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Politics

Biden Criticizes Trump on Vaccine Distribution and Pledges to Choose Up Tempo

WASHINGTON – President-elect Joseph R. Biden Jr. criticized the speed of vaccine distribution under the Trump administration on Tuesday, pledging to accelerate the pace of his inauguration while issuing a sober warning of the consequences of the coronavirus pandemic.

Making a grim assessment of the months ahead, Mr Biden said this would be “a very difficult time for our nation” and admonished Americans to make the sacrifices necessary to overcome the destruction of the virus.

“It will take all of the determination and determination that we as Americans have to make this happen,” he said.

He warned that if the current pace of vaccine administration continues under President Trump, “it will take years, not months” to vaccinate the nation. And he said he directed his team to prepare for a more aggressive effort after taking office in three weeks, and promised to “move heaven and earth to point us in the right direction”.

“This will be the greatest operational challenge we have ever faced as a nation,” said Biden during a speech in Wilmington, Delaware, “but we will make it.”

Mr Biden will assume the presidency during a health crisis that has killed more than 338,000 people in the United States and caused widespread economic disruption. The distribution of vaccines to the American people will be an early test for him.

Earlier this month, federal officials announced that 20 million people would receive their first vaccinations by the end of the year. As of Monday morning, 11.4 million doses of the Pfizer and Moderna vaccines had been shipped across the country, but only 2.1 million people in the US had received their first dose, according to a dashboard published by the Centers for Disease Control and Prevention is being managed This most likely reflects a reporting delay of several days.

Mr Biden has vowed to get 100 million vaccine shots in the arms of Americans in his first 100 days in office. Vaccination currently requires two shots, which suggests that around 50 million people would be vaccinated during that time.

On Tuesday, Mr Biden announced new members to his Covid-19 response team, including vaccination, testing and supply chain management coordinators.

Operation Warp Speed, the Trump administration’s drive to accelerate vaccine development and adoption, spent billions of dollars to help drug companies test and manufacture their vaccines and ensure they have a buyer. These investments have helped vaccines become available much faster than many experts had predicted.

Even so, the launch of these vaccines has started slower than federal officials had hoped.

“We are certainly not at the numbers we wanted at the end of December,” said Dr. Anthony S. Fauci, the government’s foremost infectious disease expert, on CNN Tuesday. But he added, “I think when we get into January we will see an increase in momentum.”

Moncef Slaoui, the scientific advisor to Operation Warp Speed, said just last week that the chances were good that the first 100 million people in the US would be vaccinated by the end of March.

Michael Pratt, a spokesman for the Department of Health and Human Services, defended the pace of vaccine adoption. In a statement, he said it was “evidence of the success of Operation Warp Speed” that 20 million cans had already been made available to states and other jurisdictions. (Not all cans have been shipped.) And Mr Trump said in a tweet that it was “a matter for states to distribute the vaccines as soon as they are brought into designated areas by the federal government.”

The pace of vaccination in the United States is expected to accelerate in the first few months of next year as more vaccines become available and more facilities distribute them to a wider range of Americans. To date, vaccines have mainly been given to healthcare workers in hospitals, as well as residents of nursing homes and other long-term care facilities.

Updated

Apr. 29, 2020, 10:06 am ET

In his remarks on Tuesday, Mr Biden said he could “return to normal next year”, but also offered a threatening prognosis for the near future. The next few months could be “the toughest in this entire pandemic,” he said, adding, “I know it’s hard to hear, but it’s the truth.”

“We have to steel our spikes for what lies ahead,” he said.

He expressed hope that Mr Trump, who refused to wear a mask and made fun of Mr Biden during the campaign to wear a mask, could continue to make a positive impact on the public.

“It would make a big difference for President Trump to say, ‘Wear masks,'” said Biden. “I hope the President will clearly urge all Americans to take the vaccine when it becomes available.”

Hours before Mr Biden spoke, Vice President-elect Kamala Harris received her first dose of a Covid-19 vaccine. The recording was televised, as was Mr. Biden’s last week when he received the Pfizer vaccine in a Delaware hospital.

Ms. Harris received the Moderna vaccine at United Medical Center, a public hospital in southeast Washington. She encouraged Americans to get vaccinated too, saying, “It’s relatively painless. It goes very quickly. It’s safe. ”Her husband, Doug Emhoff, also received the vaccine Tuesday.

State and local officials have long said they need more money to distribute and administer vaccines. The $ 900 billion aid package that Mr Trump put into law on Sunday provides more than $ 8 billion for vaccine distribution, roughly equivalent to the $ 8.4 billion health departments have asked Congress to do . The CDC sent $ 200 million to the states for the effort in September, followed by another $ 140 million this month.

