German federal and state governments developed their “national immunization strategy” in early November. It aims to place the infrastructure as temporarily as you can imagine to enable mass vaccination programs. The paintings are somewhat complex and punctual, especially since, like the 15- Grant the document on the page, it is not yet known what vaccines will be available, when and in what quantities.
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But the main objective of the plan is the opposite scenario: an effective vaccine cannot be distributed to the population because logistics are lacking.
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Tasks and workflows are already established. The federal government will buy vaccine doses throughout the EU, which lately has agreements with six imaginable vaccine-operated pharmaceutical corporations and then the Berlin government will distribute the doses among 60 distribution centers across the country.
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That’s where states take over; have already started setting up vaccination centres, Berlin sharing the costs. Vaccination will not be imaginable to general doctors. This is because the source will be limited at first with insufficient doses for everyone, and because the garage doses in the general offices. of general doctors may not be technically or logistically imaginable.
In Berlin, for example, the local government is setting up six vaccination centres, two of which are located at the recently abandoned airports of Tempelhof and Tegel. Based on talks with Pfizer and BioNTech, Berlin is tentatively planning a first wave of around 900,000 doses. As the user will probably want a couple of hits, this would equa ty about 450,000 Berliners or just over 1 in 10 people in the capital.
Other younger, healthier people will have to wait a while to get vaccinated
“We are for the first prospective date of early December,” said Berlin’s guilty fitness minister Dilek Kalayci.
It is not yet entirely transparent who the patients with precedence will be. A committee of experts submitted recommendations to the German Ministry of Health before this year and recommended that priority be given to the elderly and those in a specific coVID-19 threat due to other diseases. fitness problems, along with fitness care staff and others in occupations, for the functioning of public life.
For now, however, these rules remain close, at least because some fundamental knowledge of pharmaceutical corporations is still lacking.
“We don’t have any detailed data on these tests yet,” said Lothar Weiler recently, of the German Robert Koch Institute of Infectious Diseases. A completed vaccination plan will only be imaginable once the vaccine is available and once it is in operation and efficacy or protection. they are obviously explained to other age groups; some would possibly be considered too harsh for previous patients, such as the elderly or the sick, for example.
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However, states are preparing in the most productive way possible. In Brandenburg, a giant state surrounding Berlin with an unusually low population density by German standards, they will want 12 six vaccination centres, two of which are destined to open this year and another 10 by 2021.
Rural states like this face a specific challenge: how do older people, perhaps with reduced mobility, access centralized vaccination centres from small rural villages?Special cellular immunization equipment has been reported, but for now, they are mainly for gyms.
Brandenburg strives to do so as temporarily as possible. Meanwhile, the state has stored vaccination devices, buying 3 million needles of 1 milliliter, 3. 5 million alcohol buffers and refrigerated containers.
Pfizer and BioNTech and Moderna mRN-based vaccines have very strict garage requirements. They should be stored at negative temperatures of 70 degrees Celsius (less than 94 degrees Fahrenheit). Once thawed, they have a very limited lifespan when stored at more typical cold temperatures.
The vaccination procedure itself will pose many situations of logistical requirements. Take Berlin’s example: it envisages a first phase of vaccinations that will last 40 days, targeting 3,400 vaccinations consistent with the centre, consistent with the day. One of the simplest demanding situations can simply be control. queues and schedules.
External assistance, such as that of the Red Cross, will be to maintain the desired vaccination rate.
The sites will not only want enough doctors for the task, but also other people at the gates, drivers, helpers, and the rest.
“We have the request of other organizations, such as humanitarian organizations, the Bundeswehr army and hospitals, to make sure there are enough staff,” said Burkhardt Ruppert, from one of the German medical associations in DW.
Experts warn that some degree of flexibility will be required, regardless of a country’s preparation. German Ethics Council President Alena Buyx summarized some of the demanding situations in a recent discussion of foreign experts. other vaccines will come to market. These can simply other age groups otherwise, or cause other forward-looking effects, and a lot of new empirical knowledge about them will continue to flow after such an immediate progression phase.
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There are many points to consider. Christiane Woopen, chaired by the European Ethics Group on Sciences and New Technologies, called for early discussions about the possible reimbursement of others suffering side effects, rather than leaving the possible challenge to the courts. He also called for an effort to codify vaccination strategies, as there will still be not enough doses for everyone for some time. He argued that, at its peak, prioritization can simply be interpreted as deciding “who lives and who dies. “
The duration of this first phase, when patient prioritization is required, on how pharmaceutical corporations can temporarily produce their products and launch vaccines that can be more easily stored in classic refrigeration units.
As soon as this is the case and begins to approach demand, Germany’s national vaccination strategy moves to Phase 2, where doses can also be sent to general medicine clinics.
For now, Germany is making its supplies as productively as possible: according to Health Minister Jens Spahn, so far the EU has secured or booked three hundred million prospective doses.
This article translated from German.