Health care workers and nursing home residents should be at the front of the line when the first coronavirus vaccine shots become available, an influential government advisory panel said Tuesday.
Watch the meeting in the video player above.
The panel voted 13-1 to recommend those groups get priority in the first days of any coming vaccination program, when doses are expected to be very limited.
The two groups encompass about 24 million people out of a U.S. population of about 330 million.
Later this month, the Food and Drug Administration will consider authorizing emergency use of two vaccines made by Pfizer and Moderna.
Current estimates project that no more than 20 million doses of each vaccine will be available by the end of 2020.
And each product requires two doses. As a result, the shots will be rationed in the early stages.
The Advisory Committee on Immunization Practices will meet again at some point to decide who should be next in line.
Among the possibilities: teachers, police, firefighters and workers in other essential fields such as food production and transportation; the elderly; and people with underlying medical conditions.
Tuesday’s action merely designated who should get shots first if a safe and effective vaccine becomes available.
The panel did not endorse any particular vaccine.
Panel members are waiting to hear FDA’s evaluation and to see more safety and efficacy data before endorsing any particular product.
Experts say the vaccine will probably not become widely available in the U.S. until the spring.
The panel of outside scientific experts, created in 1964, makes recommendations to the director of the Centers for Disease Control and Prevention, who almost always approves them.
It normally has 15 voting members, but one seat is vacant.
The recommendations are not binding, but for decades they have been widely heeded by doctors, and they have determined the scope and funding of U.S. vaccination programs.
It will be up to state authorities whether to follow the guidance.
Despite the heavy toll, some board members at Tuesday’s meeting said they hesitated to include such patients in the first group getting shots.
Dr. Helen Keipp Talbot, an infectious diseases researcher at Vanderbilt University who was the lone committee member to vote against the proposal, cited flu research that found vaccinating the staff of such facilities has a greatest impact on preventing its spread there.
Committee members were unanimous in voicing support for vaccinating health care workers – about 21 million people, according to CDC officials.
That broad category includes medical staff who care for – or come in contact with – patients in hospitals, nursing homes, clinics and doctor’s offices.
It also includes home health care workers and paramedics. Depending on how state officials apply the panel’s recommendations, it could also encompass janitorial staff, food service employees and medical records clerks.
The government estimates people working in health care account for 12% of U.S. COVID-19 cases but only about 0.5% of deaths.
Experts say it’s imperative to keep health care workers on their feet so they can administer the shots and tend to the booming number of infected Americans.
For months, members of the immunization panel had said they wouldn’t take a vote until the FDA approved a vaccine, as is customary.
But late last week, the group scheduled an emergency meeting.
The panel’s chairman, Dr. Jose Romero, said the decision stemmed from a realization that the states are facing a Friday deadline to place initial orders for the Pfizer vaccine and determine where they should be delivered.
The committee decided to meet now to give state and local officials guidance, he said.
But some panel members and other experts had also grown concerned by comments from Trump administration officials that suggested differing vaccine priorities.