Portland, Oregon — The role that race should play in deciding who will prioritize the COVID-19 vaccine in the next phase of deployment is being tested in Oregon as a tension around it. Fairness and access Appears nationwide in shots.
An advisory board that provides recommendations to the Governor of Oregon and public health authorities will focus on Thursday to prioritize people of color, target people with chronic conditions, or combine groups at high risk for coronavirus. Vote for Others such as key workers, refugees, prisoners, and people under the age of 65 living in a group environment are also being considered.
An overwhelmingly white Democratic-led state, Oregon’s 27-member committee was established with the goal of maintaining fairness at the heart of vaccine deployment. Its members were chosen to include racial minorities and ethnic groups, from Somali refugees to Pacific Islands and tribes. The Commission’s recommendations are non-binding, but provide important information to Governor Kate Brown and guide health authorities to develop the deployment.
“It’s about revealing structural racial discrimination that remains hidden. This affected the inequality experienced before the pandemic and exacerbated the inequality experienced during the pandemic,” Oklahoma said. Kelly Gonzalez, a member of the State Cherokenation and an expert on the Commission’s Health Disparity, said.
The virus has a disproportionate effect on people of color.Biden administration last week Reemphasized its importance Include “social vulnerabilities” in state vaccination plans (race, ethnicity, rural and urban disparities are at the forefront), and identify “pharmacy deserts” that make shooting difficult in the state I asked.
Harald Schmidt, a medical ethicist at the University of Pennsylvania who studies vaccine equity extensively, included how 18 states as a whole included measures in their initial vaccine distribution plans last fall. ..
Some states, such as Tennessee, have proposed to reserve 5% of the allocation to “disadvantageous areas,” while states such as Ohio are social vulnerabilities factors to determine where vaccines are distributed. I plan to use. California has developed its own metric to assess the level of community needs, and Oregon does the same.
“We’ve been talking pretty simple:” The vaccine is here. “Now we have to tell a more complicated story,” said a nonpartisan, independent laboratory in Garrison, NY. Said Nancy Burlinger, who studies bioethics at the Hastings Center. “We need to think about all the different risk areas that overlap, not just the groups and personal networks we belong to.”
Attempts to address inequality in access to vaccines have already caused backlash in several places. Dallas officials recently overturned the decision to prioritize the most vulnerable zip codes (mainly the color community) after Texas threatened to reduce the city’s vaccine supply. This type of backlash can become more pronounced as the state goes deeper into the rollout and addresses difficult questions about need and supply shortages.
To avoid legal issues, almost all states considering race and ethnicity in their vaccine plans are looking to tools called “social vulnerability indexes” or “disadvantageous indexes.” I will. Such indexes contain more than 12 data points, from income to education level, health outcomes, and car ownership, targeting disadvantaged people, regardless of race or ethnicity. It contains.
According to Schmidt, this would scoop up non-colored socio-economically disadvantaged people, affected by generations of institutional racism, and “extremely difficult” on racism. Many minority groups are included in the index to avoid “toxic questions”.
“The point is not that’I want to make sure the Obamas get the vaccine before the Clintons’. We don’t care. Both can wait safely. In a crowded life Inside, the people who work in the meat packaging factory are careful to get it first. It’s not race, it’s race and disadvantage. “
In Oregon, health leaders are working on social vulnerability indicators, such as examining U.S. census data and stratifying occupational status and income levels, said Oregon’s director of public health. One Rachel Banks said.
The approach is to “go beyond the individual’s perspective to a more community’s perspective” and is better than asking people to prove “how it fits into any demographic”. She said.
According to the bank, the committee’s recommendations will also be subject to legal analysis.
This makes sense for Roberto Orellana, a professor of social work at Portland State University. He has launched a program to train students to do contact tracing in the Hispanic community. Data show that Hispanics are about 300% more at risk of getting COVID-19 than whites in Oregon.
Orellana hopes that his students, who are internships at state institutions and organizations, can use their knowledge for both contact tracing and vaccine advocacy in the community of immigrants and agricultural workers. Vaccination of essential workers, prisoners, and people in multigenerational households will reach colored races and be at the heart of vaccination programs, he said.
“I don’t want to leave the other groups. It’s a difficult, difficult question, and every group has valid needs and concerns.” Olerana said, “you shouldn’t experience this.” “Everyone needs to be vaccinated, but it’s not there,” he said.
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Oregon is in a racial debate over the deployment of vaccines.news
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