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Science Advances
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Science Advances
Article . 2021
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Geographically targeted COVID-19 vaccination is more equitable and averts more deaths than age-based thresholds alone.

Elizabeth Wrigley-Field; Mathew V. Kiang; Alicia R Riley; Magali Barbieri; Yea-Hung Chen; Kate A. Duchowny; Ellicott C. Matthay; +4 Authors

Geographically targeted COVID-19 vaccination is more equitable and averts more deaths than age-based thresholds alone.

Abstract

COVID-19 mortality increases markedly with age and is also substantially higher among Black, Indigenous, and People of Color (BIPOC) populations in the United States. These two facts can have conflicting implications because BIPOC populations are younger than white populations. In analyses of California and Minnesota—demographically divergent states—we show that COVID vaccination schedules based solely on age benefit the older white populations at the expense of younger BIPOC populations with higher risk of death from COVID-19. We find that strategies that prioritize high-risk geographic areas for vaccination at all ages better target mortality risk than age-based strategies alone, although they do not always perform as well as direct prioritization of high-risk racial/ethnic groups. Vaccination schemas directly implicate equitability of access, both domestically and globally.

Countries
United States, France
Subjects by Vocabulary

ACM Computing Classification System: ComputingMilieux_MISCELLANEOUS ComputingMethodologies_DOCUMENTANDTEXTPROCESSING

Microsoft Academic Graph classification: Coronavirus disease 2019 (COVID-19) Demography Vaccination Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 2019-20 coronavirus outbreak History

Keywords

Vaccination, Covid-19, pandemics, geographically targeted vaccination, Covid-19 mortality, social equity, minorities, USA, [SHS] Humanities and Social Sciences, DIFFERENTIAL_MORBIDITY, DIFFERENTIAL_MORTALITY, UNITED_STATES, ETHNIC_MINORITIES, Multidisciplinary, [SHS]Humanities and Social Sciences

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    impulse
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  • citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    30
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Substantial
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
30
Substantial
Average
Average
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Social Science and Humanities
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