How COVID-19 vaccines will be rolled out in North Carolina. Source: North Carolina Department of Health and Human Services.

Phases 1a and 1b

  • Phase 1a: ~ 140,000 – 161,000 individuals
    • Health care workers and COVID responders at high risk for exposure based on work duties or vital to the initial COVID vaccine response.
      • High risk of exposure is defined as those caring for COVID-19 patients, cleaning areas where COVID-19 patients are admitted, performing procedures at high risk of aerosolization (e.g., intubation, bronchoscopy, suctioning, invasive dental procedures, invasive specimen collection, CPR), handling decedents with COVID, administering vaccine in initial closed or targeted vaccination clinics.
      • Population includes: nurses, physicians, respiratory techs, dentists, hygienists, nursing assistants, environmental services staff, EMT/paramedics, home health workers, personal care aides, community health workers, morticians/funeral home staff, pharmacists, public health nurses, public health and emergency preparedness workers who meet the above definition of “high risk of exposure.”
    • LTC staff (SNFs, adult care homes, family care homes, group homes, and ICF-IDDs)
  • Phase 1b: ~ 587,000 – 790,000 people
    • LTC residents (SNFs, adult care homes, family care homes, group homes, and ICF-IDDs)
    • Adults with high risk of complications per CDC and staff of congregate living settings
    • Operationally prioritize settings based on risk of exposure
    • Migrant farm and fisheries workers in congregate housing with 2+ Chronic Conditions* or > age 65
    • Incarcerated individuals with 2+ Chronic Conditions* or > age 65 and jail and prison staff
    • Homeless shelter residents with 2+ Chronic Conditions* > 65 and homeless shelter staff
    • Health care workers not included in Phase 1A with 2+ Chronic Conditions
    • Frontline workers with 2+ Chronic Conditions at high risk of exposure (firefighters, police, workers in meat packing plants, seafood and poultry not in congregate housing, food processing, preparation workers and servers, manufacturing, construction, funeral attendants and undertakers not included in Phase 1A, transportation workers, retail workers (including grocery store workers), membership associations/org staff (e.g., religious orgs), child care workers, and workers in government, public health, emergency management and public safety whose functioning is imperative to the COVID-19 response)
    • Other Adults with 2+ Chronic Conditions*:
    • *For all populations 2+ Chronic conditions means those defined by CDC as increased risk for COVID (Cancer, Chronic kidney disease, COPD, Immunosuppressed from organ transplant, Obesity, Serious heart condition, Sickle Cell disease, Type 2 Diabetes)

Phase 2

Est. 1.18 million – 1.57 million individuals

  • Migrant Farm/fishery workers in congregate living without 2+ Chronic Conditions
  • Incarcerated individuals without 2+ Chronic Conditions
  • Homeless shelter residents without 2+ Chronic Conditions
  • Frontline workers a high or moderate risk of exposure without 2+ Chronic Conditions
  • All other Health Care Workers not included in Phase 1A or 1B
  • Teachers and school staff
  • Other adults age 18-64 with one chronic condition
  • 65+ year olds with on or no chronic conditions

Phase 3

Est. 574,000 – 767,000 individuals

  • Workers in industries critical to the functioning of society and at increased risk of exposure who are not included in Phase 1 or 2
  • K-12, college students

Phase 4

Est. 3.60 million – 4 million individuals

  • Remaining population

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