Daily Archives: April 18, 2021

Vaccines again

There are basically two routes for vaccinating: age prioritization, or prioritizing by subjective factors theoretically related to risk, such as occupation.  The latter approach is obviously a slippery and dangerous slope to slide down.  Originally, I thought it made sense to approach vaccination in terms of risk, and I also naively thought, who cares who gets vaccinated?  As long as somebody’s getting a shot, it’s all good.  However, that was before I heard about special clinics set up for large donors to hospitals.  Less egregiously, many friends who were working from home or not working at all got priority access to vaccines for various reasons while people over 65 were still struggling to get shots.  Finally, it became clear that the strength of one’s union or one’s connections to the government (best choice: being employed by the government) was the determining factor in terms of whether you got a vaccine or not.  Teachers on the west coast are an extreme example – despite not teaching in person, they demanded and got early access to vaccines.  Most teachers in Seattle have still not returned to school.

In Ireland, where vaccines are still scarce, the government bravely abandoned the special interest approach and has switched to an age-based priority scheme.  The fury of various unions ensued, but for whatever reason, the government there does not seem to be as in thrall to unions as they are here, and they have so far held fast to the scheme.  (Interestingly, teachers are paid better compared to other occupations, and from my observations, better respected in Ireland than they are here.)

All this came to mind for me today when I saw this article in the Seattle Times about how prioritizing teacher vaccines in Oregon over vaccinating over 65s has resulted in many deaths.

Gov. Kate Brown’s highly controversial decision to prioritize vaccinations for teachers over seniors, starting Jan 25. That decision delayed the rollout for seniors 65 and older living outside long-term care facilities by anywhere from two to five weeks.

But the decision to delay eligibility for some 700,000 seniors living independently undoubtedly took a toll, experts say. And the number of fatalities could increase, as deaths trail cases and hospitalizations – both of which are on the rise again.

At least 148 individuals 65 and older have died this year who tested positive for COVID-19 after Jan. 25, according to an analysis by The Oregonian/OregonLive of death information disclosed by the state. They tested positive an average of 27 days after the date Brown originally made teachers instead of seniors eligible. More than half of those seniors tested positive after their actual eligibility date for a vaccine – an average of three weeks afterward.

It’s impossible to say how many of those deaths were preventable, how many people would have sought earlier vaccinations or succeeded in finding one. While supplies continued to improve, there clearly wasn’t enough vaccine on hand to address the entire population over 65 immediately.

But the quantification of senior deaths adds new context to Brown’s decision prioritizing teachers for vaccinations amid her push to get kids back in classrooms. More than 270,000 students are now receiving some in-person learning, or about 47% of those enrolled in K-12 schools.

Oregon and Idaho were the only two states that chose to give priority to teachers over seniors in an effort to get kids back into classrooms sooner.

The timeline left Oregon as one of the last states in the country to begin vaccinating seniors and meant it lagged some states by more than two months. California made everyone over 65 eligible for vaccination Jan. 13, and Washington a few days later — six weeks before Oregon would do the same.

Oh the irony of the statement by Oregon’s governor’s spokesman:

“Every death from COVID-19 is a tragedy, and from the beginning of this pandemic, Governor Brown has taken action to protect our most vulnerable seniors,” Boyle said in an email. “Those decisions have saved lives.”

I think it would have been defensible to vaccinate teachers over 50.  But all teachers, while over 65s were unvaccinated?  Ridiculous.

Is there anything more detestable than politispeak?  Well, a few things, surely, but I have come to despise the meaningless words politicians spout on all topics.  You honestly can’t believe a word that comes out of their mouths.

It’s worth noting that Inslee (governor of Washington) was under enormous pressure to prioritize teachers over the elderly but refused.  He prioritized teachers only when directed to by CDC recommendation.

On a practical level, that meant the earliest an Oregonian living independently over the age of 80 would be considered fully vaccinated – after two doses and a two-week buffer – was March 15. The date stretched to early April for those over 65.

The decision to delay garnered deep criticism given the lethality of the disease among seniors and the domino effect it might create vaccinating the state’s most vulnerable.

Davis said she didn’t begrudge teachers or front-line workers being vaccinated if they were going to be out in public, but if they weren’t going back to school immediately, she said seniors should have been given priority.

The governor defended her decision as prioritizing children, but we all know that (a) the CDC recommended children go back to school whether or not teachers were vaccinated and (b) more than 50% of schools in the US opened prior to teachers getting vaccinated, including the one my own children attend.  I personally felt my risk of contracting Covid from my kids’ school attendance was roughly equal to that of my children’s teachers.  Sending them anyway was an easy decision.