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Home / Health / The hospital thinks they will see a shortage of Covid-19 vaccine.Sometimes they have to throw away the medicine

The hospital thinks they will see a shortage of Covid-19 vaccine.Sometimes they have to throw away the medicine



There is no reason for slow rollouts or unused doses; experts say that starting a mass vaccination campaign during a pandemic is never easy. It takes time to vaccinate and monitor a large number of people, and some facilities allow employees to perform amazing vaccinations to avoid too many medical staff coming out at once.

Supply and demand are not always consistent. Some of the highest-priority populations-health care workers and residents of long-term care facilities-do not want or at least do not want this vaccine. At the same time, the American Medical Association said on Friday that it was “somewhat worried” that some medical staff who did not work in the hospital or the medical system had difficulties in obtaining vaccines.

In order to speed up this process, the federal government urges states to provide vaccines to older or high-risk populations, but some regions still focus on the earliest priority populations, even if this means bringing vaccines out of the cold. use.

“We all think that the real problem will be shortages-we will be outside the door-and we have found that from the information we currently hear across the country, there are still many vaccines,”
; including the Harlem Family Health Center. Dr. Neil Kalman, director and CEO of the Family Health Institute, a non-profit health organization, told CNN on Friday.

He said: “Every dose of the medicine in the human body will not make Covid sick.” “It’s no good to try to ration it every week like this, because any dose sitting in the refrigerator will not save lives.”

Looking for someone to be vaccinated

The debate has been going on in New York’s political arena, and New York Governor Andrew Cuomo asked the hospital to speed up the pace of action. At the same time, New York City Mayor Bill de Blasio (Bill de Blasio) pushed to start vaccinating more priority groups.

This work will begin on Monday, when New York will be open to priority ambulance personnel, teachers, and residents 75 and older, with priority given to medical staff.

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The frustration has increased. On Tuesday night last Tuesday, nurses from the Harlem Family Health Center in New York walked nearby to try to find people who are eligible to receive the Covid-19 vaccine.

The health center also took out some extra doses of Moderna vaccine from the cold storage. These doses were supposed to be given to healthcare workers-but some people did not attend their appointments and the clock has passed.

Kalman said: “Six hours after you take the first dose from the bottle, it will expire.”

Nurses cannot just administer the vaccine to anyone, because in New York State, doing so may be punished. According to a new executive order in the state, health care providers who know they want to vaccinate people outside the state’s key populations may face fines of up to $1 million and cancel their state licenses.

That night, the nurses “walked out of the community and went to two pharmacies, and they asked any pharmacists there if they wanted the vaccine,” Kalman said. “They went to a fire station on the street to see if anyone in the fire station needed a vaccine…. They went to a residential facility.”

Kalman said that by the end of the night, there were still “three to four” doses being discarded.

Kalman said: “We should keep the priority-I think it is very important to have medical staff first and to be able to join teachers now and others.” “But during that time, the healthcare provider community should We can vaccinate our high-risk patients and can judge who these people are and what vaccines we can get based on our professional judgment.”

“We hope these problems can be resolved”

Legacy Health, a nationwide non-profit medical system with six hospitals in Oregon and southwestern Washington, confirmed to CNN on Friday that it had discarded 27 doses of Pfizer/BioNTech Covid- during early vaccination efforts last month. 19 Vaccines, because they expired before they didn’t have time to pick them up-some preliminary information about the vaccine is unclear.

Legacy Health spokesperson Brian Terrett told CNN in an email that Legacy Health’s hospitals arranged vaccination based on initial information, but only if each bottle of vaccine contains five doses. It turns out that some medicine bottles contain six to seven doses-at the time, the hospital had additional doses, but no one had booked or could provide them.

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Therefore, “the 27 expired doses were in the early stages of our vaccination, when our number of vaccines exceeded the number of patients,” Terrett said. “Six or seven doses of vaccine in one vial made our vaccination volume nearly 700 people higher than the allocated number. For each expired vaccine, Legacy’s vaccination volume was 25 more people than we expected.”

With reports that some hospitals across the country have not used the Covid-19 vaccine, the American Hospital Association responded in a statement that it hopes “these problems can be resolved.”

The association represents and serves hospitals and healthcare networks in the United States.

AHA President and CEO Rick Pollack (Rick Pollack) said in a statement to CNN: “U.S. hospitals and health systems are working hard to quickly and safely manage the COVID-19 vaccine. , This will be done in accordance with the micro-plan of the state or local jurisdiction in which it is located.” On Friday.

“At the same time, we continue to take care of a large number of COVID-19 patients under very stressful conditions, including shortages of PPE, shortage of workers, and limited ICU beds in certain areas. Mass vaccination is a large and complex process, and It is not different from any other such efforts. In any large government effort, especially at the beginning, there will always be trouble.” Pollack said. “We hope that these issues will be resolved and the rate of vaccination will increase dramatically in the coming weeks.”

Slow rollout in long-term care facilities

Vaccination of residents and staff in long-term care facilities has also been slow in many places. As of Friday morning, more than 4 million doses have been distributed for long-term care facilities, but fewer than 700,000 qualified personnel have received the first dose.

As the

The federal government worked with CVS and Walgreens to provide vaccination services to participating long-term care facilities.

CVS said in a statement released on Wednesday that the number of residents who need to be vaccinated is 20-30% lower than the initial forecast, “the initial employee absorption rate is very low,” although part of the reason may be due to the facility staggering employee vaccines. Vaccination.

At the same time, Walgreens told CNN that any unused dose will be reassigned to the next scheduled clinic of the long-term care facility, and any dose that may expire before then “can be used to vaccinate Walgreens team members who are eligible for vaccination. The contents of the Phase 1a plan outlined by the CDC and the states.”

West Virginia has always been ahead of the United States in terms of per capita vaccination, and long-term care facilities may be part of the reason. West Virginia is the only state that has withdrawn from the federal program to distribute the Covid-19 vaccine to staff and residents in long-term care facilities; it started vaccinating people in those facilities about a week before the start of federal programs in other states.

The governor said at a press conference on December 16 that more than 40% of pharmacies in West Virginia are not chain stores and the state wants to prioritize existing relationships.

“We have instead established partnerships with all pharmacies in West Virginia,” Governor Jim Justice said in December. “From a federal perspective, we think that from a national perspective, this will limit our ability to quickly distribute and manage vaccines to people in need.”

West Virginia has also begun opening its vaccine priority areas outside of health care workers and nursing home residents-people 80 years and older are now eligible for the vaccine.

CNN’s Deidre McPhillips, Laura Ly and Naomi Thomas contributed to this report.


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