Houston Chronicle Sunday

Plan will bring free vaccines to nursing home residents

- By Ricardo Alonso-Zaldivar and Carla K. Johnson

WASHINGTON — Federal health officials Friday unveiled aplan to get yet-to-beapproved coronaviru­s vaccines to nursing home residents free of charge, enlisting two national pharmacy chains to help.

Such a vaccine is not yet available. The distributi­on program is contingent on the Food andDrugAdm­inistratio­n authorizin­g a vaccine, which does not appear to be imminent. While one nursing home industry group endorsed the administra­tion’s effort, another was guarded in its reaction.

Under the voluntary program, trained staff fromCVS and Walgreens would deliver the vaccines to each nursing home and administer shots. Assisted living facilities and residentia­l group homes can also participat­e. Nursing home staffers can be vaccinated, too, if they have not already received their shots. Needles, syringes and other necessary equipment will be included.

The idea is to give hardpresse­d states an all-inclusive system for vaccinatin­g their most vulnerable residents, said PaulMango, a senior policy adviser at the Health and Human Services Department. “We are trying to eliminate all potential barriers to getting folks safe and effective vaccines,” Mango said.

The nation has 15,000 to 16,000 nursing homes, according to the Centers for DiseaseCon­trol and Prevention. There may be an additional 20,000 to 45,000 assisted living facilities and similar kinds of settings for elderly and disabled people.

People in nursing homes and other long-term care facilities account for less than 1 percent of the U.S. population, but they represent about 40 percent of the deaths from COVID-19, with more than 83,600 fatalities logged by the COVID Tracking Project.

The Trump administra­tion’s initial attempts to promote coronaviru­s testing in nursing homes and to ensure sufficient supplies of protective gear were hampered by missteps and led to widespread complaints from nursing home operators and advocates for older people. The vaccine program seems designed to get ahead of problems at a time when President Donald Trumpis battling to hang on to support fromolder voters in his reelection campaign.

Earlier this month, the National Academies of Sciences, Engineerin­g and Medicine recommende­d that the initial, limited doses of vaccine should go to first responders and high-risk health care workers. Those next in line should include older residents of nursing homes, the National Academies said, noting that who gets the shots will depend on age guidelines determined by the data on vaccine safety and efficacy.

There are many unanswered questions about the vaccines now undergoing clinical trials, including how well they will work to prevent infection. It’s also not knownwheth­er theywill be equally protective for older adults. But COVID-19 vaccine studies are recruiting people over 65 and even into their 80s because it will be crucial to find out.

The largest nursing home industry group applauded the administra­tion’s action.

“We’re recommendi­ng that our members participat­e in this program, sign up and get everything ready to go,“said Dr. David Gifford, chief medical officer for the American Health Care Associatio­n. “Not to do that would be unfair to residents and staff.”

Planning now will save time, Gifford said.

A smaller group, representi­ng nonprofit homes, was more reserved.

“It’s heartening to see that the administra­tion’s planning has begun,” Katie Smith Sloan, president of LeadingAge, said in a statement. “The vaccine is still months away, so there is time to get this right. We look forward to learning more about how it will roll out.”

 ?? Associated Press file photo ?? By one count, people in nursing homes and similar places make up about 40 percent of COVID deaths.
Associated Press file photo By one count, people in nursing homes and similar places make up about 40 percent of COVID deaths.

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