{"id":887,"date":"2020-12-02T09:53:38","date_gmt":"2020-12-02T14:53:38","guid":{"rendered":"https:\/\/covidqanda.org\/?p=887"},"modified":"2020-12-02T09:53:38","modified_gmt":"2020-12-02T14:53:38","slug":"will-people-with-asthma-be-prioritized-for-vaccination","status":"publish","type":"post","link":"https:\/\/covidqanda.org\/?p=887","title":{"rendered":"Will people with asthma be prioritized for vaccination?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong><u>Question:<\/u><\/strong>\u00a0When it comes to vaccine distribution, what is the prioritization of underlying conditions? Is asthma included?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">Answer:<\/span><\/strong>\u00a0 As you&#8217;ve probably <a href=\"https:\/\/www.cidrap.umn.edu\/news-perspective\/2020\/12\/cdc-panel-moves-health-workers-nursing-home-residents-front-covid-vaccine\">read<\/a>, the Advisory Committee on Immunization Practices (ACIP) recommended yesterday that the first groups to get the vaccine be healthcare personnel and long-term care facility residents (<strong>Figure 1<\/strong>).\u00a0 We still don&#8217;t know the prioritization of underlying conditions, including asthma.  A new study was just published last week on the relationship between asthma and COVID infection, <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S221321982031240X\">COVID-19 Susceptibility in Bronchial Asthma<\/a>.\u00a0 The results, nicely <a href=\"https:\/\/www.jpost.com\/health-science\/israeli-research-people-with-asthma-30-percent-less-likely-to-contract-covid-19-650672?utm_source=Global+Health+NOW+Main+List&amp;utm_campaign=6b5fd6aca5-EMAIL_CAMPAIGN_2020_12_01_02_12&amp;utm_medium=email&amp;utm_term=0_8d0d062dbd-6b5fd6aca5-870311\">synthesized in The Jerusalem Post<\/a>, indicate that people with asthma (both pediatric and adult study participants) could be nearly 30% LESS likely to contract COVID-19, even after accounting for a host of background characteristics (demographic and clinical).\u00a0 The study also\u00a0found no statistically significant differences in COVID-related hospitalizations\u00a0by asthma status.\u00a0 Surprising, right?!\u00a0 Turns out, these findings fit with myriad others from various settings including<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0091674920304954\"> China<\/a>, <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2213219820308242\">Philadelphia<\/a>, and beyond\u00a0(check out the discussion section of the paper for more examples).\u00a0 We&#8217;re not sure why we&#8217;re observing these relationships.\u00a0 A couple of hypotheses were posited by study authors: 1) People with asthma may be more likely to adhere to public health guidance (mask wearing, social distancing, etc.) than the general population; 2) Respiratory allergies are associated with fewer angiotensin-converting enzyme 2 (ACE2) receptors in the lungs, which are known entry points for the SARS-CoV-2 virus to attach and infect host cells.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br><strong>Figure 1. ACIP Phase 1a Vaccine Prioritized Populations <\/strong>(from <a href=\"https:\/\/www.cdc.gov\/vaccines\/acip\/meetings\/slides-2020-12.html\">slides<\/a>)<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"723\" height=\"411\" src=\"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/12\/image.png?resize=723%2C411&#038;ssl=1\" alt=\"\" class=\"wp-image-888\" srcset=\"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/12\/image.png?resize=1024%2C582&amp;ssl=1 1024w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/12\/image.png?resize=300%2C171&amp;ssl=1 300w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/12\/image.png?resize=768%2C437&amp;ssl=1 768w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/12\/image.png?resize=1536%2C873&amp;ssl=1 1536w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/12\/image.png?resize=2048%2C1164&amp;ssl=1 2048w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/12\/image.png?w=1446&amp;ssl=1 1446w, https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/12\/image.png?w=2169&amp;ssl=1 2169w\" sizes=\"auto, (max-width: 723px) 100vw, 723px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Question:\u00a0When it comes to vaccine distribution, what is the prioritization of underlying conditions? Is asthma included? Answer:\u00a0 As you&#8217;ve probably read, the Advisory Committee on Immunization Practices (ACIP) recommended yesterday that the first groups to get the vaccine be healthcare personnel and long-term care facility residents (Figure 1).\u00a0 We still don&#8217;t know the prioritization of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":888,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[85,60,64],"tags":[153,86],"class_list":["post-887","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-children","category-risk","category-vaccines","tag-asthma","tag-underlying-conditions","fallback-thumbnail"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/covidqanda.org\/wp-content\/uploads\/2020\/12\/image.png?fit=2355%2C1339&ssl=1","_links":{"self":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/887","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=887"}],"version-history":[{"count":1,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/887\/revisions"}],"predecessor-version":[{"id":889,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/posts\/887\/revisions\/889"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=\/wp\/v2\/media\/888"}],"wp:attachment":[{"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=887"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=887"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/covidqanda.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=887"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}