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Covid vaccine update: the United States will not reach the 20 million dose target by the end of the year

On December 29, a resident received a dose of the Pfizer-BioNTech Covid-19 vaccine in Miami.

Photographer: Eva Marie Uzcategui/Bloomberg

On average, only 200,000 people in the United States are vaccinated against Covid-1

9 every day, and many states have used only a small part of the vaccine this month.

Data collected from states and the U.S. Department of Health and Human Services show that despite the fact that Operation Jingxian has distributed millions of doses, some states have been slow to push them into people’s arms. According to Bloomberg News’ analysis, the country will almost certainly not achieve the Trump administration’s goal of 20 million vaccinations by the end of the year.

The latest statistics from the Centers for Disease Control and Prevention show that although 11.45 million doses were distributed from Moderna, Pfizer and BioNTech SE, 2.13 million people received injections. This accounts for approximately 20% of the early allocation. Oregon used only 15.3% of its supply, Ohio used 14.3%, and Maryland used 10.9%.

Officials blamed an exquisite vaccine because of its complicated storage requirements, uncertainty in dosage supply, and pressure from local health agencies that have faced historical challenges.

Steve Kelso, a spokesperson for the Kent County Health Department in Michigan, said: “We hope to absorb it better. The state has used 18.5% of its dose.” “We may be on the arm. Get more needles.”

How much allocation does the country use?

Analysis shows the difference in the speed at which the vaccine works under different conditions

Source: National Information Center and public opinion, US government data

More than 330,000 Americans have died from the pandemic, and thousands of people are expected to die in the next few months, making the introduction of vaccines even more critical. But Moncef Slaoui, the chief scientific adviser of Operation Twisting, said last week that it is unlikely that 20 million people will be vaccinated before the end of the year.

In recent weeks, countries around the world have launched vaccination campaigns in the global race to end the pandemic. Some countries far surpass the United States: Israel’s population size and population are similar to that of New Jersey, and it shot 60,000 people a day on average in the first week. If the United States advances at the same speed, 2.2 million vaccinations will be administered every day, 10 times the current rate.

A spokesperson for the Ministry of Health and Human Services said on Tuesday that the reported figures did not reflect the latest situation.

Michael Pratt said: “We are closely monitoring the vaccine management data reported by the jurisdictions, and we are encouraged by the work they have done during the holidays so far. “Between shooting weapons and reporting data There is an expected lag. “

President Donald Trump reiterated in a tweet on Tuesday evening, “It depends on countries to distribute vaccines.”

However, President-elect Biden said in his speech just now, “There is no progress in order to distribute the vaccine, because it should,” and he will “touch the world and let us move in the right direction.”

Biden said that if Congress provides funding, his government will achieve 100 million shots in the first 100 days. He said: “If development continues now, it will take years instead of months to vaccinate the American people.”

Weapon shooting

The United States says its total number of 2.1 million vaccinations is underestimated​​

Source: US Centers for Disease Control and Prevention

Chaos in michigan

Bloomberg News analyzed the first three allocations to the states, including two weeks of Pfizer vaccination and one Moderna vaccination. In some cases, the total allocated is higher than the total stated by the states. The number of doses shipped is consistent with what the CDC said, and consistent status comparisons can be made.

Bloomberg’s analysis showed that less than one-fifth of the 455,900 doses of medication allocated by Michigan as of December 21 were used.

The Michigan Health and Hospital Association spokesperson John Karasinski said: “The uncertainty of vaccine allocation, the arrival time of these grants and the process of planning for the vaccination of thousands of employees make this task full of challenges.”

Kent County, including Grand Rapids, has established a group of health departments, hospitals and pharmacies with the goal of vaccinating approximately 2,200 people in the first phase, targeting health workers. So far, only about 575 vaccinations have been carried out.

Spokesperson Kelso said that some employees do not want to deprive real frontline workers of the vaccine. Holidays may slow down. And some people still dismiss safety, even some health department workers.

Kelso said: “A lot of people don’t want to be the first child on the street.”

Other groups have achieved greater success. Pharmacy director Todd Belding said in an interview that the Sparrow Health System has vaccinated about a quarter of its employees. He said the Michigan Central Hospital system administers about 2,000 doses per week, which is approximately the dose allocated by the state.

The phased introduction is slower than vaccines that can be used with all vaccines (such as influenza vaccine). There is a delay in design: the hospital does not want to vaccinate the entire department immediately to prevent side effects from driving the staff out of the hospital. But Sparrow is still coordinating with officials to lock down prison medical staff and independent medical practitioners. It takes time to identify and reach such a crowd, and this challenge will continue when the vaccine drops on grocery store workers and teachers.

Belding said: “This prioritization adds a certain level of complexity.”

Development in other states is slower. According to Bloomberg’s analysis, as of December 28, Maryland has completed 10.9% of the 191,075 doses allocated each week in the first three weeks.

In Montgomery County, Public Health Director Travis Gayles said he is preparing for obstacles such as shortages. Years of budget cuts have prevented municipalities from building an effective virus response capacity from the ground up (once Montgomery counted virus cases via fax), and these cuts could also hinder the delivery of vaccines.

Gales said: “For now, with Covid, it can absolutely clearly show the impact of these budget decisions.”

Governor Andrew Cuomo’s Covid-19 task force member Larry Schwartz said that in New York, officials are observing vaccination sites and putting “moderate pressure.” Schwartz said that part of the state’s funding is used for the federal government to vaccinate nursing home residents and staff in pharmacies, which may take them some time to prepare.

He said: “Like anything brand new, there will always be a period of acceleration.”

Ashish Jha, dean of the Brown University School of Public Health, said the Trump administration’s dependence on the states hindered this response. He said that the Warp Speed ​​program has achieved impressive success in helping to develop and distribute vaccines, “but by then, it is running into obstacles.”

Jia (Jha) said in a telephone interview: “Let’s build field hospitals and tents everywhere and let the National Guard do this.” “The investment in the last mile is very small. I think it will be a huge problem.”

It is far from the 200,000 vaccination in the United States every day, and the operating speed of

Private institutions are struggling, even those that perform relatively well. Jordan Asher, chief physician of the 12 hospital system, said that in Virginia, the state as a whole has used about 15% of its early allocation, and Santara Healthcare has provided about 60% of the dose. The internal goal was to distribute the email within three weeks, and Asher said Sentara had moved ahead.

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