Dayton Daily News

U.S. outlines sweeping vaccine plan

Shots would be free; skepticism about timing, politics persists.

- By Ricardo Alonso-Zaldivar and Matthew Perrone

The government WASHINGTON— outlined a sweeping plan Wednesday to make vaccines for COVID-19 available for free to all Americans, assuming a safe and effective shot is developed, even as top health officials faced questions about political interferen­ce with virus informatio­n reaching the public.

In a report to Congress and an accompanyi­ng “playbook” for states and localities, federal health agencies and the Defense Department sketched out complex plans for a vaccinatio­n campaign to begin gradually in January or even late this year, eventually ramping up to reach any American who wants a shot. The Pentagon would be involved with the distributi­on of vaccines, but civilian health workers would be the ones giving shots.

The whole enterprise faces remaining skepticism. Only about half of Americans said they’d get vaccinated in an Associated PressNORC poll taken in May. Since then, questions have only mounted about whether the government is trying to rush treatments and vaccines to help President Donald Trump’s re-election chances.

The director of the CDC, Dr. Robert Redfifield, responding Wednesday before Senate lawmakers, rejected questions over whether the government’s timeline for states to be ready for a vaccine by Nov. 1 was politicall­y motivated.

Redfifield told the Senate Appropriat­ions Committee that the “scientifif­ic integrity” of his agency’s output “has not been compromise­d and it will not be compromise­d under my watch.”

He said he was “deeply saddened” by Caputo’s accusation­s that CDC staffff were working as a “resistance unit” against the administra­tion.

Sen. PattyMurra­yofWashing­ton, the committee’s top

Democrat, said political interferen­ce had damaged public trust in the government’s health informatio­n .

“The Trump administra­tion needs to leave the science to the scientists immediatel­y,” Murray said.

Although Trumpasser­ted Tuesday that a vaccine could be three to fourweeks away, Redfifield, made clear to Congress that any version available this year would be in “very limited supply.” The shot wouldn’t be broadly available to most of the U.S. population until the summer of 2021, he estimated.

Trump’s press secretary, Kayleigh McEnany, quickly repeated the president’s version at the White House: “We do believe that it will be widely available by the end of the year.”

As for the plannedvac­cine campaign, theCDCplay­book for states says it is “much larger in scope and complexity than seasonal inflfluenz­a or other previous outbreak-related vaccinatio­n responses.” Redfield said that his agencywill beworkingw­ith state health offifficia­ls to execute the vaccinatio­n plan in coming days.

Among the highlights of the plan:

■ Formost vaccines, peoplewill needtwo doses, 21 to 28 days apart. Double-dose vaccines will have to come from the same drugmaker. There could be several vaccines from different manufactur­ers approved and available.

■ Vaccinatio­n of the U.S. population won’t be a sprint but a marathon. Initially there may be a limited supply of vaccines, and the focus will be on protecting healthwork­ers, other essential employees, and people in vulnerable groups. “Early in(the) COVID-19vaccinat­ion programthe­remay be a limited supply of vaccine and vaccine efffffffff­fffortsmay focus on those critical tothe response, providing direct care and maintainin­g societal functions, aswell as those at highest risk for developing severe illness,” Redfifield said. Asecond and third phase would expand vaccinatio­n to the entire population.

■ The vaccine itself will be free of charge, thanks to billions of dollars in taxpayer funding approved by Congress and allocated by the

Trump administra­tion. The goal is that patients won’t be separately charged for administra­tionof their shots, and officials say they are working to ensure that’s the case for allMedicar­e recipients­anduninsur­edpeopleas well those covered by insurance at their jobs.

■ States and local communitie­swill need to devise precise plans for receiving and locally distributi­ng vaccines, some of which will require special handling such as refrigerat­ionor freezing. States and cities have a month to submit plans.

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