ACIP has already recommended that people with high-risk medical conditions be prioritized in phase 1c. However, HIV has been in the "may be at risk" category and therefore not necessarily prioritized; in fact, most states have not done so. In our analysis,
we found that only 12 states explicitly included HIV on their list of high-risk medical conditions (KS, MT, NE, NH, NM, NY, NC, PA, RI, TN, UT, VA). However, kff.org/policy-watch/t….
since then, one of these states (NE) moved to age-based prioritization only. At the same time, another (DC) announced its list of medical conditions and includes HIV. But even if CDC follows the NIH recommendation and adds HIV to the list of high risk medical conditions,
it is unclear what this will mean in practice as more states move to age-based prioritization, a likely topic at the ACIP meeting, as @bylenasun has reported here. As she notes, "The medically vulnerable find their priority status slipping away". washingtonpost.com/health/2021/02…
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The #COVID19 relief bill passed by the House early this morning includes funding for several COVID-related public health measures in the U.S., including funding for states. I'll highlight them in this thread.
*$7.5 billion to HHS/CDC for vaccine distribution
*$1 billion for vaccine confidence
$46 billion to HHS for testing, contact tracing, surveillance, mitigation
*$5.2 billion to HHS for R&D and purchasing of vaccines, therapeutics, medical products
*$500 million to FDA for vaccines, diagnostics and therapeutics
*$1.75 billion to HHS for genetic sequencing/surveillance
*$500 million to CDC for data modernization
My colleagues released a new survey of OBGYNs today - please read it! Among the many important findings:
*While 88% of OBGYNs said they were prepared to meet the sexual/reproductive health needs of LGBQ patients, only 56% said the same for transgender patients.
The #ACIP meeting is starting. It looks like they have revised their 1b recommendation (still to be voted on) to be those 75+ and frontline essential workers. cdc.gov/vaccines/acip/…
1c) rec will be those aged 65–74 years; those aged 16–64 years with high-risk medical conditions; and other essential workers.
Teachers are in ACIP's definition of frontline essential workers.
So, what about kids and #COVID19 and schools? @joshmich and I explore this in a new @KFF brief as schools across the country contemplate reopening and the federal government is encouraging it. kff.org/coronavirus-co…
The U.S. is considering reopening schools even though it has much greater community transmission than other countries, at the time they reopened (see Table). A greater # of cases, cases per capita and, in all cases but one, a greater positivity rate.
However, our review of the latest available data indicates that, while kids are more likely to be asymptomatic if infected, and less likely to experience severe disease (though a small subset become quite sick), they do transmit to both children and adults.