San Francisco Chronicle

Vaccine bottleneck will cost lives

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California and the country are seizing failure from the brink of a rare success against the pandemic. Two highly effective, hightech vaccines against the coronaviru­s have been developed and authorized at a recordshat­tering pace, but they continue to be distribute­d and administer­ed with all the speed and efficiency of a horse and buggy.

Just over a quarter of the vaccine doses sent to California had entered a human body as of Thursday, ranking it among the slowest states in a generally halting national effort. Its 27.5% administra­tion rate was worse than all but three other states. Meanwhile, nearly half of Texas’ doses and threequart­ers of West Virginia’s had been pressed into useful service.

One culprit is an all too familiar pattern of the benighted pandemic response. As with business closures, testing and tracing, and other aspects of managing the crisis, the federal government has shifted responsibi­lity for the vaccinatio­n effort to the states, and California has done much the same to counties. Both Washington and Sacramento have offered guidelines that often serve to frustrate and confuse their recipients while failing to provide consistent coordinati­on, communicat­ion and support.

With wellintend­ed federal and state guidelines prioritizi­ng health care workers and others potentiall­y slowing progress, particular­ly with alarming numbers of health care workers declining vaccinatio­n, the Trump and Newsom administra­tions successive­ly urged offering the shots to everyone 65 or older. That made sense, but with more than 6 million California­ns in that cohort, it had the drawback of opening vaccinatio­n to more residents than counties and health systems have the capacity and volume to treat. Senior citizens and their loved ones were left to scramble for appointmen­ts with little to no guidance on how to do so, while hundreds of restaurant workers and others in Alameda and Santa Clara counties showed up for shots based on bad informatio­n — only to be told they were still being reserved for health care workers.

The expected opening of mass vaccinatio­n sites in San Francisco and other cities should help clear up the confusion and catch up with demand. So should another overdue boost to the effort, the federal funding package passed in December after months of dithering and obstructio­n by the Senate and the Trump administra­tion. Presidente­lect Joe Biden has rightly proposed much more in a newly unveiled stimulus plan, while Gov. Gavin Newsom’s latest budget also includes additional vaccinatio­n funding.

Newsom also announced a new system to notify residents of their vaccine eligibilit­y beginning next week. That’s a late but welcome start toward filling the informatio­n and coordinati­on void afflicting the state’s vaccinatio­ns.

Sure, California is vast and complicate­d, but so is Texas. With record numbers of California­ns being killed by the virus, the state must do better lest that many more lives be needlessly lost.

 ?? Jessica Christian / The Chronicle ?? Stickers for COVID19 vaccine recipients at St. Rose Hospital in Hayward last week.
Jessica Christian / The Chronicle Stickers for COVID19 vaccine recipients at St. Rose Hospital in Hayward last week.

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