Article: Would It Be Fair to Treat Vaccinated Covid Patients First?

This is a small data set, but:

ONEIDA COUNTY COVID-19 Update 9-7-21

Here are the Oneida County COVID-19 case numbers as of midnight on Sept. 6.

• 267* new positive cases, 24,262 total. (includes 9/3-9/6)
o 9/3: 82
o 9/4: 64
o 9/5: 49
o 9/6: 72
• 742 active positive cases.
• 4.1% positivity rate.
• 2
new COVID-19-related deaths, 439 total. *(includes 9/3-9/6)
o 9/3: 1
o 9/4: 0
o 9/5: 1
o 9/6: 0
• 1,204 are in mandatory isolation & quarantine.
• 52 Oneida County residents are hospitalized.
o 40 unvaccinated/12 vaccinated.
o 37 at MVHS.
o 9 at Rome Health.
o 6 out of county.
 11 of total hospitalized are in ICU.
• 9 unvaccinated/2 vaccinated.
 6 of total hospitalized are on ventilators.
• 5 unvaccinated/1 vaccinated.
o Hospitalization vaccination status by age:
 20-29 years-old: 3 unvaccinated/1 vaccinated.
 30-39 years-old: 3 unvaccinated/0 vaccinated.
 40-49 years-old: 5 unvaccinated/0 vaccinated.
 50-59 years-old: 11 unvaccinated/3 vaccinated.
 60-69 years-old: 6 unvaccinated/1 vaccinated.
 70-79 years-old: 7 unvaccinated/3 vaccinated.
 80-89 years-old: 5 unvaccinated/4 vaccinated.
 90-99 years-old: 0 unvaccinated/1 vaccinated.

In this data, the highest cohort of vaccinated in hospital is 80-89, in unvaccinated, 50-59. So the vaccinated hospitalized cohort is considerably older than the unvaccinated, as I stated.

Note that despite the much more advanced age of the vaccinated cohort, the numbers are STILL better for avoiding ICU care. 2 out of 12 is better than 9 out of 40. So despite the much older age of the vaccinated hospitalized cohort, they still seem to be getting help from the vaccine in avoiding the ICU.

So it might be possible that you could argue on triage terms that the vaccinated have better odds. That’s something that has more likelihood of working. Honestly, a lot of people in the hospital could have done something to prevent their state for a variety of reasons. Do we turn them all out? If it’s a public health issue, not enough beds, then that needs to be addressed through other means - forcing or highly incentivizing vaccinations or limiting other activities based on local spread.

We’d need to see the vaccination rates for each age cohort. In many places the rate for those over 70 is much higher than for under 70. I think it might be 80% for the country as a whole.
So, you may be right, but it is not clear if the percentage of vaccinated older people getting it is much higher than vaccinated younger people.
It would also be interesting to see death rates per age/vaxxed-no-vaxxed cohort.

Typically, the higher the age, the more vaccinated people. Though I think by the point of 80+ mortality has reduced the % of people in that group already.

I am assuming that the vaccine is helping all comers. We know that the younger are helped comparatively at all levels. Fewer hospitalizations, fewer in ICU, fewer deaths. If the vaccine is helping everyone, it’s more likely to help those that are less sick, and since a higher percentage of the younger cohort is already not as sick as the older cohort, it makes sense that more of them would be able to avoid the hospital entirely due to the vaccine.

Data from Israel:

Imgur

Looking at that data, they saw severe cases in unvaccinated 40-49 year olds at about the same rate as vaccinated 70-79 year olds.

According to the data, while the risk of experiencing severe symptoms increases with age for both the vaccinated and unvaccinated, it rises much more dramatically among the unvaccinated.

Another look:

Imgur

It’s not like that where I live - each of my doctor’s offices has an electronic medical record and hospitals I’ve been also have electronic records. But they are separate records and only the doctors in my PCP’s group will have access to his records. Nobody has access to my ophthalmologist’s or cardiologist’s records as they are in solo practices and they don’t have access to my PCPs records. If I go to the ER at hospital A, they will be unable to access my records at unaffiliated hospital B. Not to mention that most people in my area did not get vaccinated at doctor’s offices or hospitals, and that although my city and state both have vaccination registries, I am not at all sure a doctor can verify information with them quickly. Oh, and due to geographic/economic factors , people showing up at an ER in my area may have been vaccinated in at least 5 different states.

How do you get two shots in five different states?

Thanks for the interesting and illuminating data.

Well, now it’s settled. This wins the thread. :wink:

I didn’t mean that an individual person may have gotten shots in different states - I mean that there are people who live in either New York/Connecticut/Pennsylvania/New Jersey/Massachusetts/Vermont and work in one of the other states so that even if there are statewide vaccination registries, that won’t help if someone shows up at an ER in NYC who was vaccinated in Pennsylvania or New Jersey. That could probably happen anywhere with tourists - but I suspect it would be a bigger issue where people commonly live and work across state lines.

(Sorry for not having read the entire thread…) Isn’t the concept of triage that you treat first whoever is mostly likely to survive? In those states running out of beds, they’re having to start triage – turning patients away, treating them in a tent in a parking lot, sending them to other hospitals. The most likely to survive are people who have been vaccinated, therefore wouldn’t they be treated first?

I think the problem is most COVID patients do not arrive at the hospital dying on the spot (usually). It can take them weeks (literally) to die. How do you decide who those people will be when they walk in?

If you’re trying to share scarce resources, and all else is equal, and you basically have to “flip a coin” and decide which patient gets the ventilator, then yeah - give the ventilator to the person who tried to avoid needing it.

That assumes very, very similar patients in terms of apparent severity, age, physical condition, risk factors etc.

I don’t know if there are any statistics comparing likelihood of survival among vaxxed and unvaxxed with the same level of disease. Yes, vaccinated people are less likely to get a truly severe case - but if they do, are they as likely to survive as an unvaccinated person with the same severity?

I actually might see an argument for the opposite. If you’ve been vaccinated, and you develop illness so severe that you need to be intubated, maybe you’ve got some unknown risk factors compared with the moron in the next bed.

I realize this is a couple months old and in Peru instead of the US but it does illustrate the lack of oxygen issue.

I just saw this:

UCHealth said for transplant patients who contract COVID-19, the mortality rate ranges from about 20% to more than 30%.

And people still argued about how unfair it was.

Seems they really mean it:

I agree with this 100%.