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While the lion’s percentage of COVID-19 infections and deaths in the U. S. While the U. S. is over, Americans embrace their inner Yogi Berra, who once observed that it “doesn’t end until it’s over. “

In fact, a number of COVID-19-related issues are still active, adding up to thousands of patients potentially affected by the long COVID-19 and the mystery of the origin of the virus. But among the biggest and least appreciated issues is public accounting for how the vaccine was distributed and administered across the country. The vaccine distribution formula has not been our best timing and the procedure must move forward for long-term physical emergencies.

Dr. Cory Franklin is a retired physician. Robert Weinstein is an infectious disease specialist at Rush University Medical Center.

Regardless of what you think of Donald Trump, Operation Warp Speed was one of the most effective research projects ever undertaken. Given time constraints, the use of an mRNA platform allowed for relatively immediate vaccine progression and resulted in fairly effective coverage versus hospitalization. and death

Warp Speed’s good fortune was dimmed almost without delay through release. The first test was to fulfill the vaccine request when the source was limited and it was very unlikely to direct the request to where the vaccine actually existed. This, coupled with the arduous task of shipping and storing the perishable vaccine (after the seal was pierced, each dose had to be placed on one arm; otherwise, unused doses were discarded the same day), presented a significant logistical challenge.

Distribution shifted from the federal government to state and local governments, and then to fitness service providers and networking groups. The result has been a confusing patchwork of distribution policies from government, national fitness service providers, state governments, local public fitness departments, and providers. : hospitals, pharmacies, fire brigades and prisons.

Even when there was a good enough source of vaccines, it was difficult, if not impossible, to locate it. Is it any wonder that low-level chaos ensued?How many times has a provider or pharmacy asked, “Do you have the vaccine?”

Distribution policies weren’t just confusing. For example, New York City seniors faced a 51-step online registration procedure that included multiple downloads of information. They were also contradictory. By mutual agreement, an indispensable team won the vaccine first, but after that, politics played a very important role. In some places, other people with pre-existing conditions and the elderly, who had the highest chance of dying from COVID-19. They were given declining precedence in favor of low-risk patients in the so-called “equity in public fitness. “

Strong instructor unions secured prestige of precedence for instructors in many jurisdictions, including for many educators whose schools had closed. And residency restrictions meant other people could be turned away if they went to a neighboring county to get vaccinated, even if the distribution site is much closer. than your home county. Remember: the goal of getting each and every one to have doses in the arm of a waiting patient, but those chaotic approaches meant a vaccine and possibly lives lost.

In too many cases, providers and government tracking systems didn’t know precisely where “their” vaccine was. There were few reliable Internet sites or maps for the public to consult. A personal volunteer organization in California installed a phone tree to identify the location of available vaccines, based on the maximum reliable resources they identified: local pharmacies and pharmacy chains.

To the knowledge of the Centers for Disease Control and Prevention, U. S. pharmacies, states, territories, and federal agencies are known to the U. S. The U. S. government rejected 82. 1 million doses of COVID-19 vaccine from December 2020 to mid-May 2022, just over 11% of doses distributed through the federal government.

Too often, the purpose seemed to be who would get the dose that the formula could deliver correctly, yet little effort was made to make sure the remaining 4 doses in the vial reached the patients waiting impatiently. The resolution through some vaccination sites to throw away unused vaccines at the end of the day was outrageous. In Israel, providers simply took to the streets and gave the day’s unused vaccine doses to anyone who sought them.

Another scandal has been the role played through our multibillion-dollar tech industry: Google, Apple, Microsoft, Facebook and Amazon, the largest knowledge-based formula the world has ever known. These corporations can ship and track any delivery, map the entire country accurately, buy everyone’s non-public information, and create ultra-sophisticated websites.

However, they gave the impression of running remotely from the government. Where were their skills in vaccine distribution formula while other people spent time, in a low-tech style, frantically composing their phones in search of vaccine doses?What was your specific legal responsibility to the public to rationalize distribution?? Regardless, some of the country’s unused vaccines and COVID-19 mortality can be attributed to the inertia of the tech industry.

And the biggest scandal of all? To date, there has been no full report on how the federal government and many local governments messed up the national COVID-19 vaccine distribution plan for 2021 to 2023: there was no public autopsy, national commission, published report, and no one’s accountability. entity. era ultimately responsible.

As the pandemic, with its overcrowded emergency departments, vast care packages, and crowded morgues, fades from our collective memory, it is becoming less imperative to create a more effective mass vaccination plan for the next pandemic.

What explanation do we have for the next time to be better?In addition to our inner Yogi Berra, we may also need to channel our inner Benjamin Franklin, who noted that “by not preparing, he is preparing to fail. “

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©2023 Chicago Tribune. Ir to chicagotribune. com. Distributed through Tribune Content Agency, LLC.

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