宾夕法尼亚州COVID-19疫苗推出的初始阶段似乎比医疗保健提供者所相信的要多得多,加剧了当地和全州疫苗剂量的短缺。
宾夕法尼亚州在联邦政府的要求下,两周前扩大了其疫苗推出计划的初始阶段( 称为1A期 ) 的资格。 当时,当时的卫生与公众服务部长亚历克斯·阿扎尔(Alex Azar)告诉各州,疫苗储备将从联邦储备中释放出来,以覆盖扩大的人口。
这些储备并不像特朗普政府所描述的那样存在。 但宾夕法尼亚州扩大的疫苗规则仍然存在,目前还不完全清楚扩大的初始阶段实际上涵盖了多少人,尽管它肯定比最初描述的要多。
“我认为猫在这一点上已经不在袋子里了,”克罗宁说,这意味着宾夕法尼亚州或任何其他州几乎不可能回滚资格扩张。 “宾夕法尼亚州有一个非常强大的疫苗计划,但只有当联邦政府告诉你的是事实时,它才会起作用。
“我们认为我们将扩大供应,”沃尔夫说。“那是错的。他们没有扩大。事实上,事实证明没有库存。
由于人口普查人口刚刚超过1280万,扩大的第1A阶段的初步估计为350万,这意味着宾夕法尼亚州人口的四分之一以上将有资格。
自1A期指南公布以来,宾夕法尼亚州立大学卫生局一直被电话淹没,由于超负荷,Milton S. Hershey医疗中心和其他宾夕法尼亚州立大学运营的设施不再接受电话预约疫苗接种。
萨德勒并不孤单。 宾夕法尼亚州社区卫生中心协会政策主任埃里克·基尔(Eric Kiehl)说,在该州的许多地方,联邦合格的卫生中心,在帮助服务不足的人群方面获得额外的联邦援助,已成为疫苗接种的主要渠道。
该阶段还包括广泛的医疗保健人员,包括牙医和脊医。 联邦劳工统计局的数据显示,宾夕法尼亚州的医疗保健从业人员和技术人员人数刚刚超过406,000人。 医疗保健支持劳工部门包括另外336,000人,其中许多人也有资格参加第1A阶段。
初始阶段还包括患有某些健康状况的人,这些健康状况会增加其COVID-19的风险,其中一些疾病包括大部分人口。 肥胖人群,定义为体重指数为30或更高的人,包括在这一组中。
即使假设这些类别之间存在重叠,第1A阶段也可能覆盖某些地区的大多数人口。 在她的家乡伯利恒和阿伦敦,克罗宁估计50%的人口可能符合条件。
“[The plan] 不是现在的样子,”克罗宁说。 “当亚历克斯·阿扎尔(Alex Azar)拿出这个时,这让每个人都蒙蔽了双眼。
“我们没有获得足够剂量的疫苗来满足宾夕法尼亚州的需求,”沃尔夫说。
瓶颈很可能是宾夕法尼亚州分散的公共卫生系统的结果;该州只有少数较大的县和市有卫生部门。 除此之外,国家必须将资源分配给不一定相互沟通的诊所和医院。
Kiehl说,取消疫苗预约也是匆忙的副产品,因为患者在几个地方预约,不确定可用性,然后出现在第一个地方。
克罗宁说,在这一点上,最关键的事情是“尽快把它拿出来”。 如果从冷藏库取出剂量并打开,但患者没有显示,“那么就走到街上说’你想要你的COVID疫苗吗?我们不能浪费它们。
新冠疫苗5
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卡莱尔坎伯兰善意EMS的护理人员埃里克·科尔德伦(Eric Coldren)从萨德勒健康中心的注册护士病例经理杰米·坎宁安(Jamie Cunningham)那里接受了两次Moderna COVID-19疫苗注射中的第一次。
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卡莱尔萨德勒健康中心的持牌执业护士临床经理杰西卡·巴雷特(Jessica Barrett)准备于12月30日向坎伯兰亲善EMS的成员分发Moderna COVID-19疫苗。
新冠疫苗2
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萨德勒健康中心的持牌执业护士临床经理杰西卡·巴雷特(右)向坎伯兰州的西奥本·瑞瑟(Siobhan Reeser)提供现代COVID-19疫苗的后续护理说明。
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萨德勒健康中心的杰西卡·巴雷特为坎伯兰亲善EMS的一名成员准备注射Moderna COVID-19疫苗。
新冠疫苗4
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卡莱尔坎伯兰亲善EMS的紧急医疗技术人员迈克尔·梅伯里(Michael Mayberry)从萨德勒健康中心的杰西卡·巴雷特(Jessica Barrett)接种了两张Moderna COVID-19疫苗中的第一张。
新冠疫苗 6
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卡莱尔萨德勒健康中心的注册护士病例经理杰米·坎宁安(Jamie Cunningham)于12月准备接种Moderna COVID-19疫苗。