This Essay examines how states’ initial COVID-19 vaccine-distribution strategies tended to disadvantage populations of color, including Black, Latinx, and Native American communities. These dynamics resonate with “inverse equity” effects of other public-health innovations. We argue for a federal regulatory framework to reduce inequity-forcing effects during initial vaccine rollout.

 

中文翻译：

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疫苗接种公平设计

这篇文章探讨了各州最初的 COVID-19 疫苗分发策略如何倾向于使有色人种（包括黑人、拉丁裔和美洲原住民社区）处于不利地位。这些动态与其他公共卫生创新的“反向公平”效应产生共鸣。我们主张建立一个联邦监管框架，以减少初始疫苗推出期间的不平等强迫效应。