From: Bush, Nancy

Sent: Fri Dec 18 09:10:58 2020

To: Clack - EMdutyofficer

Subject: FW: IMPORTANT: Phase 1a of vaccine plan targets wide range of health settings

Importance: Normal

 

Hello City EMs and Other Partners,

I have received several questions from you regarding vaccine priorities. I know this will not answer all of your questions but it may answer some.

I also read that Oregon and Washington are receiving about ½ the vaccine expected. I have not heard any particulars on this but will share if I do. There may be more states in this predicament as well.

Take care and stay well.

nb

Nancy Bush, MBA, MA (she, her, hers)

Director

Clackamas County Disaster Management

1710 Red Soils Ct

Oregon City, OR 97045

Desk: 503.655.8665

Cell: 971.806.3379

From: Robin Holm <robin.m.holm@multco.us>

Sent: Friday, December 18, 2020 8:28 AM

To: Aaron Monnig <aaron.monnig@multco.us>; Adrienne Donner <adrienne_donner@co.washington.or.us>; Angela Heckathorn <aheckath@lhs.org>; Aida Desmarais <Aida.Desmarais@kp.org>; Akiko Saito <akiko.saito@state.or.us>; Alan Melnick <alan.melnick@clark.wa.gov>; Alice BUSCH <alice.busch@multco.us>; Alison Goldstein <alison.j.goldstein@multco.us>; Alvarez-Rojas,Wayne <alvarew1@ah.org>; Amanda Borges <amanda@msmp.org>; amy_manchester_harris@co.washington.or.us; Ann Loeffler <ann.loeffler@multco.us>; Castleton, Anne <anne.castleton@portlandoregon.gov>; Anne Parrott <anne.parrott@co.columbia.or.us>; Anne Parrott <anne.parrott@columbiacountyor.gov>; Sannes, Aaron D :LSO Dir Safety and Security <asannes@lhs.org>; Coral Barreto-Costa <barretoc@ohsu.edu>; Belinda Walker <Belinda.Walker@clark.wa.gov>; Ben Sorenson <ben.sorenson@tvfr.com>; Christine Bernsten <bernstenc@healthshareoregon.org>; bheff47@gmail.com; bhostetler@shrinenet.org; blnelson@shrinenet.org; HC - Bridget Dazey <bridget.dazey@clackamasworkforce.org>; Tonya Brockman <brockmat@ohsu.edu>; brucegoldberg955@gmail.com; Camilla Collins <Camilla.Collins@providence.org>; Carey L PALM <carey.l.palm@state.or.us>; Asher, Carolee <CaroleeAsh@clackamas.us>; Bader Caroline J <caroline.j.bader@dhsoha.state.or.us>; Phelps, Cathy <CathyPhe@clackamas.us>; Kaptur, Charmaine M. <Charmaine.kaptur@tvfr.com>; Chris Voss <chris.voss@multco.us>; Christina Baumann <christina.baumann@multco.us>; Christine Bernsten <christine@healthshareoregon.org>; Cindy.Stanley@clark.wa.gov; cjwallac@lhs.org; claire.m.poche@dhsoha.state.or.us; Marc Muhr <clarkmpd@iinet.com>; ConnauK1@ah.org; COVID-19 JIS <covid-19.jis@multco.us>; crystal.rouse@amr.net; Ryun, Curtis L :LEH Oregon Burn Center <cryun@lhs.org>; Carrie Sanneman <csanneman@mcdd.org>; Cynthia Valdivia <cynthia_valdivia@co.washington.or.us>; Danelle Hauther <danelle_hauther@co.washington.or.us>; Drum Danna K <danna.k.drum@state.or.us>; David Gassaway (David_Gassaway@co.washington.or.us) <David_Gassaway@co.washington.or.us>; david.p.lehrfeld@state.or.us; Dave Houghton <dbhoughton1@gmail.com>; Dietzler, Davene <ddietzler@shrinenet.org>; MARCUM Dean <dean.marcum@state.or.us>; deb.zang@clackamasworkforce.org; Denise Barrett <denise.barrett@portlandoregon.gov>; Dennis Spidal <dennis.spidal@tuality.org>; Descloux,Brenda <DescloBL@ah.org>; Hatcher Dewayne R <dewayne.r.hatcher@dhsoha.state.or.us>; Dianne R Bloom <diannerbloom@gmail.com>; Nibouar, Daniel <DNibouar@clackamas.us>; Donna Adams, MSN, RN <donna.adams@kp.org>; Doreen.Gunderson@clark.wa.gov; Duane Mullins <duane@medix.org>; eccsafetyofficer@portlandoregon.gov; Edward James <edward.james2@va.gov>; Edward Colson <edward@readynorthwest.com>; Flick Edwin <Edwin.Flick@dhsoha.state.or.us>; Helmold, Emily L :LEH Nurse Manager <EHelmold@lhs.org>; Elizabeth Carroll <elizabeth.carroll@multco.us>; Crane, Elizabeth <elizabeth.crane@portlandoregon.gov>; EM DUTY Officer <em.dutyofficer@multco.us>; Beth Mcginnis <emcginnis@shrinenet.org>; WashCo EOC Liaison Officer <eoc-liaison@co.washington.or.us>; eoc-plans-chief@co.washington.or.us; EOC Liaison Officer <eoc.liaisonofficer@multco.us>; EOC Planning Section Chief <eoc.planningchief@multco.us>; EOC Situation Unit <eoc.situationunit@multco.us>; EOC, EOCLiaison <EOCLiaison@clackamas.us>; EOC, EOCLogistics <EOCLogistics@clackamas.us>; EOCPIO <EOCPIO@clackamas.us>; EOC, EOCPlanning <EOCPlanning@clackamas.us>; eric.dodge@amr.net; Eric Gebbie <eric.n.gebbie@state.or.us>; Erik Meyer <erik.meyer@providence.org>; Carl Eriksson <eriksson@ohsu.edu>; Love, Eva <eva.love@portlandoregon.gov>; Evangeline R Owen <Evangeline.Owen@kp.org>; John Evans <evansswims@comcast.net>; Susan Ferguson <fergussu@ohsu.edu>; forsloff1@comcast.net; Sherrie Forsloff <forslofs@ohsu.edu>; gaby_rodriguez@co.washington.or.us; Gary Oxman <gary.oxman@multco.us>; Garrott Gillis G <GILLIS.G.GARROTT@dhsoha.state.or.us>; Gil Garrott <gillis.g.garrott@state.or.us>; Roberts, Erin <gloria.roberts@providence.org>; Gordon McCraw <gmccraw@co.tillamook.or.us>; Leslie Haleigh M <HALEIGH.M.LESLIE@dhsoha.state.or.us>; hartenst@ohsu.edu; hclapp@lifeflight.org; Heather M. Papp <heather.m.papp@kp.org>; Heidi BALMACEDA <heidi.balmaceda@mcso.us>; Helene Anderson <Helene.Anderson@providence.org>; hickeyc@ohsu.edu; hilg@lifeflight.org; hlth.ic.plan.documentation hlth.ic.plan.documentation <hlth.ic.plan.documentation@multco.us>; Erick Holsey <holseye@crfr.com>; Rick Hudson <hudson@ci.cannon-beach.or.us>; Jacinta Cruz <jacinta.cruz@multco.us>; Jack Nuttall <jack_nuttall@co.washington.or.us>; Nerski, Jackie <JackieNer@clackamas.us>; Jackie Sparks <jacqueline.A.Sparks@kp.org>; Jake Grant <jakeg@metrowest.us.com>; Jamie Smeland <jamie.smeland@multco.us>; Mclellan Jana E <JANA.E.MCLELLAN@dhsoha.state.or.us>; JanL@MetroWest.fm; janl@metrowest.us.com; Jason.Mahle@amr.net; Jaime Stone <jastone@lhs.org>; jay.cross@clackamasfire.com; jbryan@lifeflight.org; jdalstra@lifeflight.org; jdillingham@lifeflight.org; Caulfield Jeff <jeff.caulfield@dhsoha.state.or.us>; Jeff Bissett <jeffery.bissett@amr.net>; Jennifer.Burrows@providence.org; Jennifer