As stated above, the UK is taking the same line and moving to emergency approval. Under the circumstances this is entirely reasonable.\n\nI'm a strong supporter of vaccines, but I think the procedures are probably there for a reason. I'll wait.\n\nAlready this pandemic has extracted a dreadful cost, in death, misery, disability, economically and educationally. Attempts to reopen schools, sporting events, and especially universities are not going well. The UK in particular has reached the barriers of what it can do financially to prevent extreme misery to the population.\n\nIn addition, many feel that the worst is yet to come without a more aggressive approach. As the weather cools people will come inside, and Covid-19 infections coincide with influenza infections. A paper published in JAMA Saturday, looking at co-infection in China, showed this not to be rare at all, and increased mortality by 18%. So everyone should get their flu vaccine as soon as it is released.\n\nI plan to get a flu vaccine when they're available in my area.\n\nI think as soon as there are signals that the vaccine has a low incidence of side effects, and is effective, then this needs to be rolled out quickly on an emergency basis.\n\nI'll wait, not that I think it'll make much difference. Vaccinating first-responders, healthcare professionals, and active military people will probably consume all of the vaccine that can be produced before the formal process comes to a readiness conclusion. I'm not in any of those groups.\n\nI do see there may be some conflicts between practicing physicians, and academic\/regulating ones. However practicing physicians are used to balancing difficult risk\/benefits throughout their careers. Certainly I had to make these calls in occasions and take unapproved lines of action.\n\nThe fact is that as soon as there a clear signals, and I strongly suspect that those signals are there, that a vaccine presents far lower risk to health than the virus it should be rolled out.\n\nAt that point then clear guidance should be given, with as accurate a time line as possible. If a vaccine can start rolling out in quantity within two months say, then I think it would quell risky behavior like the reopening of universities and schools when the R value is too high to safely do so.\n\nSchool-age people are probably going to end up being lowest on the priority scale. Teachers, especially those over 55 years old, might be higher, but I think in-person education is probably compromised or out the window for the 2020-2021 school year, and perhaps even for Fall 2021.\n\nAs soon as it is clear that rolling out the vaccine is less risk than the virus, then it needs to rolled out promptly. This is not a normal vaccine roll out. These are not ordinary times, so following established protocols will lead to greater disaster.\n\nI'm less convinced.