CDC Notifies States, Large Cities To Prepare For Vaccine Distribution As Soon As Late October

[Mackenzie Click-Mickelson]

We all need to pause for a moment while the well connected suck up the limited initial doses (not medical, I'm all for that of course). Like the executives and staff at the pharma companies. The youthful politicians. Plenty of others of course.

The rest of us schlubs will eventually have our turns.

But yeah, regardless, cutting the dose seems like a terrible idea.

Did you read about that facility in TN where the health officials gave the vaccine to their friends and family members after turning away those who were of age to qualify under TN's plan all the while telling those people they turned away they didn't have enough vaccine left?

Yeah...

 

[anniemae]

We all need to pause for a moment while the well connected suck up the limited initial doses (not medical, I'm all for that of course). Like the executives and staff at the pharma companies. The youthful politicians. Plenty of others of course.

The rest of us schlubs will eventually have our turns.

But yeah, regardless, cutting the dose seems like a terrible idea.

Yes, that is another issue. It is infuriating to see people jumping in front of the line. Maybe they should get the half doses!

 

[dvcgirl67]

People seem to be in a panic really all of a sudden. The trials were done a specific way with specific instructions. Deviations from this, like what england is doing, like skipping the second dose or messing with the formula, well that stuff should be concerning to the public. We're supposed to be instilling trust in the public and I'm not so sure we can do that when we just come up with things on the fly hoping for the best.

Right, I think the situation in England with their strain is causing a lot of panic, both there and here. The graphs there are pretty dire with both cases and hospitalizations going straight up. Many are calling for a complete lockdown to avoid the NHS being overrun.

Scott Gottlieb is calling for the U.S. to move more quickly through the first groups and accelerate the delivery of vaccines to CVS, Walgreens...etc. Right now the supply we already have is caught in a bottleneck, mostly at hospitals. I think we also need to factor in that the last two weeks of the year was always going to be a bit slow going with vaccine uptake in hospital settings. Even though there are real hotspots with respect to cases and hospitalizations (L.A. County for example), a lot of country is able to handle their Covid cases, and still operate day to day operations. And let's face it, a lot of people take vacation in the last two weeks of the year. So I think people being out on vacation is having an effect here too. Let's hope things really pick up now.

 

[Mackenzie Click-Mickelson]

Right, I think the situation in England with their strain is causing a lot of panic, both there and here. The graphs there are pretty dire with both cases and hospitalizations going straight up. Many are calling for a complete lockdown to avoid the NHS being overrun.

Scott Gottlieb is calling for the U.S. to move more quickly through the first groups and accelerate the delivery of vaccines to CVS, Walgreens...etc. Right now the supply we already have is caught in a bottleneck, mostly at hospitals. I think we also need to factor in that the last two weeks of the year was always going to be a bit slow going with vaccine uptake in hospital settings. Even though there are real hotspots with respect to cases and hospitalizations (L.A. County for example), a lot of country is able to handle their Covid cases, and still operate day to day operations. And let's face it, a lot of people take vacation in the last two weeks of the year. So I think people being out on vacation is having an effect here too. Let's hope things really pick up now.

It won't matter how quickly you pick up if all you're going to do is getting everyone with 1 dose and hope they come back for a second dose or forget about it entirely or stretch it out 4X the rate it was supposed to be (at least for Pfizer). That's literally my point. It won't matter how quickly you pick it all up if you halve the dosage of moderna.

Who is keeping track of all these random people who have gotten the vaccine because they were at the right place right time? Who is keeping track of the TN health officials friends and families in making sure they get the second dosage. What about the people who received the vaccine (or were offered it at least) right after getting antibody treatment in error when they were cautioned that reaction has not been studied?

If, as a country, we were going to throw out worrying about the second dosage it should have been given EUA with that as the parameter.

We can come up with a lot of reasons why this or that is this way but it's really not the reason, at least to me. Holidays and vacation are not the reason we're in this mode that we are in.

 

[Jonfw2]

Right, I think the situation in England with their strain is causing a lot of panic, both there and here. The graphs there are pretty dire with both cases and hospitalizations going straight up. Many are calling for a complete lockdown to avoid the NHS being overrun.

Scott Gottlieb is calling for the U.S. to move more quickly through the first groups and accelerate the delivery of vaccines to CVS, Walgreens...etc. Right now the supply we already have is caught in a bottleneck, mostly at hospitals. I think we also need to factor in that the last two weeks of the year was always going to be a bit slow going with vaccine uptake in hospital settings. Even though there are real hotspots with respect to cases and hospitalizations (L.A. County for example), a lot of country is able to handle their Covid cases, and still operate day to day operations. And let's face it, a lot of people take vacation in the last two weeks of the year. So I think people being out on vacation is having an effect here too. Let's hope things really pick up now.

