Portable Sanitation Association International

Association Insight January 20, 2021

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ASSOCIATIONINSIGHT Portable Sanitation Association International News BIWEEKLY EDITION JANUARY 20, 2021 Page 21 The Latest: What You Need to Know about the COVID-19 Vaccine By Karleen Kos, PSAI's Executive Director Continued on page 22 B y now, you know there's a vaccine for COVID-19. Defying all usual timelines and against challenging odds, less than a year after the novel coronavirus began infecting people around the world, a preventative injection has been developed and is now being distributed. Here's what you need to know as that process unfolds. It's All Local As of this writing, there is no comprehensive national distribution plan for the vaccine. Although the Biden administration has indicated that such a plan will be coming in the near future, the approach to date has been for the federal government to allocate doses to various jurisdictions and let the locals figure out how to distribute it. The Centers for Disease Control (CDC) has issued recommendations for distribution but that's all they are. They are not binding, so who gets a vaccine at what date can be very different across the country. Allocation of vaccine to a specific area varies based on several factors. For example, in states like Illinois and New York, the largest cities receive separate allocations from those intended for outstate use. Indian Health Services get their own allocations. Certain other entities do too (see the Operation Warp Speed graphic on page 19). Governors and public health officials decide how the rest of the vaccine reaches people's arms. Everything from geography to expediency to politics is affecting how that works across the country. Everybody is also constrained by issues related to manufacturing—the supply has not been predictable, so nobody really knows how many doses they are getting and when they are getting them. Transportation and storage of the vaccine presents major challenges, because very cold temperatures must be maintained. This limits the places and ways vaccines can be administered. For more information on these challenges, members can check out the recording of the PSAI's January 7 Virtual Roundtable. Vaccines for Portable Sanitation Workers Although local groups do not have to follow it, the CDC's framework and ethical principles are generally being used as the backdrop for local distribution decisions. Currently we believe portable sanitation workers will generally fall into CDC's distribution category 1-c which is where essential workers in transportation and logistics, water and wastewater, construction, and related fields are specifically named. While many folks are eager to move to the head of the vaccine line, we do not believe that portable sanitation companies will commonly be able to make a convincing case that our employees' exposure is greater than those of the other groups in this tier. There are always exceptions; companies that serve certain types of special sites may be able to argue that their employees are subject to greater exposure than most. January 15, 2021 vaccination map courtesy of The New York Times.

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