The @CDCgov ACIP move toward priortizing frontline workers is premised on "only slightly" more deaths compared to prioritizing by age &/or comorbidity. But that finding depends on the vaccine blocking transmission very efficiently, which we don't know.
In my opinion prioritizing by risk of death is the most robust strategy in the sense of being optimal or near-optimal whatever we find out about transmission blocking and the like. #ACIP
Notwithstanding misinterpretations and deliberate trolling from many the last few days, I have been saying for some time that in my view the most lifesaving strategy, and likely the one that will return us to functioning fastest, would be
1) Congregate settings including LTCF prisons jails shelters AND frontline HCW (incl custodial, foodserv, etc)
2)those at highest risk of dying
3) teachers because bringing them back to classrooms would help us all, and 3d priority should prep us for September
4) other frontline
2)those at highest risk of dying
3) teachers because bringing them back to classrooms would help us all, and 3d priority should prep us for September
4) other frontline
Technical note: not sure why CDC slides from Dr. Dooling highlight comorbidity risks adjusted for age. Seems for prediction purposes the q is comparison of unadjusted death risk is higher with 1,2,3+ comorbidities vs various age groups