San Antonio Express-News

Governors scramble to speed vaccine effort after slow start

- By Michelle R. Smith

Newyork’s governor threatened to fine hospitals if they don’t use their allotment of COVID-19 vaccine fast enough. His South Carolina counter part warned healthcare workers they have until Jan. 15 to get as hot or move to the back of the line. California’s governor wants to use dentists to vaccinate people.

With frustratio­n rising over the sluggish rollout of the vaccine, state leaders and other politician­s around the U.S. are turning up the pressure, improvisin­g and seeking to bend the rules to get shots in arms more quickly.

Meanwhile, U.S. Health and Human Services Secretary Alex Azar said Wednesday that the government will allow more drugstores to start giving vaccinatio­ns to speed up the process. If health workers aren’t lining up fast enough, he said, eligibilit­y can be expanded to lower-priority groups.

“We need to not be overly prescripti­ve in that, especially as we see governors who are leaving vaccines sitting in freezers rather than getting it out into people’s arms,” he said.

As of Wednesday, more than three weeks into the U.S. vaccinatio­n campaign, 5.3 million people hadgottent­heir first shot out of the 17 million doses distribute­d, according to the Centers for Disease Control and Prevention. While that’s believed to an undercount because of a lag in reporting, health officials are still well behind where they wanted to be.

The slow rollout has been blamed on a multitude of problems, including a lack of funding and direction from Washington, mismatches between supply and demand, a patchwork of approaches by state and local government­s, distrust of the vaccine, and disarray created by the holidays.

Across much of the nation, health care workers and nursing homereside­nts are being givenprior­ity for the initial, limitedsup­plies of the vaccine at this stage. But pressure is building to let other groups step up, and some states — Alaska, Mississipp­i and louisiana— have given the Okfor the elderly to start getting shotsover thenext few days.

The U.S. has an estimated 21 million health care workers and 3 million residents of nursing homes and other long-term care centers. The CDC said about 512,000 people in such centers have been vaccinated through a partnershi­p between the government and the CVS and Walgreens drugstore chains.

Government officials over the past few days reported that the numberof people getting shots has accelerate­d to about a half-million a day, and Dr. Anthony Fauci, the nation’s top infectious disease expert, said the pace soon could reach 1 million or more.

Fauci estimatedt­hat between70 percent and 85 percent of the U.S. population will need to be vaccinated to achieve “herd immunity,” a goal he said could be achieved by the fall. That translates to as many as 280 million people.

Azar announced that along with the nursing home program, pharmacies from 19 chains will be allowed to help nowwith dispensing shots to ease pressure on hospitals, which have been the main vaccine providers so far. More than40,000 drugstores eventually will be involved, he said.

Thepharmac­ies still must follow state guidelines for who gets in line first.

The U.S. death toll, meanwhile, climbed to around 360,000 as COVID-19 deaths set another one-day record at 3,775 on Tuesday. But authoritie­s have cautioned that the numbers around holidays can fluctuate dramatical­ly because some health agencies fall behind in reporting cases, then catch up.

Concernsal­so grewabouta­new, more contagious variant of the virus. In Southern California, San Diego County health authoritie­s confirmed 24 cases, the biggest known concentrat­ion so far in the United States. Cases also have been reported in Colorado, Florida, Georgia and New York.

With cases and hospitaliz­ations also soaring, politician­s are getting aggressive in trying to accelerate the vaccinatio­n drive. The governors of California, Maryland and North Carolina said they will use the National Guard.

Maryland Gov. Larry Hogan warned, too, that any facility that hasn’t administer­ed at least 75 percent of its first doses may have future allocation­s reduced until they can speed up vaccinatio­ns.

While about 270,000 doses have been put directly in the hands of front-line vaccinator­s in the state over the past three weeks, Hogan said that only about 77,000 people had been inoculated as of Tuesday, or about 1.3 percent of the state’s population.

Gov. Henry Mcmaster of South Carolina warned that health care workers will lose their place in line if they don’t move quickly to get their shots. As of Monday, the state had given out less than half its initial allotment of the Pfizer vaccine to about 43,000 people.

In California, where just 1 percent of the population has been reported vaccinated, Gov. Gavin Newsom said he wants to give providers the flexibilit­y to give shots to people not on the priority list if doses are in danger of going to waste. He also wants to expand the pool of profession­als dispensing shots.

The pace had been so slow in New York that Gov. Andrew Cuomo on Monday threatened to fine hospitals up to $100,000 if theydon’t finish their first roundof inoculatio­ns by the end of the week. He also threatened to stop sending the vaccine to hospitals that don’t use their share promptly.

“Move it quickly. We’re serious,” Cuomowarne­d. “If you don’t want to be fined, just don’t participat­e in the program. It’s not a mandatory program.”

 ?? Wilfredo Lee / Associated Press ?? Registered nurse Emily Ponce, right, is given a COVID-19 vaccine Wednesday at John Knox Village in Pompano Beach, Fla. Ninety residents and 80 staff members received their second shot of the vaccine, and 50 new staff members got their first round.
Wilfredo Lee / Associated Press Registered nurse Emily Ponce, right, is given a COVID-19 vaccine Wednesday at John Knox Village in Pompano Beach, Fla. Ninety residents and 80 staff members received their second shot of the vaccine, and 50 new staff members got their first round.
 ?? Joe Raedle / Getty Images ?? A health care worker prepares the Pfizer-biontech COVID-19 vaccine at the John Knox Village retirement community.
Joe Raedle / Getty Images A health care worker prepares the Pfizer-biontech COVID-19 vaccine at the John Knox Village retirement community.

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