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A2   UP FRONT
              Wednesday 2 december 2020

            U.S. panel: 1st vaccines to health care workers, nursing homes



            Continued from Front                                                                                                priorities.
            Among     the   possibilities:                                                                                      Dr.  Deborah  Birx  of  the
            teachers, police, firefighters                                                                                      White  House  coronavirus
            and workers in other essen-                                                                                         task  force  said  in  a  meet-
            tial fields such as food pro-                                                                                       ing  with  CDC  officials  last
            duction and transportation;                                                                                         month that people 65 and
            the  elderly;  and  people                                                                                          older  should  go  to  the
            with  underlying  medical                                                                                           head  of  the  line,  accord-
            conditions.                                                                                                         ing to a federal official who
            Tuesday’s  action  merely                                                                                           was  not  authorized  to  dis-
            designated who should get                                                                                           cuss the matter and spoke
            shots  first  if  a  safe  and  ef-                                                                                 to The Associated Press on
            fective  vaccine  becomes                                                                                           condition of anonymity.
            available.  The  panel  did                                                                                         Then  last  week  U.S.  Health
            not endorse any particular                                                                                          and Human Services Secre-
            vaccine.  Panel  members                                                                                            tary Alex Azar stressed that
            are  waiting  to  hear  FDA’s                                                                                       ultimately  governors  will
            evaluation  and  to  see                                                                                            decide  who  in  their  states
            more  safety  and  efficacy                                                                                         gets  the  shots.  Vice  Presi-
            data before endorsing any                                                                                           dent  Mike  Pence  echoed
            particular product.                                                                                                 that view.
            Experts  say  the  vaccine                                                                                          The  comments  churned
            will  probably  not  become                                                                                         up long-standing concerns
            widely available in the U.S.                                                                                        during  the  Trump  admin-
            until the spring.                                                                                                   istration  that  vaccination
            The  panel  of  outside  sci-                                                                                       decisions  would  be  dic-
            entific  experts,  created  in                                                                                      tated by political concerns
            1964, makes recommenda-                                                                                             instead of science.
            tions to the director of the                                                                                        Asked whether Azar’s com-
            Centers  for  Disease  Con-                                                                                         ment  played  a  role  in  the
            trol  and  Prevention,  who                                                                                         scheduling of the meeting,
            almost  always  approves                                                                                            Romero said; “We don’t live
            them.  It  normally  has  15                                                                                        in a bubble. We know what
            voting  members,  but  one                                                                                          he said. But that wasn’t the
            seat is vacant.              In this March 16, 2020, file photo, pharmacist Michael Witte holds a tray with a syringe containing   primary reason this is being
            The  recommendations  are    a shot that will be used in the first clinical trial of a potential vaccine for COVID-19 at the Kaiser   done.”
            not  binding,  but  for  de-  Permanente Washington Health Research Institute in Seattle.                           Jason Schwartz, a professor
            cades  they  have  been                                                                            Associated Press  of health policy at the Yale
            widely heeded by doctors,  As  the  virtual  meeting  got  such facilities are fully vac-  administer  the  shots  and  School  of  Public  Health,
            and they have determined  underway,  panel  member  cinated,  that  would  likely  tend to the booming num-         said it makes sense for the
            the  scope  and  funding  of  Dr. Beth Bell of the University  have  a  greater  impact  of  ber of infected Americans.  panel  to  take  the  unusual
            U.S. vaccination programs.   of  Washington  noted  that  stopping spread of the virus  For  months,  members  of  step  of  getting  its  recom-
            It will be up to state authori-  on  average,  one  person  is  in those places.       the  immunization  panel  mendation out first.
            ties  whether  to  follow  the  dying of COVID-19 per min-  But  committee  members  had  said  they  wouldn’t  “Without  that  formal  rec-
            guidance. It will also be left  ute in the U.S. right now, “so  were  unanimous  in  voic-  take  a  vote  until  the  FDA  ommendation,   it   does
            to  them  to  make  further,  I guess we are acting none  ing  support  for  vaccinat-  approved  a  vaccine.  That  create  a  void  from  which
            more  detailed  decisions  if  too soon.”                 ing  health  care  workers  —  is customary procedure for  states  could  go  off  in  all
            necessary  —  for  example,  About 3 million people are  about  21  million  people,  the  panel,  with  some  ex-  sorts of different directions,”
            whether to put emergency  living  in  nursing  homes,  according to CDC officials.     ceptions,  such  as  during  said Schwartz, who is not on
            room  doctors  and  nurses  long-term    chronic   care  That  broad  category  in-    a  flu  outbreak  in  2009.  But  the panel.
            ahead of other health care  hospitals,  and  other  U.S.  cludes  medical  staff  who  late  last  week,  the  group  HHS officials have said they
            workers  if  vaccine  supplies  long-term  care  facilities.  care for — or come in con-  suddenly  scheduled  an  will  distribute  initial  doses
            are low.                     Those  patients  and  the  tact with — patients in hos-   emergency  meeting  for  to  states  based  on  popu-
            The  outbreak  in  the  U.S.  staff members who care for  pitals, nursing homes, clinics  Tuesday.                  lation,  and  it’s  possible  or
            has  killed  nearly  270,000  them  have  accounted  for  and doctor’s offices. It also  The  panel’s  chairman,  Dr.  even likely that some states
            people  and  caused  more  6% of the nation’s corona-     includes home health care  Jose  Romero,  said  the  de-  won’t  receive  enough  to
            than 13.5 million confirmed  virus  cases  and  a  stagger-  workers  and  paramedics.  cision  stemmed  from  a  re-  cover  all  of  their  health
            infections,   with   deaths,  ing 39% of the deaths, CDC  Depending  on  how  state  alization that the states are  care  workers  and  nursing
            hospitalizations  and  cases  officials say.              officials  apply  the  panel’s  facing  a  Friday  deadline  home residents.
            rocketing in recent weeks.   Despite  the  heavy  toll,  recommendations, it could  to  place  initial  orders  for  CDC  officials  said  they
                                         some  board  members  at  also  encompass  janitorial  the Pfizer vaccine and de-      are  optimistic  such  short-
                                         Tuesday’s  meeting  said  staff, food service employ-     termine where they should  ages would last only a few
                                         they  hesitated  to  include  ees  and  medical  records  be  delivered.  The  commit-  weeks.
                                         such  patients  in  the  first  clerks.                   tee  decided  to  meet  now  Still, governors and local of-
                                         group  getting  shots.  They  The  government  estimates  to give state and local of-  ficials may have to decide
                                         wanted  more  information  people  working  in  health  ficials guidance, he said.     which  health  care  workers
                                         about  the  safety  and  ef-  care  account  for  12%  of  But  some  panel  members  or  which  regions  get  shots
                                         fectiveness  of  new  vac-   U.S.  COVID-19  cases  but  and other experts had also  first, Schwartz said.
                                         cines on the fragile people  only about 0.5% of deaths.  grown concerned by com-       “It’s  up  to  states  to  figure
                                         living in such facilities. Some  Experts  say  it’s  imperative  ments  from  Trump  admin-  out  the  more  granular  de-
                                         noted  research  that  sug-  to  keep  health  care  work-  istration  officials  that  sug-  tail,” he said.q
                                         gested  that  if  the  staff  at  ers on their feet so they can  gested  differing  vaccine
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