COVID-19 VACCINES UPDATE @ FEB 22 MONTGOMERY COUNTY DHHS

Note: Estimates based on best available data from 02.22.2021. For the most up-to-date information, please see: montgomerycountymd.gov/covid19/vaccine/#dashboard SECOND WAVE

FIRST WAVE

UPDATED DAILY @ montgomerycountymd.gov/covid19/data/#dashboard COUNTY-WIDE VACCINATIONS PRIORITY GROUPS: STATUS For full and current descriptions of the priority groups, please see montgomerycountymd.gov/covid19/vaccine/priority.html ACTIVE INITIATING PLANNING Priority 1A Tier 1: Hospitals / Assisted living Tier 2: Urgent care workers Tier 3: Public safety / other healthcare /shelter staff 1ST SHOT: 127,891 (12.2%) 2nd SHOT: 50,681 (4.8%) STATE-WIDE: 11.6% STATE-WIDE: 5.5% Priority 1B MC 75+: 57.3% Tier 1: Adults 75+ Tier 2: Essential frontline / homeless / detainees State-wide, Hospitals account for 39% of administered vaccines, Local Health Tier 3: Essential manufacturing workers Departments account for 37%, and Long-term Care, Retail, and “Other” account for 24%. Priority 1C VACCINE TYPE Tier 1: Adults 65-74 Tier 2: High risk medical conditions Moderna Pfizer Tier 3: Other high risk 67% 33%

Source: CORONAVIRUS..GOV| INTERNAL DHHS AND OEMHS REPORTING for Priority Group Statuses | IMMUNET # OF VACCINES ADMINISTERED % OF POPULATION VACCINATED

0 50,000 100,000 150,000 200,000 Kent 6.1% 21.7% Montgomery Worcester 9.2% 19.0% Baltimore County Talbot 8.9% 18.5% Anne Arundel Garrett 7.0% 16.3% Baltimore City Howard 6.6% 15.1% Prince George's Wicomico 7.7% 14.8% Howard Calvert 6.0% 13.9% Frederick Baltimore County 7.6% 13.7% Harford Queen Anne's 6.1% 13.4% Carroll Carroll 6.7% 13.2% Washington Allegany 7.2% 13.2% Wicomico Dorchester 7.0% 13.2% St. Mary's Caroline 6.8% 12.9% Charles Frederick 7.0% 12.8% Calvert St. Mary's 7.6% 12.8% Cecil Harford 6.7% 12.4% Worcester Washington 5.9% 12.2% Allegany Montgomery 4.8% 12.2% Talbot MD-Wide 5.5% 11.6% Queen Anne's Anne Arundel 5.4% 11.6% Garrett Cecil 5.1% 11.0% Caroline Somerset 5.8% 10.8% Dorchester 1st Dose 2nd Dose Baltimore City 5.5% 10.4% Kent Charles 3.4% 8.3% Somerset Prince George's 2.4% 6.1%

Source: CORONAVIRUS.MARYLAND.GOV Primary vaccine sites include Richard Montgomery HS, Quince Orchard HS, and the Public Safety Academy. RUNNING TOTAL OF RECEIVED AND ADMINISTERED VACCINES (UP TO 02.22) ADMINISTERED (ALL TIME) 80,000 Delivered Total Administered Total 67,168 RANK: 1/24 MD COUNTIES

ALLOCATED (ALL TIME) 60,000 78,300 RANK: 1/24 MD COUNTIES 40,000 Total Administered: ADMINISTERED 67,168 LAST 5 DAYS

20,000 8,146 (4,304 1st doses) EXPECTED DELIVERY 02.23 0 4,500 12/29 1/5 1/12 1/19 1/26 2/2 2/9 2/16 FIRST DOSES

Source: INTERNAL DHHS VACCINE ADMINISTRATION TRACKING | DAILY STATE VACCINE SUMMARY (FOR ALLOCATED #S) Note: This slide uses State reporting which is not as real-time as the local tracking on the previous slide. These preliminary State numbers are used to allow for an apples-to-apples comparison to other counties. # OF VACCINES RECEIVED AND ADMINISTERED BY MD COUNTY HEALTH DEPARTMENTS (UP TO 02.21) NUMBERS ARE PRELIMINARY Delivered Administered % Administered 80000 97% 70000 RANKINGS 60000 108% Administered: #1 (out of 24) Received: #1 (out of 24) 50000 93% % Administered: 97% (MC) vs. 95% (MD) 40000 98% 95% 30000 85% 123% 87% 71% 20000 90% 91% 81% 93% 94% 91% 10000 95% 100% 90% 98% 102% 104% 94% 78% 40% 66,038 61,410 44,123 30,545 29,547 21,998 19,562 16,156 13,263 13,176 12,759 12,504 7,769 7,438 0 Kent Cecil Talbot Carroll Garrett Calvert Harford Howard Charles Caroline Allegany Frederick Somerset Wicomico Worcester St.Mary's Dorchester Washington Anne Arundel Anne Queen Anne's Queen Baltimore City Baltimore Prince George's Prince Baltimore County Baltimore Montgomery DHHS Montgomery