The government has said the goal is to have anyone wanting a vaccine able to have a vaccine by June, but it has not yet provided enough vaccines to be approved for use. The United States is committed to receiving enough vaccines to vaccinate 200 million of the approximately 260 million American adults who are eligible for the vaccination.

Moderna has agreed to ship 200 million doses of its vaccine to the US, with the first half scheduled for late March and the second half at the end of June.

Pfizer has also agreed to provide 200 million doses. With each person taking two shots, 120 million cans are running out.

In the summer, before the vaccine was shown to be effective, Pfizer agreed to give the United States an initial 100 million doses. At that time, the government passed on an offer from Pfizer to secure additional supplies.

However, when it became clear that more doses were needed, the government resumed talks with Pfizer. In a deal announced last week, Pfizer agreed to provide an additional 70 million doses by the end of June and an additional 30 million doses by the end of July.

Under the deal, the government agreed to invoke the Defense Equipment Manufacture Act, a Korean War-era law that allows the government to secure critical supplies faster by forcing suppliers to place orders from a specific contractor prioritize. Operation Warp Speed ​​has applied the Defense Production Act 18 times to date, including making glass vials and syringes, according to the Department of Health and Human Services.

Mr Biden said Tuesday that when he takes office he will also apply the Defense Production Act and said he will “instruct private industry to expedite the manufacture of the materials and protective equipment needed for the vaccines”.

The government has some means of providing vaccines to 60 million American adults that are not covered by existing contracts with Pfizer and Moderna.

It may be possible to exercise options to buy more doses of Pfizer or Moderna. The government could also turn to third-party vaccines that are expected to report late-stage results in the coming weeks. Johnson & Johnson is expecting results from a study late next month on its single vaccine, a format that is easier to dispense than Pfizer and Moderna vaccines. A US study evaluating a two-shot vaccine developed by AstraZeneca and the University of Oxford could yield results in February.

On Tuesday, Mr Biden admitted he was not yet in control of the government’s virus response, saying, “My ability to change the direction of this pandemic will begin in three weeks.” And he made it clear that next year he would need help from Congress to provide additional funding to carry out his plans.

But even when he warned of the difficult weeks and months, he was optimistic in the long term.

“We’ll get through this,” he said. “The days are brighter.”

Thomas Kaplan reported from Washington and Rebecca Robbins from Bellingham, Wash.

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Health

Covid vaccine distribution has been slower than U.S. officers thought it will be

UPS package handlers Jesirae Elzey and Demeatres Ralston unload boxes of Moderna’s COVID-19 vaccine when it arrives at UPS Worldport in Louisville, Kentucky on December 20, 2020.

Michael Clevenger | Pool | Reuters

Coronavirus vaccine distribution has been slower than US officials hoped, as the number of vaccinations is well below the US government’s target of 20 million by the end of the year, federal health officials said Wednesday.

Just over 1 million people in the United States received their first dose of a coronavirus vaccine on Wednesday morning, according to the Centers for Disease Control and Prevention. That’s about 19 million doses, falling short of previous December forecasts, and officials have a little over a week – about 8 days – to try to fill that void.

“Just like how fast the start of vaccinations and gun shots is slower than we expected,” said Dr. Moncef Slaoui, tsar of President Donald Trump’s coronavirus vaccine, told reporters during a press conference Wednesday afternoon. “And as I told you, we are here to help states accelerate appropriately,” he said, adding that the target of 20 million vaccinations “is unlikely to be met.”

US officials said they are still resolving some issues in the distribution system after some can deliveries went to the wrong destinations and others on the wrong day.

Army General Gustave Perna, who oversees the logistics for Operation Warp Speed, said the US government has “done a good job so far” distributing millions of Covid vaccine doses from Pfizer and Moderna to states, territories and major cities across the country . But he added that US officials are still “learning” with the sales process getting “better” and “stronger” day by day.

“We had a handful of packages that we were trying to deliver that weren’t destined for the right location, but we captured them before they were dropped off and we redirected them to the right location,” Perna said at the press conference. “And we had a couple … shows that didn’t go out on the right day.”

This isn’t the first hiccup since the distribution began. Perna said last week that several thousand doses of Pfizer’s vaccine traveling to California and Alabama had to be quarantined and returned to the company after the vials somehow got too cold. It’s unclear why the temperature dropped, but Pfizer said in a statement that it was able to intercept the shipments and “seamlessly trigger subsequent delivery to these customers.”

Global health experts had said distributing the vaccines to around 331 million Americans within a few months could prove to be much more complicated and chaotic than originally thought. In addition to making adequate doses, states and territories also need enough needles, syringes, and bottles to complete vaccinations. People also need training in the storage and administration of the vaccines. For example, Pfizer’s vaccine requires a storage temperature of minus 94 degrees Fahrenheit.

