Why are housebound first in line for booster

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Let me start by saying I've no skin in the game, as I'm not eligible myself, nor am I particularly bothered about getting one. It's just I don't understand the logic.
Care home residents (obviously they want to avoid a care home outbreak as much as possible) and housebound will be the first groups to get booster shots. But wouldn't housebound be the least likely to come into contact with COVID since they don't go out? I'm obviously missing something somewhere.
No I'm not suggesting housebound shouldn't get a Vax before people lay into me. I just don't understand why they are more at risk than say the very elderly in the community?

Some housebound people will haver carers, often multiple carers each day.

Is 'housebound' an actual criterion for getting the jab first? Or is 'housebound' just a consequence of the actual criteria, ie being ill, disabled, elderly etc?

Many of them will have illnessess that make them more susceptible to becoming ill from covid, they may have carers and district nurses coming into the house so could be exposed to covid that way

They tend to have lots of carers who bounce between people. They are also usually very vulnerable to infection.

People who are housebound will generally have no choice but to have multiple carers in close personal contact with them every day. And I’d they’re admitted with Covid are likely to be done or the most difficult to discharge home safely due to their care needs.

Housebound people, who I expect are some of the most vulnerable in the community, presumably have a parade of people who need to come in to their home?

Surely they are the most likely to have multiple shifts of carers or other assistance? As well as sharing their home with family. So potentially very exposed and presumably the reason they’re housebound may make Covid more likely to be fatal.

Dsd has over 25 carers in a week, so yes housebound are vulnerable!

Also practically speaking it takes longer to get the home visit jabs done, so making them the highest priority might not even mean they are all done before the other groups.

If someone is housebound there is a strong possibility they are unwell and likely to be severely affected by Covid. They will have carers visiting who could bring the disease in. If they are in multi-occupancy care, it could spread very quickly.

Obviously there will be some housebound people whose immune systems are fine, but the admin process of examining everyone's medical records would take more time and cost more than simply vaccinating all in that category.

Ah so it's because of multiple.carers mainly. That makes sense. And I suppose is similar in a way to being in a care home. I guess it would be harder to treat housebound too as gey can't just take themselves to the GP or A and E.

I was also confused by the inclusion of 'housebound' because that can mean a lot of different disabilities, not necessarily needing carers. I am housebound but am perfectly able to look after myself, for example.

I believe the logic is housebound patients tend to be the most vulnerable and at risk if they were to catch covid. Just because they don't go out doesn't mean they don't come into contact with people who do. They may live with someone or have relatives come in. They may have careers come in or other health staff.

All categories are convenient labels that will include some exceptions to the desired characteristic.

I would imagine it's mainly elderly or vulnerable housebound people who have carers going in.

My dad was housebound and caught covid from a visiting carer. It was a contributory factor to his death. I hold no ill-will towards her. Restrictions had eased and dad had had all the vaccinations and boosters.

As others have said - those that are housebound come into contact with lots of carers and medical professionals. They can have daily carers multiple times a day, district nurses every week. They still need shielding even though they aren't going anywhere.

House bound people will have carers in and out of other housebound peoples homes, spreading it all about if as much as one carer has it. That’s why they are having it. I’m not housebound but have chronic illness and have been told to book in for mine. Flu jab booked in too. I’m classed as vulnerable but to look at me you would think it.

Because they probably have carers etc coming into their homes who are visiting multiple other homes daily

My friend's dad who was housebound died from Covid. The only person he saw was his carer, who refused to wear a mask (lived in Nebraska-). This was a few months before vaccinations started.

Yes. And those carers will visit multiple other households during their working day.