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Vaccine Distribution Raises Ethical, Logistical Questions

机译：疫苗分配提出了伦理、后勤问题

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Because initial COVID-19 vaccine supply will not meet demand, rationing will be inevitable. That raises ethical and logistical questions about how policymakers and health systems will make allocation decisions. In addition to addressing the logistical complexity of vaccine distribution, many public health leaders are seeking to address inequities and focus their efforts on vulnerable groups. But questions remain about ordering priorities. When will outpatient clinics that serve homeless populations get doses? What about incarcerated populations? School teachers? A Dec. 5 story in the New York Times notes that "Health care workers and the frailest of the elderly - residents of long-term-care facilities - will almost certainly get the first shots, under guidelines the Centers for Disease Control and Prevention issued. But with vaccination expected to start, the debate among federal and state health officials about who goes next, and lobbying from outside groups to be included, is growing more urgent. It's a question increasingly guided by concerns over the inequities laid bare by the pandemic, from disproportionately high rates of infection and death among poor people and people of color to disparate access to testing, child care and technology for online schooling."
机译：不会因为初始COVID-19疫苗供应满足需求,分配将是不可避免的。如何提出了伦理和后勤的问题决策者和卫生系统分配决策。物流的复杂性疫苗分布,许多公共卫生领导人寻求解决不平等和重点在弱势群体的努力。仍有优先顺序。门诊服务无家可归人口得到剂量?人口呢?《纽约时报》指出,“卫生保健工人和虚弱的老人的居民长期护理设施——将几乎可以肯定第一枪,疾病控制中心和指导方针预防。首先,联邦政府和州政府之间的辩论卫生官员关于谁是下一个游说团体以外的包括,越来越紧迫。指导下的担忧不公平现象暴露无遗的大流行,不成比例的高贫穷人的感染和死亡和颜色不同的访问权在线测试、儿童保健和技术学校教育。”

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