Increasing vaccination pace (a lot)

The covid19 vaccine rollout really has been a disaster, from top to bottom, by governments of all levels and private entities like health systems. We must increase the pace of vaccination by a lot, and ensure that we do not waste doses of vaccine. The North Carolina DHHS covid19 guidelines provide the State’s adaptation of the CDC guidance and are fine.

We need to move ahead with this general guideline, prioritizing how to get the maximum number of people vaccinated as fast as possible. The one addendum I would suggest is that each county should have a plan for what to do with doses that are at risk of being wasted after being thawed/hitting shelf life maximum. My suggestion would be to have places that aggregate people and say “if we have 100 doses about to waste, lets go there and vaccinate 100 people.” I suggest the Durham County jail for Durham County, and then other carceral congregate living facilities, and homeless shelters.

About Don Taylor
Professor of Public Policy (with appointments in Business, Nursing, Community and Family Medicine, and the Duke Clinical Research Institute), and Chair of the Academic Council at Duke University https://academiccouncil.duke.edu/ . I am one of the founding faculty of the Margolis Center for Health Policy. My research focuses on improving care for persons who are dying, and I am co-PI of a CMMI award in Community Based Palliative Care. I teach both undergrads and grad students at Duke. On twitter @donaldhtaylorjr

One Response to Increasing vaccination pace (a lot)

  1. Minivet says:

    What about standby lists? Put together local lists of people who are willing to take the vaccine, make sure you collect enough information to sort them into tiers, then if doses are expiring, start calling them in, top down.

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