Some health experts say that although the initial target of 20 million may be too high, the holidays may have caused delays and there may be a time lag in reporting vaccination.
Fauci warned against drawing conclusions on the speed of vaccine launches in such a short period of time, saying “we are just getting started.”
Nonetheless, public health experts say that although a lot of money and energy have been invested in developing vaccines and distributing them to states, there seems to be very little investment in how to actually manage vaccines.
William Schaffner, a professor of infectious diseases at Vanderbilt University, said: “In Washington, there seems to be a notion that all these public health workers are out. The vaccine is sent.”
Dr. Leana Wen, a professor of health policy and management at the George Washington University Milken School of Public Health and a CNN medical analyst, said: “I am disgusted with what happened during the test.”
“It’s the same thing. It was originally a promise based on optimistic forecasts. It turns out that everyone thinks there is a national strategy, but it’s not.”
Wen Jiabao said that the national and local health departments are already overcrowded, “there are not enough resources to plan and implement the most ambitious vaccination plan in our country’s history.”
These departments “have been doing all the other aspects of the influenza pandemic, such as testing, contact tracking, public education, data tracking, and now you have added this huge responsibility to this responsibility, so they have been saying They need additional support.”
In addition, Schaffner said, “the US public health infrastructure has shrunk for about 15 to 20 years.”
How to increase vaccination
Wen Jiabao said that the federal government can take several measures to speed up the vaccination process, including instilling a sense of urgency and “(clearly) indicating that this is wartime mobilization. This requires the country’s 24/7 efforts without any excuses.”
Schaffner said: “You can get the vaccine on Saturday or on Sunday. You can start the vaccine at 6 in the morning.” “You can wait until 8 or 9 in the evening. Therefore, the more vaccines you can get More is better.”
Wen Jiabao said, second, the government can set goals, determine which state and local officials need to achieve the goals, and help them get what they need.
The government can help streamline the process, staff vaccination centers and establish mass vaccination sites.
Wen Jiabao said: “All the things the federal government should do, especially staffing.” “Why are the fifty states trying to figure out that they should all recruit vaccinators?”
LJ Tan, Chief Strategy Officer of the Immunization Action Alliance, said that large-scale immunization clinics-such as in parking lots-will eventually be a way to speed up vaccinations for everyone, and the organization is committed to increasing immunization rates.
Tan said that with the flu, “we know that if you do a good job, you can easily get 20,000 kinds of vaccines every day.” He said that the coverage rate of coronavirus vaccines will not be very high because you need to wait after vaccination. Time to ensure that there are no allergic reactions.
Hesitation of medical staff
But Schaffner said that the real key to solving the problem is communication.
Schaffner said: “People don’t know enough about how much communication it takes to bring indecisive people into the crowd and vaccinate them.” Even my own good friends and dear friends of the CDC have greatly underestimated. Got this degree. People who work in health care settings think about vaccine hesitation. “
Schaffner said that realizing this would be a problem, Vanderbilt University Medical Center began an education program four to six weeks before the vaccine was delivered.
Schaffner said: “We can see the well-known needle moving in the direction of acceptance.”
The Kentucky Health Commissioner said Thursday that in Kentucky, “more than 30% of eligible people refuse to provide vaccines.”
Tan said that in nursing homes, there are reports that nursing assistants, not residents, are unwilling to vaccinate.
Tan said: “We need to find ways to help them and help educate nursing staff.” “This is a safe and effective vaccine.”
Tan said part of the reason for the slow promotion rate has to do with the people who are recommended to receive the vaccine first: the elderly and medical staff in long-term care facilities.
For example, in places like California, where the virus cases are soaring, hospitalization rates are unbearably high, facilities wisely fire health care workers, and they may subsequently develop fever-one of the possible side effects of vaccines, but at the same time Covid-19 symptoms- Even in a short period of time, when the hospital needs all the help they can get, it will make them unable to work.
Tan said: “You can imagine that with the increase in the number of patients and the healthcare system that requires their staff to go all out, they will become more cautious in the way they vaccinate their staff.” “You will not be at the same time. Vaccinate everyone,” not even half the vaccine at the same time.
The general surgeon said: “Just let it roll.”
Adams said in an interview with NBC “Today” on Tuesday: “Take those vaccines there and take them.” “We don’t need to remake the wheels, we just need to roll them.”
Some states have begun to take faster action to expand the population eligible for vaccination, but this has created its own problems. In Florida, after allowing people 65 and older to take photos, people waited in line for hours, and supplies quickly ran out.
President-elect Biden set a target of 100 million offensive times, 100 days before he took office. That will vaccinate 50 million people, because immunization requires two separate injections for each person.
This is inconsistent with the Trump administration’s strategy, which delayed half of the US vaccine production to ensure a second dose is available.
Although this is a risky strategy, considering that the two vaccines currently approved in the United States require two doses at specific intervals, transition officials said that the Biden research team believes that vaccine manufacturers will be able to produce enough second doses in time. Dose vaccine. Biden’s team plans to use the National Defense Production Law to produce vaccines and other materials.
Biden has stated that he will establish vaccination centers run and supported by the federal government across the country with the help of the Federal Emergency Management Agency, the Centers for Disease Control and Prevention, the military and the National Guard.
CNN’s Jacqueline Howard (Jacqueline Howard), Jane Christensen (Jen Christensen) and Sara Murray (Sara Murray) contributed to this report.