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Home / Health / Once the vaccine is released for people with underlying diseases, will Utahans wait in line?

Once the vaccine is released for people with underlying diseases, will Utahans wait in line?

The state will rely on the honor system to protect against the coronavirus without the need to prove that someone meets the new requirements of the basic conditions.

(Rick Egan | Salt Lake Tribune), Julyn Shepherd at a former Shopko store in Utah County on Wednesday, January 27, 2021

for Utah County residents fill syringes to get the COVID-19 vaccine.

Since the state now provides COVID-19 vaccines to a large number of people with basic health conditions, Utahans are not required to show a doctor’s certificate or other qualified certificates.

Instead, the state relies on the honor system. This is an effort to make an effort as quickly as possible, but it will almost certainly lead to abuse because people find relatively few obstacles hindering their progress.

Governor Spencer Cox admitted at a press conference on Thursday: “People may lie about whether they have these underlying health conditions” and he pleaded with Utahans to abide by the rules.

However, Tom Hudachko, a spokesperson for the Utah Department of Health, said in an email that the Department of Health believes that for the approximately 275,000 eligible Utah residents, it is most important to ensure that the process is simple and effective. of. He said it was so troublesome that “some other people will not line up soon.”

Hudachko said that requiring documents as proof of eligibility “will greatly slow down the process of getting vaccines into the arms of these people, but also put an unnecessary burden on the medical staff responsible for providing such documents.”

With the death toll from the Coronavirus in Utah approaching 2,000, this is a process of shifting to wider access to vaccines. However, according to the state’s traditional measures (still above 10% last week) and its new method (hovering around 6% last week), the 7-day average of positive coronavirus detection rates has been declining. The number of people in Utah who received two full doses of vaccinations reached 225,000 mid-week, while the total on weekends could reach 250,000.

What happened elsewhere?

As states began to make more residents eligible for vaccinations, they took different approaches to address the need for paperwork to vaccinate priority groups.

It is difficult to find deployment information for each state, but so far, Washington, New Jersey, Massachusetts, and Alabama have reported using the honor system.
In Texas, health care providers are told to check people’s medical records when possible to determine their shooting status. According to a report in the Dallas Morning News, in other cases, people can disclose their basic health and can be vaccinated without written documents.
According to the New York State Coronavirus Information Website, residents of New York State-operated vaccination clinics are required to provide a doctor’s certificate, medical information indicating their health status, or a signed certificate to prove that they meet the conditions for basic diseases.

Margaret Battin, a professor of philosophy at the University of Utah, said that although the implementation of the honor system here remains to be seen, she wants to know whether the community influence of the Church of Jesus Christ of Latter-day Saints will affect the success of the policy .

Budding, who is also an adjunct professor, said: “The doctrine of the church…I think it will prevent behaviors such as jumping in line.” In the American medical ethics and humanities courses in internal medicine. “All “do the right thing” and “choose the right thing”, this kind of moral doctrine is likely to play a role in the behavior of many people in this state, and in a heterogeneous state like New York, the situation may not be the case. in this way.”

Hudachko said that the main basis for this decision was feedback from vaccines and healthcare providers that the need for paperwork would create a “major bottleneck.” He said he could not compare which method was more effective, and pointed out that some states have not yet started vaccinating people with underlying health conditions.

Who will be vaccinated next?

Utahans 16 years and older with certain severe and chronic health conditions are now eligible to receive the COVID-19 vaccine. According to the Utah Department of Health, this is a list of eligible health conditions:

• Recipients of solid organ transplants.

• Certain cancers.

• People with weakened immune function (weak immune system) due to blood, bone marrow or organ transplantation; HIV; Long-term use of corticosteroids, or long-term use of other immune weakening drugs.

• Severe kidney disease or dialysis, or have stage 4 or 5 chronic kidney disease.

• Uncontrolled diabetes.

• Severe obesity (body mass index over 40).

• Chronic liver disease, including chronic hepatitis B or C.

• Chronic heart disease (excluding high blood pressure).

• Severe chronic respiratory diseases (except asthma).

• Neurological diseases that impair respiratory function, including Down syndrome, multiple sclerosis, Parkinson’s disease, cerebral palsy, quadriplegia or hemiplegia.

• Stroke and dementia (Alzheimer’s disease, blood vessels, frontotemporal lobes).

• Spleen deficiency, including splenectomy or splenic insufficiency, including sickle cell disease.

