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Not even the moment to savor the good news, that is, the arrival of the AstraZeneca bottles at the warehouse hangar. Pratica di Mare, that the Anglo-Swedish pharmaceutical giant has already announced a new maxi-cut: “Next week in Lazio we should have had another 122 thousand doses of the AZ vaccine, instead they told us that only 30 thousand will arrive,” explains the councilor of Lazio Health, Alessio D’Amato. Impatient for the exhausting dance of childbirth that runs the risk of leaving the regional vaccination machine dry. A machine that travels at 25,000 inoculations per day, but that could work at twice the dose. Whenever the doses allow.
THE BANDS
It is above all AstraZeneca that worries the Pisana Covid crisis unit. “We don’t even know the exact number of vaccines we will have in May, when the AZ recalls begin,” continues D’Amato. “We also don’t have certain data for Johnson & Johnson, I’m afraid we will have little in April.” The risk, adds the commissioner, is that the number of places on the list for new reservations will be reduced. To ensure at least the calls “we are doing the somersaults”.
Next week, in theory, 65-64-year-olds should have started booking (since Saturday the lists were open for the 67-66-year-old group). But the fickle delivery forecasts make it increasingly difficult for local health authorities to schedule appointments. Every time there is the risk of inserting grids placed in the dark into regional servers, without guarantees about the actual availability of the doses. For this reason, when the lists are opened, the places are always carefully counted down. Among the many flaws in the contracts signed by the European Union with pharmaceutical companies is the fact that there are no week-to-week supply forecasts. “We only have quarterly estimates, they are almost never respected,” D’Amato attacks again.
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It seems incredible, but none of the 4 vaccines validated so far by the EMA – apart from AstraZeneca, Moderna, Pfizer and Johnson & Johnson – the Region is able to know the exact availability for the next few weeks. So designing a strategy becomes complicated.
“We are prepared to open new hubs, even in shopping centers, as long as they give us enough vaccines,” says Giorgio Casati, CEO of ASL Roma 2, the most populous in Italy. To limit the damage from possible additional cuts, vaccination managers are also speculating to replace the vaccine type with those already reserved. Replace AstraZeneca with Pfizer. But at that point all calls would have to be rescheduled.
THE SINGLE DOSE
Another unknown factor, Johnson & Johnson: the first vials of the single-dose produced in the United States are expected on April 19. Also in this case, Pisana does not know the amounts for April and May. In theory, stocks of 50,000 injections should arrive before the end of the month. But many want a piece of the cake: pharmacies, general practitioners, local health authorities for injections to inmates. The blanket is short. So much so that, says D’Amato, AstraZeneca could reach health outlets in the first place.
BASIC STUDIES
Family clinics pay for bottle shortages much more than centers. “At the beginning of next week, the local health authorities told us that they will be able to guarantee us Pfizer vials only for withdrawals – says Pier Luigi Bartoletti, secretary of Fimmg (federation of general medicine) – so we too are blocked”.
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