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Home / Health / In order to seek immunization of cattle, giant vaccination sites have surged

In order to seek immunization of cattle, giant vaccination sites have surged



East Hartford, Connecticut-The country’s coronavirus vaccine supply is expected to surge in the next few months, and states and cities are eager to open up large-scale vaccination sites, and the number of injections that can be injected into the arms of Americans each day Thousand needles, this is an approach of the Biden administration. In a country with a population of 330 million, it is critical to achieving cattle immunity.

The Federal Emergency Management Agency (Federal Emergency Management Agency) also joined the action: it recently helped open seven large bases in California, New York, and Texas, relying on active forces to staff them and plan more. Some large-scale venues, including the Dodger Stadium in Los Angeles and the State Farm Stadium in the suburbs of Phoenix, have a goal of injecting at least 1

2,000 people a day once the supply increases. The one in Phoenix is ​​already running around the clock.

These venues are signs of increasing momentum in vaccinating every willing American adult. Johnson & Johnson’s single-dose vaccine received emergency approval from the U.S. Food and Drug Administration on Saturday, and Moderna and Pfizer both pledged to provide more vaccines each week until early spring. In addition to using large-scale sites, President Biden also hopes to provide pharmacies for the poor and mobile vaccination units, and community clinics play an important role in increasing vaccination rates.

To date, only about 9% of adults are fully vaccinated. As more people are eligible to use the vaccine, and the number of infectious variants of the virus proliferates in the United States, it may be essential to provide a large-scale site. .

However, although these locations are accelerating vaccination to help meet the current overwhelming demand, there are clear signs that they will not be able to meet another upcoming challenge: many Americans are difficult to reach and may not want to receive this vaccine. Lens.

A large unmanned vaccination spot on a defunct airstrip in East Hartford, the capital of Connecticut, shows the prospects and drawbacks of this approach.

Since opening six weeks ago, the site has been operated by a non-profit medical clinic and has become one of the largest lens distributors in the state, and its efficiency has helped Connecticut to succeed. Only Alaska, New Mexico, West Virginia and Dakota administered more doses per 100,000 residents.

Most people who run popular sites are learning in real time. Finding enough vaccinators is already a daunting task for some places, and as they multiply, it may become a wider problem. Local healthcare providers or faith-based groups rooted in the community may be more effective in attracting those who are wary. Moreover, many large sites are ineffective for people who lack cars or convenient public transportation.

“Motivated people have a car, which is very useful for them,” said Dr. Rodney Hornbake, who is both a vaccinee and a medical staff member at the East Hartford base. Adverse reactions. “You can’t get here by city bus.”

Before the dawn of the last primordial morning, Susan Bissonnette, the nurse in charge, prepared enough vials of Pfizer vaccine and diluent for the first few hundred injections of the day. At 7:45 in the morning, her team formed a semicircle around her, scraped the snow off the boots, and heated the fingers for the next few hours of injection.

Ms. Bessonette voluntarily shouted to 19 nurses, a doctor and an underemployed dentist: “We will start with 40 medicine bottles, 8 in each trailer.” “Well, remember it is Pfizer.” Please order three milliliters?

The site vaccinated approximately 1,700 people on a good day, partly because Connecticut is small and vaccinated in fewer doses than many other states. This is a well-functioning machine. Dozens of National Guard soldiers steer the car to 10 lanes and check in personnel. These personnel must make an appointment in advance and make sure that they have filled out the medical questionnaire before they can walk along the runway. Enter their runway. Lens.

The troops also supervised the area at the end of the runway. In the event of a severe reaction, people waited 15 minutes after shooting (or 30 minutes if there is a history of allergies).

Between them are vaccinators, two in each lane, swapping back and forth between the poking arms. When they need to warm up, they retreat in the heated trailer to absorb the dose and fill out the vaccination card.

“If you only open 10 lanes, it will be chaotic unless you have been at the checkpoint and have been implementing the team in accordance with the planned plan,” said Mark Masselli, President and CEO of the Community Health Center. The company opened its East Hartford plant on January 18 and has since opened two smaller versions in Stanford and Middletown. “You have to bring together some groups-people with health care awareness and people with logistics awareness.”

Mr. Marcelli’s staff worked frantically with the state government to install trailers, generators, lighting equipment, wireless networks, portable bathrooms, traffic signs, and thousands of orange cone-shaped road signs to make the site within six Gathered together in the day. Each worker has two very important devices: a walkie-talkie for communicating with all workstations and supervisors, and an iPad for verifying appointments or entering information about each patient into the database.

The vaccine they use is a Pfizer vaccine, which adds complexity because it must be stored in an environment of minus 70 degrees Fahrenheit. Supplies are kept in an ultra-cold refrigerator installed by the Community Health Center on the adjacent University of Connecticut football stadium. Ms. Bissonnette and other supervisors accelerate on the bumpy golf cart several times a day to grab more medicine bottles, which last only two hours at room temperature.

The first cars entered at 8:30, usually driven by adult children or grandchildren with photos.

