Medical Discussion of Coronavirus

[StarTrekDoc]

State admin knows the need for shot #2 to keep it going. This is not something unanticipated. They know the burn rate, they know the schedule of #2 coming in --- they know the ramp up schedule. They know their supply inventory and location. To drop delivery completely to the two highest profile counties is simply insane and a total cluster #$%# . The state set the rules and supply guarantee on ramp up. They set determinates on made the ask to ramp. Now they cut the very people that stepped up off at the knees.

Part of it is the switch from McKesson to BlueShield on the delivery and total waste of time on the meetings trying to do a PR smooth over the past two days.

No logical reason to mess up on delivery of 50k+ doses to the two counties and simply puts a big wet towel on the rampup efforts of folk on the ground. Those counties who were hesitant in committing precious personnel resources to county efforts will totally shy away now.

Operations nightmare.

[resident_1]

It’s unfortunate that our country is also playing political games with peoples health.We could be purchasing Sputnik vaccine, and Chinese vaccine to get people vaccinated before the next wave from new variants. Instead like Ukraine we refuse to do so for political reasons.
In Russia anyone can get a vaccine. It’s widely available and free. Russian vaccine is also less expensive doesn’t need refrigeration like ours. Instead we’re just gonna continue reading articles scaring people about wait times, articles about inequality by race and access to vaccines, people skipping the line due to having connections. The ruling elite, lobbyists, executives of pharma have their own goals (that are not in line of general public well being....its mostly stuffing $ their pockets). There hasn't been effort or focus to improve lives if regular people and close wealth gaps and racial gaps in at least 40yrs.Now we see it playing out in public health. We have a global event. But instead United States keeps to its feelings of Russia that it had since 1945. Makes sense, as many politicians are old and that’s how they grew up (doubting their science, calling them aggressors, imposing sanctions).

[G]

State admin knows the need for shot #2 to keep it going. This is not something unanticipated. They know the burn rate, they know the schedule of #2 coming in --- they know the ramp up schedule. They know their supply inventory and location. To drop delivery completely to the two highest profile counties is simply insane and a total cluster #$%# . The state set the rules and supply guarantee on ramp up. They set determinates on made the ask to ramp. Now they cut the very people that stepped up off at the knees.

Part of it is the switch from McKesson to BlueShield on the delivery and total waste of time on the meetings trying to do a PR smooth over the past two days.

No logical reason to mess up on delivery of 50k+ doses to the two counties and simply puts a big wet towel on the rampup efforts of folk on the ground. Those counties who were hesitant in committing precious personnel resources to county efforts will totally shy away now.

Operations nightmare.

That is a bummer for the reasons that you state.

The other day we had a couple nurses with a cooler trolling through the ER with leftover Moderna shots. A couple new staff members and a couple older patient family members got a nice surprise. Obviously this is a drop in a pond compared to SoCal, but it is progress!

[Tim]

State admin knows the need for shot #2 to keep it going. This is not something unanticipated. They know the burn rate, they know the schedule of #2 coming in --- they know the ramp up schedule. They know their supply inventory and location. To drop delivery completely to the two highest profile counties is simply insane and a total cluster #$%# . The state set the rules and supply guarantee on ramp up. They set determinates on made the ask to ramp. Now they cut the very people that stepped up off at the knees.

Part of it is the switch from McKesson to BlueShield on the delivery and total waste of time on the meetings trying to do a PR smooth over the past two days.

No logical reason to mess up on delivery of 50k+ doses to the two counties and simply puts a big wet towel on the rampup efforts of folk on the ground. Those counties who were hesitant in committing precious personnel resources to county efforts will totally shy away now.

Operations nightmare.

And NOW you have a 200+ national guard unit . Just another logistics wrinkle to work through. Do you think the "new" CDC is going to short the national guard units for HUB sites, pharmacies, and hospitals? National guard units were discussed under the "old" CDC. Function was backup. Only one of the 5 is on the ground, just last week. 20 more called up. Now you have CDC with its big bang pharmacy direct, national guard units (not small) competing for limited quantities. I have no doubt that the political motivation for allocating vaccines will take good care that those "new improved" programs will be given priority. There is no way to avoid the federal government from making their imprint and make sure their "new programs" have supplies. The small distribution points and healthcare systems got pushed to the back of the line.
National Guard and NFL stadiums will be supplied out of no where. All prior commitments have been revoked. Photo ops and publicity will last for about a month or two.


"The Federal Emergency Management Agency has asked the Pentagon to supply as many as 10,000 service members to staff 100 centers. Defense Secretary Lloyd Austin approved the initial five teams, but the others will be approved in separate tranches as FEMA identifies the other site locations.


Acting FEMA Administrator Robert Fenton told reporters that two vaccination sites that will be “predominantly” federally run will open in California on Feb. 16, one at California State University, Los Angeles, and the other in Oakland.


Military troops will staff one of the two California centers, FEMA and Pentagon officials said. Personnel from other parts of the federal government will be at the other one. More sites will open around the country as more doses of vaccine become available."

Vaccines become available as allocated. Thank you city, county and states, the availability is certain where ever the CDC decides. This is not necessarily help where it is needed, it is help for a short period of time. Completely creates disruption. I fully expect a couple down at the borders to vaccinate "as needed".

