OVERWORKED & UNDERFUNDED. Hundreds of people wait in line on
December 29, 2020, at the STARS Complex in Fort Myers, Florida,
to receive the first dose of a COVID-19 vaccine. The race to
vaccinate millions of Americans is off to a slower, messier
start than public health officials and leaders of the Trump
administrationís Operation Warp Speed had expected. Overworked,
underfunded state public health departments are scrambling to
patch together plans for administering vaccines. Counties and
hospitals have taken different approaches, leading to long
lines, confusion, frustration, and jammed phone lines. (Andrew
West/The News-Press via AP)
From The Asian Reporter, V31, #1 (January 4, 2021),
Race to vaccinate millions in U.S. off to
slow, messy start
By Bobby Caina Calvan and Michael Kunzelman
The Associated Press
TALLAHASSEE, Fla. ó Terry Beth Hadler was so eager to get a
lifesaving COVID-19 vaccination that the 69-year-old piano
teacher stood in line overnight in a parking lot with hundreds
of other senior citizens.
She wouldnít do it again.
Hadler said she waited 14 hours and that a brawl nearly
erupted before dawn when people cut in line outside the library
in Bonita Springs, Florida, where officials were offering shots
on a first-come, first-served basis to those age 65 or older.
"Iím afraid that the event was a super-spreader," she said.
"I was petrified."
The race to vaccinate millions of Americans is off to a
slower, messier start than public health officials and leaders
of the Trump administrationís Operation Warp Speed had expected.
Overworked, underfunded state public health departments are
scrambling to patch together plans for administering vaccines.
Counties and hospitals have taken different approaches, leading
to long lines, confusion, frustration, and jammed phone lines. A
multitude of logistical concerns have complicated the process of
trying to beat back the scourge that has killed more than
Florida governor Ron DeSantis is asking for patience, noting
the vaccine supply is limited.
"It may not be today for everyone, may not be next week. But
over the next many weeks, as long as we continue getting the
supply, youíre going to have the opportunity to get this," he
Florida has placed a priority on residents age 65 and older
to receive the vaccine once medical workers and long-term care
residents and staff get the shots. The decision bucks a
suggestion from the Centers for Disease Control and Prevention
to place a priority on people 75 and older and essential workers
like teachers and first responders as the next to get
Dr. Ashish Jha, a health policy researcher and dean of the
Brown University School of Public Health, said the main problem
is that states are not getting adequate financial or technical
support from the federal government. Jha said the Trump
administration, principally the Department of Health and Human
Services, has set states up to fail.
"Thereís a lot states still need to do," he said, "but you
need a much more active role from the federal government than
what they have been willing to do. Theyíve largely said to
states, ĎThis is your responsibility. Figure it out.í"
Lags in reporting vaccination numbers explain in part why
many states arenít meeting their year-end goals, but officials
blame logistical and financial hurdles for the slow pace.
Many states lack the money to hire personnel, pay for
overtime, or reach out to the public. The equipment required to
keep the vaccines cold complicates their distribution. Also,
providers need to track vaccinations so they have enough to
dispense the required second doses three or four weeks after the
Dr. James McCarthy, chief physician executive at Memorial
Hermann in Houston, said the hospital system had administered
about half of the roughly 30,000 doses that it has received
since December 15.
The system had to create a plan from scratch. Among other
things, administrators had to ensure that everyone in the
vaccination areas could socially distance, and they had to build
in a 15-minute observation period for each patient so the
recipients could be watched for any side effects.
"We canít just hand it out like candy," McCarthy said.
Pasadena, California, is vaccinating its firefighters in
groups of 50 after their two-day shifts are over so they can
recuperate during their four days off. "We donít want the
majority of our workforce ó if they do experience side effects ó
to be out all at the same time," city spokeswoman Lisa Derderian
In South Carolina, state lawmakers are questioning why the
state has administered just 35,158 of the 112,125 Pfizer doses
it had received. State senator Marlon Kimpson said officials
told him that some frontline healthcare workers are declining to
be vaccinated, while others are on vacation.
Lin Humphrey, a college professor whose 81-year-old mother
lives with him in a high-rise apartment in Miami, said it took
him about 80 calls to get someone on the phone at a Miami Beach
hospital that began inoculating elderly people last month.
"It reminded me of the í80s where you had to call into a
radio station to be the 10th caller to get concert tickets,"
Humphrey said. "When I finally got through, I cried on the phone
with the woman."
New York City mayor Bill de Blasio set an ambitious goal of
vaccinating 1 million residents in January ó a task that he said
would require outside cooperation and dramatically increased
access to the shots.
Over the past few weeks, Trump administration health
officials had talked about a goal of shipping enough vaccine by
the end of the month to inoculate 20 million Americans. But the
U.S. clearly did not reach that mark.
Army Gen. Gustave Perna, Operation Warp Speedís chief
operating officer, said 14 million doses had been shipped around
the country as of last week. Tracking by the Centers for Disease
Control and Prevention showed only 2.8 million injections had
Officials said there is a lag in reporting vaccinations, but
they are still happening more slowly than expected. Perna
predicted the pace would pick up in January.
"We agree that that number is lower than what we hoped for,"
said Dr. Moncef Slaoui, Warp Speedís chief scientist.
Last Tuesday, President-elect Joe Biden said the Trump
administration is "falling far behind" and vowed to ramp up the
pace once he takes office on January 20. In early December,
Biden vowed to distribute 100 million shots in the first 100
days of his administration.
Jha said Bidenís goal is ambitious but achievable.
"Itís not going to be easy if what they pick up on January 20
is an infrastructure thatís not ready to execute on Day One," he
In Tennessee, health officials hoped to reach a goal of
dispensing 200,000 doses by the end of the year, but delays in
shipments prevented that from happening.
"Thereís just nothing we could have done about that," said
Dr. Lisa Piercey, Tennesseeís health commissioner.
Kunzelman reported from College Park, Maryland. Associated
Press reporters John Raby in Charleston, West Virginia; Stefanie
Dazio in Los Angeles; Adriana Gomez Licon in Miami; Sean Murphy
in Oklahoma City; Lauran Neergaard in Alexandria, Virginia;
Marion Renault in Rochester, Minnesota; Michael Schneider in
Orlando, Florida; Desiree Mathurin in Atlanta; and Michelle Liu
in Columbia, South Carolina, contributed to this report.