Vines <Jennifer.vines@multco.us>; Jessica Guernsey <jessica.guernsey@multco.us>; jhanley@peacehealth.org; jlangley@oceanbeachhospital.com; Jeff Rubin <jnrubin@aya.yale.edu>; joe.t.kofoed@kp.org; joel.michels@portlandoregon.gov; John Wheeler <john_wheeler@co.washington.or.us>; Baker Jonathan <Jonathan.Baker2@dhsoha.state.or.us>; Jonathan Jui <jonathan.jui@multco.us>; Jeff Pricher <jpricher@srfd.us>; Dr. Jon Jui <jui@ohsu.edu>; Julie Sullivan-Springhetti <julie.sullivan-springhetti@multco.us>; Aalbers, Julie <Julieaal@clackamas.us>; Kaitlin Walker <Kaitlin.Walker@kp.org>; Kapreilian,Michael <kapreimd@ah.org>; karrib@metrowest.fm; KarWilli@lhs.org; Clarke Kassie <Kassie.Clarke@dhsoha.state.or.us>; Kate Yeiser <kate.willson@multco.us>; Kategrimm@me.com; Kathryn Richer <kathryn.a.richer@multco.us>; Hartinger, Kathryn <Kathryn.Hartinger@portlandoregon.gov>; Kathryn Kopania <Kathryn.kopania@state.or.us>; Stiles Kattaryna L <kattaryna.l.stiles@state.or.us>; Wolf, Katy <katy.wolf@portlandoregon.gov>; Kara Downing <KDowning@vshportland.com>; Kelle Landavazo <kelle.landavazo@greshamoregon.gov>; Kent Liebelt <kent.liebelt@uhsinc.com>; kermit6@mac.com; ROBERT WAYNE <kermit6@me.com>; kermitelephant@hotmail.com; Kevin.Olson@providence.org; Kim Toevs <kim.e.toevs@multco.us>; Kimberly Repp <Kimberly_Repp@co.washington.or.us>; Kimberly C Galey <Kimberly.c.galey@kp.org>; Kimberly DiLeo <kimberly.dileo@multco.us>; Ingersoll, Kirsten <KIngersoll@clackamas.us>; kmbrady@lhs.org; Ko,Lily <koly@ah.org>; Hansen Kristina L <KRISTINA.L.HANSEN@dhsoha.state.or.us>; Kristy Beachamp <kristy.a.beachamp@state.or.us>; Lara.busch@providence.org; larry.d.torris@dhsoha.state.or.us; Laura Bruno <laura.bruno@portlandoregon.gov>; Hall, Laura <laura.hall@portlandoregon.gov>; Martinez, Lianne <Lianne.Martinez@clark.wa.gov>; Lila Wickham <lilawickhamrn@gmail.com>; Rouse, Lindsey R <lindsey.rouse@providence.org>; Lisa Corbly <lisa.corbly@multco.us>; Lisa Ferguson <lisa.ferguson@multco.us>; Lisa.Vance@providence.org; Lisa Gilbertson <lrgilber@lhs.org>; lthompson@co.clatsop.or.us; Mara Gross <mara.gross@coalition-clinics.org>; marc.kilman-burnham@amr.net; Maria Vargas <maria.vargas@tuality.org>; mark.o.loveless@gmail.com; Mary McCarthy <mary-mccarthy@comcast.net>; Mackenna Bell <mbell@mcdd.org>; Desi McCue <mccude@ohsu.edu>; mcems1md <mcems1md@gmail.com>; mdale@canbyfire.org; O'Connell, Meghan A <meghan.oconnell@providence.org>; Christian Mehera N. <Mehera.N.Christian@dhsoha.state.or.us>; Melissa McKinney <melissa_mckinney@co.washington.or.us>; Powell Melissa E <melissa.e.powell@dhsoha.state.or.us>; MUMEY Melissa <melissa.mumey@dhsoha.state.or.us>; Hutcheson, Marisa M <MHutcheson@peacehealth.org>; michael.lacina@state.or.us; Patterson, Michael R. (Portland) <michael.patterson5@va.gov>; Paul, Michael <michael.paul@co.columbia.or.us>; Myers, Mike <mike.j.myers@portlandoregon.gov>; Mike Pullen <mike.j.pullen@multco.us>; Mike Sargent <mikes@metrowest.fm>; Mjere_Simantel@co.washington.or.us; Mike McNickle <mmcnickle@co.clatsop.or.us>; Mike Mumaw <mmumaw@beavertonoregon.gov>; Mary-Margaret Wheeler-Weber <mmww@multco.us>; Molly S Stenzel <molly.s.stenzel@kp.org>; mputman@co.tillamook.or.us; Mike Edrington <msedrington@aol.com>; Steele, Margaret <msvsteele@comcast.net>; Paul Myatt <myattp@co.yamhill.or.us>; NancyOl@yvfwc.org; nannette.berg@providence.org; Bush, Nancy <NBush@clackamas.us>; Bush, Nancy <NBush@clackamas.us>; Rubenstein, Nina H <Nina.Rubenstein@providence.org>; Matt Noble <noblem@ohsu.edu>; Yotsov, Nora <Nora.Yotsov@portofportland.com>; Nrubenstein@peacehealth.org; Oreilly,Catherine <oreillc@ah.org>; Patricia C Ramos <patricia.c.ramos@kp.org>; Cieslak Paul R <paul.r.cieslak@state.or.us>; Portland Bureau of Emergency Management <pbemdutyofficer@portlandoregon.gov>; pepharr@lhs.org; peter.mackwell@state.or.us; Larson, Paula P <plarson@columbiamemorial.org>; Mason-Joyner, Philip <PMason@clackamas.us>; Mason-Joyner, Philip <PMason@clackamas.us>; rebecca.wilkinson2@providence.org; ReeseM@yvfwc.org; Leman Richard F <RICHARD.F.LEMAN@dhsoha.state.or.us>; Ritu Sahni <ritu@nwemsa.com>; Rachelle Lyons-Schatz <rlyons@lhs.org>; McDonald, Robert <Robert.McDonald@amr.net>; Robert QUINN <robert.quinn@multco.us>; Robin Holm <robin.m.holm@multco.us>; Herrington, Ronald <Ron.herrington@uhsinc.com>; Wolfe, Roxanne <Roxanne.Wolfe@clark.wa.gov>; Robin Watts <rwatts@co.tillamook.or.us>; Samantha Kaan <samantha.kaan@multco.us>; Sarah Amaro <sarah.amaro@kp.org>; PH - Present, Sarah <sarah.present@multco.us>; schermerhorn@ci.cannon-beach.or.us; Johnson, Scott <Scott.Johnson@clark.wa.gov>; Hunt, Shawn <shawn.Hunt@amr.net>; Shawnw@metrowest.fm; Joe Skariah <skariah@ohsu.edu>; Sophia Grimm <sophia.grimm@multco.us>; Sue Reynolds <sreynold@lhs.org>; Sheri Salber <ssalber@co.clatsop.or.us>; Saylor, Sandi <ssaylor@shrinenet.org>; Steve Pegram <steve.pegram@co.columbia.or.us>; steven.boughey@tvfr.com; Steve Freer MD <steven.freer@providence.org>; steven_hargis@co.washington.or.us; Steven J Spindel <Steven.J.Spindel@kp.org>; Steven.Krager@clark.wa.gov; Sue Lamb <susan.a.lamb@state.or.us>; Taylor Pinsent <taylor.pinsent@multco.us>; Tricia Bell <tbell@lhs.org>; Tiffany Brown <tbrown@co.clatsop.or.us>; Tiffany Simpson <Tiffany.Simpson@va.gov>; Tim Case <Timothy_Case@co.washington.or.us>; timothy.w.menza@dhsoha.state.or.us; Hartford, Tippy <tippy.hartford@clark.wa.gov>; tom.jenkins@state.or.us; McBroom, Tracy <tracy.mcbroom@am.jll.com>; Tricia Mortell <tricia_mortell@co.washington.or.us>; tskenand@lhs.org; Vincent Aarts <Vaarts@co.clatsop.or.us>; veldarn@gmail.com; Vlake@peacehealth.org; Betty Walls <wallsbj@ah.org>; wendy_gordon@co.washington.or.us; Wiedemann,Martin <WiedemMJ@ah.org>; William.Olson@providence.org; William 'Bill' Steward <william.steward@tvfr.com>; M. 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Subject: IMPORTANT: Phase 1a of vaccine plan targets wide range of health settings