Source: MD DEP OF HEALTH COVID VACCINE SUMMARY OF 02.22.2021 # OF VACCINES ADMINISTERED % OF RECEIVED VACCINES ADMINISTERED

UNIVERSITY OF MARYLAND SYSTEM 83,121 UPMC WESTERN MARYLAND 118% JOHNS HOPKINS SYSTEM 79,892 CHRISTIANACARE UNION HOSPITAL 112% MEDSTAR SYSTEM TOTAL 40,217 FREDERICK HEALTH HOSPITAL 109% LUMINIS HEALTH SYSTEM 31,028 JOHNS HOPKINS SYSTEM 104% ADVENTIST HEALTHCARE SYSTEM 25,457 LUMINIS HEALTH SYSTEM 102% MERITUS MEDICAL CENTER 24,070 TIDALHEALTH PENINSULA REGIONAL 101% MERITUS MEDICAL CENTER LIFEBRIDGE SYSTEM 20,811 100% ATLANTIC GENERAL HOSPITAL (AGHS) 92% TIDALHEALTH PENINSULA REGIONAL 16,020 GREATER BALTIMORE MEDICAL CENTER 91% MERCY MEDICAL CENTER 16,017 HOLY CROSS HOSPITAL - SILVER SPRING 91% FREDERICK HEALTH HOSPITAL 15,939 ALL HOSPITALS 90% HOLY CROSS HOSPITAL - SILVER SPRING 15,189 MERCY MEDICAL CENTER 85% ASCENSION SAINT AGNES HOSPITAL 11,453 ASCENSION SAINT AGNES HOSPITAL 84% GREATER BALTIMORE MEDICAL CENTER 10,687 UNIVERSITY OF MARYLAND SYSTEM 83% CHRISTIANACARE UNION HOSPITAL 9,485 MEDSTAR SYSTEM TOTAL 83% SHEPPARD PRATT HOSPITAL 7,511 SHEPPARD PRATT HOSPITAL 82% MDH FACILITIES - HOSPITALS/RICA 5,656 MDH FACILITIES - HOSPITALS/RICA 81% ATLANTIC GENERAL HOSPITAL (AGHS) 5,144 CALVERTHEALTH MEDICAL CENTER 78% UPMC WESTERN MARYLAND 5,143 ADVENTIST HEALTHCARE SYSTEM 78% CALVERTHEALTH MEDICAL CENTER 2,118 GARRETT REGIONAL MEDICAL CENTER 77% MOUNT WASHINGTON PEDIATRIC HOSPITAL 1,053 LIFEBRIDGE SYSTEM 72% SYSTEMS GARRETT REGIONAL MEDICAL CENTER 921 MOUNT WASHINGTON PEDIATRIC HOSPITAL 62% SYSTEMS WITH WITH COUNTY ENCOMPASS HEALTH REHAB 313 ENCOMPASS HEALTH REHAB 52% COUNTY PRESENCE PRESENCE

Source: MD DEP OF HEALTH COVID VACCINE SUMMARY OF 02.21.2021 PRE-REGISTRATIONS RECEIVED OVER TIME: 358K TO DATE BY RACE AND ETHNICITY

NOTE: Excl. 5% who did not report race/ethnicity. CUMULATIVE AGE GROUP DAILY

GENDER BY OCCUPATION: 100k (28%) BY HIGH-RISK CATEGORIES: 151k (42%) PREREG SHARE / POP SHARE

Green=over-represented Red=under-represented

Source: Census ACS 2015-2019 and Pre- Regs through 02.21.

