Dr. Ian Greenwald, an emergency physician at Duke University Medical Center and an expert in distaster response planning, offers his thoughts on a mass vaccination campaign in the Durham/Chapel Hill area in the face of a disruptive and widespread pandemic during Session III (Emergency Preparedness and Response: Global Pandemic, Local Contexts).

Tier 1: are required to receive the vaccine

-          Select government officials (mayor, governor, president, cabinet, Congress, Supreme Court)

-          Healthcare/emergency service workers (in direct patient contact)

-          Vaccine producers

Tier 2: (tier 2 and below have the choice to refuse the vaccine, which will then be given to the next person of a waiting list)

-          Pregnant women

-          Public safety

-          Active duty domestic military

-          Utility workers (workers necessary for basic societal functions)

-          IT/telecomm

-          Undertakers

Tier 3:

-          Other healthcare workers

-          Ages 6 – 24

Tier 4:

-          Everyone else unless in tier 5

Tier 5: lowest priority group

-          Terminal illness

-          Prisoners

Tier 1- Healthcare frontline, vaccine workers

100%

Tier 2- Ages 13-55, priority to government leaders, public health, military, police, fire

75%

Ages 13-55, priority to utility and transportation workers, telecommunications and IT, undertakers, religious/community leaders, women aged 20-40

40%

Tier 3- Rest of people aged 13-55

Healthy people 7-12

Healthy 6mo-6y and 55-64

Healthy people 65+

Tier 4- people 6mo-64y at risk

Tier 5- Ages 65+ at risk

Must complete each Tier or percentage requirement before start next one

Lottery if can’t complete tier- Non-Transferable

Ranked within tiers