COVID Vaccine Distribution Plan From National Academies Leaves Room For Adjustments Based On Trial Results

Draft allocation framework expects health care workers would take up much of the initial vaccine supply and suggests the elderly and people with two comorbid conditions receive vaccination next. NAM suggests states get a population-based allotment, leaving local officials to make many of the tough decisions under the framework, which could be adjusted based on clinical trial data. 

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The National Academies of Medicine draft report will be used to guide CDC and state allotment strategies • Source: Shutterstock

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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