Despite the missteps, CDC Director Robert Redfield on Wednesday praised the US milestone of 1 million vaccinations and called it an “achievement” as vaccination protection will help frontline health workers continue to treat sick patients.

“As we celebrate this historic milestone, we also recognize the challenging path that lies ahead,” he said in a statement. “There is currently a limited supply of COVID-19 vaccines in the US, but the supply will increase in the coming weeks and months. The goal is to make it easy for everyone to be vaccinated against COVID-19 once enough is available are available. “

Perna said on Wednesday that it expected vaccine distribution to improve. More than 7,800 deliveries should be completed by the end of Thursday. The US plans to ship 2.67 million doses of Pfizer’s vaccine and 2 million doses of Moderna’s vaccine to states next week, Perna said. The government distributed 2 million doses of Pfizer’s vaccine and 5.9 million doses of Moderna’s vaccine this week. A total of 15.5 million vaccines have been allocated, he said.

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Business

COVAX international Covid vaccine program secures almost 2 billion doses for UNICEF distribution

A pharmacist prepares a dose of the Pfizer-BioNTech Covid-19 vaccine on Wednesday, December 16, 2020 at the UCI Medical Center in Orange, California, United States.

Bing Guan | Bloomberg | Getty Images

The global alliance, which aims to provide coronavirus vaccines to poor nations, announced Friday that it has supply agreements to provide nearly 2 billion doses and could ship them in the first quarter of its approval.

There are 190 countries and territories participating in COVAX, which is jointly managed by the World Health Organization Gavi, the Vaccine Alliance and the Coalition for Epidemic Preparedness Innovation. The facility said it could secure the cans through additional supply agreements with AstraZeneca and Johnson & Johnson.

COVAX plans to begin first shipments in the first quarter of 2021, when the drugs are approved. Enough doses should be given in the first half of next year to protect health and social workers in participating economies, the Alliance said. COVAX plans to ship at least 1.3 billion doses to 92 low and middle-income countries that will participate in the facility sometime next year.

“The arrival of vaccines gives us all a glimpse into the light at the end of the tunnel,” said Dr. Tedros Adhanom Ghebreyesus, director general of the World Health Organization, in a statement. “But we will only really end the pandemic if we end it everywhere at the same time. That means that it is important to vaccinate some people in all countries, rather than all people in some countries.”

UNICEF announced on Friday that up to 850 tons of Covid-19 vaccines per month could be shipped to middle- to low-income countries over the next year. Commercial airlines will be able to deliver the vaccines to almost all of the 92 countries participating in COVAX, a UNICEF statement said.

The United Nations Children’s Fund is a United Nations agency that provides humanitarian aid to children around the world. UNICEF will work with the Pan American Health Organization (PAHO) to coordinate vaccine procurement and support dispensing of the doses, said Gavi.

The humanitarian organization said the shots will likely be shipped primarily via existing passenger and cargo flights, although some charter flights or alternative modes of transportation will be required for hard-to-reach countries.

However, the world’s poorest countries are still facing a budget gap of $ 133 million for the distribution and storage of the cans, UNICEF said. According to the organization, which assesses global air cargo capacity and routes, the airline’s deliveries would cost the airline up to an estimated $ 70 million.

Countries will face additional challenges once the cans arrive, UNICEF said.

The temperature requirements for the vaccines being developed are range and require cold chain supply lines, trained medical staff and stronger contact efforts, said Henrietta Fore, executive director at UNICEF, in a statement released Friday.

“This is a mammoth and historic endeavor,” Fore said in a statement. “The scale of the task is huge and the stakes have never been higher, but we are ready to take on this.”

UNICEF said it would take $ 410 million to help countries deliver the vaccines and purchase therapeutic drugs and diagnostic tools over the next year. Funding has been a problem for the COVAX facility, which according to a Reuters report on Wednesday, citing internal documents, faces a “very high” risk of default due to lack of funds, delivery risks and complex contractual arrangements.

Categories
Politics

Distribution cash at stake in Covid reduction talks

Congressional efforts to fund state and local distribution of the Covid-19 vaccine continued to be balanced on Monday, even as the first doses of Pfizer’s landmark vaccine were given.

Legislators have yet to agree on a funding package to support health departments in the unprecedented vaccination campaign, despite bipartisan agreements that billions of dollars are needed.

The funding negotiations were fraught with deadlocked talks over possible bills that would provide economic relief to millions of Americans who have suffered from the coronavirus-related financial crisis.

These talks, which seemed to be moving slowly over the past few weeks, have taken on a new urgency as the Christmas holidays approach and the reality of viable Covid-19 vaccines has set in.

