Medical Discussion of Coronavirus

[StarTrekDoc]

When we reached out to our local sports stadium, the ownership jumped at the opportunity. Got their events team hooked up with our engineering folk; hammered out a plan and setup site in 72 hours for 5k a day. Yeah, event planner teams know crowd control flow and more than ready and available to go.

Looking to replicate twice more for the county to get the rest of the 100K outstanding healthcare people so we can move into 1B.

County remains holding back the okay until we get a handle around the outstanding ones.

This SHOULDN"T be hard. There's just no national/state level leadership to make this a national wartime effort that's killing 4k citizens a day.

[Shant]

The vaccine will probably be approved for under-16s by the time there is vaccine available for them, no?

[nephron]

I doubt that the vaccine will every be approved for people under the age of 16. The disease causes such a low rate of morbidity and mortality in that patient population that I can't see them ever proving a benefit in a randomized controlled trial. It's not very surprising that states are struggling with the administration of vaccines. I think that the federal government is just taking large lots of vaccine and giving them to state capitals and telling them to figure out how to dispense them. The need for two subsequent dosages and not knowing when or how large your next shipment is going to be is really hamstringing them.

[G]

When we reached out to our local sports stadium, the ownership jumped at the opportunity. Got their events team hooked up with our engineering folk; hammered out a plan and setup site in 72 hours for 5k a day. Yeah, event planner teams know crowd control flow and more than ready and available to go.

Looking to replicate twice more for the county to get the rest of the 100K outstanding healthcare people so we can move into 1B.

County remains holding back the okay until we get a handle around the outstanding ones.

This SHOULDN"T be hard. There's just no national/state level leadership to make this a national wartime effort that's killing 4k citizens a day.

From data reported by the county and newspaper, roughly 40% of vaccines went to local health services and the rest went to the health district. I could not find health service data, but 94% of the health district vaccines had been given (before receiving a shipment yesterday).

We have moved on to teachers/frontline workers and over 70s!

It can be done....

Maybe I will recant advocating for a federal approach--things here would be hard to improve!

So proud of the folks coordinating and implementing this! THANK YOU!

[wideopenspaces]

I doubt that the vaccine will every be approved for people under the age of 16. The disease causes such a low rate of morbidity and mortality in that patient population that I can't see them ever proving a benefit in a randomized controlled trial. It's not very surprising that states are struggling with the administration of vaccines. I think that the federal government is just taking large lots of vaccine and giving them to state capitals and telling them to figure out how to dispense them. The need for two subsequent dosages and not knowing when or how large your next shipment is going to be is really hamstringing them.

This is not what I've heard from friends who are pediatricians. They started trials on kids and I heard early next year for a vaccine for them. Do you have a source? I admit I REALLY want a vaccine for my kids!

[Lordosis]

This is not what I've heard from friends who are pediatricians. They started trials on kids and I heard early next year for a vaccine for them. Do you have a source? I admit I REALLY want a vaccine for my kids!

Me too. I feel it would be hard to loosen up until that happens.

[Tim]

When we reached out to our local sports stadium, the ownership jumped at the opportunity. Got their events team hooked up with our engineering folk; hammered out a plan and setup site in 72 hours for 5k a day. Yeah, event planner teams know crowd control flow and more than ready and available to go.

Looking to replicate twice more for the county to get the rest of the 100K outstanding healthcare people so we can move into 1B.

County remains holding back the okay until we get a handle around the outstanding ones.

This SHOULDN"T be hard. There's just no national/state level leadership to make this a national wartime effort that's killing 4k citizens a day.

Wonderful solution in San Diego. How many counties in California have stadiums and a medical school hospital system to pull it off?
I was pleased that the “outstanding ones” are being considered.
The official priority is immediately offer vaccines to 1B. Nationwide. I have 3 people from San Diego signed up (lists, not appointments) for Hubs in Dallas because 1B is not available. Realistically, politics gets in the way. The allocations will go to the Hubs.
The vaccines will go to Hubs and the pharmacies and clinics for those without stadiums and arenas will get supplies cutoff.
Concentrated or distributed bandwidth?
Mine solution doesn’t fit all. Congratulations on getting the Hubs set up. Every problem solved counts. New rules favor the Hubs because the 1A priorities weren’t working for the healthcare systems to vaccinate their own.

[StarTrekDoc]

The challenge in 1A distribution aren't really healthcare hubs as we have the infrastructure and HR to deliver the last mile. It took a few days to roll up the flowprocess but ultimately after the first week we were vaccine constrained -- never increased beyond two moderate sized operations to stay ahead of the vaccine supply.

County received the bulk supply but had no process 'know how' either medical personnel nor flow management so have been hamstrung.

Possible Solution Nationwide:
1. What's more American? The county fair.
That has SOME event planner crew for flow management. Utilize that for the hub flow.
Marry that with largest medical group and medical society to muster personnel.
Supplement with National guard medic units and logistics units as needed

2. CVS in target - 2ndary hub sites. has distribution supply system and personnel in place already. Just need flow management is the problematic so throughput won't be as high.

This ALL needs to be done to ramp to 2M+ daily nationally -- in conjunction of quicker production rampup beyond 2-3 manufacturing sites -- have the recipe; national act and mobilize full force of American biotech might to crank everything out.

[NationalPark]

Amazing how many people declining to take vaccine.

[Peds]

Amazing how many people declining to take vaccine.

why?

influenza in its best years barely breaks 50%.

this is not suprising.

[G]

why?

influenza in its best years barely breaks 50%.

this is not suprising.

because influenza doesn't get 1/3-1/2 of the news coverage nor a death tally box in the corner of the TV screen.

[StarTrekDoc]

Vaccine hesitancy is real. Couple that with bulletproof mentality of youngsters and the politically charged nature of covid -- not surprised despite losing so many Americans. See it every day in my office. Folk I have had for years needing significant time investment to get them into the vaccine camp -- ultimately most are planning to accept but that's a lot of individual longitudinal time capital invested to get there.

Getting the general unaligned to PCP population to vaccinate? Very hard lift.

[Lithium]

Long lines to get vaccinated and suggestions to take a day off of work in order to get the second dose in order to deal with side effects aren’t really helping with vaccine enthusiasm. I’m not sure if people are waiting/hoping that a single dose vaccine will come out. AZ is set to release theirs in UK imminently.

[G]

Long lines to get vaccinated and suggestions to take a day off of work in order to get the second dose in order to deal with side effects aren’t really helping with vaccine enthusiasm. I’m not sure if people are waiting/hoping that a single dose vaccine will come out. AZ is set to release theirs in UK imminently.

This. It ain't an annual flu shot, that's for sure.

[StarTrekDoc]

J+J/Jaansen is about to make it a lot easier - single shot. Adenovirus based which is long time tried and true vaccine. That'll help rural and acceptance a lot more.

Sidenote - for kicks and giggles did my antibody test since I have the cartridges - was negative prior vaccination-- two weeks post moderna - positive.