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E-grāmata: Framework for Equitable Allocation of COVID-19 Vaccine

  • Formāts: 272 pages
  • Izdošanas datums: 30-Oct-2020
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309682275
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  • Formāts: 272 pages
  • Izdošanas datums: 30-Oct-2020
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309682275
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In response to the coronavirus disease 2019 (COVID-19) pandemic and the societal disruption it has brought, national governments and the international community have invested billions of dollars and immense amounts of human resources to develop a safe and effective vaccine in an unprecedented time frame. Vaccination against this novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), offers the possibility of significantly reducing severe morbidity and mortality and transmission when deployed alongside other public health strategies and improved therapies.



Health equity is intertwined with the impact of COVID-19 and there are certain populations that are at increased risk of severe illness or death from COVID-19. In the United States and worldwide, the pandemic is having a disproportionate impact on people who are already disadvantaged by virtue of their race and ethnicity, age, health status, residence, occupation, socioeconomic condition, or other contributing factors.



Framework for Equitable Allocation of COVID-19 Vaccine offers an overarching framework for vaccine allocation to assist policy makers in the domestic and global health communities. Built on widely accepted foundational principles and recognizing the distinctive characteristics of COVID-19, this report's recommendations address the commitments needed to implement equitable allocation policies for COVID-19 vaccine.

Table of Contents



Front Matter Summary 1 Introduction 2 Lessons Learned from Other Allocation Efforts 3 A Framework for Equitable Allocation of COVID-19 Vaccine 4 Applying the Framework for Equitable Allocation of COVID-19 Vaccine in Various Scenarios 5 Administering and Implementing an Effective and Equitable National COVID-19 Vaccination Program 6 Risk Communication and Community Engagement 7 Achieving Acceptance of COVID-19 Vaccine 8 Ensuring Equity in COVID-19 Vaccine Allocation Globally Appendix A: Study Methods Appendix B: Committee and Staff Biosketches
Acronyms And Abbreviations xv
Preface xvii
Summary 1(22)
1 Introduction
23(36)
Study Charge
24(1)
About This Report
24(5)
COVID-19 and Health Equity Considerations
29(13)
COVID-19 Vaccine Landscape
42(8)
Contextualizing COVID-19 Vaccination Efforts in the Current System
50(2)
References
52(7)
2 Lessons Learned From Other Allocation Efforts
59(30)
Lessons from Mass Vaccination Campaigns for Prior Infectious Disease Outbreaks
59(7)
Lessons from Past Crisis Standards of Care Guidance
66(2)
Lessons from Guidance and Frameworks for Allocating Scarce Medical Resources During the COVID-19 Pandemic
68(9)
Specific Frameworks for COVID-19 Vaccine Allocation Within and Among Countries
77(9)
References
86(3)
3 A Framework For Equitable Allocation Of Covid-19 Vaccine
89(56)
Foundational Principles of the Framework
91(9)
COVID-19 Vaccine Allocation Framework
100(37)
Concluding Remarks
137(1)
References
138(7)
4 Applying The Framework For Equitable Allocation Of Covid-19 Vaccine In Various Scenarios
145(12)
An Adaptable and Dynamic Framework
145(9)
References
154(3)
5 Administering And Implementing An Effective And Equitable National Covid-19 Vaccination Program
157(18)
Coordination of a National COVID-19 Vaccination Program
158(6)
Addressing Cost and Financing Barriers
164(3)
Engaging Communities in Local COVID-19 Vaccination Plans
167(2)
Importance of Communication
169(1)
Concluding Remarks
170(2)
References
172(3)
6 Risk Communication And Community Engagement
175(12)
Scientific Foundations
177(1)
Risk Communication
177(1)
Risk Communication Content Goals
178(1)
Risk Communication Content
179(1)
Community Engagement
180(1)
Community Engagement Process
181(1)
Risk Communication and Health Promotion
182(1)
Concluding Remarks
183(1)
References
184(3)
7 Achieving Acceptance Of Covid-19 Vaccine
187(16)
The Landscape of Vaccine Hesitancy
188(4)
WHO BeSD Increasing Vaccination Model
192(1)
Strategies for Vaccine Promotion and Addressing Vaccine Hesitancy
193(2)
Concluding Remarks
195(2)
References
197(6)
8 Ensuring Equity In Covid-19 Vaccine Allocation Globally
203(14)
Global Preparedness and Response to the COVID-19 Pandemic
204(2)
Access to COVID-19 Tools Accelerator and the COVAX Facility
206(2)
U.S. Participation in Global Vaccine Allocation
208(5)
Concluding Remarks
213(1)
References
213(4)
APPENDIXES
A Study Methods
217(20)
B Committee And Staff Biosketches
237