Source::AP
PORTLAND, Ore.
The role that race should play in deciding who gets priority for the COVID-19 vaccine in the next phase of the rollout is being put to the test in Oregon as tensions around equity and access to the shots emerge nationwide. An advisory committee that provides recommendations to Oregon’s governor and public health authorities will vote Thursday on whether to prioritize people of color, target those with chronic medical conditions or focus on some combination of groups at higher risk from the coronavirus. Others, such as essential workers, refugees, inmates and people under 65 living in group settings, are also being considered.
The 27-member committee in Oregon, a Democratic-led state that’s overwhelmingly white, was formed with the goal of keeping fairness at the heart of its vaccine rollout. Its members were selected to include racial minorities and ethnic groups, from Somalian refugees to Pacific Islanders to tribes. The committee’s recommendations are not binding but provide critical input for Gov. Kate Brown and guide health authorities crafting the rollout.
“It’s about revealing the structural racism that remains hidden. It influences the disparities we experienced before the pandemic and exacerbated the disparities we experienced during the pandemic,” said Kelly Gonzales, a member of the Cherokee Nation of Oklahoma and a health disparity expert on the committee.
To avoid legal challenges, almost all states looking at race and ethnicity in their vaccine plans are turning to a tool called a “social vulnerability index” or a “disadvantage index.” Such an index includes more than a dozen data points — everything from income to education level to health outcomes to car ownership — to target disadvantaged populations without specifically citing race or ethnicity.
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