Naturally, selection: On vaccinating the vulnerable in 18+ group

Prioritising the vulnerable in COVID-19 vaccination for 18-plus group is essential

Primary among them are people in the services sector — those whose jobs mandate interactions with multiple people. This would include those in banks, delivery agents, transportation staff, store workers, vendors, lawyers and journalists. As States begin free vaccinations for the 18-plus age group, it will be prudent to draw up a priority list even in the 18-44 age category, as Kerala, Karnataka and Tamil Nadu have done, for instance. While Kerala seeks to prioritise those with co-morbidities, disabilities and 43 categories of field staff of various departments, Karnataka has included 18 categories of people in its priority list for the 18-plus age group — including bank workers, forest department staff and construction workers. Tamil Nadu has determined a broad list of categories including the disabled, vendors, e-commerce staff, pharmacy and grocery store staff, those in the transportation sector, and school and college teachers, besides mediapersons. The Centre, which has assumed a sutradhar’s role in this entire pandemic, must draw up a list of priority categories that each State can then adapt to its local requirements. While lockdowns, in force in most States, will slow down the pace of transmission and give health-care resources a much-needed break, the way ahead is certainly vaccination — and prioritised vaccination. Once vaccine supply picks up, a more expansive first-come, first-served basis, as in the private sector now, can be adopted. Until then, it is the government’s bounden duty to ensure an equitable coverage among vulnerable groups of people who are most at risk, and carry a higher risk of transmission, because of the sheer number of people they interact with daily.

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