US plHns to proviNe free vHccines
The government 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 reelection chances.
Although Trump asserted Tuesday that a vaccine could be three to four weeks away, the director of the Centers for Disease Control and Prevention, Dr. Robert Redfield,
made clear to Congress on Wednesday 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 or fall of 2021, he estimated.
Redfield discussed the plan before Senate lawmakers amid concerns that his agency had been pushed to revise several scientific assessments of the virus by Trump appointees. He rejected questions over whether the government’s timeline for states to be ready for a vaccine by Nov. 1 was politically motivated.
The CDC director told the Senate Appropriations Committee that the “scientific integrity” of his agency’s output “has not been compromised and it will not be compromised under my watch.”
Last week news outlets reported that Michael Caputo, a Health and Human Services Department political appointee, tried to gain editorial control over CDC’s flagship weekly scientific report. In a separate online video last week, Caputo reportedly accused CDC scientists of conspiring against Trump’s reelection.
“It deeply saddens me that those false accusations were made,” Redfield told Senate lawmakers. Sen. Patty Murray of Washington, 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.
As for the planned vaccine campaign, the CDC playbook for states says it is “much larger in scope and complexity than seasonal influenza or other previous outbreak-related vaccination responses.” Redfield said that his agency will be working with state health officials to execute the vaccination plan in coming days.
Among the highlights of the plan:
• For most vaccines, people will need two doses, 21 to 28 days apart. Doubledose 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 health workers, other essential employees, and people in vulnerable groups. “Early in (the) COVID-19 vaccination program there may be a limited supply of vaccine and vaccine efforts may focus on those critical to the response, providing direct care and maintaining societal functions, as well as those at highest risk for developing severe illness,” Redfield said. A second 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 administration of their shots, and officials say they are working to ensure that’s the case for all Medicare recipients and uninsured people as well those covered by insurance at their jobs.
• States and local communities will need to devise precise plans for receiving and locally distributing vaccines, some of which will require special handling such as refrigeration or freezing. States and cities have a month to submit plans.
• A massive information technology effort will be needed to track who is getting which vaccines and when, and the key challenge involves getting multiple public and private databases to link with each other.
Some of the broad components of the federal plan have already been discussed, but Wednesday’s reports attempt to put the key details into a comprehensive framework. Distribution is under the umbrella of Operation Warp Speed, a White House-backed initiative to have vaccines ready to ship in 24 hours from when a version is given emergency use approval by the Food and Drug Administration. Several formulations are undergoing final trials.