[Panscan]

It’s unfortunate that our country is also playing political games with peoples health.We could be purchasing Sputnik vaccine, and Chinese vaccine to get people vaccinated before the next wave from new variants. Instead like Ukraine we refuse to do so for political reasons.
In Russia anyone can get a vaccine. It’s widely available and free. Russian vaccine is also less expensive doesn’t need refrigeration like ours. Instead we’re just gonna continue reading articles scaring people about wait times, articles about inequality by race and access to vaccines, people skipping the line due to having connections. The ruling elite, lobbyists, executives of pharma have their own goals (that are not in line of general public well being....its mostly stuffing $ their pockets). There hasn't been effort or focus to improve lives if regular people and close wealth gaps and racial gaps in at least 40yrs.Now we see it playing out in public health. We have a global event. But instead United States keeps to its feelings of Russia that it had since 1945. Makes sense, as many politicians are old and that’s how they grew up (doubting their science, calling them aggressors, imposing sanctions).

I would way rather keep up our current policy (which is working quite well) than buy foreign vaccines which questionable efficacies. Our vaccination efforts and numbers are also improving by the day. we will probably be averaging 2 million doses given per day in next week or two.

[Tim]

I would way rather keep up our current policy (which is working quite well) than buy foreign vaccines which questionable efficacies. Our vaccination efforts and numbers are also improving by the day. we will probably be averaging 2 million doses given per day in next week or two.

The question is whether the supply sustainable. The delivery problems have been mostly solved, greatly exceeding the quantities supplied. CDC is intentionally making it difficult to track supply. 70% of the supply is in the arms. Supply is the issue and there seems to be an intentional avoidance of data regarding supply. The only "big news" is Moderna shipping 14 shots instead of 10 in a vial. Not much else has been accomplished, NO NEWS on new vaccine manufacturing capacity, a lot of press releases though. Duplicating work that has been done on the state and local level. The only problem is there is not going to be enough vaccine for the overcapacity that already exists. We already have an excess vaccination capacity. Similar to the hospital ships that were barely used. (however, this was warranted due to the uncertainty). The delivery problem is already solved. Activity trap that is only complicating things. I can see a "swat team" approach for specific problem areas, not a floating mega site. Do it your way CDC, people don't care who gets credit. Seems to be a control issue that will result in throwing out priorities to use the tools.

"VTrckS is a robust vaccine management application that allows CDC, awardees, and providers to order and manage publicly-funded vaccines more efficiently."

Daily vaccines shipped ,7 day vaccines and days vaccine in inventory by county would be the metrics with a supply plan would tell us where we are and where problems exist.

[StarTrekDoc]

Yeah; totally get the PR and Fed angle. Went ahead and rescheduled my four parents into the CVS queue that dropped yesterday right after we verified that vaccines aren't coming in time. As you said Fed feeding their programs directly and siphoned off vaccine to supply CVS instead.

Just dumb operations to rob Peter to pay Paul instead of addressing the pipeline issue.

The CVS scheduling is so convoluted that many will abandon the process before getting it setup.

[CordMcNally]

It’s unfortunate that our country is also playing political games with peoples health.We could be purchasing Sputnik vaccine, and Chinese vaccine to get people vaccinated before the next wave from new variants. Instead like Ukraine we refuse to do so for political reasons.
In Russia anyone can get a vaccine. It’s widely available and free. Russian vaccine is also less expensive doesn’t need refrigeration like ours. Instead we’re just gonna continue reading articles scaring people about wait times, articles about inequality by race and access to vaccines, people skipping the line due to having connections. The ruling elite, lobbyists, executives of pharma have their own goals (that are not in line of general public well being....its mostly stuffing $ their pockets). There hasn't been effort or focus to improve lives if regular people and close wealth gaps and racial gaps in at least 40yrs.Now we see it playing out in public health. We have a global event. But instead United States keeps to its feelings of Russia that it had since 1945. Makes sense, as many politicians are old and that’s how they grew up (doubting their science, calling them aggressors, imposing sanctions).

Do you think it's just the politicians? If there was a big public push to get these vaccines then they would probably do it but regardless of political affiliation, I don't think that the general public trusts Russia or China. I strongly disagree about improve lives of regular people and the wealth and racial gap comment but that discussion would be best served for a different thread that would probably get locked after 15 minutes.

[resident_1]

Well yeah if Americans were told we’re buying Russian vaccine, they will start asking why are we every day bad mouthing Russia. Russian vaccine is effective, start buying it and distributing it, it will help out the situation. But current administration is well known Russophobes.

[Lordosis]

What is the timeline to approving the other vaccines in the US?

[uptoolate]

Well yeah if Americans were told we’re buying Russian vaccine, they will start asking why are we every day bad mouthing Russia. Russian vaccine is effective, start buying it and distributing it, it will help out the situation. But current administration is well known Russophobes.

Personally, having toured medical facilities in Russia and Ukraine and having spoken to our colleagues there, I wouldn't be buying Russian vaccines until I had put them through independent trials and evaluation.

[fatlittlepig]

vaccines from other countries including russia should have been procured, like, months ago. distrust of chinese and russian vaccines are likely unfounded. https://www.thelancet.com/journals/l...234-8/fulltext

[Panscan]

To me the russian and chinese vaccines are two distinct entities. The russian one seems fine versus the chinese one which has come under criticism for its efficacy.

However the data we have from both is incomplete and thus would not meet our criteria for being given to our citizens.

[StarTrekDoc]

The amount of vaccine hesitancy is already high. Fighting a questionable efficacy foreign vaccine that's laced with 5G nanites....

[HikingDO]

I got my first vaccine 2 days ago and was really impressed with the efficiency of the process. Appointment was at 8:50am, and was out of there in an hour, even after being watched for 30 minutes because of a severe reaction to a previous vaccine. I even lucked out, no pain or reaction what so ever, even after previously having Covid. Well, unless I poke the injection site hard, so I know, don’t poke the injection site. Hopefully #2 in 3 weeks goes just as well!