Read on Twitter
So a lot of chatter happening on the slow vaccine roll out
Personally, I'm incredibly frustrated.
Did we not know that vaccines were coming? Is vaccine administration a surprise?
Several complex issues so lets break things down a bit
Warning, this is a bit of a rant
Thread
Personally, I'm incredibly frustrated.
Did we not know that vaccines were coming? Is vaccine administration a surprise?
Several complex issues so lets break things down a bit
Warning, this is a bit of a rant
Thread
First, we were told in October that we'd have 100 million doses by end of December
100 million
Who said that? @SecAzar
In The Hill. Like 10 weeks ago
Then, by november, Azar was saying 40 million doses ready to ship out by end of December https://thehill.com/changing-america/well-being/prevention-cures/520297-us-could-have-enough-covid-19-vaccine-for-every
100 million
Who said that? @SecAzar
In The Hill. Like 10 weeks ago
Then, by november, Azar was saying 40 million doses ready to ship out by end of December https://thehill.com/changing-america/well-being/prevention-cures/520297-us-could-have-enough-covid-19-vaccine-for-every
Here's Azar in @thehill saying 40 million by end of the year
In December, Operation Warp Speed says 20 million doses will be out by end of year, they'll keep the other 20M in reserve for 2nd dose. Fine
3/n https://thehill.com/changing-america/well-being/prevention-cures/526593-us-will-have-40-million-coronavirus-vaccine
In December, Operation Warp Speed says 20 million doses will be out by end of year, they'll keep the other 20M in reserve for 2nd dose. Fine
3/n https://thehill.com/changing-america/well-being/prevention-cures/526593-us-will-have-40-million-coronavirus-vaccine
Now, we'll miss 20M deadline but might be able to get to 20M by sometime in early January
But this is really not the worst part
The worst part is no real planning on what happens when vaccines arrive in states
No plan, no money, just hope that states will figure this out
4/n
But this is really not the worst part
The worst part is no real planning on what happens when vaccines arrive in states
No plan, no money, just hope that states will figure this out
4/n
So who manages state level? Departments of Health mostly
These well-funded agencies (yes, I'm kidding) who manage all the testing, data analysis & reporting, providing advice to businesses, schools, doing public campaigns, etc
Non-stop. For 9 months
They get vaccines too
5/n
These well-funded agencies (yes, I'm kidding) who manage all the testing, data analysis & reporting, providing advice to businesses, schools, doing public campaigns, etc
Non-stop. For 9 months
They get vaccines too
5/n
So DOHs adding vaccines to their plate
Most are super stretched and they are trying to make a plan
They are trying to stand up a vaccination infrastructure
Congress had given them no money. States are out of money
So many are passing it on to hospitals, nursing homes
6/n
Most are super stretched and they are trying to make a plan
They are trying to stand up a vaccination infrastructure
Congress had given them no money. States are out of money
So many are passing it on to hospitals, nursing homes
6/n
Any of this familiar?
Like our national testing debacle, being repeated
And now, hospitals and clinics are scrambling to figure out how to implement
This article from @CNN is helpful
There is one line in this piece that drove me crazy https://www.cnn.com/2020/12/23/health/vaccine-rollout-slow-data-lags/index.html
Like our national testing debacle, being repeated
And now, hospitals and clinics are scrambling to figure out how to implement
This article from @CNN is helpful
There is one line in this piece that drove me crazy https://www.cnn.com/2020/12/23/health/vaccine-rollout-slow-data-lags/index.html
The line when Mississippi health chief says its not state's job to ensure vaccines get into people's arms
What? Whose job is it?
Not the Feds. They just get vaccine to states
Not the states. They just get vaccine to hospitals, clinics
So its all on front line providers?
7/n
What? Whose job is it?
Not the Feds. They just get vaccine to states
Not the states. They just get vaccine to hospitals, clinics
So its all on front line providers?
7/n
To be sure, many states are taking real responsibility
LOTS of overburdened public health folks are still making this work. Heroically
But now hospitals trying to figure out where to set up vaccination sites. And folks sorting out who can do vaccinations in care facilities
8/n
LOTS of overburdened public health folks are still making this work. Heroically
But now hospitals trying to figure out where to set up vaccination sites. And folks sorting out who can do vaccinations in care facilities
8/n
So that's where we are, but here are a few key data points
1. We have about 11.5 million doses distributed
2. About 2.1 million given
3. I think the real number of given is higher (reporting lag) but its still not that great
But here's the part that is so frustrating
9/10
1. We have about 11.5 million doses distributed
2. About 2.1 million given
3. I think the real number of given is higher (reporting lag) but its still not that great
But here's the part that is so frustrating
9/10
There appears to be no investment or plan in the last mile
No effort from Feds to help states launch a real vaccination infrastructure
Did the Feds not know vaccines were coming?
Shouldn't planning around vaccination sites, etc not have happened in October or November?
10/11
No effort from Feds to help states launch a real vaccination infrastructure
Did the Feds not know vaccines were coming?
Shouldn't planning around vaccination sites, etc not have happened in October or November?
10/11
Public health has always been a state/federal partnership
States are stretched
Feds are suppose to help
But same folks who blamed states for testing mess now ready to blame states for vaccine slowdown
They are again setting states up to fail
But now, there is hope....
11/12
States are stretched
Feds are suppose to help
But same folks who blamed states for testing mess now ready to blame states for vaccine slowdown
They are again setting states up to fail
But now, there is hope....
11/12
Congress finally passed $ for vax distribution
States now building infrastructure. Should have been built by Feds months ago
After a slow ramp up, it'll get better
We're learning again we can't fight pandemic with every state on its own
An effective federal govt helps
Fin
States now building infrastructure. Should have been built by Feds months ago
After a slow ramp up, it'll get better
We're learning again we can't fight pandemic with every state on its own
An effective federal govt helps
Fin
Addendum
@SpoxHHS are pushing back on this thread
Their point?
Over past 9 months, on average, states/territories got $6M each, yes Million, for vaccine readiness
True
So not "no money" Just trivial $
@SpoxHHS are pushing back on this thread
Their point?
Over past 9 months, on average, states/territories got $6M each, yes Million, for vaccine readiness
True
So not "no money" Just trivial $
