between the 65-to-74 group and the 75-and-up group.

"Therefore, inclusion of the 65-to-74-year-old group in Phase 1b made more sense to me," Bernstein said.

The need for funding

In their vote, most of the committee members also asked the government to fully fund state and local health departments vaccination programs.

"The fact that the state and local health departments have not been funded for vaccination program, especially in the context of the billions of dollars that funded the extremely successful program to develop vaccines is really appalling," said Dr. Beth Bell, who voted "yes" on the proposal.

"I'm just one person, but I would just like to say, again, that I hope that the government will address this discrepancy, without which I think it's going to be very difficult for us to be successful," said Bell, a clinical professor in the department of global health at the University of Washington.

The advisory committee's recommendations for Phase 1b and 1c go to the CDC next for final acceptance.

Oregon Coronavirus Cases

Data is updated nightly.

Cases: 361240

Reported Deaths: 4318
CountyCasesDeaths
Multnomah56287712
Washington39109325
Marion37168457
Clackamas30096309
Lane28087306
Jackson23248310
Deschutes20680125
Umatilla14567151
Linn13113132
Douglas12237251
Josephine9451198
Yamhill8820114
Klamath8146122
Polk746481
Malheur568578
Benton559831
Coos510295
Columbia388144
Jefferson381254
Lincoln324139
Union321550
Crook296346
Wasco291941
Clatsop244828
Baker204529
Tillamook198033
Hood River195837
Morrow186623
Curry182725
Harney114727
Grant100213
Lake96012
Wallowa69312
Gilliam1594
Sherman1573
Wheeler1091
Unassigned00

California Coronavirus Cases

Data is updated nightly.

Cases: 4854041

Reported Deaths: 71417
CountyCasesDeaths
Los Angeles148510526549
Riverside3716705041
San Diego3678574183
San Bernardino3586775720
Orange3251235578
Sacramento1596362313
Kern1472941652
Fresno1463182094
Santa Clara1455431897
Alameda1206921415
San Joaquin1027761721
Ventura1010381167
Contra Costa1000181008
Stanislaus862991335
Tulare80375978
San Francisco54440649
San Mateo54168623
Monterey50911586
Solano46063341
Santa Barbara45223523
Merced42422581
Sonoma40997404
Placer39435429
Imperial36071766
Kings32938325
San Luis Obispo29973333
Madera23955285
Shasta23924352
Butte23818273
Santa Cruz21034221
Yolo20397248
Marin17706244
El Dorado17207149
Sutter13937175
Napa12898100
Yuba1011582
Tehama9534110
Humboldt9269109
Nevada916790
Mendocino766787
Lassen758747
San Benito744972
Tuolumne691790
Lake6631105
Amador547364
Siskiyou451246
Glenn438433
Calaveras391481
Del Norte358742
Colusa307618
Inyo214241
Mono16723
Plumas16607
Mariposa133916
Trinity88011
Modoc6895
Sierra1880
Unassigned1460
Alpine1050
Out of CA00
Medford
Cloudy
53° wxIcon
Hi: 63° Lo: 44°
Feels Like: 53°
Brookings
Cloudy
54° wxIcon
Hi: 60° Lo: 48°
Feels Like: 54°
Crater Lake
Cloudy
53° wxIcon
Hi: 42° Lo: 26°
Feels Like: 53°
Grants Pass
Cloudy
53° wxIcon
Hi: 67° Lo: 48°
Feels Like: 53°
Klamath Falls
Cloudy
49° wxIcon
Hi: 56° Lo: 36°
Feels Like: 42°
Lingering showers today
KDRV Radar
KDRV Fire Danger
KDRV Weather Cam

Community Events