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January 5th, 2021

Dear Clinic Members,

We have been getting numerous calls from patients inquiring about which phase they are classified under for the Covid vaccine rollout, so we are reaching out today with additional details on the state guidelines.

The vaccine rollout phases are as follows:

● Phase 1a — high-risk health workers and first responders

● Phase 1b — patients at significantly higher risk of severe Covid (list follows with details on this), and residents in congregate care facilities.

● Phase 2 — patients at moderately higher risk of severe Covid, critical workers in high-risk settings, teachers, child-care workers, and jail/prison inmates.

● Phase 3 — essential workers not covered under phase 2, adults at average risk, and young adults

● Phase 4 — All others not covered under the prior phases

Conditions that are associated with a significantly higher risk of severe Covid:

● Cancer (current, not in remission)

● Chronic kidney disease

● COPD (chronic obstructive pulmonary disease)

● Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies

● Immunocompromised state (weakened immune system) due to solid organ transplant

● Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2)

● Severe Obesity (BMI ≥ 40 kg/m2)

● Pregnancy

● Sickle cell disease

● Smoking

● Type 2 diabetes mellitus

● Severe asthma

● Adults over age 75

Conditions that are associated with a moderately higher risk of severe Covid:

● Mild to moderate asthma

● Cerebrovascular disease (affects blood vessels and blood supply to the brain)

● Cystic fibrosis

● Hypertension or high blood pressure

● Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, HIV, use of steroids, or use of other immune weakening medicines

● Neurologic conditions, such as dementia

● Liver disease

● Adults aged 60 to 75

● Overweight (BMI > 25 kg/m2, but < 30 kg/m2)

● Pulmonary fibrosis (having damaged or scarred lung tissues)

● Thalassemia (a type of blood disorder)

● Type 1 diabetes mellitus

Kitsap county remains in phase 1a of the vaccine rollout. We will start calling patients to schedule them as the succeeding phases begin.

Because of the nature of the vaccine packaging, there are sometimes “extra” doses that need to be used immediately or else they would be wasted. We have been able to use these extra doses for a small number of our highest-risk patients who are covered in phase 1b. We cannot guarantee the availability of extra doses to anybody in advance but have a waiting list of phase 1b patients that you can put your name on. If you do put your name on the waiting list, be aware you need to be prepared to get to the clinic in as little as 15 minutes if a dose becomes available to you. If you would still like your name on this waiting list, please send an email to <[email protected]> or send an Elation Passport message.

Thank you all for your patience and your understanding. We are working hard to get all of our members immunized as soon as possible. There are factors with the vaccine availability that are beyond our control, but we will continue to do all we can.

Warm regards,

Dr. Crandell and Staff