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MaineHealth seeks clarity in turmoil as state immunization programs progress

MaineHealth seeks clarity in turmoil as state immunization programs progress

 


As the limited supply of COVID-19 vaccine flows into Maine, who can now be vaccinated by hospitals and other healthcare providers, and when the eligibility pool expands under the state’s changing vaccination plans I am facing confusion about what to do.

Maine Health officials, who operate one of the state’s largest hospital networks, are seeking further guidance from the Maine Center for Disease Control and Prevention on whether healthcare professionals who are not part of the Maine Health system should be vaccinated. Said. Company officials are also seeking information on the main CDC’s plans to distribute vaccines to healthcare providers outside the hospital.

Maine Health spokesman John Porter said Tuesday that the current focus is on vaccination of front-line staff in the system, such as workers in emergency rooms and COVID wards, but the company will have to make decisions about non-employees in the near future. He said he expected it to be.

“We are working with the CDC,” Porter said. “We want to make sure we do it right, efficiently and effectively.”

Private practitioners working with patients at risk of serious complications from COVID-19 are also seeking guidance and assurance from both the main CDC and the hospital network that manages this first wave of vaccination.

Dr. John Paul Winters, a hematologist / oncologist at New England Cancer Specialist in Scaborow, said that many cancer treatment clinic staff are likely to be at low risk due to age and relative health. I did. However, Winters said, “Staying up late is an asymptomatic carrier that can infect one of the patients fighting cancer with the virus.”

Doctors and nurses often spend more than an hour in a small room with patients, and the staff in the “infusion room” need to be close to helping patients with cancer and other illnesses. There is.

“From the perspective of being in private oncology practice, we may not be at the forefront of caring for COVID patients in the (emergency department) or ICU,” Winters said. “But we can’t practice a lot of telemedicine. We are practical and the patient is very ill.”

Dr. Nirav Shah, director of the main CDC, said on Monday that he knew at least one medical system that was vaccinated against non-employees working at the company’s location. But he admitted that they do not yet have clear guidelines for vaccination of non-employee healthcare providers.

Maine’s state-specific immunization plans are changing in response to evolving federal guidance, based on the latest science in vaccine availability and pandemics. The interim draft program, posted on the main CDC website in October, is now partially abolished as state health officials have adopted a multi-stage vaccination program proposed by the US Centers for Disease Control and Prevention.

For example, the Main CDC, under federal guidance, has added residents of long-term care facilities to the first phase of its vaccination program. In the latest adjustment, Shah announced on Monday that Maine would follow the Federal Advisory Board’s recommendation to include individuals aged 75 and over and front-line “essential” workers in the next phase of vaccination.

This means that if vaccine supply and federal distribution go well, tens of thousands of teachers, police officers, correctors, grocery workers, and postal workers will be at the earliest in late January or early February. You are eligible for vaccination.

Main CDC spokesman Robert Long said Tuesday that authorities were largely following federal recommendations for current vaccination during a period known as Phase 1A. Phase 1B includes Mainers and non-healthcare mandatory workers aged 75 and over, and Phase 1C includes young individuals aged 65-74 with high-risk medical conditions and other mandatory workers. I will.

In these scenarios, the rest of Maine’s civilians may not be vaccinated until late spring or early summer.

The main CDC is waiting for the Immunization Implementation Advisory Board to finalize the recommendations approved on Sunday, Mr Long said. This includes proposals to move individuals over the age of 75 to higher priority categories.

“Until they become clearer, we will continue to focus our resources on getting available doses of the vaccine in the Phase 1A group,” Long said. “We also want to enable manufacturers to consistently deliver complete vaccine orders to Maine before further adjusting the state’s vaccination plans.”

The rapidly evolving situation and changes in multi-stage vaccination programs have caused confusion between healthcare professionals and the general public. When and how many mainners, especially those over the age of 60, or those in good health at high risk of death from COVID-19, can be vaccinated by doctors, police, fire departments and the press. I asked.

The request for Maine Health’s account seems to have arisen from the confusion of who is responsible for vaccination of workers and other employees in private clinics outside the large hospital network.

At a briefing on Monday afternoon, Shah said the main CDC asked the hospital to do what the main CDC considers to be the right call, given the risks faced by employees and healthcare providers, from COVID-19. It was.

Shah said the Maine CDC needed to provide hospitals with more unified guidelines, but focused on immunizing everyone in Maine as soon as possible “currently mass vaccination.” It’s in mode. ” Shah suggested that the agency not issue detailed level guidance, such as how many hours or how many patients the provider must record to qualify for the vaccine.

“If they are healthcare providers encountering patients at the facility, it is appropriate for all of us to keep the healthcare system healthy and to vaccinate those people,” Shah said. ..

Victoria Foley, New England Cancer Specialist’s Director of Marketing and Communications, has already contacted the group’s local office that managers of the Portsmouth District Hospital in New Hampshire will be contacted when the vaccine becomes available. I said that I am doing it. Based on ongoing discussions, Foley said he was optimistic that Maine Health could include the main office in health care worker vaccination plans.

“I am very pleased to hear that there is a debate about how private practitioners and private practitioners can be incorporated into vaccination schedules,” Foley said.


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