Some experts say that through train clinics can better control infections, people can only roll down the car windows for injections, and it is more comfortable than standing up in line. But one month after entering the Connecticut site, its weaknesses are also obvious.

On the busy road leading to the site, traffic may be endless, and bad weather may cause traffic interruption, so hundreds of appointments need to be rescheduled in a short period of time. The supply of spot vaccines, which recently forced California factories to close for a few days, may also cause serious damage.

More importantly, you need cars, gasoline, and some elderly drivers to and from the scene. At this point, whites accounted for 82% of East Hartford filming locations, down from 90% in early February. They are over-represented, in part because there is now less diversity in the eligible elderly population than in the state.

To address the issue of access and equity, FEMA has opened many new mass spaces in low-income, severely black and Latino neighborhoods, where concerns about vaccines are higher, vaccination rates are low, and many people lack cars. In addition to a large number of places, the community health center, which serves a large number of poor and uninsured people in clinics across the state, also plans to send small mobile teams to nearby communities to expand its vaccination coverage.

The East Hartford factory has hired dozens of temporary nurses and trained dentists and dental hygienists to help them shoot. Nevertheless, it is still a challenge to equip the site with 22 vaccinators every day, and this challenge will grow across the country as more people become eligible for injections.

Dr. Marcus Plescia, chief medical officer of the National and Territorial Health Officials Association, said that with more and more low-hanging fruits, the demand for mass vaccination sites may weaken-Americans are very motivated to get vaccinated as soon as possible-has chosen.

Dr. Prescia said: “I think that in the current situation of short supply, they are performing well and attracting many people who are eager to be vaccinated.” “As the supply increases, and we have vaccinated against this desire. For vaccination, we may find that a lower number setting is more desirable.”

Mobile vaccine clinics will be hesitant about certain vaccines. But Dr. Pressia said that people who are uncertain and fearful are best served in a doctor’s office or a community health center, where they can communicate with health care providers they know.

When he talked about mass places, he said: “They are not there to advise you.” “You go to shoot, the end of the story.”

Dr. Nicole Lurie, who served as the Assistant Secretary of Health for President Barack Obama’s Preparedness and Response Work, said that state and local governments should not only seek help from the Federal Emergency Management Agency (FEMA) , You should also seek advice from private companies that are accustomed to keeping large numbers of people moving-while keeping them safe and happy.

In one such example, a company that operates a mass vaccination site in Boston has contracted with an event management company that operates the Boston Marathon to handle daily logistics. Many companies that conduct large-scale coronavirus testing operations have also participated in large-scale vaccination.

Dr. Luli said: “These places need to be incentivized to provide customers with a good experience, especially because they are using two doses of vaccine.” “If it really hurts your neck, why do you have to line up in a few weeks?”

Most factories stated that their main challenge is not having enough supply to meet demand. However, with the pledge of 315 million Pfizer and Moderna vaccines by the end of May and Johnson & Johnson’s pledge to provide 100 million doses of newly licensed vaccines to the United States by the end of June, this complaint may soon disappear.

The most troublesome aspect of the East Hartford website is the appointment system. This is a clumsy online registration form called VAMS, which is used in about 10 states. Many people 65 and older have difficulty navigating, so much so that most people end up dialing 211 (the phone number for health and social services assistance) to make an appointment.

Over time, East Hartford (East Hartford) always smiling vaccinators will feel tired and sometimes even feel bone cold. But sometimes there are unexpected boosts, such as 65-year-old John Rudy sitting in the back seat with his mother Antoinette.

“We are 100 years old!” Nurse practitioner Jean Palin announced as he prepared the footage of Ms. Rudy.

The site usually closes at 4 pm, but there is a problem: in the middle of the snowy week, there were no more unseen events that day than usual, and there was an unused dose of 30 tablets. The news came from nurses on the scene, including people who worked in a nearby large store, saying that these people were not fully eligible, but if they were discarded by alternative methods, they would qualify for the vaccine.

Ms. Bissonnette said: “It’s just a precise match until the end of the day.”

At 5:15, 63-year-old Greg Gaudet drove with tears of excitement. He learned from a nurse (a former high school classmate) that he could shoot.

Gaudet said: “I am lucky to be dormant, but the immune system is very low.” He was diagnosed with leukemia six years ago. “I’m very grateful.”

Mr. Masselli said that over time, the cost of the site is still “a problem we are eager to solve.” Community Health Center spent approximately $500,000 to build it, and spends approximately $50,000 per week for labor and other expenses. It can pay a fee for each insured. The medical insurance rate for the first dose is $16.94, and the insurance rate for the second dose is $28.39, but it also depends on state and Federal Emergency Management start-up and other costs. repay.

Nevertheless, this fee did not stop Mr. Marcelli’s imagination from expanding.

“There is another runway over there,” he said, pointing behind him. “Between two shifts, we can do 10,000 jobs a day. March 14th is daylight saving time; we will have warmer weather and more sunshine. The time is right.”


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