Supply chain experts say the sluggish rollout of Kovid-19 vaccines across the US highlights the challenges of a decentralized distribution plan that depends on states and territories.
According to the Centers for Disease Control and Prevention, more than 22 million doses were distributed to states and other jurisdictions as of Friday, while 6.7 million people received their first shots from that point. The figures were lower than the US goal of 20 million vaccinations by the end of 2020, and communities and states were still stating the hiccups in the month as they managed their vaccination programs.
Julie Swan, a professor at North Carolina State University and head of the Department of Industrial and Systems Engineering, said, “If you told that your preference was to get as many people vaccinated as soon as possible, they would run the campaign differently. ” . “But that’s not what they were told.”
Instead of seeking to stop the spread of transmission in communities, Drs. Swann, who advised the CDC during the H1N1 pandemic, has focused exclusively on reducing mortality among high-risk populations.
Supply-chain experts have many times already been stretched to their limits by the coronovirus epidemic due to the burden faced by state and local health agencies, along with communication problems, as well as how many doses states are scheduled to receive it was done.
But experts also point to guidance from a federal vaccine advisory panel that should be vaccinated first, which recommended that a limited initial supply of doses be given to health care workers and residents of long-term care facilities.
On Friday, President-Elect Joe Biden’s transition team said it intends to release almost all available doses to speed delivery.
New York government’s Andrew Cuomo and New York City Mayor Bill de Blasio have collided with distribution, with the governor criticizing hospitals for slow administration of doses and the mayor asking for more flexibility on state guidelines on who to vaccinate. Can.
The US Kovid-19 Vaccine Distribution Strategy focuses on supply, with Philip Palin, a writer and supply-chain resilience expert advising governments and businesses on preparing for disaster events. Vaccines are being allocated to target groups, he said, as opposed to more high-velocity supply chains, which are more generic and tend to be demand-driven.
He said that the manufacture and distribution of the first two vaccines in the US — those manufactured by Pfizer Inc.
And BioNTech SE in a joint program and by Modern Inc.
– Under current guidelines to set vaccination priorities has effectively eliminated the ability of vaccinators. “, What has not yet happened is the substantial ‘consumption’ of the distributed supply,” Mr Palin said.
To accelerate vaccination, Mr. Palin said, authorities can work with community organizations and local governments to identify potential vaccination sites and focus on areas where the vaccine need is greatest.
Vaccination may be more challenging if dose rollout continues on the current route, as officials move toward a wider population, said Pinar Keskinkok, a professor at the Georgia Institute of Technology and director of the Center for Health and Humanitarian Systems.
“Ideally we need some kind of online system, where you sign up with your information and location, and are informed when it’s time to get your vaccine,” Dr. Keskinok said. “We don’t seem to have a very concrete plan at the local level as to how we are going to get this vaccine from storage in people’s arms.”
‘We do not see any concrete plan at the local level as to how we are going to put this vaccine in people’s arms.’
Kovid-19 vaccination programs in Europe are also experiencing delays amid the increase of infections in countries with different methods to deliver shots.
Dr. Swan stated that in the US, state and local health departments typically have a lot of flexibility for such campaigns. “It allows North Dakota to be distributed differently than New York. It allows Arizona to distribute separately from California with its Native American reservations and a different kind of infrastructure, ”she said.
Dr. Swan said that centralized vaccination efforts are intensified, but other challenges may have to be faced. For example, deploying the military to help people vaccinate would likely be complete with resistance in parts of the US.
Nevertheless, Drs. Swann said, “If the US decided to make an axis and said, ‘We have to bring matters down because our hospitals are overwhelmed,’ they can run mass vaccination clinics, and that would be a lot more efficient.”
Write Jennifer Smith at [email protected]
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