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The rollout of French vaccines has slowed down due to red tape, focusing on the elderly



Paris (Associated Press)-It took several hours to inject the first coronavirus vaccines for the 14 residents of the John 23 Nursing Home. The process is named after the Pope and is a distance away from the vaccination pioneer Louis Pasteur in France The birthplace in the east is not far away, and it took weeks of preparation.

The head of the house, Samuel Robbe, must first read the intensive vaccination plan on page 61 carefully. One of several heavy guides The French government gave detailed instructions on how to proceed until the number of times each bottle of vaccine was inverted to mix its contents (1

0).

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 memory impairment, and was one of the first people in his Paris nursing home 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.

“I’m in the hospital,” Fuert recalled slowly, “There is a dead person next to me.”

Guillaume said that it turns out that in her work of preparing to start vaccination later this month, her 64 residents or their guardians and family members have insufficient consent, which is her most labor-intensive job. section. 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 talking with family members, talking with guardians, and taking collegial measures to make the right decision. It takes time.”

Rob had a similar experience in the John XXIII home between the fortified town of Besançon and Pasteur’s birthplace in Dore.

After the EU approved the use of BioNTech-Pfizer vaccine Rob said that in December last year, it took two weeks to organize all the fragments until 14 residents were vaccinated this week, which is only a small part of his total of more than 100 residents.

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.

“My friend said,’What kind of circus is this? The Germans have vaccinated 80,000 people, and we have not been vaccinated,” he said. “But we don’t have the same history. When you suggest a vaccine to the Germans, they all want to get it. In France, people are silent about the history of vaccination. People are more skeptical. They need to understand. They need to explain and be assured.”

France has prioritized nursing homes because they have seen nearly a third of their deaths.But it first vaccinated a 78-year-old woman on December 27 In long-term care institutions, it quickly proved that this was just a symbolic launch, and the government never intended to properly carry out this work before this week.

It was not until Monday that the authorities launched the online platform as planned. Health workers must record all vaccination status on the platform and prove that the vaccinated person must have the necessary consultation with the doctor, which also added 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 page Provide basic information about the benefits and possible side effects.

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.

Like France, Germany also requires meetings with doctors and prioritizes shooting for residents of nursing homes, but using mobile teams can find them faster. Based on the current vaccination rate of nearly 30,000 vaccines per day, it will take Germany at least six years to vaccinate its 69 million adults. But although the German government has been criticized for what people think is a slow launch, France at least has a more laid-back start in numbers, but France has promised to reach 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 the vaccinations of 50 residents and staff on Friday. She spent the holiday preparations.

“We couldn’t wait to wait until there was a sufficient dose in the refrigerator to realize that we were not ready for the vaccination, and then had to throw away the dose and said,’Rice! I didn’t expect this,” she added. “The dose is too precious.”

“We need two months to prepare the flu vaccine. Here, we are required to set up records so that we can get the COVID vaccine within 15 days,” she said. “I don’t know how we can move forward faster.”

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The Associated Press writer Pan Pylas contributed in London, Nicole Winfield in Rome, Ciaran Giles in Madrid and Kirsten Grieshaber in Berlin.

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Follow AP’s report on the coronavirus pandemic:

https://apnews.com/hub/coronavirus-pandemic

https://apnews.com/hub/coronavirus-vaccine

https://apnews.com/Understand the epidemic


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