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India’s govt has inappropriately prioritised people for Covid-19 vaccination (bmj.com)
19 points by rustoo 4 days ago | hide | past | favorite | 4 comments





This is not much different than what happened in many states in the US. Oregon for instance prioritized teachers over the elderly even though there was no immediate payoff for doing so. After teachers, BIPOC were prioritized due to their higher than average death rate and rates of COVID, even though those rates were still far lower than those of the elderly.

>After teachers, BIPOC were prioritized due to their higher than average death rate and rates of COVID, even though those rates were still far lower than those of the elderly.

Depending on what you're optimizing for, that might be rational. The elderly will in large parts not be alive for long with or without covid. On the other side you have a group of people where you can save younger people's lives that have a much higher downside in terms of shortened life expectancy.

I.e. if you have an equal number of 40 and 80 year olds, you might expect them to die in 40 or 5 years respectively. So keeping the first group alive has an 8x multiplier.

Additionally if you consider quality of life concerns, that might tilt everything even more in favor of saving the young.

Also the young probably have more social contact, meaning that early vaccination there saves other lives by containing the spread.

It's not as cut and dry as one group having a higher risk.


Yes, there was talk early on of considerations to actually prioritize young people and front line workers.

The hypothesis being that young people were mostly responsible for the spread. Even though they weren't necessarily affected by the virus as much.


Teachers weren't front line workers...they didn't go back to in person learning after being vaccinated. I can understand different considerations, but vaccinating those that were going out, ignoring mandates and spreading the virus over the elderly is just stupid. It's one thing to prioritize multigenerational households that could have unintentional spreading, but it's another to prioritize a population that is failing to follow the rules because they might have a bigger chance to spread with a much lower chance of death.



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