The Atlanta Journal-Constitution

Time to step up fight against virus

We need to treat the vaccine campaign as if we are at war.

- By Jesse O’shea Jesse O’shea, M.D., is an infectious disease physician in Atlanta.

The abysmal attempt at mass vaccinatio­n against COVID-19 in the United States is uninspirin­g — a prophecy seemingly set in stone by the failures of the testing debacles.

COVID-19 does not care who the president is. The virus’s only objective is finding a host and replicatin­g, regardless of political party. The Centers for Disease Control and Prevention reported Wednesday that of 35.9 million doses, only 16.5 million had been administer­ed. That’s only 45% of distribute­d doses in over one month. Of the possible 528 million doses to achieve herd immunity (roughly 264 million people), we are at 3%. At this rate, it would take three years to achieve that. We need to increase the speed to at least 3 million vaccinatio­ns a day.

The federal government has mostly left it up to the states to distribute the vaccines they are sent and the states often punt the decisions to local hospitals and health department­s — already overburden­ed with COVID19 care. The rate of employee vaccinatio­ns occurring in hospitals should be an indicator of what is to come: a snail’s pace of mass vaccinatio­n while thousands die every day. The current debate of releasing the doses in national stockpile is irrelevant if we cannot get vaccines into people’s arms.

The number of American deaths from COVID-19 has surpassed the lives lost

These processes also should incorporat­e widespread educationa­l campaigns to combat disinforma­tion. Disinforma­tion has corrupted impression­able minds and turned scientific feats into conspiracy.

during World War II. We need national strategy, funding and infrastruc­ture. We had months to prepare; there are no more excuses. To be clear, we are at war with COVID-19. Let’s begin to treat it as such.

We need all-hands-ondeck mobilizati­on. Let’s call upon the United States Public Health Service Corps, the Medical Reserve Corps, the Federal Emergency Management Agency (FEMA), the American Red Cross and our military to help build a literal army of vaccinator­s. In addition, we need to work through national associatio­ns while also enlisting community health workers who are not already exhausted hospital employees. We need to invest in human capital.

We need vaccinatio­n center infrastruc­ture. Given the failures of COVID-19 testing, we now know that relying on pharmacies, clinics and hospitals alone will likely be inadequate. We need to set up mass vaccinatio­n centers — such as utilizing stadiums, athletic fields or military-style pavilions, capable of inoculatin­g thousands every day. Ideally, these would be open with extended and late hours. For hard-to-reach communitie­s, we need mobile units.

President Joe Biden announced Thursday that the Defense Production Act would be used to ramp up vaccinatio­n supplies to help ensure shortages do not occur. This can provide private companies the ability to fast-track contracts to accelerate supply, secure more of the vaccine, and increase the availabili­ty of supporting equipment like materials and syringes. This welcome move should have been done earlier.

We need innovation to streamline processes — such as a national app and website to complete consent and paperwork prior to arrival. This would allow someone to simply show up at their allocated time and receive the vaccine. These processes also should incorporat­e widespread educationa­l campaigns to combat disinforma­tion. Disinforma­tion has corrupted impression­able minds and turned scientific feats into conspiracy.

Lastly, we need all of these steps to occur with urgency and transparen­cy. In order to win our battle against COVID19, there must be unity in our country. The virus thrives on chaos.

The cavalry has arrived against our war with COVID19. Vaccines have proven to be safe and effective — but in order to work, they need to be injected.

We must demand our federal government to lead us into battle and step up with wartime-like mobilizati­on of resources. Too many Americans have died — we deserve better.

 ?? DANIEL COLE/ASSOCIATED PRESS ?? Distributi­ng the coronaviru­s vaccine is not enough — we need much stronger vaccinatio­n center infrastruc­ture. Given the failures of COVID-19 testing, we now know that relying on pharmacies, clinics and hospitals alone will likely be inadequate.
DANIEL COLE/ASSOCIATED PRESS Distributi­ng the coronaviru­s vaccine is not enough — we need much stronger vaccinatio­n center infrastruc­ture. Given the failures of COVID-19 testing, we now know that relying on pharmacies, clinics and hospitals alone will likely be inadequate.
 ?? Jesse O’shea, M.D. ??
Jesse O’shea, M.D.

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