I'm still surprised that the state is meddling in vaccination distribution at all. Doses should have been provided to Pharmacies and retailers who can provide injections.

Wealthier & healthier people turn out to be older folks more likely to die if they contract the virus. Is it a sign of societal inequity that these folks are older? How should we address it?

Kevin, can you track any impact this might have on the MV Community center vaccination site which is located in a part of our community that has many low-income essential workers, but not located in the hard hit areas of San Jose that have been Santa Clara county focus. There have been reports, not confirmed, of supply shortages and no appointments at this facility while other locations in the county are ramping up. Your article quotes the state as saying, “ Ghaly said the shift in availability shouldn't reduce the number of shots available to communities that don't fall under the lowest HPI quartile.” That would be ideal, but it is very difficult to track how allocations between sites and counties are made. Other sources, I.e. SF Chronicle, say this will mean more allocations to LA and Central Valley, but don’t indicate if Bay Area and Santa Clara, in particular, will be maintaining same level of allocations.

This is "just So Wonderful", "GREAT", "The GREATEST!"
Hope the new vaccine shipping assignments ARE BY lowest quadrille HPI. And that the state monitors the use into those Zip Codes.
Are the 'community trusted liaisons' in these targeted HIPs being identified and notified? [i.e. Not Good Samaritan HS who gave the jab to Los Gatos USD teachers before their due]
New Vaccine type into new distribution channels will not disrupt the 2 current vaccine channels. But 'government' mucking around with current allotments will.

better info? The Cal Matters article on Blue Shield seems to answer the When Santa Clara Co. transition. Our Co. gets Blue Shield organized distribution in 'third wave'/ After rollout in Central Valley, then LA /San Diego areas/.
The article mentioned clearly that Blue Shield will distribute with an equity lens in place. (really Los Altos Hills has a >40% vaccinated rate/ did I read that right somewhere???)

More from another media source on vaccine supply for Santa Clara and impact of new state allocation system. Hard hit San Jose zip codes are not on 400 target list, which is based upon Healthy Places index which was designed by Southern CA health groups to encourage communities to build healthy communities. It measures not just income, but things like access to parks and transportation may make Bay Area low-income communities look better on the scale and means they are less likely to make the 400... Web Link

Targeting low income and minority communities should not be difficult here as long as there is representation from those low income and minority communities in decision making processes. Whoever is the local coordinating and decision making body should provide leadership and transparency on who is represented. You'll get more granular 'data' than the HPI can provide is my guess. Also, are quotes really needed for 'equity'? All I hear is pejorative, condescending air quotes as if equity is somehow a dirty word. Normalize it. Good on CAHHS. Dan is out to lunch on this one.

Hardest hit by cases per 10,000 or by deaths per 10,000? It seems to me that the original plan to minimize mortality should be followed. Frontline workers have many more contacts, and when their mortality is the highest of unvaccinated groups, they should be prioritized.