Updated Vaccine Priority Groups in MoCo
Montgomery County provided an update on vaccine priority groups today.
“Based on current levels of vaccine received, we expect to move to Phase 1A, Tier 3, over the next 7 to 10 days. We expect to reach Phase 1B in February 2021.
Progress through the tiers depends on the vaccine deliveries we receive from the State of Maryland and the federal government.”
*** We are currently in this tier. ***
Hospital systems are responsible for vaccine administration to hospital-based healthcare workers. The CDC’s Pharmacy Partnership is coordinating the distribution and administration of vaccination in congregant living facilities.
- Hospital personnel
- * Long-Term Care Facilities – staff & residents
- * Developmental Disability Administration group homes
- * Assisted Living Facilities
- * Residential Rehabilitation Programs
*** We are currently in this tier. ***
Populations with frequent exposure to individuals with known COVID-19 and/or providing services essential to the maintenance of public health and healthcare systems during the COVID-19 pandemic. Includes populations unable to work from home and unable to control social distancing.
- Vaccinators (Local Heath Departments, school nurse, etc.)
- Testing sites – testers/onsite registration
- Public Health – COVID response
- Urgent care
- Primary care
*** We have started this tier. ***
Populations with risk of exposure to individuals with suspected COVID-19 and/or providing services essential to the maintenance of public health and health care systems during the COVID-19 pandemic.
Includes populations that may be unable to work from home and unable to control social distancing.
- Dental practices
- Other health care professionals (e.g., outpatient specialties, optometrists, physical therapists, podiatrists, community health workers, in-home nursing staff)
- Detention Center staff
- Homeless shelter staff
- Law enforcement (patrol/public-facing)
- Fire rescue
- 9-1-1 dispatchers
- Behavioral health (non-telehealth) – e.g., residential/recovery
- School nurses (non-vaccine/non-testers)
- Lab workers
- Morticians/funeral home staff
- Surgical centers
- Other providers licensed by Maryland Department of Health
Adults age 75 and older
Front-line essential workers hold critical jobs essential to the functioning of society and have potential occupational exposure to individuals with COVID-19. A subset of frontline essential workers has the highest risk for potential exposure as they are unable to work from home or control social distancing.
- Public transit workers (e.g. transport for seniors and persons with disabilities)
- Education sector (teachers & support staff)
- Child care workers
- Food and agricultural workers
- Postal service workers
- Grocery store workers
- Individuals experiencing homelessness
- Individuals in detainee centers
Front-line essential workers hold critical jobs essential to the functioning of society and have potential occupational exposure to individuals with COVID-19. A subset of frontline essential workers has the highest risk for potential exposure as they are unable to work from home and may be unable to control social distancing.
- Manufacturing workers
Adults age 65-74
Populations with high-risk medical conditions have a significantly increased risk of hospitalization and death from COVID-19. Nearly 90% of persons hospitalized for COVID-19 have an underlying medical condition.
- Adults 16(18)-64 years old with medical conditions
High-risk medical conditions include:
- Chronic Kidney Disease
- Chronic Obstructive Pulmonary Disease
- Heart conditions
- Immunocompromised state
- Obesity/Severe obesity
- Sickle Cell Disease
- Type 2 Diabetes, Type 1 Diabetes
- Asthma (moderate-severe)
- Cerebrovascular disease
- Cystic fibrosis
- Hypertension or High Blood pressure
- Immunocompromised conditions (from blood or bone marrow transplant, immune deficiencies, HIV, prolonged use of corticosteroids or other immunosuppressive medication)
- Dementia, ALS, other neurologic issues
- Liver disease
- Pulmonary disease
Other attributes that put people at significantly higher risk for severe COVID-19 illness include living and working in congregate settings, experiencing homelessness, living in an area with a high rate of transmission, and working in an industry with a high rate of transmission.
- Essential workers not previously in Phase 1A or Phase 1B
- Transportation & logistics
- Water and wastewater
- Food service
- Shelter & housing (e.g., construction)
- Finance (e.g., banks)
- IT & Communications
- Legal (state’s attorneys, public defenders, judiciary)
- Public Safety (e.g., engineers)
- Public health workers – non-COVID response
- Social & Human Services (Aging, DSS, Human Services) – field/in-home services
- Continuity of government (elected officials)