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Even without the approval of vaccines against covid-19 by Anvisa (National Health Surveillance Agency), the government of São Paulo presented its state immunization plan yesterday, almost a week after the federal government presented a preliminary model of the PNI National Immunization Program) focused on the disease.
In São Paulo, if CoronaVac is approved, vaccination is expected to start on January 25. At the national level, there is still no date, it is expected to be between March and June. While the federal government intends to start with health professionals, indigenous people and the elderly, that of São Paulo will return to the first stage to first-line professionals, indigenous and quilombolas.
See these and other differences between the national immunization plans and São Paulo’s:
Priority groups
The national plan divided the priority groups into four phases. The first includes health professionals, people over 75 years of age, people aged 60 and over living in long-term institutions, and indigenous people. Then, people from 60 to 74 years old enter. As a result, people with comorbidities who are more likely to aggravate the disease and, ultimately, teachers, security and rescue forces and prison staff.
The plan presented in São Paulo has five phases. The first is made up of health professionals, indigenous people and quilombolas. The next four are separated by age: people aged 75 and over; from 70 to 74 years; 65 to 69 years; and, finally, from 60 to 64 years.
dates
The Ministry of Health has not yet published an official date for the start of vaccination, but the expectation is that it will take place between March and June. In São Paulo’s plan, the first vaccination dose for the first group must begin on January 25. Then, progressively in stages, for February 8, 15 and 22 and March 1.
The interval between the first and second doses required will be 21 days.
Logistics
At a preliminary level, the federal government has not yet presented a logistics plan, which has generated criticism among specialists heard by UOL. The report asked the Health Ministry to obtain more details, as well as other information from the PNI, but did not receive a response until the matter was closed.
At the state level, the use of the 5,200 vaccination posts in the state is estimated, with the addition of 4,800 extra points in accredited pharmacies, Military Police barracks, schools and bus terminals. For storage, 5,200 cold stores were purchased and distribution to the 645 municipalities will be carried out daily in 30 refrigerated trucks. The government estimates an expenditure of R $ 100 million only for logistics, not counting supplies.
Supplies
The federal government has announced that it is in the “process of purchasing” 300 million syringes and needles in the national market and 40 million internationally. An announcement is expected to be released this week.
The São Paulo government announced the purchase of 27 million syringes and needles.
Vaccine
Earlier this month, Congress approved an MP (Provisional Measure) that frees almost R $ 2 billion (R $ 1,994,960,005.00) to allow the purchase and final processing by Fiocruz (Fundação Oswaldo Cruz) of the new coronavirus vaccine under development by the University of Oxford and marketed by the pharmaceutical company AstraZeneca.
However, the Ministry of Health has not yet announced whether it should use only this vaccine or be able to adhere to others. The PNI estimates the use of 109.5 million doses in this first stage.
In September, the São Paulo government announced the purchase of 46 million doses of CoronaVac, produced by the Chinese company Sinovac, in a technology exchange agreement with the Butantan Institute for US $ 90 million (at that time, more than R $ 500 million). In this first stage, the government foresees the use of 18 million doses, enough to immunize 9 million people, since the immunization foresees two doses.
