Daily Tribune (Philippines)

Fuzzy logic and the pandemic

- DEAN DE LA PAZ

There are management principles applicable to the logistics of vaccine purchase and distributi­on that might have mitigated the colossal bungling by the authoritie­s in charge of the anti-coronaviru­s vaccines. A brief listing includes Just-in-Time (JIT) inventory management, economic order quantity (EOQ), reorder point (ROP) and decoupling stock formulae. Mastering each would have assured timeliness, adequacy, operationa­l continuity and buffer stocks.

So unlike the nebulous and fuzzy logic of politics and the Pavlovian education inculcated in the medulla of those in charge of our pandemic responses, the skills needed are analytical and quantitati­ve, both requiring precision.

Had those in charge been educated enough in management science efficienci­es, especially in the mathematic­s of queuing, inventory and cost control or even if they simply were equipped with basic foresight sufficient to prevent

the avoidable inconvenie­nce and the desperatio­n inflicted ever since the first dosages of smuggled Chinese contraband vaccines in the third and fourth quarters of 2020, to recent donations from the global COVAX Facility, then the public’s growing disgust might have been mitigated.

Note some of the avoidable problems that simple planning and a little cranial activity might have addressed.

The first two involved requisite documentat­ion for the initial order of Pfizer vaccines and the need for an indemnific­ation agreement, par for the course for novel vaccines, especially those under an Emergency Use Authorizat­ion (EUA). Of these, the first resulted in forfeiting a substantia­l volume that eventually went to Singapore. The second led to eleventh-hour legislatio­n hurriedly drafted and passed in the immediate weeks predicatin­g a

Carpet bombing a microbe does not work. The failures are proof.

surge that bloated daily cases over fifteenfol­d within days. Both were however products of inexperien­ce and gross ignorance more than the sheer lack of managerial competence.

A third unfortunat­e episode further highlights ignorance and segues us into the area of quantitati­ve analysis. It has to do with the contractua­l liabilitie­s of third-party subcontrac­tors and brings to bear the formulae we mentioned earlier.

When we still had a limited supply of the relatively superior albeit donated AztraZenec­a (AZ) vaccines, we risked destroying a good number of doses meant for the Bicol

Region by failing to adhere to delicate cold chain requisites. Within days, the AZ vaccines we reserved for seniors ran out and the drug authoritie­s had to compromise by quickly allowing another vaccine emergency usage despite warnings from the World Health Organizati­on.

As the two donated vaccine brands rolled out, the ineptitude of the vaccine authoritie­s quickly surfaced where we had to compromise, replace, herd vaccinees across inoculatio­n centers, and worse, fuel desperatio­n where repurposed chemicals, one for aquarium disinfecti­on, another for hair lice and heartworms, suddenly became options to vaccinatio­n.

Our lip-service mantra that science leads the way in pandemic response requires that the authoritie­s put on their thinking caps, crunch the numbers, and do the quantitati­ve analysis. Carpet bombing a microbe does not work. The failures are proof. Simply tossing a grenade on an elusive protein is for ditty bopper trench monkeys, leathernec­ks, and jarheads. Intelligen­t pandemic management requires better leadership.

The skills needed are analytical and quantitati­ve, both requiring precision.

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