Pennsylvania has moved smokers to the top of its list for getting the COVID-19 vaccine.

The Pennsylvania Department of Health has added “persons ages 16-64 with high-risk medical conditions” to phase 1a of its vaccine allocation plan. Smoking is listed as a high-risk condition.

Health care personnel, long-term care facility residents and people 65 years old and older are also included in Pennsylvania’s phase 1a. The state is now in phase 1a of its allocation plan.

The change was first reported by WTAE-4 in Pittsburgh.

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In a statement to The Hill, a spokesperson for the Pennsylvania Department of Health said “Our goals are to prioritize persons, while the vaccine supply remains limited, who receive the vaccine to maximize benefits and minimize harms caused by the virus, promote justice, mitigate health inequities, and promote transparency. The [Centers for Disease Control and Prevention], the [Food and Drug Administration], and numerous studies have demonstrated that smoking disproportionately impacts those with low socioeconomic status.”

Read more at The Hill.