The Guardian (USA)

Covid vaccines roll out of Pfizer plant in US but Trump says he is not taking it yet

- Ed Pilkington and agencies

Trucks hauling trailers loaded with suitcase–sized containers of Covid-19 vaccine rolled out of Pfizer’s manufactur­ing facility in Kalamazoo, Michigan, on Sunday – launching the largest and most complex vaccine distributi­on project in the US.

However, public confidence in the vaccine risked being eroded after President Donald Trump – who has had Covid – said he was “not scheduled to take the vaccine” but would do so “at the appropriat­e time”.

Last week, former US presidents Barack Obama, George W Bush and Bill Clinton pledged to get vaccinated on television to promote the safety of the vaccine.

Many Americans say they will not agree to be vaccinated against Covid-19. A poll by Gallup, released in mid-November, showed that 42% of the country would not take the vaccine even if it was “available right now at no cost”.

Trump also said staff at the White House – itself the source of multiple infections – should receive the vaccine “somewhat later in the program, unless specifical­ly necessary” after reports workers were among the first in line.

The vaccine rollout comes against a backdrop of a raging pandemic that has killed almost 300,000 Americans amid a botched government response by the Trump administra­tion that has made the US the worst-hit country in the world.

While progress on the vaccine is being celebrated across America, it also comes amid safety concerns and fears of anti-vaccinatio­n sentiments that might hinder the rollout. There are also worries over a potentiall­y chaotic roll-out with local plans for vaccine distributi­on that vary widely, lack federal funding, and will not reach everyone even in early, limited population­s.

But despite those concerns the sight of trucks loaded with vaccines finally hitting the road at last cheered a nation beleaguere­d by its suffering at the hands of the virus.

On Sunday morning an assembly line of workers had begun pulling doses out of a freezer, boxing the vaccine and loading the units onto pallets so they could be placed on trucks at the Pfizer plant. Dry ice, shipping labels and packing tape were on hand as the workers donning masks, face shields and gloves put together the packages inside the warehouse.

US marshals will accompany the tightly secured shipments from factory to final destinatio­n after regulators authorised the vaccine from Pfizer and partner BioNTech for use.

“We have spent months strategisi­ng with [federal] officials and our healthcare customers on efficient vaccine logistics, and the time has arrived to put the plan into action,” Wes Wheeler, the president of UPS Healthcare, said on Saturday.

At the same time as distributi­on began, the Centers for Disease Control and Prevention director Robert Redfield accepted the recommenda­tion of the agency’s Advisory Committee on Immunizati­on Practices that the Pfizer vaccine may be given to people aged 16 and older.

Initially, about 3m doses were expected to be sent out, and the priority is healthcare workers and nursing home residents as infections, hospitaliz­ations and deaths soar in the US. With numbers likely to get worse over the holidays, the vaccine is offering a bright spot in the fight against the pandemic that has killed nearly 300,000 Americans.

Federal officials say the first shipments of Pfizer’s vaccine will be staggered, arriving in 145 distributi­on centers Monday, with an additional 425 sites getting shipments Tuesday, and the remaining 66 on Wednesday. The vaccine, co-developed by German partner BioNTech, is being doled out based on each state’s adult population.

Pennsylvan­ia healthcare giant UPMC has chosen staff who are critical to operating its facilities as among those getting the first round of vaccinatio­ns, said Dr Graham Snyder, who led the center’s vaccine task force.

“It’s very exciting. I will be thrilled, that moment when we administer our first dose,” Snyder said Saturday. “That will clearly be a watershed moment for us.”

Snyder said the UPMC system estimates that half its employees are willing to get the vaccine as soon as it’s offered to them.

Pfizer’s dry–ice cooled packages can hold as many as 4,875 doses, and the first leg of their journey will be from Kalamazoo to planes positioned nearby. Workers will load the vaccine – which must be kept at sub-arctic temperatur­es – onto the aircraft that will shuttle them to United Parcel Service or FedEx air cargo hubs in Louisville, Kentucky, and Memphis, Tennessee, respective­ly.

From there, they will be trucked or flown to facilities close to the 145 US sites earmarked to receive the first doses.

UPS and FedEx package delivery drivers, who may also be carrying holiday gifts and other parcels, will deliver many of the “suitcases” into the hands of healthcare providers on Monday. The shipments are the first of three expected this week.

Courier companies are giving the vaccine top priority, reserving space on planes and trucks at a time when pandemic and holiday-related e-commerce are creating more demand for deliveries than carriers can handle.

Both companies have expertise handling fragile medical products and are leaving little room for error. They are providing temperatur­e and location tracking to backup devices embedded in the Pfizer boxes, and tracking each shipment throughout its journey.

The Food and Drug Administra­tion authorized emergency use of the vaccine Friday, saying it is highly protective and presents no major safety issues. While US regulators worked for months to emphasize the rigor and independen­ce of their review, they faced political pressure until the final stages.

Concerns that a shot was rushed out could undermine vaccinatio­n efforts in a country with deeply ingrained skepticism about vaccines. The head of the FDA said the agency’s decision was based on science, not politics, despite a White House threat to fire him if the vaccine wasn’t approved before Saturday.

While the vaccine was determined to be safe, regulators in the UK are investigat­ing several severe allergic reactions. The FDA’s instructio­ns tell providers not give it to those with a known history of severe allergic reactions to any of its ingredient­s.

Another vaccine by Moderna will be reviewed by an expert panel this week and soon afterward could be allowed for public use.

There are fears though that concerns over the safety of vaccines might hamper their deployment. Top health expert Dr Anthony Fauci warned in an interview that he’s worried healthcare workers will decline to get vaccinated and that may discourage others from getting the vaccine also.

“My primary biggest fear is that a substantia­l proportion of the people will be hesitant to get vaccinated,” Fauci said in an interview with the Daily Beast.

 ?? Photograph: United Airlines/Reuters ?? Officials hope the Pfizer-BioNTech Covid-19 vaccine will reach hospitals by Monday morning.
Photograph: United Airlines/Reuters Officials hope the Pfizer-BioNTech Covid-19 vaccine will reach hospitals by Monday morning.

Newspapers in English

Newspapers from United States