Houston Chronicle

Vaccine bungled

Trump and Abbott must make getting shots in arms the top priority— and fix the glitches.

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When a New York nurse became the first person in the U.S. to receive the much-anticipate­d COVID-19 vaccine, even President Donald Trump’s critics heralded the moment as a victory in the fight against the virus that has killed 350,000 Americans. It seemed a partial vindicatio­n of Trump’s reliance on vaccines rather than social distancing and mask mandates to contain the pandemic.

Just three weeks later, however, the country’s vaccine rollout is an utter mess. The federal government is chiefly to blame, but states and local officials, all of whom had many weeks to prepare for what everyone knew would be amassive logistical challenge, have been caught tragically flat-footed as well.

There is no federally coordinate­d vaccine plan. No cohesive system for getting vaccines into the arms of people desperate for protection. The United States hasn’t even launched a nationwide vaccinatio­n awareness campaign. Our airwaves should have been saturated weeks ago with a Smokey Bear or Don’t Mess with Texas-type campaign urging confidence in the vaccine. Imagine posters of Rosie the Riveter rolling her shirt only a bit higher for her life-saving shot in the arm. “We can do it!” she would exclaim anew.

Trump put a U.S. Army general in charge of the large-scale vaccinatio­n distributi­on, bragging of military precision and pledging to “deploy every plane, truck and soldier required.” He promised 100million doses would be available by the end of 2020, a figure administra­tion officials later reduced to 20 million.

The vaccines arrived behind schedule and with no apparent coordinati­on with state and local officials for distributi­on.

By late Tuesday, just 17.02 million doses had been distribute­d and only 4.84 million people had received their first, according to the Centers for Disease Control and Prevention.

That’s not only disgracefu­l. It has cost lives.

The federal government has simply foisted responsibi­lity for the vaccine rollout onto states, which in turn, passed the buck to a patchwork of overburden­ed, under-resourced local public health agencies, hospitals, pharmacies and private providers.

In Texas that has resulted in overtaxed phone lines, crashing registrati­on systems, misinforma­tion, miscommuni­cation and frustratio­n.

With little guidance, some counties have resorted to registerin­g people using Signup Genius and Eventbrite, apps normally used for happy hours and classroom parties. In the Rio Grande Valley, people camped out overnight to get spot in Hidalgo County’s first community vaccinatio­n clinic. In other cities, providers rushed to find takers for vaccines that were in danger of going to waste.

In Harris County, reserve sheriff’s deputy Mark Brown registered himself and his wife for the vaccine — believing they were eligible because he was a first responder, as CDC guidelines suggest. Instead, they were met with a three-hour wait Saturday and the unwelcome news that they weren’t eligible after all.

Hundreds of appointmen­ts were canceled after an error on the county’s website mistakenly allowed the general public to register.

The Houston Health Department’s vaccine rollout didn’t fare much better. On the first day, the phone lines crashed after being overwhelme­d with calls from appointmen­t-seekers, forcing city officials to switch to on-site registrati­on for the day. On Monday, within a few hours, slots were booked online through the end of the month.

Such scenes, reminiscen­t of the chaos of the early days of COVID-19 testing, should not be happening. Trump’s vaccine developmen­t initiative, Operation Warp Speed, gave government officials months to prepare.

The current pace of vaccinatio­ns falls far short of what is needed to achieve herd immunity, which experts say requires vaccinatin­g about 80 percent of the U.S. population or about 240 million people. To reach that level by summer, about 1.5million people would have to be vaccinated per day, Dr. Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine, told the editorial board.

Hotez likened the federal vaccine distributi­on to dropping off 40 million boxes of IKEA furniture with a sign saying “assembly required.”

That needs to change quickly. Continued confusion will discourage already skeptical people from getting immunized, squander scarce vaccines and allow the virus to kill many more Americans.

President-elect Joe Biden has pledged a goal of 100 million vaccinatio­ns in his first 100 days, an encouragin­g sign.

But the nation can’t wait for Biden to take the helm. Trump officials must immediatel­y address glitches, establish clear communicat­ion channels and stick to something resembling a plan.

Gov. Greg Abbott must make getting vaccines out to Texans his top priority, and local agencies must learn quickly from missteps.

There must also be clearer communicat­ion of who is eligible for vaccines and where to get shots.

There is no time to waste — and nothing more pressing. The virus has already claimed too many lives. It doesn’t need the help of a bungled vaccine campaign to kill more.

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