Health
Arizona, other states scramble after receiving less vaccine
The Arizona Department of Health has confirmed that the state is one of many states across the country that did not obtain the expected allocation of the Pfizer-BioNTech vaccine during the week of December 20th.
The state planned to order 70,200 vaccines that week, but only 41,925. Steve Elliott, an ADHS spokesman, emailed the US Centers for Disease Control and Prevention asking for an explanation of the difference and waiting for a response.
The Moderna vaccine should arrive in the next few days and COVID-19 vaccination will be available in all 15 counties.
Other states have begun adjustments this week after being informed that vaccines will be 20% to 40% less next week than they were told by December 9. The state was given an estimate that turned out to be vaccine-based. Completed quality control and the dose produced, not the dose that could be released. Only after Wednesday was the state informed of the actual numbers.
The department expects to receive 119,400 Moderna vaccines between Monday and Wednesday. Of these, Maricopa County will receive 18,500 and Pima County will receive 17,000, according to Elliott.
“The spillover effect is enormous,” said Claire Hannan, executive director of the Vaccination Management Association. “The piece of planning is important. This vaccine cannot be deployed on the fly.”
After three days of turmoil, the cause of the problem was finally revealed Friday night by Governor Jay Inslee of Washington. He tweeted that he had a “very productive” conversation with General Gustav Perna, Chief Operating Officer of Operation Warp Speed, the government’s COVID-19 treatment and vaccine program.
“The discrepancy was the cause of the assignment change,” Insley tweeted. “This does not seem to represent a long-term challenge for vaccine production.”
At a press conference on Saturday morning, Perna explained that it did not consider the time it would take (which could take 48 hours) for the finished vaccine to go through the complete Food and Drug Administration quality control process.
Perna apologized to the governor and said it was entirely his fault.
“After all, I’m responsible for the misunderstanding,” he said.
According to Elliott, the CDC Care Facility / Pharmacy Partnership has been assigned a Moderna dose of 37,300 from the dose available during the week of December 20th. Skilled nursing facility residents and staff will begin in the week of December 27th.
According to Dr. Cara Christ, director of health at Arizona, Moderna vaccines are easier for small or rural counties because they have fewer batches than Pfizer’s orders.
“We will continue to work with our partners and federal partners to identify why quotas have declined, but that seems to be happening in states across the country,” Christ said.
In addition to state-wide programs, vaccines are also distributed in other ways. For example, Phoenix VA acquired its own shipment through a federal allocation from the Department of Veterans Affairs. Navajo Nation health care workers began vaccination earlier this week through supplies sent directly to the tribe.
Maricopa County is working to expand distribution
Maricopa County will launch two drive-through vaccination sites on Thursday and three more on Monday. The five sites are spread throughout the county and are operated by the medical system.
The site, launched by Banner Health and Honor Health on Thursday, has vaccinated a total of about 1,000 healthcare workers and first responders. When fully up and running, each site can vaccinate about 1,000 people per day for county-wide aggregation of about 5,000 shots per day.
Some healthcare professionals have complained about late appointment schedules, but the process is expected to speed up as vaccine doses increase and site capacity increases.
County Public Health Director Mercy Flanagan sought patience and said additional appointments would be added as more doses arrived and more distribution sites were opened.
Flanagan said that “tens of thousands of people” were pre-screened and the booking notice was “risk of exposure, age, chronic condition, occupation, work environment, assigned location, demand, availability of bookings”. He said that it depends on factors such as.
Eligible workers in Phase 1A can sign up online through the county for pre-screening of booking times.
“We want everyone to stay patient,” said Dr. Marjorie Vessel, Chief Clinical Officer at Banner Health, Friday morning.
She said the biggest hurdle in distribution is the ever-increasing challenge. She said that only more than 20,000 front-line banner health workers are in Phase 1A priority.
“This is a new vaccine that needs to be handled very carefully. Of course, we are taking every step to ensure that the vaccine is delivered exactly as it is needed,” says Vessel.
Who will be vaccinated when?
The state follows a step-by-step approach to vaccine distribution by prioritizing the highest-risk individuals. The timeline for each phase is not yet clear. It depends on how much and the demand for vaccines the state gets. Logistics also varies from county to county.
At this time, only individuals pre-selected and pre-registered in Phase 1A can be vaccinated. Christ said he hopes the state will finish Phase 1A by the beginning of January and start Phase 1B in mid-January or early February.
The state’s goal is to vaccinate 70% of the population.
Frequently Asked Questions: COVID-19 Vaccination in Arizona: Here’s what you need to know
The planned phases are:
- Phase 1A (now): Healthcare professionals, emergency caregivers, and caregiver residents and staff.
- Phase 1B: Education and childcare workers, law enforcement agencies, essential service workers, critical industrial workers, and adults with high-risk medical conditions living in collective environments.
- Phase 1C: Adults age 65 and older, adults with high-risk medical conditions, and adults living in a collective environment.
- Phase 2 (Spring-Summer): The remaining Phase 1 population, additional high-risk or critical population, and general population.
- Phase 3 (after summer): The remaining Phase 1 or 2 population and the general population.
USA TODAY reporter Elizabeth Wise contributed to this article.
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