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IMPORTANT: State guidance on vaccine priority

From: Oregon Health Authority <oha@service.govdelivery.com>

Sent: Friday, December 18, 2020 8:02 AM

To: Kopania Kathryn <Kathryn.Kopania@dhsoha.state.or.us>

Subject: Phase 1a of vaccine plan targets wide range of health settings

  

 

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December 18, 2020

Contact: OHA External Relations, 971-673-2097, orcovid19.media@dhsoha.state.or.us

Phase 1a of vaccine plan targets wide range of health settings

Health equity drives distribution to ensure vaccine accessibility

PORTLAND, Ore. — As COVID-19 immunizations have begun around the state this week, Oregon Health Authority has finalized its recommendations for who will be the first to receive doses of new COVID-19 vaccines.

Oregon’sPhase 1a COVID-19 Vaccine Plan and Recommended Sequencing aligns with federal Advisory Committee on Immunization Practices (ACIP) and Centers for Disease Control and Prevention (CDC) guidelines for broad groups to be included in the initial phase of vaccine distribution.

With a focus on health equity, the plan adds more granularity to federal recommendations and outlines specific populations within the broad groups — and in a wide range of health settings — that should be the focus for vaccination "when considering the allocation of scarce critical resources in the face of a public health crisis such as COVID-19."

The plan also creates a framework for distributing and sequencing COVID-19 vaccines throughout Oregon based on equity, individual, environmental and activity factors that put people more at risk for contracting or spreading the virus or experiencing serious health consequences from the virus.

"This plan helps us make sure we follow our own principles of health equity as we strive toward meeting our priorities for distributing the vaccine during this critical first phase," said Dana Hargunani, M.D., M.P.H., OHA chief medical officer.

These priorities include ensuring that vaccine is accessible for those who are included in Phase 1a and want to be vaccinated, and that information about COVID-19 vaccines is broadly available in a linguistically accessible and culturally responsive manner.

As stated in the plan, these priorities are critical "to be responsive to the diversity of people living in Oregon, and to mitigate historical and contemporary injustice and stigma of communities of color, tribal communities, people with disabilities, and longstanding mistrust of the system and distrust of vaccines."

The plan breaks up Phase 1a into four groups. Examples include but are not limited to:

  • * Group 1: Hospitals; urgent care; skilled nursing and memory care facility health care providers and residents; tribal health programs; emergency medical services providers and other first responders.
  • * Group 2: Other long-term care facilities and congregate care sites, including health care providers and residents; hospice programs; mobile crisis care and related services; individuals working in a correctional setting; personnel of group homes for children or adults with intellectual and developmental disabilities.
  • * Group 3: Outpatient settings serving specific high-risk groups; in home care; day treatment services; non-emergency medical transportation.
  • * Group 4: Health care personnel working in other outpatient and public health settings.

The types of individuals or settings within each group are not listed in any particular order and don’t indicate a planned "in-group" sequence, but are intended to be concurrent as logistics and vaccine dose availability allow, the plan states. In addition, the plan calls for applying the broadest definition of "health care personnel" as outlined by ACIP and the CDC, which includes contractual staff not employed by a facility.

In all, OHA expects that between 300,000 and 400,000 individuals will have access to COVID-19 vaccination during Phase 1a. Work is in progress to further estimate the numbers of people within each of the Phase 1a groups.

OHA also continues to work with state agency and community partners to communicate broadly about Phase 1a plans, and to develop detailed distribution plans for all potential Phase 1a recipients.

OHA’s equity-focused Vaccine Advisory Committee will be informing the next phases of vaccine distribution beyond Phase 1a to include critical workers, people with underlying health conditions and those older than 65. The general population isn’t expected to be eligible for vaccination until sometime in spring 2021.

# # #

Stay informed about COVID-19:

Oregonresponse: The Oregon Health Authority and Oregon Office of Emergency Management lead the state response.

UnitedStates response: The Centers for Disease Control and Prevention leads the U.S. response.

Globalresponse: The World Health Organization guides the global response.

# # #

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