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The launch of the vaccine confirms the warnings of public health officials



Providence, Rhode Island (AP)-Public health officials have been sounding the alarm for months, complaining that they do not have enough support or funding to quickly put the COVID-19 vaccine into weapons. Now, the largest vaccination work in the history of the United States has started slower than expected, proving that they are correct.

State and local public health departments in the United States have cited various obstacles when trying to expand the lens. The most obvious is the lack of leadership of the federal government. Many officials worry that at the height of the pandemic, they are wasting precious time, and delays may cause death.

Countries regret the lack of clarity about how much and when they will receive the dose. They said that more resources should be invested in education campaigns to alleviate people̵

7;s worries about shooting with guns. Moreover, even though the federal government recently approved $8.7 billion in vaccine funding, it still takes time to get to where the money might have been used months ago to prepare for more efficient vaccine injections.

In this country, public health officials can only solve complex problems by themselves to a large extent, and such complaints have become a common restraint.

Gianfranco Pezzino said: “The recurring theme is the lack of a national strategy and attempts to push responsibility down until the poor on the receiving end have no one else to send them money.” He was a public health officer in Shawnee County, Kansas, until the last one. Retire every month.

The Federal Vaccine Program “Operation Twist” has pledged to distribute enough doses in December to immunize 20 million Americans. According to trackers at the Centers for Disease Control and Prevention, it failed to achieve this goal. As of Friday, about 6.6 million people had received their first shots. Approximately 22 million doses have been delivered to the states.

The American Hospital Association estimates that 1.8 million people will need to be vaccinated every day from January 1 to May 31 to gain widespread immunity before the summer. The current rate exceeds this number by more than 1 million people every day.

President-elect Biden called the launch “funny” on Friday. He pointed out the lack of a national plan to obtain dose-sharing weapons and reiterated his commitment to administer billions of shots in his first 100 days. He has not shared details. , And expected that in order to discuss this week’s efforts, his office announced a plan to release most of the dose immediately instead of retaining the second dose, which is a more conservative approach taken by the Trump administration.

The Trump administration defines its main role as developing a coronavirus vaccine and delivering it to the states, which then take over and ensure that the vaccine dose is “on the last mile.” Each state must develop its own plan, including issuing guidelines on who gets vaccinated first. Some health experts complain that this method leads to confusion and patchwork reactions.

Dr. Mysheika Roberts, Health Commissioner of Columbus, Ohio, said: “It made me disappointed in how they tested, and the deployment of the vaccine reminded me of how disappointed they were when they tested it.”

Several public health officials and experts said they believe some of the early failures are gradually being eliminated. Marcus Plescia, chief medical officer of the National and Territorial Health Officials Association, said that given the scale of this task, it is not surprising that the start-up is slow.

He said: “It won’t be seamless.”

Plescia said the federal government can still do more before launching-such as releasing billions of dollars in advance to help people, technology and other operational needs.

An ongoing investigation by the Associated Press and the “Caesars Health News” details the state and local health departments’ lack of funding for decades. Since the spring, public health officials have warned that they lack the personnel, money and tools needed to deploy the vaccine. The money was not approved until the end of December.

The distribution of vaccines involves a long and complex series of events. Every dose must be tracked. Providers need to know how many people they will need. In view of the vaccine handling requirements and the need to observe the situation within 15 minutes after the injection, qualified people must be notified to arrange the injection time, and attention must be paid to maintaining social distance.

It is difficult to plan too far because the number of doses received in the state may fluctuate. Due to possible side effects and staffing issues, the hospital cannot shoot all staff on the same day, so they must be separated.

Rhode Island health officials say that once they receive help from people, it may take up to seven days. Officials in several states, including Rhode Island, Pennsylvania, Kentucky and New Jersey, say that insufficient supply is one of the biggest obstacles to getting more people vaccinated.

Some communities have seen large numbers of medical workers postpone shooting, even if they are ranked first. Demand from top priority groups such as emergency medical workers in Columbus, Ohio was lower than expected.

The Philadelphia Department of Health spokesman James Gallo said that a public education campaign could have resolved the hesitation of medical staff, and this hesitation has slowed the launch of the first shot. Instead, officials spent months talking about the speed at which they developed a vaccine-this did not help alleviate people’s concerns that the vaccine might be unsafe.

Garrow said: “There is no good news about security and the purpose of security protocols.”

Dr. Michael Osterholm, an infectious disease expert at the university, said that the federal government has hardly provided information resources that local officials can tailor to their communities to address the concerns of pregnant women or black people living in rural areas. He is a member of Biden’s COVID-19 Advisory Committee.

“You don’t need 50 different states to try to do this kind of work.” Ostholm said: “What you want is a mess of information sources that can solve the problem of the different populations available in any one state. . This is what we don’t have right now. “

Some states are being creative. Oregon held a mass vaccination campaign at the state fair with the help of the National Guard. The governor stated that his goal is to vaccinate 250 people every hour. New Jersey plans to open six vaccine “super sites”, where officials hope that more than 2,000 people will eventually be vaccinated every day.

However, without a federal plan, such an effort would be tantamount to “throwing spaghetti on the wall and see what’s wrong,” says Crissi Giuliano of the Metropolitan Health Alliance, which represents the Metropolitan Health Department.

Many experts say that what is needed is a wartime nationwide effort so that as many people as possible can get the vaccine. Pezino, a senior researcher at the Kansas State Institute of Health, said that medical emergencies can be handled 24 hours a day, 7 days a week. Why not vaccinate according to the schedule?

“It is possible. It is feasible,” he said. “I don’t see the urgency. No one around me has any urgency. In fact, to be honest, that’s the only thing that can make a difference.”

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Cui reports from New York. Associated Press reporter Ricardo Alonso Zaldivar in Washington also contributed to this report.

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Follow Smith on http://twitter.com/MRSmithAP and follow Choi on https://twitter.com/candicechoi.




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