Confusion over US vaccine distribution

Several states told to expect fewer doses, but Trump administration says it’s a misunderstanding

Several states say they have been told to expect far fewer doses of the PfizerBiontech Covid-19 vaccine in its second week of distribution, prompting worries about potential delays in vaccines for healthcare workers and long- term care residents.

But senior Trump administration officials yesterday downplayed the risk of delays, citing a confusion over semantics, while Pfizer said its production levels have not changed.

The first US doses were administered on Tuesday, and already this week, hundreds of thousands of people, mostly healthcare workers, have been vaccinated.

Efforts to help ward off the coronavirus come amid a staggering death toll that surpassed 300,000 on Tuesday. Johns Hopkins University says about 2400 people are dying daily in the US, which is averaging more than 210,000 cases a day.

In recent days, governors and health leaders in at least 10 states have said the federal government has told them that nextweek’s shipment of the Pfizer-biontech vaccine will be less than originally projected.

Little explanation was offered, leaving many state officials perplexed.

“This is disruptive and frustrating,” Washington Governor Jay Inslee, a Democrat, wrote on Twitter after learning from the Centres for Disease Control and Prevention that the state’s allocation would be cut by 40 per cent. “We need accurate, predictable numbers to plan and ensure on-the-ground success.”

California, where an explosion in cases is straining intensive care units to the breaking point, will receive 160,000 fewer vaccine doses than state officials had anticipated next week – a 40 per cent reduction.

California hospitals began vaccinations this week from the first Pfizer shipment of 327,000 doses and had expected even more to arrive next week. Instead, officials have been told to expect about 233,000 doses, said Erin Mellon, a spokeswoman for Governor Gavin Newsom.

Missouri’s health director, Dr Randall Williams, said his state will get 25 per cent to 30 per cent less of the vaccine next week than anticipated. A statement from the Iowa De

partment of Publichealth said its allocation will be “reduced by asmuch as 30 per cent, however we are working to gain confirmation and additional details from our federal partners”.

Michigan’s shipment will drop by about a quarter. Illinois, Montana, Kansas, Nebraska, New Hampshire and Indiana also have been told to expect smaller shipments.

Two senior Trump administration officials who spoke on condition of anonymity to discuss internal planning said states will receive their full

allocations, but misunderstandings about supply and delivery schedule changes may be creating confusion.

One official said the initial numbers of available doses that were provided to stateswere projections based on information from the manufacturers, not fixed allocations.

The two officials also said changes the federal government made to the delivery schedule, at the request of governors, may be contributing to a mistaken impression that fewer doses are coming. The key change involves

spacing out delivery of states’ weekly allocations over several days to make distributionmoremanageable.

“They will get their weekly allocation, it just won’t come to them on one day,” one official said.

Pfizer made it clear that as far as production goes, nothing has changed.

“Pfizer has not had any production issues with our Covid-19 vaccine, and no shipments containing the vaccine are on hold or delayed,” spokesman Eamonn Nolan said in an email. “We are continuing to dispatch our orders to the locations specified by the US government.”

The company said in a statement that thisweek it “successfully shipped all 2.9 million doses that we were asked to ship by the US Government to the locations specified by them. We have millions more doses sitting in our warehouse but, as of now, we have not received any shipment instructions for additional doses.”

The senior administration officials said Pfizer’s statement about doses awaiting shipping instructions omits that it was planned that way.

The federal officials said Pfizer committed to provide 6.4 million doses of its vaccine in the first week after approval. But the federal Operation Warp Speed had already planned to distribute only 2.9 million of those doses right away. Another 2.9 million were to be held at Pfizer’s warehouse to guarantee that individuals vaccinated the first week would be able to get their second shot later to make protection fully effective. Finally, the government is holding an additional 500,000 doses as a reserve against unforeseen problems.

Pfizer said it remains confident it can deliver up to 50 million doses globally this year and up to 1.3 billion doses in 2021. AP