Thread by @celinegounder

1/ We need to do better on equity in vaccine rollout. But that means (a) we've got to solve the right problem, and (b) we need the people and tools to solve the problem.

https://twitter.com/celinegounder/status/1355964323110252549

2/ Is it access or is it hesitancy that's led to less vaccination among communities of color? How do the demographics of healthcare workers and the residents of long-term care facilities, who had earliest access, compare with those of the same age in the community at large?

3/ Among healthcare workers who had access to vaccination in their workplace (note that home health aides, out-patient healthcare workers, and others may not have had access at work), were the demographics of those getting vaccinated skewed relative to the total population?

4/ In an equitable world, we would prioritize persons in occupations where the risk of infection with SARS-CoV-2. But do we have the public health workforce to facilitate that? statnews.com/2020/04/05/def…

5/ In an equitable world, we would prioritize vaccinating people in hardest-hit zip codes. nytimes.com/2021/02/01/opi… But do we have the systems and tools that would allow us to do this? Public health tech is archaic & dysfunctional. technologyreview.com/2021/01/30/101…
bloomberg.com/news/articles/…

6/ In an equitable world, we would have invested in public health workers, systems, and tools over the last several decades. We have not. THIS is systemic racism.

7/ We can't prioritize ANYONE (older, immunosuppressed, POC, disabled, zip code, occupation, you name it) with a dysfunctional system that randomly cancels people's appointments, locks people out, etc.

8/ This is also a great example of corporate welfare: $44M to Deloitte to build a dysfunctional vaccination administration system.