The US National Academy of Medicines recommends a four-phased approach to an equitable COVID-19 vaccination campaign starting with “frontline” health care workers, older adults living in congregate settings and individuals with certain high-risk comorbid conditions, but says that “mid-course corrections” to the plan will be the rule as adjustments will need to be made as evidence from vaccine trials, including the degree of efficacy and safety become available.
Specific data on how vaccines work in older adults and individuals previously infected with COVID-19 are two key factors that could require recommendations to be adjusted
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