the five-step procedure – Corriere.it



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Vaccination against Covid, with the Pfizer vaccine, is not exactly an easy thing. Behind that injection in the arm of the first volunteers, including celebrities like the president-elect of the United States Joe Biden and the world’s best-known virologist, the American Anthony Fauci, whose photos are already circulating everywhere in the media, there is a process complicated. In the meantime, the vials, which must be stored at -75 ° C, should be thawed slowly: in some cases it takes at least three hours.
After that, they can be kept at 2-8 ° C, for up to five days.
But there are other steps before administration. Meanwhile, the preparation should reach room temperature, then it is necessary to slowly invert the vials 10 times (but do not shake them) and, finally, dilute them in a sodium chloride solution, before administration (because each vial is composed of al minus 5-7 doses for that many people).

The circular of Sifo and Sifap

It would seem like a procedure from medieval alchemical disciplines but not: these details (very briefly summarized) are found on page four of a circular of seven, recently drawn up by the Italian Society of Hospital Pharmacy (Sifo) and the Italian Society of Preparatory Pharmacists (Sifap ) and based on the scientific data currently available with which the regulatory agencies, which approve medicines and vaccines, the FDA in the United States, the EMA in Europe and the Aifa in Italy, have authorized the preparation of Pfizer, the first in arrive for practical use in Europe. Comment from Arturo Cavaliere, President of Sifo, and Paola Minghetti, President of Sifap: “Our document is intended to be a timely response to requests for the correct, safe and appropriate ways to configure and administer the first vaccine against Sars-CoV-2” .

Professionals are missing

Well the guidelines, but the problem is: are there professionals trained to perform all these procedures?
The answer, for the moment, is no. And the unions make it heard aloud, in the forefront Anaao (Association of executive doctors). And also the Medical Orders.
According to Anaao, there was not enough training and there are difficulties for vaccination to begin on December 27, he told the newspaper. The impression Guido Coen, on the situation in Lazio: “We don’t know anything, neither who should prepare the doses, nor who should administer them and the training is in the information that circulates in our chats.” And also the idea of ​​using scholarship holders for the administration of the vaccine, as provided by the Budget Law, which therefore grants them training credits, has met with a lot of resistance in the Anaao Giovani union, through the voice of Pierino Di Silverio: yet another exploitation of this category of doctors.

The President of the Order of Doctors of Milan

Carlo Albero Rossi, President of the Milan Order of Doctors, adds: “Doctors are available to support vaccination plans. But, to date, we have no idea what informed consent should be presented to those who get vaccinated (and here a question arises regarding the side effects, any liability, and any compensation for those with vaccine damage because companies have wash hands, ed) and we do not even know the technical data sheet of the preparation, if not the information available on the Internet (the technical data sheet is the one that gives precise information on the efficacy and side effects of a pharmaceutical product ed). All this waiting for Vax Day in a few days: December 27.

December 23, 2020 (change December 23, 2020 | 22:46)

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