DC ‘caught’ between COVID vaccine recommendations and limited doses

After learning the District would get less than a tenth of the vaccine doses it needs to start, Health Director Dr. LaQuandra Nesbitt said that pandemic policies and decisions are out of alignment with the vaccine quantity the city will receive.

Both Nesbitt and Mayor Muriel Bowser said that because the first allotment of vaccine doses is based on resident population and not workforce population, D.C. is getting the short end of the stick.

On Thursday, Nesbitt cited details from Maryland Gov. Larry Hogan, who has said that his state’s first batch of the vaccine will be enough for about 50% of front-line health care workers.

More Coronavirus News

Looking for more information? D.C., Maryland and Virginia are each releasing more data every day. Visit their official sites here: Virginia | Maryland | D.C.

She said understands that no state will be getting enough of the vaccine initially to take care of 100% of their workforce.

“So, we fully appreciate that and understand that, but recognizing that the vast majority of states are receiving sufficient supply to vaccinate a third to 50% of their workforce,” Nesbitt said Thursday.

“In the District, because of this staunch policy position that the allocation should be based on resident population and not workforce population, it significantly disadvantages the District if our allotment allows us to vaccinate a tenth or 10% of our health care workforce, while other states can quickly vaccinate a third or 50% of their health care workforce.”

“That’s just not the definition of an equitable approach to vaccine allocation,” Nesbitt added.

As it stands, the District is slated to receive less than 8,000 does of the vaccine. But the city’s health care workforce is more than 80,000.

The issue is that most of D.C.’s health care workers don’t live in the city itself.

“Approximately 75% of our more than 80,000 health care workers are residents of Maryland and Virginia and not the District,” Bowser said. “So, we will keep pushing on to get the resources that we need, and continue to keep you posted.”

Nesbitt noted that the recommended approach to vaccine distribution isn’t something D.C. created.

“This is not something that we’ve come up with on our own. Operation Warp Speed and the CDC actually recommend that you have an approach that vaccinates according to place of workplace, state of workplace vs. state of residence,” she said.

“So, we’re kind of caught between a couple of policy recommendations and decisions that the allocation doesn’t align with.”

Later Thursday, Bowser sent a letter to the Operation Warp Speed team, asking that they reconsider D.C.’s vaccine allotment by taking into account the workforce population rather than the residential population.

“Washington, D.C. is unique; our population swells during regular business hours, with a significant number of federal and health care workers commuting into the District from their homes in Maryland and Virginia,” Bowser wrote in her letter. “In fact, approximately 75 percent of health care workers in the District are residents of Maryland or Virginia.”

She added that the “proposed one-size-fits-all formula” for distribution to states based on resident population “will prove woefully insufficient for the District of Columbia, providing less than 10% of the doses D.C. would need to meet that recommendation,” repeating what Nesbitt has stressed.

Bowser letter to Operation Warp Speed 12-3-2020 by wtopweb on Scribd

Nesbitt said it’s safer to officials to take care of the people who work in D.C., “because it protects the people who live here. And we want to continue to do that.”