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First shipments of coronavirus vaccine will fall short

State health departments and governors' offices across the country are finally being told by the US Centers for Disease Control and Prevention and Operation...

Posted: Dec 5, 2020 10:54 AM
Updated: Dec 7, 2020 5:30 PM

State health departments and governors' offices across the country are finally being told by the US Centers for Disease Control and Prevention and Operation Warp Speed how many doses of the coronavirus vaccine they will initially be receiving once the vaccine is authorized, and it's not enough.

With the Pfizer vaccine emergency use authorization expected later this month, and perhaps also for the Moderna vaccine, states are learning there's not enough for them to fully vaccinate those designated as their first and top priority.

Earlier this week, the CDC's Advisory Committee on Immunization Practices recommended that the very first batch of Americans to get vaccinated should be frontline health care workers and residents of long term care facilities such as nursing homes. Together, they add up to about 24 million people.

Federal officials estimate about 40 million vaccines will be available by the end of the month if both Moderna and Pfizer get US Food and Drug Administration authorization -- only enough to vaccinate 20 million people, because two doses are needed for each person.

But even that number will fall short. Pfizer is only expected to have 6.4 million doses of vaccine ready by mid-December.

A CNN analysis of 27 states' vaccine data showed that none were getting enough vaccine in the first shipment to vaccinate all their first priority group, including health care workers and long-term care residents. CNN was able to confirm the expected size of the first shipment of vaccine for at least 43 states, and the number of people prioritized in a least 27 states.

Now states must decide how they will ration the vaccine among their top priority groups and how the small first installment affects the timetable of when groups down the line can be vaccinated. Some states are already being forced to triage -- choosing which health care workers are a higher priority than others.

California must vaccinate 2.4 million healthcare workers first and Gov. Gavin Newsom said earlier this week that the state is only receiving 327,000 doses of the vaccine from Pfizer to start with.

Since that covers just a fraction of the healthcare workers needed to get vaccinated, Newsom said Thursday the state would be trimming its list of top priority group of healthcare workers even further to decide who gets vaccinated first.

'It's one thing when you hear the national news about, well, we broadly all agree that our healthcare workers and skilled nursing residential care and assisted living facilities should be prioritized, but that is millions and millions of people. When you only have a few hundred thousand doses of vaccines -- doses, you need two doses -- you can cut that in half in terms of the total number of people that actually will be fully vaccinated. We have to look at some prioritization of those doses, and we've done just that,' Newsom said Thursday.

The Covid-19 vaccine in California will now go first to acute care facilities, nursing homes, dialysis centers and first responders before going to groups like home healthcare workers.

Alabama is receiving far less of the Pfizer vaccine than they were first promised from the initial shipment. Instead of their first shipment being 112,000 doses from Pfizer, the state will receive 40,950 doses, according to Alabama Department of Public Health Officer Karen Landers. The state has designated 300,000 health care workers and 22,000 residents of long-term care facilities as among the highest priority group to be vaccinated.

'The Alabama Department of Public Health will follow its Phase 1a allocation of Covid-19 vaccine and, as necessary, ask providers to sub-categorize persons within Phase 1a based upon supply,' Landers told CNN. 'For example, healthcare personnel who work in emergency rooms, Covid-19 units, have underlying health problems, or other factors, may receive the initial vaccines.'

Montana is only receiving around 9,750 doses of the Pfizer vaccine from the first shipment when it has more than 40,000 healthcare workers to vaccinate before moving on to the rest of the state's population.

'We'll likely be receiving several thousand subsequent doses in the coming weeks' Gov. Steve Bullock said in a news conference earlier this week.

New York Gov. Andrew Cuomo said his state will receive 170,000 doses of Pfizer's vaccine on December 15th. The state's highest priority groups include 85,000 nursing-home residents and 130,000 nursing home facility workers.

For some states, the difference between the amount of vaccine they expect to receive and the number of people labeled as the state's highest priority are not as far off.

In Texas, the state expects 224,250 doses of the Pfizer vaccine the week of December 14, but will end up with 1.4 million doses when combining shipments from Pfizer and Moderna by the end of December. The state estimated it needs to vaccinate 1.6 million health care workers to complete its first phase of the process.

West Virginia Gov. Jim Justice gave more detail in his Friday announcement of what the state will be receiving by sharing not only the initial shipment, but the ordering cap for each week. Justice said that West Virginia is expected to receive 60,000 doses of the vaccine from Pfizer on December 15 and 26,000 from Moderna the week after. The state can order up to 16,000 new doses from Pfizer a week and up to approximately 5,000 from Moderna each week.

The state has said its first priority group is approximately 100,000 healthcare workers, long-term care facility staff and residents, individuals critical to community infrastructure and emergency response, public health officials, and first responders.

Correction: An earlier version of this story misstated the number of states for which CNN can confirm the expected size of the first shipment of vaccine. CNN was able to confirm the expected size of the first shipment of vaccine for at least 43 states so far.

Oregon Coronavirus Cases

Data is updated nightly.

Cases: 394569

Reported Deaths: 5243
CountyCasesDeaths
Multnomah60720847
Washington42359405
Marion40153516
Clackamas33040387
Lane30428361
Jackson25105363
Deschutes23795189
Umatilla15144184
Linn14859183
Douglas13523293
Josephine10278247
Yamhill9840143
Klamath9112149
Polk8325102
Benton615338
Malheur593292
Coos5768109
Columbia438056
Jefferson424366
Lincoln365852
Crook343057
Union340756
Wasco318646
Clatsop263635
Baker221833
Tillamook218046
Hood River216537
Morrow197825
Curry193939
Harney121333
Grant109116
Lake105617
Wallowa76313
Sherman1933
Gilliam1854
Wheeler1141
Unassigned00

California Coronavirus Cases

Data is updated nightly.

Cases: 5105427

Reported Deaths: 74781
CountyCasesDeaths
Los Angeles153243027225
San Diego4091824350
Riverside3892365381
San Bernardino3762805983
Orange3352965756
Sacramento1690952452
Kern1582701828
Fresno1574692270
Santa Clara1528571928
Alameda1256281512
San Joaquin1080791835
Ventura1043091192
Contra Costa1042181056
Stanislaus919641429
Tulare867391100
San Francisco57141674
San Mateo56585631
Monterey52842626
Solano47828360
Santa Barbara47523555
Merced45309671
Sonoma43349414
Placer42458473
Imperial38932776
Kings35370367
San Luis Obispo31667360
Madera26388311
Shasta26221461
Butte25608318
Santa Cruz22402224
Yolo21722261
Marin18587249
El Dorado18448168
Sutter14646186
Napa13446106
Yuba1079891
Tehama10316131
Humboldt10294119
Nevada10112105
Mendocino864999
Lassen797656
San Benito787979
Tuolumne778491
Lake7057113
Amador580067
Siskiyou479657
Glenn458536
Calaveras445788
Del Norte377942
Colusa328321
Inyo257346
Plumas19577
Mono19034
Mariposa162218
Trinity100717
Modoc7936
Sierra2190
Unassigned1560
Alpine1080
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