Report recommends using existing systems across all levels of government to provide necessary resources to ensure equitable allocation, distribution, and administration of the COVID-19 vaccine.
The National Academies of Sciences, Engineering, and Medicine released the final report of a consensus study recommending a 4-phased equitable allocation framework that the US Department of Health and Human Services (HHS) and state, tribal, local, and territorial (STLT) authorities should adopt in the development of national and local guidelines for coronavirus disease 2019 (COVID-19) vaccine allocation.
The report recommends using existing systems across all levels of government to provide necessary resources to ensure equitable allocation, distribution, and administration of the COVID-19 vaccine, launching a COVID-19 vaccine promotion campaign and risk communication and engagement program, and supporting equitable allocation globally.
The committee that conducted the study and wrote the report recommended a 4-phase approach to allocation built on widely accepted foundational principles and guided by evidence to maximize societal benefit by reducing morbidity and mortality caused by the transmission of severe acute respiratory syndrome coronavirus 2.
The committee recommended that STLTs ensure that special efforts are made to deliver the vaccine to residents of high-vulnerability areas by using the CDC’s Social Vulnerability Index or another more specific index, such as the COVID-19 Community Vulnerability Index.
The framework is intended to provide guidance to the STLT authorities for adapting its risk-based criteria to these realities while still maximizing benefit, mitigating health inequities, manifesting equal regard for all, being fair and transparent, and building on the best current evidence.
National Academies Release Framework for Equitable Allocation of a COVID-19 Vaccine for Adoption by HHS, State, Tribal, Local, and Territorial Authorities. The National Academies of Sciences Engineering Medicine. https://www.nationalacademies.org/news/2020/10/national-academies-release-framework-for-equitable-allocation-of-a-covid-19-vaccine-for-adoption-by-hhs-state-tribal-local-and-territorial-authorities. Published October 2, 2020. Accessed October 6, 2020.