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  • The United States rollout of the coronavirus vaccine has been anything but smooth,

  • Pfizer's vaccine rollout has hit a major snag.

  • Look, it's a logistical Rubik's cube.

  • Let's face it. If the Average Joe like us that needs themcan't get, who is getting them.

  • Was there a plan? Was there really a plan for distribution?

  • There were multiple plans and that meant that there were no plans.

  • As of early February 2021, more than 8% of Americans have received at least one dose of a

  • vaccine. And there are concerns about disparities when it comes to which Americans have access.

  • The Kaiser Family Foundation tracked data from 16 states that are reporting the races of vaccine

  • recipients and found people of color were receiving the vaccine at much lower rates than white

  • Americans. This is especially concerning since nonwhite Americans are at higher risk for contracting the

  • virus. The U.S.

  • is still ahead of most European countries when it comes to its rollout, but experts say the process has been

  • moving too slowly.

  • In comparison, Israel's Covid vaccine rollout has been the fastest in the world.

  • As of early February 2021, more than 35 percent of its population has been vaccinated.

  • Unlike the U.S., Israel established a national vaccination registry, which makes record-keeping a

  • lot easier. Israel, though, is facing growing criticism for excluding Palestinians from its

  • vaccination efforts.

  • The United States took a more decentralized approach to its rollout, which has left states to develop

  • distribution plans on their own.

  • And it's causing some problems.

  • Here's what went wrong with the U.S.

  • coronavirus vaccine rollout and how a new White House plans to turn things around.

  • On May 15th, 2020, the Trump administration launched Operation Warp Speed to accelerate

  • development, production and distribution of Covid-19 vaccines.

  • Its goal was to have 20 million Americans vaccinated by the end of 2020.

  • But once it came time to get shots into people's arms, the Trump administration turned the reins over to the

  • states. This meant state and local health officials were left to piece together a massively complicated

  • rollout operation without federal guidance or additional resources.

  • That really requires an assembly line like set up.

  • It requires several weeks of planning.

  • It requires making sure the complex storage is connected to individuals at the other end of the

  • process. And for places that don't have all of that infrastructure and that expertise, they really need more

  • technical assistance from the federal government and unfortunately, Operation Warp Speed only really seemed

  • to focus on the science and ultimately the development and approval of these vaccines, but not the

  • logistics around distribution and administration.

  • When the rollout began in December 2012, state and local officials ran into a slew of logistical

  • issues, and many locations lack the resources to distribute vaccines smoothly.

  • In many states, they have just hacked away at local public health budgets to the point where

  • people are using fax machines and Windows 98 to try and communicate and to

  • log their data.

  • The rollout also began over the holiday season, which led to more complications, especially surrounding

  • limited staffing.

  • The growing pains led to some high profile mistakes.

  • In December 2020, 42 people in West Virginia were accidentally given a monoclonal antibody

  • treatment for coronavirus rather than the vaccine mistake that the West Virginia National Guard, the

  • organization leading the state's rollout, called a "breakdown in the process."

  • Many state and local leaders now say that their distribution operations have gotten more efficient since

  • the rollout began. In fact, West Virginia has become one of the leading states in the country when it comes

  • to vaccinations.

  • Even though states have begun ironing out logistical issues, they are still facing another big problem.

  • They don't have enough vaccines.

  • The biggest challenge we face right now here is supply of the vaccine, we just can't get it.

  • There's no question we have an enormous supply demand imbalance.

  • 23,000 people couldn't get a vaccination because the supply didn't arrive.

  • If you take the calculation of what the county is getting each week and you just look at the number of

  • health care workers and seniors, we won't get through them until June.

  • The issue surrounding vaccine supplies started a few weeks into the rollout when state officials said the

  • federal government unexpectedly slashed the number of Pfizer vaccine doses the White House had told them to

  • expect. The Department of Health and Human Services said states had confused the initial numbers the

  • government had provided them with the actual allotment the states were going to receive.

  • HHS said the initial numbers were meant for planning purposes only and were not exact figures.

  • This forced states to scramble and come up with new plans.

  • On January 12th, 2021, the CDC expanded its Covid vaccine guidelines, suggesting states

  • allow everyone 65 years and older to receive a vaccine.

  • As a result, more than half of states expanded eligibility, increasing demand, while still having

  • incredibly limited supply.

