Phase 1B — Tier 2 of Missouri’s vaccination plan began Monday, though most mid-Missouri counties will not begin this tier, which includes high-risk individuals and anyone over age 65.

The activation comes after Gov. Mike Parson and the Missouri Department of Health and Senior Services announced the activation of Phase 1B — Tier 1 this past Thursday.

Phase 1B — Tier 2 will focus on those who are at increased risk for severe illness, including anyone over age 65. According to the state’s vaccination plan, those high-risk individuals include any adult with:

  • Cancer.
  • Chronic kidney disease.
  • COPD.
  • Heart conditions.
  • Weakened immune system due to organ transplant.
  • Severe obesity (BMI of 40-plus).
  • Pregnancy.
  • Sickle cell disease.
  • Type 2 diabetes mellitus.

Individuals with intellectual and/or developmental disabilities such as Down syndrome.

The department clarified on Twitter on Friday that “1A vaccinators who have available supply can begin vaccinations for Phase 1B — Tier 1 and 1B — Tier 2 on Monday.”

In Boone County, the health department said the supplies aren’t available among vaccinators.

“All of the vaccinators and hospital systems discussed it, and they realized no one was able to move on yet,” said Ashton Day, Boone County Health Department educator. “And, again, that could change week to week, depending on how much vaccine is delivered.”

The Missouri Department of Health and Senior Services said even though the next tier has been activated, there are currently not enough vaccines for everyone in that tier.

”Based on new federal guidance, we anticipate additional vaccine supply,” it said.

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The Missourian wants to honor the lives lost to COVID-19 in our community. If you have lost a loved one to COVID-19 in Boone County, please share about them in this form. Our hope is to be able to publish some brief stories about all of the residents lost to COVID-19.

For more COVID-19 related news, see our section dedicated to COVID-19 updates.

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