As the ‘messy’ deployment of the US vaccine continues, states begin to prioritize more people for vaccination

Only 5.3 million of the 17.3 million doses distributed were administered in the United States – only 30.7%. It does not come close to the target set by the Trump administration in the fall to deliver 20 million vaccines to Americans by the end of 2020. Many states are therefore taking steps to speed things up.

Gov. Greg Gianforte on Tuesday in Montana moved some Covid-19 vaccination policies “immediately into force” to include people 70 and older and those 16 to 69 with specific conditions.

“We can not put vaccines on the shelf,” he said.

In Florida, Governor Ron DeSantis warned hospitals that if they did not spread the vaccine fast enough, they could lose additional lots. The state expanded vaccinations to seniors over 65, and the demand was so great that some seniors camped overnight to get one. One spot in Daytona Beach filled up two hours before the doors opened.
Trump officials told CNN on Monday that they would continue to allow states to make decisions about vaccination campaigns. They urged states to expand the availability of vaccines to pharmacies and allow more people to get their shots. The American Surgeon General, dr. Jerome Adams, on Tuesday, urged states to move quickly to additional priority groups.

“States across the country feel they are watching the Immunization Practices Advisory Committee to vaccinate everyone in group 1a before going to 1b and beyond, and what I want people to know are guidelines,” Adams said.

In the guidelines of the CDC Advisory Committee, healthcare workers and residents in long-term care institutions are the highest priority to receive vaccines – Phase 1a. Phase 1b then includes people aged 75 and over and essential workers in the front line who do not work in the healthcare sector, such as firefighters, correctional officers and utility and transport workers. The next phase, 1c, includes people aged 65 to 74, people aged 16 to 64 with high-risk medical conditions and other essential workers.

“If the demand is not in one place, the vaccines will move to another place,” Adams told the NBC program Today on Tuesday.

U.S. Secretary of Health and Human Services Alex Azar said Wednesday that he encourages governors to go ahead and use “every bit” of the vaccine.

“If the distribution is struggling for some reason, and if there are vaccines in freezers, then in all respects you should open up to people aged 70 and older, 65 years and older, you should make sure that the nursing home patients are vaccinated, Azar said on Wednesday.

States begin to shift priorities

Some states appoint members of the public for vaccinations.

In CDC data, less than a quarter of the doses of the coronavirus vaccine distributed end up in the arms of humans. Until last week, Georgia was one of the many states that formally adhered to the guidance of federal health officials to first vaccinate only health workers and residents of long-term care facilities before moving on to other vulnerable populations.

No indication that the White House will revamp the distribution of vaccines, despite the major problems

With the vaccination of vaccines, the state is relaxing its rules and shifting its priorities. The plan? Let go of the elderly populations.

Last Thursday, Louisiana announced that residents in its Phase 1b group, people age 70 and older and additional health care workers, could start at pharmacies across the state to get a limited amount of the Modern Covid-19 vaccine. The health department said on Tuesday that hospitals could use extra doses for any groups currently eligible.

Atrium Health said Wednesday in Charlotte, North Carolina, that it is based on guidance from the state and CDC’s advisory committee after Phase 1b and has administered its first vaccine doses to the general public. It is said that ‘hundreds’ have already scheduled appointments needed for vaccination.

“We are working to ensure that the distribution of the vaccine is inclusive and with as few obstacles as possible,” said Dr. Gary Little, chief medical officer of Atrium Health, said in a statement. “Planning and receiving the vaccine when it is available is the best way we can all participate in ending this pandemic, while saving many lives in the process.”

Hospitals are already overwhelmed.  Now some states are starting to feel the impact of holiday gatherings

Other states are preparing to open the line – but not just yet.

New Hampshire Government’s Chris Sununu on Tuesday praised his vaccination effort, saying it should start vaccinating people in the Phase 1b group – including the elderly aged 75 and over – by mid-January.

Ohio Gov. Mike DeWine said Tuesday he hopes the state will begin its next phase of vaccination in about two weeks, depending on the availability of vaccines. Phase 1b in Ohio includes people 65 and older and people with certain medical conditions, as well as K-12 teachers and staff.

In Illinois, Gov. JB Pritzker announced that residents 65 and older could get the vaccine in the next phase, which will begin in a few weeks.

And in South Carolina, Governor Henry McMaster set a January 15 deadline for the people in Phase 1a to get the vaccine. If these health workers and residents of nursing homes do not report by then, they will be moved ‘back in line’ to make room for the following groups.

A big budget for massive efforts against vaccines

Despite pressure to accelerate vaccinations, funding was a major obstacle.

In the fall, the states submitted vaccination plans to the CDC, but ‘were not necessarily given all the necessary tools to make it successful’, according to Jennifer Kates, senior vice president and director of global health and HIV policy . at the Kaiser Family Foundation.

Previous legislation has raised only about $ 340 million, Kates said. Congress has just passed a stimulus bill that will send more money to states and local jurisdictions for the distribution of vaccines.

On Wednesday, the US Department of Health and Human Services announced that more than $ 3 billion will go to countries to help vaccinate people.

“Hopefully it will help, but it comes late in the process as states are already doing vaccines but the resources were not there yet,” Kates said.

“It’s basically a challenge to get the biggest vaccination we’ve ever seen,” Kates said. “They may have plans on paper, but that does not necessarily mean that states were ready to implement them at full speed immediately.”

But if states expand too fast, demand could be too great and cause more disappointment and frustration for people who urgently need vaccines.

“Nationally, it’s a bit bumpy in some places and in others, but it’s important to remember that we’re in the early stages,” Kates said. “Hopefully it will be smoother.

“The last thing you want is for people to get their vaccine and not be able to get it.”

CNN’s Deidre McPhilips, Tina Burnside, Melissa Alonso, Andy Rose and Gisela Crespo contributed to this report.

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