1) @GovLarryHogan is providing a #COVID19 vaccines update at the State House in Annapolis with Major General Tim Gowen of @MDNGand and Dr. Jinlene Chan from @MDHealthDe.

Let's do a thread. https://twitter.com/GovLarryHogan/status/1346577476466651136
2) Over the past 3 weeks, the state has allocated 270,150 doses of vaccines to hospitals, nursing homes, and local health departments as part of Phase 1A.

This represents 98.7% of doses from the federal government.
270,150 doses have been deployed to every hospital in Maryland, to all 24 local health departments, to CVS and Walgreens for nursing homes, and to support the vaccination of frontline workers at the state’s federal facilities, and healthcare workers who work in DC.
4) 163,225 doses were sent to every Maryland hospital. They have administered 55,941 doses, which is 34.3%.
5) We have deployed 35,200 doses to every one of our county health departments to vaccinate their vaccinators, EMTs, and first responders. LHD’s have administered 11,401 doses, which is 32.4%.
5a) Five counties have already used 80% or more of their allocations to date, including Howard, Montgomery, St. Mary’s, Calvert, and Caroline Counties.
6) 61,425 doses were sent directly through the Federal Pharmacy Partnership to CVS and Walgreens, which have a federal contract to administer vaccines in all 227 of our nursing homes.

So far, they have completed 8,503 doses, just 13.8%.
6a) @GovLarryHogan has contacted HHS Secretary Alex Azar to express his serious concerns about the slow pace of this program.

Earlier today, he also spoke with the CEO of CVS, who said they have done nearly twice as many vaccinations in the state as are being reported.
6b) The governor also spoke with the CEO of Walgreens who said clinics have now been scheduled at every one of the nursing homes which they had been assigned under the federal criteria.
6c) With many states having similar issues with this program, Governor Hogan reached out to the NGA in an effort to begin joint dialogues between the nation’s governors, federal partners, and the pharmacies.
7) @GovLarryHogan: “While none of us are thrilled with the pace of this rollout over the first few weeks, I can assure you it is improving every day.”
8) Today alone, Maryland reported a record 11,553 new vaccinations for a cumulative total of 76,916 vaccinations, and second doses have already begun at our hospitals as of today.
9) @GovLarryHogan: “I want to assure the people of Maryland we are going to leverage every resource to get more shots into more arms as quickly as we possibly can, in a safe and orderly way.”
10) We want to make sure Marylanders understand exactly how the vaccine distribution process works.
11) The governor is announcing a series of additional steps to help accelerate the pace of #COVID19 vaccinations.

Beginning tomorrow, @MDNG will begin to dispatch emergency vaccination teams across the state to assist local health departments with their clinics.
11a) These teams will include 14 guard members who will assist with administering vaccines and providing logistical support for vaccination clinics.
12) Through our Maryland Responds Medical Reserve Corps, we have identified 700 people from across the state who are ready and willing to assist with administering vaccines.

We will be providing that information to county health departments.
13) We have also offered the Maryland Hospital Association every resource at our disposal, including additional vaccinators, logistics support, and PPE, to help them speed up their pace of vaccinating workers.

Read the governor's letter: https://governor.maryland.gov/wp-content/uploads/2021/01/1-4-2020-Vaccine-Letter-to-MHA.pdf
14) To address reporting lag issues, the governor issued an executive order which requires ALL providers in the state to report data to ImmuNet *within 24 hours* after vaccines are administered.

Read the governor's order: https://governor.maryland.gov/wp-content/uploads/2021/01/Vaccine-Administration.pdf.
15) @MDHealthDept has issued an order which states that any facility that has not administered at least 75% of their total first dose allocation may have their future allocations reduced until they can prove their ability to meet capacity requirements.
15a) Read the health order: https://phpa.health.maryland.gov/Documents/2021.1.01.01%20-%20MDH%20Order-%20Amended%20Vaccination%20Matters.pdf
16) Effective immediately, the state is adopting a rolling vaccine allocation model.

We will no longer wait before all the members of a particular priority group are completed before moving on to those in the next group in line.
17) @GovLarryHogan: “Our message to those responsible for vaccinations is clear: either use the doses that you have been allocated, or they will be redirected to another facility or provider where they will be used immediately.”
18) The governor again makes clear that states are wholly reliant on the federal government for our supply of vaccines.

In the first 3 weeks, MD has only received enough vaccines for 4.4% of our population.
19) Until production is ramped up, we expect to receive only about *72,000 doses per week* for the federal government – *roughly 10,000 doses per day.*

At this pace, we can expect to have 1.8 million doses by the end of May.
20) PHASE 1A. The governor announces that this week we have expanded Phase 1A populations.

All licensed, registered, and certified healthcare providers anywhere in the state are now eligible for vaccination.
21) Vaccinations will also soon be underway for all law enforcement agencies, correctional officers, and frontline judiciary staff.

Phase 1A is more than a half million Marylanders.
22) Today, based on the recommendations of the Federal Advisory Committee on Immunization Practices, the governor announces updates to Phase 1.

Our new Phase 1B will now include all Marylanders over the age of 75.
22a) Phase 1B will include special needs group homes, high-risk inmates, developmentally disabled populations, continuity of government vaccinations, as well as teachers, child care, and education staff.
22b) This revised Phase 1B now includes approximately 860,000 more Marylanders.

Based on the current rate of allocation, we anticipate the state being able to move into Phase 1B by the end of January.
22c) TEACHERS. The Maryland State Department of Education will begin coordinating with county school systems to get teachers and critical staff vaccinated during Phase 1B.
23) Our new Phase 1C includes all Marylanders 65-74 and workers in additional critical sectors including grocery stores, public transit, agricultural production, and manufacturing.
23a) Phase 1C now includes another 772,000 Marylanders and we expect to be able to move into this phase sometime in March.
24) Our newly updated Phase 2 will include Marylanders ages 16-64 who are at increased risk of COVID-19, as well as essential workers in critical utilities and other sectors.

This includes another 1.1 million Marylanders.
25) To stay informed on and determine when you will be eligible for #COVID19 vaccines, Marylanders are encouraged to text MDREADY to 898-211 or visit http://covidlink.maryland.gov .
You can follow @riccimike.
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