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The rapid spread of COVID-19 vaccines in some US states has paid off

Despite the rumors that the US is pushing for COVID-19 vaccines to get the country back on track, the first three months of the spread suggest that faster does not necessarily have to get better.

A possible new analysis has shown that South Carolina, Florida և Missouri, like other states that are more likely to run the vaccine to larger groups և Connecticut.

According to experts, the explanation is that the rapid expansion of jurisdiction has raised a huge wave of demand in some countries, which has led to serious confusion. Vaccine stocks were inadequate or unpredictable, websites were disrupted, telephone lines were blocked, spreading confusion, frustration, and resignation among many people.

“The infrastructure was simply not ready. That’s the answer, “said Dr. Rebecca Wurtz, an infectious disease physician and public health specialist at the University of Minnesota School of Public Health. He added. “Those who hurried to please everyone, the governors satisfied the few, disappointed many.”

The findings may contain some slow lessons for the country’s governors, many of whom have said that there has been a sharp increase in their activities in the last few days, after President Biden challenged all adults until May 1. to be eligible for vaccination.

“If you’re more focused, you can do a better job,” said Sema Sgayer, executive director of the nonprofit Health Data, Surgo Ventures, which conducted the analysis in conjunction with the Associated Press. “You can open it if you have the infrastructure to vaccinate all those people quickly.”

Many factors hindered the implementation of state vaccinations. Conspiracy theories, poor communication և inevitable shipments slowed efforts after the first bottles of expensive vaccine arrived on December 14

But the acceptable population was always under the control of government officials, who made widely differing decisions about how many people were invited to join the queue when the vaccine was not large enough to roll over.

When the drive started, most states put health care workers and nursing home residents at the forefront. In doing so, the states complied with the national recommendations of the experts, who also offered to do their best to reach each of these two groups before moving on to the next categories.

But facing political pressure and public outcry, the governors rushed forward. Both the outgoing Trump administration and Biden’s upcoming team have called for vaccinations for older Americans.

By the end of January, more than half of the states were open to older adults. Over 75 և others 65 years old. That’s when the real problems started.

On January 13, South Carolina expanded the jurisdiction of people in the Stephen Kite age group. Kate, 71, immediately ordered the vaccine at the hospital. But the next day his appointment was canceled due to a shortage of vaccines with thousands of people.

“It was frustrating at first,” Keith said. After a week of uncertainty, he planned. Now he and his wife are vaccinated. “It simply came to our notice then. I know they had other problems. The delivery of the doses was very unreliable. “

The scarcity of big cities in Missouri has taken vaccine seekers hundreds of miles to rural cities. Dr. Elizabeth Bergamini, a pediatrician in a St. Louis suburb, pushed about 30 people to frequent outpatient vaccinations after the state opened the jurisdiction of people “65 and older” on January 18 and then “expanded.”

“We went through the need to vaccinate several hundred thousand people in the St. Louis area for an additional half a million people, but we had not vaccinated that first group yet, so that was the crazy line,” Bergamini said. “It was just a whole mess.”

“There was a bit of a mess,” said Dr. Marcus Pleshia, chief medical officer of the Association of State and Regional Health Officials. “We created much more demand than supply. “It stressed the system, it could leave the system less efficient.”

Pleschia says the analysis suggests that “a more methodical, measured, prudent, priority-based approach, despite people’s perceptions, can actually be as effective or more effective than opening things up and making them more accessible to more people.”

In retrospect, the easy groups of vaccines were the health workers, the residents of the nursing home. Doses could be delivered to where they lived or worked.

“We knew where they were, we knew who they were,” Wurtz said. As soon as the states left that population, it became difficult to find the right people. Residents of nursing homes live in nursing homes. 65 year old և tall people live everywhere.

West Virginia reversed the trend with both a large number of eligible residents and high vaccination rates in early March, but the state began to slowly build its capacity before expanding its jurisdiction.

Similarly, Alaska maintained a high vaccination rate with a smaller eligible population, then opened fire on everyone on March 9, a higher rate. This large increase in eligible adults at the end of the study period prompted AP և Surgo Ventures to drop out of the Alaskan analysis

The analysis found that as of March 10, Hawaii had the lowest percentage of its adult population entitled to vaccination – about 26%. However, 42,614 doses per 100,000 adults were administered in Hawaii, the eighth highest rate in the country.

Thirty percent of Connecticut’s adult population was eligible for the fourth-highest dose in the country as of the same date.

In contrast, Missouri had the largest percentage of its eligible adult population, about 92%. However, Missouri provided 35,341 doses per 100,000 adults, ranking 41st among the states.

The top 10 vaccines in the state of Georgia – Georgia, Tennessee, Texas, Florida, Mississippi, South Carolina and Missouri – had larger-than-average film-sharing stocks.

The top five fastest-growing vaccines in the top five states – New Mexico, North Dakota, Connecticut, Wyoming and Hawaii – were left with more limited eligibility. Two other top-performing states in the top 10, South Dakota and Massachusetts, averaged the number of people eligible for the vaccine.

“This is a thorough analysis that shows there is a clear link between jurisdiction and vaccination levels in the states,” said Dr. Mark McClellan, a former director of the Food and Drug Administration, who was not involved in the new analysis but studied it in the AP. for:

Better working countries could get results by paying more attention to the supply of vaccines, thoroughly vaccinating high-risk groups and then slowly opening up to other categories as they wait for supplies to build, McClellan said.

What happens next will depend on how many countries can improve their vaccine delivery systems, whether Americans continue to want vaccines even though the threat is reduced by protecting more people, or by reducing the number of cases.

“Have states used this time wisely and effectively to build the infrastructure they need to open up to more people?” Sgayer asked.

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Associated Press writer Heather Holingsworth in Kansas Mission contributed to this report.

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