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Home / Health / As the country accelerates the pace of vaccinating everyone, Maryland’s road shows the challenges ahead

As the country accelerates the pace of vaccinating everyone, Maryland’s road shows the challenges ahead



Upper Marlboro, Maryland — The road to quickly vaccinating 250 million adults in the country will be paved with chain pharmacies, hospitals and huge stadiums, where uniformed troops can vaccinate thousands of people every day.

But this will also rely on the entertainment center of Glenarden First Baptist Church Here, there are also small storefront service organizations and vaccine trucks, which search for unprotected people in nearby areas.

Maryland provides a microcosm of the problems facing the state as they are eager to open enough vaccination sites to achieve President Biden’s goal of making every adult eligible for the Covid-1

9 vaccine by May 1. It has encountered almost all geographical, demographic, and human behavior challenges, and has undertaken such a large-scale public health task: poor urban communities, many of whom do not have access to routine care; wealthy Washington suburbs, whose residents have proven to be good at cleaning others The lens of the zip code; remote rural areas; and a registration system that bothers citizens so much that hunting has become a part-time job for many.

Dennis Schrader, the Acting Secretary of Health of Maryland, said: “We will push hard, but we will also have to take action.” He described the state’s plan to not only expand the capacity of large sites and pharmacies, And it is necessary to “attract people to enter through smaller and more targeted efforts.”

Now, almost every state in the country is in a dangerous competition between vaccinating residents and succumbing to a wave of onerous cases, partly because the emergence of new variants of the coronavirus has exacerbated this situation. As states are eager to expand filming qualifications, many countries have also relaxed regulations on dining, gatherings and masks.

To bring the states closer to herd immunity will require extensive efforts among various interest groups. Efforts to track who was vaccinated and where they were vaccinated will become even more important so that health officials can quickly determine who is staying and change their strategies and resources accordingly.

Many states have opened up vaccinations to all adults, and this week alone there are more than a dozen. In order to promote this process, Biden announced a new promotion on Thursday aimed at communities hesitating about vaccines.

“This will indeed be the beginning of the need for more surveillance and analysis to ensure that this is the rapid and fair deployment of the largest vaccination campaign in human history,” Alison M. Buttenheim said. University of Pennsylvania School of Nursing.

In Maryland, the suppressed demand for this vaccine is huge: only qualified people 65 years and older, certain types of basic workers, and some other narrow populations are eligible to qualify until March In the second half of the year, two-thirds of the population remained unprotected.

On Tuesday, Republican Gov. Larry Hogan (Larry Hogan) opened up vaccination to all persons 16 years of age and older with certain medical conditions; by April 27, all persons 16 years of age and older will be eligible Obtain medical insurance.

However, even though Hogan faces severe criticism from local leaders about the intermediate pace of the state’s development, some people are now worried that it is growing too fast. Hogan has been criticized for not having enough power to attract black and Hispanic residents, who make up more than 40% of the state’s population, but only 28% have received at least one injection.

The Hogan government plans to open four more vaccination sites before the end of April, bringing the total to 12 and 320 pharmacies for injections. Next week, a station operated by the federal government will open in suburban subway stations. Hogan’s goal is to manage 100,000 photos per day by May, and now there are only 57,000 photos per day on average.

The state has begun to increase the workload of primary medical doctors, and the goal is to have 400 practices to manage injections by May. It also works with local health departments and community partners, especially churches, to open up “pop-up” vaccination sites to people who may be geographically or socially isolated, or who do not trust the government and large institutions.

Pastor John Jenkins of the First Baptist Church in Glennerden understood his church’s main resistance in driving out Prince George’s County (mainly black areas with high Kuwaitis infection rates but low vaccination rates) The role that can be played, the team leads to the mass vaccination site of Six Flags Amusement Park.

Pastor Jenkins said: “The people in the car don’t look like people in the county.” “People in this community cannot be appointed.”

With the help of his church’s long-term partner, the University of Maryland Capital Region Health Department, he and his army of church volunteers quickly established a pop-up vaccine site. The state official who provided the contract workers saw his huge indoor entertainment center and quickly agreed to greatly expand his original dream of taking hundreds of photos every week.

