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This Division of Public Health (DPH) is issuing this Health Alert to advise the medical community to prepare to vaccinate individuals with high and moderate-risk medical conditions for COVID-19. The State’s official announcement will occur Tuesday to share the below information and additional highlights regarding its plans moving forward. On Wednesday March 17, the following guidance from the state and DPH will be in effect.
In moving to vaccinate more eligible persons, the state and DPH advise clinicians to expand vaccine delivery to their patients aged 16-64 with conditions that increase the risk for severe illness from SARS-CoV-2. The conditions reviewed by the CDC Advisory Committee on Immunization Practices (ACIP) and the State's Ethics Advisory Group include the following (but not all inclusive):
Increased (high) risk of severe illness from SARS-CoV-2:
Suspected increased (moderate) risk of severe illness from SARS-CoV-2:
No further guidance as to prioritization of these conditions will be forthcoming. Clinicians are advised to use clinical judgment and patient histories to make those determinations and deploy vaccine accordingly using the list above as guidance.
Non-paid caregivers who care for persons with high-risk health conditions, especially those who require assistance with activities of daily living (such as meal preparation, dressing, grooming, medication monitoring, transportation and housekeeping), will also be eligible and identified using clinical judgment or guidance from the list above. Clinicians may vaccinate caregivers of their patients to decrease risk of serious illness for their high-risk patients.
Vaccine partners (e.g., pharmacies, urgent care centers or other walk-in clinics) that are unable to assess individual medical conditions to determine those at highest risk for COVID-19 disease burden, are being asked to vaccinate persons aged 50 years and older, regardless of medical, occupational, or other, factors.
Medical providers who are not enrolled in DelVAX to provide COVID-19 Vaccination are asked to refer eligible patients to a Delaware health system. Provider offices should bear the responsibility for collecting eligible patient names, and contact information (phone number and email if available) and sending referral requests by email to the health care system POCs. Providers who did not receive a list of health system contacts can reach out to Vaccine Planning at VaccinePlanning@delaware.gov.