I am 100% sure we will work out the inefficiencies and begin vaccinating more and more people by the day. This is A LOT to work out in a short amount of time. As time goes on, things that are working will begin to replace those that aren't. States that aren't doing well will change their tactics to those that are doing well.

 

[dvcgirl67]

We can come up with a lot of reasons why this or that is this way but it's really not the reason, at least to me. Holidays and vacation are not the reason we're in this mode that we are in.

I didn’t say it was the reason that we’re in this mode, just that it’s contributing to the bottleneck of supply in hospitals. My sister in law, a nurse manager also mentioned to me that she has staff who wanted to wait until the new year to avoid having side effects over the holidays. There is a lot of vaccine sitting in hospitals.

I completely agree that 1/2 doses are a bad idea and that it’s just throwing sand in the gears of a vaccine distribution engine that is sputtering at best right now. It will only cause confusion and increase vaccine hesitancy.

I’m just not surprised at all with any of this I suppose. It’s the same ad-hoc/patchwork of a response that we’ve had all along.

 

[gwynne]

I am 100% sure we will work out the inefficiencies and begin vaccinating more and more people by the day. This is A LOT to work out in a short amount of time. As time goes on, things that are working will begin to replace those that aren't. States that aren't doing well will change their tactics to those that are doing well.

I hope you are right. There was a local report yesterday that our state plans on vaccinations for gen public (under 65) late summer through Oct.
I'm hoping there is some pushback.

 

[RamblingMad]

I didn’t say it was the reason that we’re in this mode, just that it’s contributing to the bottleneck of supply in hospitals. My sister in law, a nurse manager also mentioned to me that she has staff who wanted to wait until the new year to avoid having side effects over the holidays. There is a lot of vaccine sitting in hospitals.

I completely agree that 1/2 doses are a bad idea and that it’s just throwing sand in the gears of a vaccine distribution engine that is sputtering at best right now. It will only cause confusion and increase vaccine hesitancy.

I’m just not surprised at all with any of this I suppose. It’s the same ad-hoc/patchwork of a response that we’ve had all along.

I'm going to wait. I don't see the point in getting stabbed for half a dose or struggle to find the second dose. I'll wait for the powers that be to work through their supply chain issues first.

 

[RamblingMad]

I hope you are right. There was a local report yesterday that our state plans on vaccinations for gen public (under 65) late summer through Oct.
I'm hoping there is some pushback.

That timeline makes sense.

 

[Mackenzie Click-Mickelson]

’m just not surprised at all with any of this I suppose. It’s the same ad-hoc/patchwork of a response that we’ve had all along.

I think a national approach led by the government and the government alone would have led to all the politicians to vaccinate themselves and their families and those high up even worse than it is now but that is merely my opinion.

But a patchwork response can't be used for England. Or for the fact that they are authorizing mixing vaccines up when it's not been studied to be interchangeable. A patchwork response isn't responsible for vials being left out intentionally (which that situation isn't one that could be accounted for though still), or for health officials to vaccinate their friends and family over those who were physically there and qualified right then and there. Or for CVS and Walgreens to arbitrarily decide on the spot to vaccinate their employees or random people who show up when there are leftover doses (they knew those doses were for LTC facilities when those particular doses were ordered). Or for Gottlieb to say we need to just worry about 1 dose and think about the 2nd later. These vaccines were approved under EUA under certain conditions. If you wanted different conditions they should have been approved under those. It's even more egregious IMO to deviate from something given EUA approval under the government. You wanted the government to be in charge of this, well they approved it saying these were how these vaccines were handled during clinical trials and because of that we'll give approval.

These decisions are because people are panicked as a whole. People's patience is nearly out and they want it over with. This transcends the U.S. I'm looking at the behavior and mode globally not just blaming the U.S.

Now with respects to the U.S. people were concerned with the term warp speed before? Well look at it now.

My sister in law, a nurse manager also mentioned to me that she has staff who wanted to wait until the new year to avoid having side effects over the holidays. There is a lot of vaccine sitting in hospitals.

Ahh I gotcha. For every one of those healthcare workers there are others who are clamoring for it or for other subgroups presently eligible under whatever place's plan clamoring for it. Hopefully your sister-in-law's hospital is putting those vaccines to use appropriately and bypassing those who don't want the vaccine at that moment.
------------------------------------
Sorry I know you're just explaining yourself here

 

[Jonfw2]

Moderna said this morning that their minimum production this year of vaccine will be 20% higher than they originally thought.

