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Vaccination sites in the Bay Area are being vaccinated

Despite the surge in demand for the COVID-19 vaccine in the context of supply shortages, reports continue to spread about pharmacies, hospitals and mass vaccination sites distributing excessive doses to people who happen to be in the right place at the right time. There is also a lot of discussion on waiting lists used by vaccination sites when they need to dispense doses that are at risk of expiration.

All of this is based on the theory that some people did not attend the meeting, or had problems such as a refrigerator failure, and there were a large number of unclaimed vaccines that needed to be managed before they spoiled.

One reminder Ben Lindorfer, a resident of the East Bay, got from his partner is that the Oakland Stadium (which takes about 6,000 doses a day) distributes the remaining vaccine to people who have not made an appointment at the end of the day.

Lindover said: “I don̵

7;t want to throw it away.” “If they throw it away, I have a chance to wait. I’m happy to wait.”

Lindorfer arrived at the walk-in checkpoint at 5:30 pm last Thursday and said a worker told him they did not have any additional vaccines.

A friend went there after 15 minutes and was told to show up at 6 or 6:30 in the afternoon for the leftover vaccine. Lindorfer returned at 7pm, and about a dozen people were waiting for the extra dose.

Lindover said: “A gentleman from the Federal Emergency Management Agency said that they have no vaccine left.” “He said that if there is leftover, they will throw it away.”

(Editor’s note: California OES spokesperson Brian Ferguson said the Oakland Coliseum is a zero waste venue.)

It is not surprising that people follow the shots of no one shooting, because many stories have been reported in the media about people scoring unintentional vaccines. When the refrigerator in Mendocino County Hospital broke down, the 850 Pfizer dose that needed to be refrigerated was distributed in churches and health clinics on a first-come, first-served basis and took about two hours. According to the New York Times, a public health care worker in the snow in Oregon walked from one car to another, and the dose given to the driver would expire in six hours.

Although these stories are true, the possibility of buying an overdose of vaccine seems very small. This is especially the case if you do not currently meet California’s prioritization framework, which recommends that counties give healthcare workers, seniors 65 and older, and essential staff in education, food, agriculture, or law enforcement to take medication. It can’t happen.

The vaccination site at Oakland Stadium in Alameda County is managed by California OES. Spokesperson Brian Ferguson said that any additional vaccines will be distributed to eligible people through a “call list.”

“We must be cautious when distributing vaccines and keep track of the number of shots needed in a day. If we are about to end and there are more vaccines, we will list on the phone that qualified people from the locals can come and shoot. We are now Work through qualified community partners, health care workers, law enforcement agencies, and teacher groups.”

Kaiser Permanente and Sutter Health, the two major health care organizations that manage vaccines in the Bay Area, said that the non-recurrence rate of vaccines is extremely low, and all sites are bending backwards to ensure that no dose is wasted.

Caesars said in a statement: “Normally, even on the same day, the cancellation can be completed quickly.” “We will closely monitor the dose, and can call for members who booked the next day or later to arrive early.”

A statement from Sutter said: “If there is an appointment cancellation or remaining vaccine at the end of the day, we will contact the scheduled patient as soon as possible.”

SFGATE also contacted all nine Bay Area counties, asking them if they had an excessive amount of vaccine, distributing additional doses at the vaccine site or throwing away unused vials. We also asked them whether they would keep a waiting list to expedite the distribution of excess vaccines that risk expiration.

We received replies from all counties, and this is what they said.

Alameda County

The county stated that it did not waste a dose or vial of vaccine in any county-level business premises.

County spokesperson Neetu Balram said in an email: “We will monitor the open medicine bottles and adjust the doses drawn approximately two hours before the POD is closed to ensure that the open medicine bottles will not be affected. Idle.” “We have a list of people waiting for appointment. If we have a dose left after the appointment, they can respond quickly. We will not vaccinate lower-level personnel.”

Contra Costa County

The county said that about 2% of dates did not show up. The county said: “When an accidental dose did occur, we developed a policy and established a procedure for recruiting people from our waiting list.” “We do not encourage people who have not dated to gather near our clinics.”

Marin County

Marin County said that about 5% to 10% of people who had a vaccine appointment did not show up. The county said in a statement that they believe that people did not attend because they did not get confirmation from PrepMod (the county’s dating system), did not have appointments elsewhere, did not meet the standards, but booked people who wished it were making appointments Changes occurred before the date, COVID test was positive, vaccination was delayed, or a family emergency occurred.

County spokesperson Laine Hendricks wrote in an email: “We track non-show rates throughout the day to prevent these doses from being taken in the first place.” “Again, in rare cases, we do With a dose reserved, we will try to cooperate with nearby clinics or hospitals (for example, MarinHealth Medical Center) to ensure the correct dose is used.”

