Controversial Take
The morbidity and mortality benefits associated with #COVID19 vaccination will be more directly associated with who rather than how many people are vaccinated.
Aligning coverage with risks is not just more equitable, it is critical to vaccine effectiveness.
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If you had to choose one, what’s more important for reducing morbidity and mortality: vaccinating by age or equity?
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It would be vaccinating by risk status. We know there are grave disparities associated with living and working conditions irrespective of age--older folks still in higher exposure jobs, multigen households. All to say, I see age as part of the story, but not the whole story.
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Unfortunately, the focus on the total number of vaccinations may have more to do with the timeline of relaxing restrictions than with reducing morbidity and mortality
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Thanks and that's also it. Restrictions likely will be lifted when ICUs and hospitals are emptier and these tragic death counts come down. To me, that is achieved with more meaningful implementation strategies to align equity and effectiveness rather than just a numbers game.
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After medical, eldercare and then next line of healthcare workers, EMTs fire, police, teachers. Then the much propagandize retail and distribution sector workers. Then lastly people who can stay at home sipping quarantinis.
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A lot of the people staying home "sipping quarantinis" are actually folks with disabilities and major medical issues who have literally been unable to leave their homes for 10 months and risk their lives every time they go to the doctor, often the only time they leave the house.
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It also feels as if the quest for an affordable, reliable, widely accessible rapid test for COVID has been downplayed. In the absence of vaccines, this is critical to reopening economies, public services, spaces, etc.
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Thanks, we have to get much better at explaining this in a way that is accessible.
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Have been having this exact conversation with
@gina_ginao@BuiltJustice@mirandakcompton So important vaccine data is disaggregated with an equity lens by gender, ethnicity, class, etc. Such pressure to vaccinate masses but missing key vulnerabilities of racism & homelessness -
Thanks Meaghan! We don't even need to create relationships--CBOs exist with established service ties to historically marginalized folks. And these are the same communities often affected by
#COVID19 Hope we start engaging these partners to deliver...and measure accordingly.
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, MD, MPH
FRCPC (CM) & CCFP (GP),
ally
ID Epi
