It took a few hours to vaccinate the 14 residents of the John 23 Nursing Home with the first coronavirus vaccines, named after the Pope, not far from the birthplace of the pioneer Louis Pasteur of vaccination in eastern France , So it took weeks of preparation.
The person in charge of the house, Samuel Robbe, must first carefully read the 61-page intensive vaccination plan, which is one of several detailed guides issued by the French government, detailing how to proceed, down to each bottle (10) The vaccine should be turned upside down to mix its contents.
This booklet states: “Very refined”. “Don’t shake.”
When France tried to figure out why its vaccination campaign was unfolding so slowly, the answer lay partly in the forest of red tape and the decision to prioritize vulnerable elderly people in nursing homes. They may be the toughest team because they require informed consent and it is difficult to explain the complex science of rapid vaccines.
Claude Fouet was still full of energy and sense of humor at the age of 89, but had a memory impairment. He was one of the first people in a nursing home in Paris to agree to vaccination. But in the conversation, it soon became clear that his understanding of the epidemic was uneven. The head of the house, Eve Guillaume, must remind Fouet that he survived with his brush in April and killed more than 66,000 people in France.
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“I was in the hospital,” Foue recalled slowly, “There was a dead person next to me.”
Guillaume said that while she was preparing to start vaccinations later this month, it turned out that 64 residents (or their guardians and family members were not comfortable enough with their opinions) to obtain their consent , This is the most intense part of her labor. Some families say no, and some want to wait a few months before deciding whether to vaccinate.
She said: “You can’t expect the rapid development of medical care homes.” “This means that every time you have a conversation with your family, you talk with your guardian, and you take collegial measures to make the right decision. This takes time.”
Rob had a similar experience in the family of John XXIII between the fortified town of Besançon and Pasteur’s birthplace in Dore.
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After the EU approved the use of the BioNTech-Pfizer vaccine in December last year, Rob said it took two weeks to assemble all the vaccines and vaccinate 14 residents this week, which is only a small part of his total of more than 100 people. .
He said that obtaining consent is the biggest obstacle for doctors and psychologists to discuss vaccination everywhere. During the December holiday, the resident family was given a week’s approval or rejection decision, which must be consistent with the immediate family.
Rob explained that when a woman’s daughter said yes, but her son said no, she did not shoot because “they can oppose us and say,’I never agree with this.’” “There is no consensus, we don’t get vaccinated. .”
He said that only by taking shortcuts and reluctantly getting residents to agree can the process be faster.
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He said: “My friends said,’What kind of circus is this? The Germans have vaccinated 80,000 people, none of us have vaccinated.” “But our history is different. When you recommend vaccines to Germans At times, they all want to be vaccinated. In France, people remain silent about the history of vaccination. People are more skeptical. They need to understand that they need to explain and get assurances.”
France has prioritized nursing homes because they have seen nearly a third of their deaths. However, a 78-year-old woman in a long-term care facility was vaccinated for the first time on December 27, and it quickly proved to be a symbolic introduction of the vaccine, and the government never planned to properly vaccinate before this week.
It was not until Monday that the authorities launched an online platform as planned. Health workers must record all vaccinations on the platform and prove that the vaccinated persons must conduct necessary consultations with doctors, which also adds to the red tape.
In some countries that are developing faster than France, the bureaucracy is more streamlined. In the UK, nearly 1.5 million people have been vaccinated, and it is planned to provide jabs to all nursing home residents by the end of January. Those who are able to agree only need to sign a one-page form to provide information on benefits and possible side effects. Basic Information.
Spain does not need doctor interviews. It was vaccinated on the same day as France, but 82,000 doses were injected in the first 9 days, while France only injected a few thousand doses.
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Like France, Germany also requires meetings with doctors and prioritizes shooting for residents of nursing homes, but using mobile teams can find them faster. With the current vaccination rate of nearly 30,000 per day, it will take Germany at least six years to vaccinate its 69 million adults. However, although the German government has been criticized for its slow deployment, France at least has a more leisurely start in numbers, but France has promised to have 1 million people by the end of January.
Other countries/regions have increased the number of people by providing lenses to a wider group of people who are more accessible and can attend appointments. Of the more than 400,000 doses administered in Italy, most are used by medical staff.
Lucile Grillon, who manages three nursing homes in eastern France, said it took a lot of time to prepare vaccines for 50 residents and staff on Friday. She spent the holiday preparations.
She added: “We couldn’t wait to put the dose in the refrigerator, realized we were not ready for the vaccination, and had to throw away the dose and said,’rats! I didn’t expect it.'” “The dose is too precious. .”
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She said: “It takes two months to prepare the flu vaccine. Here, we are asked to record so that we can get the COVID vaccine within 15 days.” “I don’t know how we can move forward faster.”