Boston Herald

EXPANDING THE LIST

Those with Type 1 diabetes and other medical conditions can get the vaccine

- By lisA kAshinsky and Alexi CohAn

People with Type 1 diabetes, certain neurologic­al conditions, who are immunocomp­romised or who suffer from substance use disorders are among the Massachuse­tts residents who will now be eligible for coronaviru­s vaccines beginning on Monday.

The Baker administra­tion updated its list of eligible medical comorbidit­ies on Friday to better align with new Centers for Disease Control and Prevention guidance on who should be prioritize­d for the potentiall­y life-saving shots.

“It is fantastic. It’s so important that Type 1 is recognized above the bottom tier in terms of health care and policy. It is such a relief,” said Arlington resident Jessica

von Goeler, a longtime Type 1 diabetes patient who’d started an online petition asking state officials to prioritize the condition for vaccinatio­n.

New additions to the state’s list of eligible medical conditions include dementia or other neurologic­al conditions, Type 1 diabetes, hypertensi­on, HIV infection, liver disease, being overweight, thalassemi­a, stroke and substance use disorders.

Other existing categories were expanded to incorporat­e more conditions: Having an immunocomp­romised state is no longer limited to recipients of a solid organ transplant, and several types of chronic lung conditions are eligible instead of just chronic obstructiv­e pulmonary disease.

“It’s a very good thing,” said disabiliti­es advocate Danielle Kempe of Quincy, though she worried “it’s going to be a rush for everybody to get vaccinated again.”

The CDC issued updated guidance on medical conditions that put adults at increased risk for severe COVID-19 illness on Monday. The Baker administra­tion expanded its list on Friday, three days before adults ages 55 or older or those with one medical comorbidit­y can sign up for shots, starting Monday.

The state plans later next week to roll out a way for people enrolled in the mass vaccinatio­n site preregistr­ation system to update their eligibilit­y informatio­n.

Some questions remained Friday about whether certain conditions were eligible. Tayloir Spain, a Weymouth mom who has cerebral palsy and hydrocepha­lus, an abnormal buildup of fluid in the brain’s cavities, didn’t know if she qualified due to those conditions. But she said she now qualifies for being overweight.

“These changes help,” Spain said, but people are still “falling through the cracks.”

Patients and doctors from all sectors of the medical community had been asking to get more health conditions added to the vaccine list, with some of the loudest advocacy coming from the disabiliti­es and Type 1 diabetes communitie­s.

“Generally speaking, we’ve adopted the CDC guidelines for our phased enrollment,” Gov. Charlie Baker said earlier this week.

The one major exception until now had been for moderate-to-severe asthma, which Baker added to the list after the Herald first reported that the condition, which is highly prevalent in many Massachuse­tts communitie­s hardest hit by the virus, was initially excluded from both the state and CDC guidelines.

 ?? NAnCy lAnE / HErAld stAff filE ?? CHECK IN TO GET YOUR SHOT: Linda Roach staffs the check-in table as Last Mile Vaccine inoculates seniors at the Southern Artery Senior Center in Quincy on March 1.
NAnCy lAnE / HErAld stAff filE CHECK IN TO GET YOUR SHOT: Linda Roach staffs the check-in table as Last Mile Vaccine inoculates seniors at the Southern Artery Senior Center in Quincy on March 1.

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