Vaccine optimization for COVID-19: Who to vaccinate first?

L Matrajt, J Eaton, T Leung, ER Brown - Science Advances, 2021 - science.org
Science Advances, 2021science.org
Vaccines, when available, will likely become our best tool to control the COVID-19
pandemic. Even in the most optimistic scenarios, vaccine shortages will likely occur. Using
an age-stratified mathematical model paired with optimization algorithms, we determined
optimal vaccine allocation for four different metrics (deaths, symptomatic infections, and
maximum non-ICU and ICU hospitalizations) under many scenarios. We find that a vaccine
with effectiveness≥ 50% would be enough to substantially mitigate the ongoing pandemic …
Vaccines, when available, will likely become our best tool to control the COVID-19 pandemic. Even in the most optimistic scenarios, vaccine shortages will likely occur. Using an age-stratified mathematical model paired with optimization algorithms, we determined optimal vaccine allocation for four different metrics (deaths, symptomatic infections, and maximum non-ICU and ICU hospitalizations) under many scenarios. We find that a vaccine with effectiveness ≥50% would be enough to substantially mitigate the ongoing pandemic, provided that a high percentage of the population is optimally vaccinated. When minimizing deaths, we find that for low vaccine effectiveness, irrespective of vaccination coverage, it is optimal to allocate vaccine to high-risk (older) age groups first. In contrast, for higher vaccine effectiveness, there is a switch to allocate vaccine to high-transmission (younger) age groups first for high vaccination coverage. While there are other societal and ethical considerations, this work can provide an evidence-based rationale for vaccine prioritization.
AAAS