However, earlier in the week it was not clear whether Congress would make significant progress in passing its first major aid package to Covid-19 since the $ 2.2 trillion CARES bill was passed in March.

The latest plan, which is part of a $ 908 billion bailout bill tabled by a bipartisan group of lawmakers, puts $ 6 billion in sales efforts. The legislature should publish a legislative text on Monday.

The $ 6 billion price tag is in line with the Trump administration’s requirements, but well below what groups of health departments consider necessary.

For months, the Association of State and Territorial Health Officials and the Association of Immunization Managers have been demanding that Congress allocate at least $ 8.4 billion.

“These funds are urgently needed to expand and strengthen federal, state, local, territorial and tribal capacities for a timely, comprehensive and equitable vaccine distribution campaign,” the groups wrote in October.

The groups said that the $ 200 million previously allocated by the Centers for Disease Control and Prevention was a “down payment.”

CDC Director Robert Redfield told the Senate in September that it would “take anywhere between $ 5.5 [billion] on $ 6 billion “to distribute a Covid-19 vaccine, saying the matter is” urgent. “

The Department of Health and Human Services, where the CDC is located, has not returned a request for comment on the state of the Congressional negotiations.

So far, the nature of the latest proposal to fund state and local vaccine distribution has only been published in summary form.

According to legislative summaries, the $ 908 billion package would provide $ 3.42 billion in direct grants to states and communities, $ 2.58 billion to fund CDC “vaccine distribution and infrastructure,” and $ 129 million for tribes and tribal organizations contain.

Claire Hannan, executive director of AIM, said her group was still learning the details of the $ 6 billion proposal, but that it looked promising that lawmakers would move the funds to distribute the vaccine from the funds for tracking and testing separated from contacts.

However, she cautioned against allocating less than needed to “programs with severe disabilities by registering more providers and expanding vaccination efforts”.

“Bottom line: If Congress doesn’t reach an agreement, we fear that the programs will not be able to expand their capacity to register additional providers, which means there could be fewer places and opportunities to vaccinate people and a longer period of time to emerge from this pandemic “, she said.

The bipartisan plan now under discussion was drawn up by a group of moderate senators from both major political parties and endorsed by the House Problem Solvers Caucus.

House Speaker Nancy Pelosi, D-Calif., And Senate Minority Chairman Chuck Schumer have tentatively approved the plan and identified it as a starting point for negotiations.

Senate Majority Leader Mitch McConnell, who would be instrumental in getting laws passed, has yet to board. On Monday, however, McConnell described the vaccine distribution fund as “incredibly urgent”.

“This is the support that state and local governments need most,” McConnell said, saying the money would “vaccinate citizens now to end the fight.”

The ongoing negotiations go beyond funding vaccine distribution.

Unemployment benefits, which were expanded as a result of the coronavirus pandemic, will expire the day after Christmas, cutting payments to 12 million people. Each new deal is also expected to raise more funding for small businesses hit by the public health crisis.

Despite the widespread recognition that some sort of relief must be given, the barriers to reaching an agreement have remained largely unchanged for months.

Democrats have pushed for more spending and support to state and local governments facing budget crises as a result of the pandemic. Republicans largely oppose state and local aid, and have insisted that any deal include safeguarding businesses from liability claims arising from the crisis.

In addition to these sticking points, Independent Senator Bernie Sanders of Vermont, a progressive, and Republican Senator Josh Hawley of Missouri, a Conservative, have proposed a bill that does not include direct payment to Americans in that sense of the $ 1,200 stimulus- Checks sent out earlier this year. The $ 908 billion plan does not include direct payments.

So far, White House involvement has been limited, although Treasury Secretary Steven Mnuchin has continued to negotiate with Pelosi.

President Donald Trump has shown little interest in reaching an agreement on Capitol Hill and has instead focused on his failed legal efforts to overthrow the 2020 election. If no agreement is reached in the coming weeks, the problem could soon be on President-elect Joe Biden’s plate.

Biden, who has already named several top doctors to positions in his administration, has signaled that distributing the Covid-19 vaccine will be a top priority for his administration in its first few days and is committed to 100 million doses in its first 100 days submit.

But Biden, who will be sworn in on Jan. 20, has suggested that if Congress fails to reach an agreement, his plan could be foiled.

During an address in Wilmington, Delaware, Tuesday, the former vice president urged Congress to quickly fund sales efforts and warned that efforts after an early round of vaccination could slow and stall after an early round of vaccination. “

“Let me repeat, we need Congress to end the bipartisan work, or millions of Americans may be waiting months longer – months longer – than they would otherwise have to get their vaccinations,” Biden said.

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