Here's who will be the first to get a Covid-19 vaccine, expert says | Facebook

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Dr. Jose Romero, the chair of the CDC’s Advisory Committee on Immunization Practices, tells Michael Smerconish who would be the first people to get a...
But nobody can be vaccinated until the CDC Advisory Committee on Immunization practices reviews the data and answers the all important question, which groups will get the vaccine first joining me now is the chair of that committee doctor Jose Romero. He's also the Arkansas Secretary of Health Doctor Romero. Thanks so much for being here who goes first. Thank you for having me um deliberations are certainly underway at this time and we have a number of uh categories of individuals that uh may go in the first. Uh round of vaccinations uh among those are health care providers uh individuals and high risk uh conditions uh individuals living in nursing homes. uh first responders uh essential personnel individuals over 65 years of age. Um those are the groups uh of individuals that are in there and uh right now, the um AC the advisory committee on Immunization practices is deliberating and looking at data to see how we will ratify that group of individuals. It sounds fairly straightforward, but as I've thought this through sometimes the calls are in a gray area, for example, if I'm a custodian at a hospital um I regarded as a health care worker. Maybe I work in the cafeteria in a medical setting like how far do we extend the definition you are exactly right. You are a health care worker. if you happen to be in that environment, taking care of patients or being exposed to patients of the coveted, you're an essential personnel within that institution. So take for example, uh someone in the in the um environmental services. uh. Area they have to turn over those rooms very quickly if you're in the emergency room uh to get the next patient and so they could be exposed if you're delivering trays and you could be exposed. You are an individual that is at risk for acquisition of covet. So um the inclusion of health care personnel is large. So we're looking at all individuals within the institution that uh will come in contact or could come in contact with those individuals and can and are necessary to keep the health care system running Doctor Romero. What you're coming up with are recommendations, which by definition, don't necessarily need to be followed in the states is that true and if so, how concerned are you that some states might go Rogue? So you are correct. so we make recommendations and those recommendations are sent to the director of the CDC who in turn then uh decides if they are appropriate or not those recommendations and are sent out uh into the states and there is some there is some wiggle room in there. Uh we've uh discussed this that uh states may uh. Prioritize individuals as they feel important due to local issues um for the most part, ACP recommendations are followed, so I think uh that they that states will adhere to the recommendations. But for the most part should economic considerations be taken into account. as these decisions are being made in other words, would it be in your opinion? a proper mindset to say well, this is a vital economy, a vital part of the economy in state X or y to move to the. Of the line, those who work meat packing how about how about if I give you a concrete example, um would it be fair in some circumstances for a state to say we're gonna protect our meat Packers at the same time. We're protecting the elderly so meat Packers are considered essential personnel um without them, we don't have food to eat so um independent of economic issues um they're essential for keeping the economy going for keeping society going so um we we don't really look at these issues. Of cost, Um we look more at who is going to receive the best um impact from these vaccines from the vaccine delivery. A little bit out of the box, the subject of acquaintance immunization I was unfamiliar with this until I read a piece by a fellow named Christopher Cox in Wired, put it up on the screen Catherine so I can read it to doctor Romero. Here's the idea to knock out the super spreaders. The ideal target for a vaccine would be someone with many contacts in different settings. someone with a big multi generational family, a job that led to a lot of mixing with strangers and a busy social life. But how do we find this highly connected? Across fifty states and 330000000 people, this is where most public health officials get stuck. is there something to trying to identify the people who are who are more out and about and active among us, not necessarily health care workers, not necessarily the elderly or preexisting conditions, but they're in contact with more people, therefore, perhaps they need to be elevated in priority. There maybe some there maybe some benefit in that, but we don't have a lot of data suggesting that immunization these individuals will be um uh beneficial to the entire population. The individuals that are being identified by the AC and it's not just the AC. The national academies of Medicine is also come out with their recommendations. So we're trying to identify those individuals that are essential for keeping the health care um system going that are essential for providing health care and identifying those populations. I'm sorry, excuse me immunization those population. That we've already identified as a high-risk for mortality and morbidity, so I think at this point our focus uh is on uh the the high risk groups at this at this moment. A quick final question if I may uh the field of dreams question if you build it will they come how worried are you about some folks reluctant to get vaccinated? Now? That's a very good question. Uh we know that there is some reluctance uh for vaccine for accepting a new vaccine among different population groups. It can be as high as 50% depending on the surveys, so I do have some concern um uh I want to stress that the issue of safety of the vaccine has been paramount. Throughout the process, both uh all aspects so um pharmaceutical manufacturers have issued statements about the importance of maintaining safety. The FDA will certainly look at safety as the paramount uh fact for uh licensure and we will look at safety. Even after the vaccine has been approved for use there are systems in place. now that will follow for safety signals into the future. so the public should understand this is a safe vaccine if. Gets the fact I mean it this time. I mean it when I say it's my final question. If someone gets vaccinated, How will we know that are you going to have uh a certificate of some kind? Is there a pin that you get to wear? I mean it would seem to me that there will be access you'll be granted to certain settings that other people would not quick final answer. If you can yes, so we will track and every person that gets immunized will get a card and they will be entered into our vaccine registry database. We will be able to follow them and. Who's been vaccinated and what vaccine they need to receive in the second dose.

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