cialix male enhancement "Some of the conversations around who should get these prepandemic vaccines are very complex," says Barkin. "Should it be health care workers that get it, or public safety workers such as firemen? Should it be government officials, or the very young and elderly?" Recently, the federal government has announced a three-tiered approach to vaccination that it has developed in consultation with public focus groups and ethicists that places health care workers in the second tier. Whether your health center staff will receive the vaccine, whether it will be in a timely fashion, and how effective it will actually be, are all factors that will affect your pandemic plan greatly - and demonstrate how much of your planning has to leave room for the unknown.