Virginia begins planning for eventual COVID-19 vaccine

Doses of an eventual COVID-19 vaccine are expected to make their way to Virginia just days after federal regulators clear the serum, and preparations have begun in Virginia for the massive, and likely unprecedented immunization effort.

More than 500 organizations with physicians on staff have already expressed interest in helping administer the vaccine, according to the Virginia Department of Health, which has begun outreach efforts to prepare to administer the vaccine.

Elderly people living in congregate settings, who face an outsize risk for COVID-19 complications, as well as health care workers, are expected to be among the first groups to receive doses of the vaccine, federal and state officials say, though the federal government has not yet determined priority groups.

“We’ve been working with the state regarding the vaccine planning, and we’re making sure our members are registered to be a vaccine provider, and are receiving the information they need to prepare,” said Dana Parsons with LeadingAge Virginia, an association of not-for-profit nursing home and elderly care providers.

The worldwide race to develop a vaccine that is safe and effective is moving ahead at an unprecedented pace, with nearly a dozen vaccines undergoing large-scale clinical trials for a virus that had never infected humans a year ago. At least five of those vaccines are being financial backed by the U.S. government, which has guaranteed free doses to all Americans in phases.

Virginia's gatekeeper

Virginia’s health agency will be the gatekeeper for vaccine administration in the state, at least in the early stages, according to the state’s draft vaccination plan submitted to federal officials earlier this month. When the Centers for Disease Control outlines priority groups, the state will coordinate distribution across the state depending on infection rates and other risk factors. And it will help fund much of that effort.

“We are having conversations with providers now, talking with hospitals, talking with long-term-care facilities,” said Christy Gray, who leads immunization efforts at the Virginia Department of Health. “It's better to have these now and to be ready for when a vaccine is available.”

The plan also outlines the costs facing the state to administer the vaccine, even though the doses themselves will be funded by the federal government. The state anticipates it’ll need $71 million to help local health districts set up community clinics, and $3.4 million to pay for supplies like syringes and alcohol pads facilities will need to administer the vaccine. The state is also planning a $3 million public education campaign.

When supply of the vaccine is high enough to allow for broader administration, the state anticipates doses will become available at pharmacies, pop up clinics by local health departments, grocery stores, and even higher-education institutions.

The effort also includes the state’s hospitals.

“Hospitals across the commonwealth are also developing internal and organizational processes for vaccinating staff members, patients, and the communities they serve,” said Julian Walker, a spokesman for the Virginia Hospital and Health Care Association, the advocacy arm for the state’s hospitals.

Access to the first doses will be much more limited. In addition to nursing home, long-term care facilities and health care workers, “priority groups” might also include: other essential workers in food distribution, child care, transportation and law enforcement; racial and ethnic minority groups at higher risk for the virus; people in correctional facilities; and people attending college in person.

While the federal government will set broad priority groups, if Virginia’s doses can’t meet that demand, the state will determine which subgroups will be first in line for the vaccine. The state recently created a new advisory group representing 90 organizations to help inform those decisions.

“Our intent is to ensure that the vaccine is accessible, affordable and actively distributed throughout Virginia, in the amount of doses we have at the time we have them,” Gray said. “We're not going to send them all to Southeast Virginia at first. But that doesn't mean that we will have enough for everybody at first.”

Gray said the advisory group is also thinking through likely barriers to access, and plans to ensure no one has to travel far to receive a dose of the vaccine.

Virginia begins planning for eventual COVID-19 vaccine Virginia begins planning for eventual COVID-19 vaccine Reviewed by Anson Moore on October 17, 2020 Rating: 5

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