The county said it does not have a waiting list, but it does have a “vaccine interest form” that can be used when needed. Any resident can self-register and determine that they want to be vaccinated.

The county said: “Although any ordinary citizen can register, we will only hire those who are eligible to receive vaccines in accordance with our current vaccine priorities.” “The form allows us to target vulnerable people or people of color who have not yet been vaccinated. .”

Napa County

The county stated that it had almost no non-occupancy and had established procedures to deal with any potential impacts that did not occur, which involved intentional injections of a syringe within the last hour of our clinic. It did not report any waste.

County spokesperson Janet Upton wrote in an email: “We have a comprehensive list of county benefits to prioritize vaccine appointments based on state guidelines.” “For each clinic , We find people who have not made an appointment from the list and ask us to provide them if there are any excess charges.”

San Francisco

The San Francisco Department of Health said it would not track cancellations at sites operated by large healthcare providers or nearby clinics.

“San Francisco health care providers, they distribute two-thirds of the vaccine in San Francisco. The basic guiding principle of the Ministry of Public Health is that no vaccine should be wasted,” the COVID Command Center, which manages the city’s pandemic response, in a statement Say. “Therefore, people have to make appointments and cancel if they cannot be reached. All vaccination locations operated by different healthcare providers have different agreements, but actively plan to ensure that vaccines are not wasted. Many vaccinators do. The phone list lists qualified vaccines that can be vaccinated at the end of the day. Nearly 100% of the vaccines received each week will be allocated for use next week.”

San Mateo County

San Mateo County said that due to lack of demand due to unqualified, because individuals were vaccinated elsewhere, did not appear, other problems, etc., the demand was insufficient, and the proportion of appointments that needed to be cancelled was 4% to 9%.

“Our staff work on the appointment list throughout the day at the clinic to ensure that only qualified recipients are on the list and can arrive at the designated location on time,” the county spokesperson Preston Merchant (Preston Merchant) wrote. A statement. “During this process, we will also establish a waiting list of qualified recipients who can receive any unused dose at the end of the day. The waiting list is established based on a targeted appointment list and will not be sent to you. Open to the public. We do not accept any additions to the waiting list or allow anyone to wait on the site in the hope of receiving the vaccine at the end of the day.”

Santa Clara County

The county stated that its non-appearance rate was about 10%. The county wrote in an email: “This rate is consistent with the overall situation we see in health care.” “We expect that about 10-15% of daters may miss appointments for some reason, and We built our system around this assumption so that unshown performances do not cause waste or dispense the wrong dose. This includes establishing a buffer zone to solve this problem by overbooking.”

The county says there is very little waste. The latest data as of February 22 shows that of the total dose of 413,233 doses, 506 doses were wasted, accounting for 0.12%.

The county said: “Not all of these doses are expired doses; some may have been reported as wasted due to other reasons, including failure of the syringe or needle, problems with reconstitution, dilution or withdrawal of the dose, or other reasons.”

The company said that in a few cases, if there are more thawed vaccine doses than those appearing on the date, there are procedures in place to prevent the vaccine from being wasted.

There is no waiting list in Santa Clara County.

Solano County

Solano County said: “The vast majority of residents participate in the appointment.”

According to the county’s spokesperson Jose Caballero, at the end of the vaccination campaign, if there are remaining vaccines, the county’s emergency medical service team will transport it to a long-term care facility that has recently received it. New staff or residents.

Cavallero said the county maintains a waiting list that is generated from the registry when the maximum capacity is reached. “Only eligible residents can participate in our waiting list for vaccination activities.”

The county requires people who have not been notified from the waiting list and have not booked a vaccine not to appear in vaccine venues and activities.

Sonoma County

Sonoma County said it did not track the number of people who did not attend the vaccine appointment. “We do have some, but the interesting thing is that it’s not a lot, and we understand that this is mainly because people have had multiple dates and chose the most convenient date, but forgot to cancel the appointment they don’t use,” said Matt Brown wrote in an email. “Therefore, we encourage people to cancel appointments they know they will not use in order to free up these appointments for others.”

Brown said that if the clinic has medicine left at the end of the day, put it back in the refrigerator for use the next day, or send it to other clinics that need replenishment.

“Because of our high demand, there are very few (if any) cases where the vaccine has not been used after the expiration date. The only time that the vaccine needs to be used is an open vial at the end of the day,” he said. “Unopened medicine bottles can be stored for later use, but the prescribed medicine bottle must be used that day. Each medicine bottle contains five or six doses. Therefore, if we open a new medicine bottle for the last appointment of the day, So we will have up to five doses we need to use. Some clinics have a list of qualified patients who can accept these, usually those who make appointments in the future. We do not recommend showing up at the clinic in the hope of getting more doses.”

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