Note: this map compares a Tract’s share of the 75+ population vs. its share of 75+ pre-registrations. Tracts in green are over-represented, while those in red are under-represented. This map highlights the tracts that have the lowest relative share of their population pre-registered, rather than the largest absolute gaps. PRIORITIZATION BASED ON RELATIVE RISK PROFILE Source: CENSUS AMERICAN COMMUNITY SURVEY 2019 – 1 YR – PUBLIC USE MICRODATA (VIA iPUMS) SHARE RELATIVE TO POPULATION PER CAPITA % Vaccinated % County Population Per10k

Vaccination records have a high number of patients classified as “other” race Excl. 9% not reporting race/ethnicity for vaccinations SHARE OF TOTAL SOURCE: IMMUNET and COUNTYSTAT SHARE RELATIVE TO POPULATION PER CAPITA

75+ Per10k 75+

Vaccination records have a high number of patients classified as “other” race Excl. 9% not reporting race/ethnicity for vaccinations. Light shaded bars in background show share for all ages for context. SHARE OF TOTAL SOURCE: IMMUNET and COUNTYSTAT County 75+ Population Share 75+ Pre-Registration Share County 75+ Population Share COVID Cases (All Time - All Ages) Vaccinated to Date (75+) 75+ Pre-Registration Share 64% COVID Cases (All Time - 70+) 71% WHITE 25% Vaccinated to Date (75+) 60% 14% 39.9% ASIAN & PI 14% 41.6% 5% MALE 13% 41.4% 12% 41% BLACK OR AA 7% 19% 60.1% 7% 58.4% 8% FEMALE 58.6% HISPANIC 6% 40% 58% 5%

1% OTHER 10% 15% Excl. 6% not reporting race/ethnicity for Pre-Registration Vaccination records have a Excl. 25% not reporting race/ethnicity for COVID cases high number of patients Excl. 9% not reporting race/ethnicity for vaccinations classified as an “other” race

Source: DAILY PRE-REGISTRATION RECORDS THROUGH 02.21.2021 | CENSUS ACS 2019 iPUMS | IMMUNET | COUNTYSTAT VACCINATIONS BY PROVIDER FOR TOP 4 RACE/ETHNICITY PROVIDER FOR TOP 4 RACE/ETHNICITY Minority residents rely far more heavily on MC-DHHS publicly administered DHHS’ demographics for 75+ vaccinations most closely represent the vaccinations relative to White (NH) residents. DHHS accounts for 6 in 10 County’s 75+ population. Note that other providers have high rates of vaccinated Hispanic residents 75+, whereas nearly 7 in 10 vaccinated White reporting “other race”, which may be a data limitations. residents 75+ were able to obtain their vaccine from OTHER providers.

Excluding “other race”, 19% of DHHS vaccines for 75+ have gone to Black DHHS Public or Hispanic residents, relative to 11% among all other providers. Black and Vaccinations share Hispanic residents make up roughly 20% of the County’s 75+ population. Geographically, DHHS accounted for 56% of first dose vaccinations among 75+ residents living in a priority “Tier 1” zip code during the last full weekly vaccination cycle (Feb 10-16).

Aged 75+ | County residents only | Excl. Kaiser | Excl. “Unknown/Not Reported” | First dose Residents over the age of 79 account for the majority of COVID-19 deaths in Montgomery County. 1,845

80+ have died of COVID-19 at more than 4x the rate of 70-79 year-olds

70-79 year-olds have died of COVID-19 at 447 almost 3x the rate of 60-69 year-olds

158 129 61 31 14 0 80+ YEARS 70-79 60-69 ALL AGES 50-59 40-49 30-39 0-29 YEARS YEARS YEARS YEARS YEARS YEARS CURRENTLY VACCINATING

Testing sites – EMS Vaccinators tester/onsite registration

Public Health – COVID Urgent care Primary care response

CURRENTLY VACCINATING CURRENTLY VACCINATING

Populations with risk of exposure to individuals with suspected COVID-19 and/or providing services essential to public health.

Other health care professionals (ex. Detention centers Homeless shelters Dental practices Pharmacists outpatient specialties, optometrists, physical therapists, staff staff podiatrists, community health workers, in-home nursing staff)

Law enforcement Behavioral health Fire rescue 911 dispatchers School nurses (patrol/public facing) providers

Lab workers Funeral home staff Surgical centers

CURRENTLY VACCINATING TIER 1

CURRENTLY VACCINATING

Adults aged 75 and older

TIER 2 TIER 2

Public transit workers Teachers and support including transport for Child care workers seniors and persons with staff disabilities Manufacturing Workers

Food and agricultural Postal service Grocery store workers workers workers Tier 1 Individuals over the age of 65 and younger than 75

Tier 2 Adults 16-64 years of age with medical conditions that put them at risk of severe COVID-19

Tier 3 Essential employees not covered in other tiers