Although the honor system has its own problems, Jim Tabery, associate professor of American philosophy, said that he believes that the planned launch of the vaccine is an “ethical way.”

He said: “Obviously, when you are thinking about something like this, your thoughts will naturally jump to the vaccine production line jumper or uninstall program.” “There may be some out there, but the question is: what kind of system do you plan to create? Eliminate them? In fact, would this be a better system?”

He said that asking people to jump over to prove that they have a potential health condition could “cause a great deal of harm” to the disabled and could also bring fairness issues in terms of access to vaccines. For example, individuals in a hard-hit community of color may not be able to contact health care providers to obtain proof of their condition, or may have difficulty getting off work to take appointments.

“If you want to deal with someone, [in that situation] Who has diabetes, you say: “In order to get a vaccine, we also need some form of confirmation to confirm that you have diabetes.” This is actually asking them to see a healthcare provider, and they don’t have access to it.” He said. “So, most likely, what you are doing is making sure that someone will not get the vaccine. “

Hudachko pointed out that, so far, it has been “relatively simple” for vaccinators to determine Utah eligibility.

The first round of vaccination is mainly based on employment status. Medical staff, teachers, first aid personnel, and long-term care facility staff can easily prove their qualifications based on pay slips or badges. He said that the elderly have been able to “easily provide proof of age with a government-issued ID card or similar document, which lists their date of birth.”

Even so, Nicholas Rupp, a spokesman for the Salt Lake County Health Bureau, said that in some cases, people tried to “cheat the system” and were turned away from the vaccination site.

He said: “Fortunately, this is not a universal problem.” “We have more people who really misunderstand their qualifications, but even those that are not widely spread.”

The county has not taken a stand on the use of the honor system, but Rupp said that the health department will follow the instructions of the state and governor, “and encourage people to be honest, so the vaccine should first be given to those who are truly at greatest risk of serious disease. Disease. “

(Rick Egan | The Salt Lake Tribune) On Wednesday, January 27, 2021, Utah county residents can get the COVID-19 vaccine at the former Shopko store in Spain Fork in the waiting area during social transit.

Announced on Thursday that the vaccine will be immediately available to people with underlying illnesses, instead of the previously planned March 1, Cox pointed out that due to COVID-19, eligible people are now at the highest risk of hospitalization and death.

He urged unqualified Utahans not to schedule appointments.

He said: “We have more vaccines coming, but they are coming soon, but we are prioritizing these people based on age and potential comorbidities because they face the greatest risk of hospitalization or death,” Therefore, if you are ahead, it means that there will be others who will not get the vaccine as soon as possible, and they will most likely end up in hospital or even die.

He added that those who follow the rules “know that you have not cheated the system, and are willing to provide it to those who need it most so that they can get a good night’s sleep.”

Hudachko pointed out that everyone in Utah over the age of 16 hopes to have the opportunity to be vaccinated before the end of May. He said that people who are considering using the system for games should shoot a few weeks in advance. He needs to consider “If you want to skip this person, you will become more likely to get seriously ill or even die than them, which is more likely to get sick or die than they are. . Infected with COVID-19.”

As the country opens up vaccines to more people, Tabery said the most ethical thing for those who are not yet eligible for the vaccine is their turn.

He pointed out that there were reasonable issues regarding fairness in the vaccine launch process. But, for example, if a grocery store employee feels that they should be included in the latest round of vaccinations, the way to deal with it is to contact national leaders to express this concern, rather than let someone solve the problem themselves.

Tabery said the exception to the rule is that an excessive dose is required, which would become very bad if not used. Both Pfizer and Moderna vaccines must be stored at freezing temperatures, and once thawed, they must be used within a certain period of time.

“If someone finds out that they happen to be in a hospital or a pharmacy, and the pharmacist or nurse says,’Hey, we have to add one more dose. If you don’t use it, it will be a waste,” then if you don’t use it, it will be wrong ,”He said.

In the state’s launch phase, there are likely to be many people performing these ethical calculations, but Badin said that social humiliation and opposition to those who do jump in will be the main defense against this behavior.

Tabery said he expects people to cut vaccine production lines sometimes, and once these are discovered, they will become news.

But he believes that most Utah people will “obey these rules.”

He said: “I do think that Utah has a basic community mentality, and in this case, it’s very useful to do this.” “So I’m sure there will be a thread cutter. Sorry, they find themselves in a must or can The situation to do it. But I think they will definitely become the exception, not the rule.”

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