  • The Trump administration then said it would release all of the vaccine doses the government had been holding in

  • reserve. But The Washington Post reported that the vaccine reserve had already been exhausted when the

  • administration made that announcement.

  • Governors and local officials around the country said the lack of supply forced them to cancel vaccination

  • appointments that people had made in advance.

  • The Biden administration announced on January 26, 2021, that the federal government was working to

  • purchase an additional 200 million vaccine doses from Pfizer and Moderna in order to get nearly

  • every American fully inoculated by the summertime.

  • There's also hope for Johnson & Johnson single shot vaccine candidate, which released promising results from

  • its clinical trials on January 29th, 2021.

  • A single shot vaccine would make logistics much easier and could seriously speed up the process.

  • But there's still the issue of locating the vaccine supply that's currently missing around the country, and

  • that will be a key challenge for the Biden administration.

  • We are working closely with General Perna, with the manufacturers, with the states to

  • understand exactly where the supply is.

  • Right now I think we still have vaccine on the shelves that we need to get into people.

  • So we're looking at a rollout plan that will will be diverse so that we can get to all people.

  • Another big hurdle to mass vaccination is persuading hesitant Americans to take the

  • vaccine. A survey by the Kaiser Family Foundation found that about a quarter of Americans either don't

  • want to get vaccinated or remain on the fence about it.

  • The survey also found that Republicans and black Americans were among the most hesitant groups.

  • The sentiment is not just in the U.S.

  • More than 35 percent of people in France and Poland say they don't plan to get the vaccine once it

  • becomes available, according to a YouGov study published in January 20 21.

  • Most of those polled said the main reason they won't take the vaccine is because they wanted to wait

  • to see if it's safe.

  • I think once we get to 100 million, maybe 120 million vaccines, the demand is going to get soft.

  • This year, 120 million people got vaccinated for flu adult.

  • It was an all time record.

  • Those were people who are worried about getting Covid going out and getting flu vaccines.

  • That may be the universe of people who really have significant demand for a vaccine.

  • And so I think we need to also, as we do this, work on the demand side of this equation, we can't lose sight of

  • that and just take for granted that everyone wants this vaccine.

  • Vaccine hesitancy is less of an issue at the beginning of a process compared to the setback in the lack

  • of infrastructure and the supply chain.

  • But there have already been signs people are unsure about getting the vaccine.

  • Ohio Governor Mike DeWine said about 60 percent of nursing home workers in his state have

  • declined to be vaccinated.

  • He said this was especially concerning considering it would make high risk elderly Americans more

  • susceptible to contracting the virus.

  • Vaccine hesitancy comes in numerous different flavors, I will say.

  • Some people really just need it to be convenient.

  • Some people need to have permission to take the time to get the vaccine or enough leeway

  • to be able to take the day off if they're feeling unwell the next day.

  • Some of it is they just kind of want to see how it's going to go.

  • Some of it is education.

  • And what is it that they are what is it that they're hesitant about?

  • What is the science that they need to understand?

  • And we need to bring that science to them by their trusted people.

  • With the vaccine rollout in the United States has been a dismal failure thus far.

  • Just before he was sworn into office, President Joe Biden announced the administration's national strategy

  • to combat the pandemic.

  • He set a target of administering 100 million doses within the first 100 days of his presidency and

  • hopes to institute a $20 billion national vaccination program to help accomplish it.

  • Biden says he will deploy FEMA and the National Guard to work with state and local officials to build mass

  • vaccination clinics across the country, as well as deploy mobile units to rural and underserved

  • areas. He also says he plans to make the vaccine available free of charge, regardless of a person's

  • immigration status, and help strengthen data systems and transparency surrounding the vaccination process.

  • Experts are hopeful that the slow initial rollout could be turned around once the systems and supply

  • confusion are sorted out.

  • Massive deployment like this often goes through a phase where we learn the mistakes, learn how to

  • make the operations work.

  • And it's very common in massive deployments to have this sort of period where things look relatively flat.

  • You get very concerned and then it takes off because if you have multiple sites or one site figures that out, a

  • lot of others are doing it at the same time.

The United States rollout of the coronavirus vaccine has been anything but smooth,

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What Went Wrong With The U.S. Coronavirus Vaccine Rollout?

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    joey joey に公開 2021 年 05 月 23 日
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