Alliance for Pandemic Preparedness

March 15, 2021

A Rapid Review of COVID-19 Vaccine Prioritization in the U.S. Alignment between Federal Guidance and State Practice

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  • [Pre-print, not peer-reviewed] A study assessing variability in vaccine priority groups between state and federal guidance found that while state plans largely prioritized healthcare workers and residents of long-term care facilities (consistent with federal guidelines), essential workers were often excluded from state priority plans. Of 37 states that included frontline essential workers, 12 assigned them to a lower priority than recommended by federal guidance. Almost all states prioritized individuals ages 65-74 years, and most assigned them to a higher position than recommended in federal guidance. Some groups not considered high priority in federal guidelines, such as people living in congregate settings or with disabilities, were highly prioritized by 38 states.

Jain et al. (Mar 12, 2021). A Rapid Review of COVID-19 Vaccine Prioritization in the U.S. Alignment between Federal Guidance and State Practice. Pre-print downloaded Mar 15 from https://doi.org/10.1101/2021.03.11.21253411