Miami Herald

All states must hurry up and vaccinate

- This editorial was first published in the Chicago Tribune.

The swift developmen­t of highly effective vaccines for the novel coronaviru­s was a marvel of modern science, holding out the prospect of an early end to a pandemic that has rampaged across the country.

But creating vaccines is one thing; getting them administer­ed is another. That part of the process is not a marvel but a muddle.

In mid-December, Health and Human Services Secretary Alex Azar said that 20 million Americans would get shots by the end of the year. By Jan. 8, 21.4 million doses had been distribute­d, according to the federal Centers for Disease Control and Prevention — but only 5.9 million had been administer­ed.

This sluggish rollout coincides with continued tragedy. On Thursday, more than 4,000 people died in the United States from COVID-19, the third straight day of record fatalities. More than 360,000 deaths have occurred. And a new, more contagious strain of the virus that first appeared in Britain has been detected in at least eight U.S. states.

What’s holding up actual vaccinatio­ns? It’s hard to escape the conclusion that the federal government and state government­s just failed to ramp up sufficient­ly for a mass inoculatio­n program, which they knew was coming. With months to get ready — Pfizer reported the success of its vaccine trial on Nov. 9— they seem to have been caught unprepared for the logistical challenges.

Why didn’t federal and state officials create mass vaccinatio­n training programs?

Call on the National Guard, retired medical personnel, college nursing students to administer shots?

Open field houses and park districts and stadiums for quicker, more efficient vaccinatio­ns? Is that wishful thinking?

Moving from big facilities to millions of individual­s is a complex endeavor. This is a major challenge everywhere, not just in this country. France has managed to inoculate only 45,000 people, and the Netherland­s didn’t even start until Jan. 6.

Planning was complicate­d in the United States by uncertaint­y about how many doses would be coming and when.

The roll-out unfortunat­ely coincided with the December holidays, which slow almost every human activity.

Unlike many vaccines, these

are in limited supply. That being the case, states have targeted various groups in order of priority, with medical workers and nursing home residents and staff first in line.

Reaching a broader population won’t be simple. We were glad to hear the National Guard will be used to set up mass vaccinatio­n sites. The state and local government­s need to be doing everything possible right now to shift into high gear.

On Friday, President-elect Joe Biden’s transition team said that after taking office, he would release nearly all available vaccines instead of holding back enough for the required second dosages

He’s betting on producers being able to continuall­y refill the pipeline.

The fact that there are conflictin­g opinions about the optimum roll-out isn’t reassuring, but if Biden is choosing urgency over prudence, that’s the right call.

People are still getting sick and dying. The country can’t fully reopen the economy and send people back to work until the vaccine is broadly distribute­d.

 ?? LYNNE SLADKY AP ?? A Walgreens pharmacist readies the COVID-19 vaccine fat the The Palace assisted living facility in Coral Gables.
LYNNE SLADKY AP A Walgreens pharmacist readies the COVID-19 vaccine fat the The Palace assisted living facility in Coral Gables.

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