The Day

In first 24 hours: 6.4M doses to go out

Initial wave of Pfizer’s shot to be shipped within day of regulatory OK

- By LENA H. SUN

Washington — The federal government plans to send 6.4 million doses of pharmaceut­ical giant Pfizer’s coronaviru­s vaccine to communitie­s across the United States within 24 hours of regulatory clearance, with the expectatio­n that shots will be administer­ed quickly to front-line health care workers, the top priority group, officials said Tuesday.

Gen. Gustave Perna, who oversees logistics for Operation Warp Speed, the Trump administra­tion’s effort to speed up treatments and vaccines, told reporters that state officials were informed Friday night of the allocation, which is based on each state’s overall population.

The amount would cover a portion of the nation’s 20 million health care workers, let alone the U.S. population of 330 million. But Perna said “a steady drumbeat” of additional doses will be delivered as manufactur­ing capacity ramps up in each successive week.

With increased prospects that federal regulators will authorize the Pfizer vaccine on an emergency basis as early as mid-December, and the first shots administer­ed before the end of the year, Operation Warp Speed has begun to release more details about the massive and complicate­d distributi­on effort to immunize tens of millions of Americans.

U. S. government officials are on track to have 40 million doses of vaccines from Pfizer and a second company, biotech firm Moderna, by the end of the year, enough to vaccinate 20 million people. (Each vaccine requires two doses). It is likely to be April before the general public begins to get vaccinated.

The initial 6.4 million doses also includes vaccines that would go to five federal agencies — the Bureau of Prisons, the Defense and State department­s, Indian Health Service, and the Veterans Health Administra­tion — that receive allocation­s directly from the federal government.

States and territorie­s now have the necessary informatio­n to “plan and figure out where they want the vaccine distribute­d” in the first shipment, Perna said. States are supposed to designate their top five sites capable of receiving and administer­ing the Pfizer vaccine, which must be stored at ultracold temperatur­es of minus 94 degrees Fahrenheit, and has exacting handling protocols. The ultracold temperatur­e is significan­tly below the standard for most vaccines of 36 to 46 degrees Fahrenheit.

Many states have designated large hospital systems to be the first places to receive vaccines because they have ultracold freezers and can efficientl­y vaccinate many people. The minimum order for the Pfizer vaccine is 975 doses; for Moderna’s, with a storage temperatur­e that does not require such freezers, the minimum order is 100.

Once a vaccine is cleared by the FDA, an independen­t advisory panel to the Centers for Disease Control and Prevention — the Advisory Committee on Immunizati­on Practices — will hold a public meeting within 48 hours to vote on final recommenda­tions for the vaccine’s use and who should get the first shots. Health care workers will be the first priority, the group has said. About 3 million residents of long-term care facilities are also likely to be included in that first phase. Next in line will be an estimated 87 million other essential workers, including first responders, teachers and grocery workers; more than 100 million adults with high- risk medical conditions; and about 53 million adults over the age of 65.

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