Claire Hannan talks about the challenge of a vaccine rollout: shots

A mother holds her 1-year-old son on June 21, 2022, when she received the baby’s Covid-19 vaccine on her thigh at Temple Beth Shalom in Needham. The temple was one of the first places in the kingdom. Vaccinate anyone in public.

Via Joseph Prizioso / AFP Getty Images


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Via Joseph Prizioso / AFP Getty Images


A mother holds her 1-year-old son on June 21, 2022, when she received the baby’s Covid-19 vaccine on her thigh at Temple Beth Shalom in Needham. The temple was one of the first places in the kingdom. Vaccinate anyone in public.

Via Joseph Prizioso / AFP Getty Images

My daughter was just starting to walk when the epidemic started. He is now about four years old, and at all times – growing up, going to school – he had no access to protection from the COVID-19 vaccine.

That changed this week. The White House has a plan to vaccinate 19 million children under the age of 5 in the United States, but if you’re trying to find an appointment where you can get out of the holiday season, you’re not alone.

As executive director of the Association of Immunization Managers since the fall of 2020, Claire Hannan has been helping immunization managers in all 50 states navigate the COVID-19 vaccine rollout. He told NPR what was going on behind the scenes to come up with this new low-dose formulation of the Modern and Pfizer vaccines so that young children could be protected in the end.

This interview has been edited for length and clarity.

What is the status of the rollout at the moment? Have pediatricians been able to order these new shots?

There were two waves of pre-order. The first wave was shut down in early June, and the provider had to be able to receive the vaccine yesterday – on holiday – so a pre-order of the wave was small. There were significantly more orders in the two waves of pre-orders, which began to be delivered [Wednesday] Or Thursday. So I think it will be easier to get the vaccine by the end of the week.

The CDC advisory meeting was a long weekend Saturday where vaccine experts reviewed all the data. You saw it – did the parents miss it?

The committee was unanimous, very enthusiastic about the benefits of vaccines for children. I think if anyone has any doubts about whether they will get it for their child, it should dispel any of those doubts.

They reviewed disease and hospitalization and death data. There were no serious adverse events [from the vaccine]. This is something they keep track of as soon as the vaccine is rolled out, but there is no reason to doubt seeing millions of doses of the vaccine on a large scale. [that] Given to adults. The efficacy is not exactly what it used to be in adults, but – two-dose and possibly a third-dose modern and three-dose Pfizer – the efficacy is very good against hospitalization and death.

Many parents say, ‘Well, my child is already cowardly.’ The data they were looking at does not seem to be of any benefit if your child is infected with covid during vaccination until future hospitalization and prevention of death. [protect against that.] So even if your child is covid, I would recommend getting the vaccine and make sure you get three doses if it is Pfizer and two doses if it is Moderna, and just watch for a booster to come.

How much will this rollout depend on pediatricians vs. pharmacies?

I think this rollout will be much more dependent on pediatricians and family therapists. According to our CDC, 70-80% of pediatricians who are enrolled in the Vaccine Program for Children are also enrolled in the COVID program. There are a number of challenges for suppliers, but I think there will be a lot more vaccines in the medical home for children than what we have seen with older children and adults where pharmacies can play a bigger role.

[Pharmacies] We can now vaccinate up to three years of age when we are in the epidemic, but the CDC tells us that 10% of pharmacies will vaccinate children under five because many of them are not comfortable vaccinating young children. They don’t necessarily have that relationship with their parents, [or] Place

Some pediatricians (including me) do not plan to order or offer the vaccine at the office. What are some of the reasons why pediatricians may not participate?

[With other vaccines], Pediatricians usually drink a single dose vial. When a baby arrives, they take the vial out of the fridge and they give. They don’t have to worry about waste.

With the COVID vaccine, it is a 10-dose vial. So if they give a child one shot, they have to give nine more shots in 12 hours or they will be ruined – they have to throw away the rest of the bottle. It is very, very difficult to get their order [when they will have to likely] Cancel unused dose. We’ve just really been pushing the providers [with the message that] It is better not to waste a dose and not to miss the opportunity to vaccinate a child.

This is a new formula, isn’t it? The 5-11 year old vials were different – including one Orange label.

Yes, this is a new formulation. The new Pfizer bottles are maroon and [the Moderna ones] There is a Magenta label so now you have something like six different formulations that a pediatrician carries both Pfizer and Moderna for all ages from six months to 18 years. This is another real challenge.

What we’re seeing is that providers only want to carry one or the other brand. They want to reduce the chances of them having storage errors or administrative errors because vaccines are very different.

Providers had to order a minimum of 100 doses, including 5-11 vaccines. Is this the case with this vaccine?

Yes, the minimum order is 100 doses. This is definitely a challenge. The thing is a 10-dose vial, if you are a rural provider or if you have a small habit, if you have only 10 kids in practice at that age, you know you are probably opening 10 vials out of 10. Throw in single dose every other day and nine other doses. And that’s where one provider said, ‘You know what? I’m probably not the right provider for this vaccine. ‘ This is why we have providers, especially small providers in rural areas who say they do not want to place orders.

But health agencies have analyzed orders via zip code. They are using local health departments as a place where vaccines can be found in communities. And they are setting up clinics in schools or mobile clinics if there is no ordered supplier of the vaccine in a particular area.

What should you do if your pediatrician doesn’t give you a shot and you want to vaccinate your under-5 kids?

Check vaccines.gov. That shows the provider [near you] Where vaccines have been provided for children under the age of five. You see, ‘OK, OK, this pediatrician is not my pediatrician, but they have supplies and they are vaccinating.’ And you can call them. So I’ll start with vaccines.gov – you can give your zip code, you can see.

And then I’ll call my local health department, or just go to their website, [or] See and visit the State Health Department website. They could be a stay [vaccine] Clinic in your area. I will also check with my pharmacy. CVS minute clinics and some emergency care clinics have vaccination facilities [kids] Under 3.

Governor of Florida News has been created Announcing that the state will not order any covid vaccine for this age group? Is the vaccine being shipped to Florida?

What has happened in Florida is that the state has not ordered a dose [initial] Forecast. Provider [like family doctors] Vaccines are now being ordered, and they’ve been able to order over the weekend, so delivery to providers will probably start on Wednesday or Thursday.

So the providers are ordering the vaccine, it is being delivered to them. Retail pharmacies were able to pre-order it, so some of them have it [already].

“[So for parents there,] I think it will be harder and more vaccines may come in a few days, but it is being sent to Florida. ”

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