 

[Mackenzie Click-Mickelson]

double post.

 

[gwynne]

I'm going to wait. I don't see the point in getting stabbed for half a dose or struggle to find the second dose. I'll wait for the powers that be to work through their supply chain issues first.

The half-dose discussion is just that-discussion. It in no way is anywhere close to approval.
Hopefully we will start getting full vaccine sitting around in freezers into arms soon.

 

[RamblingMad]

The half-dose discussion is just that-discussion. It in no way is anywhere close to approval.
Hopefully we will start getting full vaccine sitting around in freezers into arms soon.

Well, 2020 is over. Now, we can focus on making at least half of 2021 less painful.

 

[longboard55]

As expected we are completely unprepared for the vaccine rollout. Locally it seems the focus is on hospitals giving out doses, a horrible idea with the hospitals all over run with covid patients.

 

[Jonfw2]

As expected we are completely unprepared for the vaccine rollout. Locally it seems the focus is on hospitals giving out doses, a horrible idea with the hospitals all over run with covid patients.

it will improve.

Here's an example: when we get to the service industry phase, large employers will have a lot of input as to how their employees get vaccinated. They will do a FAR better job than is being done now.

 

[RamblingMad]

As expected we are completely unprepared for the vaccine rollout. Locally it seems the focus is on hospitals giving out doses, a horrible idea with the hospitals all over run with covid patients.

We're not going to get a large percentage of the population vaccinated until these are available in local pharmacies. They're going to need to be trained up first. The supply chain will have to be setup for them to take delivery. And they'll need the proper equipment to store them. This is going to take months, not weeks.

Maybe we start to see some doctor offices take on the vaccines. But they will have to want to pay up for the freezers and train their staff. This is not cheap. I'm not sure many doctor offices will want to deal with this headache. It's not profitable.

That means it will be mostly hospitals until the pharmacies work it out. Both CVS and Walgreens have deep enough pockets.

 

[Jonfw2]

We're not going to get a large percentage of the population vaccinated until these are available in local pharmacies. They're going to need to be trained up first. The supply chain will have to be setup for them to take delivery. And they'll need the proper equipment to store them. This is going to take months, not weeks.

Maybe we start to see some doctor offices take on the vaccines. But they will have to want to pay up for the freezers and train their staff. This is not cheap. I'm not sure many doctor offices will want to deal with this headache. It's not profitable.

That means it will be mostly hospitals until the pharmacies work it out. Both CVS and Walgreens have deep enough pockets.

Doctor friend of mine in Columbus, Ohio said the pharmacies are already doing a better job than the state and they should be given the whole project. Remember that the Moderna vax is stable in coolers they already have.

 

[RamblingMad]

Doctor friend of mine in Columbus, Ohio said the pharmacies are already doing a better job than the state and they should be given the whole project. Remember that the Moderna vax is stable in coolers they already have.

The pharmacies are also used to giving the majority of the flu shots each year. They just need to adopt their flu logistics to the COVID vaccine and add the cold portion.

 

[Mackenzie Click-Mickelson]

Regarding my global viewpoint this is what a poster who is in the Netherlands mentioned "Some people thought it took to long, so they went to the location where the vaccins are stored to put them into the mobile freezers and bring them to the hospitals and start vaccinating right away. Some groups of medical personnel protested that they needed to be among the very first, and some got it... As of today all the medical personnel can make their appointments."

Additionally they spoke of the below:

"And we got a news paper article, telling us that: yes, the NL may be slow, but other countries are not doing so great either According to the article:
- The US has distribution problems. And have vaccinated about 10% of their objective.
- In the UK doctors and the government are arguing about when the second shot should be given.
- France is very bureaucratic where you have to have a consult before you can get vaccinated. Only doctors are allowed to vaccinate, not capable students, vets, lab works, pharmacy workers. And 56% of the French doesn't want to be vaccinated.
- Germany also has a distribution problem, but that's the EU's fault according to Angela Merkel. And Pfizer is at its max. of production.
- Hungary didn't want the EU vaccin, but wanted the Russian vaccin, which they only got 6.000 doses of, instead of the promised millions. So now they are at the back in line for the EU & Chinese vaccins.
- India has a lot of vaccins as they are prodcuced there and has approved a variation on AstraZeneca, which hasn't published yet all the data on the research... Which only have protects 60%
And India has 1.3 billion people."