[ad_1]
According to the data we currently have, the great risk of COVID vaccination is not the rejection of the population, as in 2008, when the government campaign against cervical cancer failed. On the contrary, the authorities should not be able to use all the existing capabilities, they should not be able to deliver at the level expected by the public who want to quickly escape the nightmare of SARSCOV 2.
Sociological research shows that today between 30 and 50 percent of Romanians want to be vaccinated. This means that more than 6 million people are waiting for the 12 million doses of vaccine necessary for immunization. And Romania has assigned 10 million doses, that is, it can vaccinate 5 million people. If a new vaccine is not licensed, or if Pfizer does not increase production capacity to the current rate by 150,000 doses per week, the last injection would be given in … 66 weeks.
What could the authorities do better? First, preparations to speed up the process, if deliveries are to be sped up. rather, it should provide answers to the following questions:
Who has priority in vaccination, if there are no criteria?
At the request of DCNews, the Strategic Communication Group recognized, in rigid language, that there are no clear criteria for establishing priorities, approved by experts (College of Physicians, Scientific Committees, Ethics Committee), through consultations with patient representatives, after of a debate. extended audience. Thus, a risk score for the vulnerable should be established, from which vaccination lists should be drawn up, specifically, with names and pronouns. The risk score does not exist (or is kept secret) neither to prioritize access to ATI resources nor to innovative drugs, such as Redemsivir, the allocation process is not transparent. Who will get the vaccine faster, the patient on dialysis (the highest mortality from COVID), the one with a heart attack, diabetes, or the one with multiple comorbidities? Do those in cities where congestion and risk are higher, or those in villages where access to a doctor is more difficult?
Online platform, ready in 66 weeks?
Based on the criteria established for prioritization, appointments could be made, after the operation of an online platform for the management of requests, consents, addresses, etc. Or, the Romanian authorities have not succeeded so far in any major digitization projects, public procurement is a big problem, and in the case of the vaccination platform, they haven’t even started. Will it be ready before 66 weeks of vaccination?
Who will manage the call centers?
Once the order in which Romanians have access to the vaccine has been established, call centers need to operate, so that people who can benefit from vaccination can be quickly reached because those at the top of the list have been rendered or unavailable so there is no downtime and no wasted vaccine doses. Or, the DSPs are already outdated, have called in volunteers or the military to manage patient communication, contact calls, etc.
Can 6 or 5 vaccines be prepared with a single vial?
Prepare more vaccinators so that the resource provided by Pfizer can be fully utilized. One vial of vaccine contains 0.4 milliliters to which is added 1.8 milliliters of reconstitution fluid. The result is 2.2 milliliters of liquid for injection, given that the dose is 0.3 milliliters. The manufacturer has assumed that a maximum of 5 doses from a vial can be reconstituted, given the losses during handling, but if the vaccinator were more careful when introducing the liquid into the syringe, six vaccines could be made with a vial, if not seven. . Thus, the number of people vaccinated could increase by 20% if the number of people actually vaccinated were increased so that they could better concentrate and reduce serum losses during vaccination.
Instead of conclusions
On December 25, two boxes of vaccine, that is, 2000 bottles, arrived in Romania. Some officials said that 3,000 people will be vaccinated with them (a buffer stock is made for the second dose, which will be administered in 21 days), others that 4,000 people will receive the vaccine. So, of a batch with which 6,000 people could be vaccinated twice (2000 vials, 6 injections / vial) there are only three or four thousand immunizations. Instead, it is understood that the crisis will be overcome in mid-2021, not in one year and four months, as would result from the calculations. You will probably consider who will be immunized naturally, until June of next year.
The speed of reaction is the test that the Romanian state failed in all crises, a performance that it could not achieve in any field. Dr. Valeriu Gheorghiță and the communication group, no matter how strategic, cannot solve in a few weeks the structural problems of the public administration accumulated for decades.
[ad_2]