The function of the venue is similar to a medical center, planning to vaccinate hundreds of people every day, but quickly approached 1,000 people with residents like Denise Evans. She said she felt “more comfortable” in the church than on the roadside stadium. The church will soon begin to provide daily shooting incidents. Pastor Jenkins said: “I am grateful to the governor for redistributing resources here.”

Special measures can also be taken for smaller groups of people. A group of Hispanic residents in Baltimore was assigned 25 seats at a state convention center. They usually couldn’t reach the location. People who got there couldn’t find anyone who could speak Spanish. In February, the National Guard contacted the Esperanto Center in Baltimore, a branch of the Catholic Charity in Baltimore, to establish a clinic for the group with John Hopkins at John’s Sacred Heart Church.

Katherine Phillips, the medical director of the center, said: “For us, what is really important is that they are not allowed to wear uniforms.” (Many of those attending the church are undocumented immigrants.)

The site uses a hotline to help residents make appointments and takes pictures in the church on Friday night, when more local residents who could not get off work will arrive there.

Like many other states, another focus of criticism in Maryland is the system for scheduling vaccine appointments. Each provider has its own online dating system, rather than a single portal, allowing people to view available appointments across the state, which means people usually have to browse multiple sites to find ad spots. The state recently created an online platform where residents can pre-register at any of its mass vaccination sites, but the acting Minister of Health, Mr. Schrader, stated that hospital systems and pharmacy chains operating in most locations “want to use their own location” system . “

Dr. Josh Schaffstein, associate dean of the Bloomberg School of Public Health at Johns Hopkins University in Baltimore and the former Secretary of Health of Maryland, said he hopes that as more people seek appointments, this approach will bring more Many questions.

Dr. Sharfstein said: “This chaotic system makes people have to visit 15 websites, and it actually discriminates against those who don’t have a computer or can’t spend time all day long.”

Mr. Biden recently said that his government will help simplify appointments for finding vaccines, including establishing a federally-supported website that will show people nearby vaccination locations and provide a toll-free hotline where people can call for help. The vaccine was found before May 1. He also promised to deploy “technical teams” to states that need help to improve vaccine booking portals.

To date, Maryland has sent approximately 30% of its weekly vaccine distribution to mass locations, 30% to local health departments shared with community groups and other small medical service providers, and the rest to the hospital system. Pharmacy and independent doctor’s office.

Mr. Schrader said that looking ahead, the state will rely heavily on local health departments and community health centers, which provide primary care for low-income and uninsured people in 126 locations across the state, and receive their own funding directly from the federal government. Among other things, they will be able to compare their patient lists with the state’s vaccine registration system to find out who still needs the vaccine.

In Baltimore, where 21% of residents live below the poverty line, local hospitals, pharmacies and nursing schools cooperate with the city’s health department to send teams at least six times a week to provide public housing for the elderly and vaccinate more than 2,300 people so far . The city’s health commissioner, Dr. Letitia Dzirasa, said the city will soon expand the program to other high-risk groups.

Dr. Dzirasa said: “It is a bit disturbing to think that one month from now will be completely open.”

However, she and officials in other parts of the state said they did not expect a shortage of vaccines or places where people could come and shoot. In Washington County (a large rural area bordering Pennsylvania, Virginia, and West Virginia), Maulik S. Joshi, president and CEO of the local hospital system Meritus Health, said that the county health department, the local aging committee, and his own With nearly 3,000 employees, he is not worried about the number of qualified vaccine balloons.

When Dr. Josh was preparing to open a mass vaccination site in the Outlet Mall next to the Hagerstown Expressway, Dr. Josh said: “We have deployed an incredible number of people,” which was once a low-cost beauty. Linu wool sweater and Orange Julius (Orange Julius) outpost, now part of the medical center. “People from finance and outpatient rehabilitation services are running our vaccination sites. We are hiring. We are ready to go. For us, this is not a cost issue or a personnel issue, but a vaccine issue.”


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