100 million fully vaccinated people are helping the US reopen. But many millions more are needed

The United States has fully vaccinated more than 100 million people against...

Posted: May 1, 2021 7:07 PM
Updated: May 2, 2021 12:15 AM

The United States has fully vaccinated more than 100 million people against Covid-19, according to the US Centers for Disease Control and Prevention -- a milestone that comes with optimism about the future.

'I think we can confidently say the worst is behind us,' Dr. Ashish Jha, the dean of Brown University School of Public Health, said Friday on ABC's 'Good Morning America.' 'We will not see the kinds of sufferings and death that we have seen over the holidays. I think we are in a much better shape heading forward.'

The only thing that could threaten the outlook, he said, was the spread of coronavirus variants, making the push to increase vaccinations even more critical.

More than 243 million vaccine doses have been administered in the US, according to data published Saturday from the CDC. That's about 3.3 million more doses reported administered since Friday, meaning the current seven-day average of vaccinations is at about 2.5 million doses administered per day.

More than 146 million people have now received at least one dose of vaccine, and more than 103 million people have been fully vaccinated, CDC data shows.

Although the vaccination milestone means that nearly 40% of adults have been inoculated, the US still has a ways to go to reach herd immunity -- which would be when 70-85% of the population is vaccinated, according to Dr. Anthony Fauci. And health officials say that the only way to keep bringing down the death rate is to increase vaccination efforts.

Based on the most current estimates, about 80% of the US population is currently eligible for a coronavirus vaccine based on their ages. Making people between the ages of 12 and 15 eligible would open vaccinations to another 5%, pushing the country closer to herd immunity.

CDC stresses routine vaccinations for adolescents

But adolescents are also missing out on routine vaccines, according to CDC Director Dr. Rochelle Walensky, who said during an event for the Pediatric Academic Societies that such immunizations are down this year.

And with the need for routine immunizations for kids returning to school, the rollout of the annual flu vaccine and the anticipated availability of Covid-19 vaccines for children 12 and older may present a logistical challenge.

'It's going to take a truly coordinated effort among families, health care providers and public health officials at local, state and federal levels to achieve both the rollout of Covid-19 vaccine in adolescents and a rapid catch up of routine vaccinations,' Walensky said.

The CDC recommends against administering other vaccines within 14 days of a Covid-19 vaccine, so giving all the vaccines at once isn't an option.

'This means a period of up to eight weeks when an adolescent may be ineligible to receive recommended routine vaccinations,' Walensky said.

'School located vaccination programs could augment adolescent vaccination coverage, both at mass vaccination sites prior to the start of school and as catchup campaigns in the fall,' she noted, calling on pediatricians to aid the effort.

'To achieve high vaccination coverage rates and reduce Covid-19 transmission, we need rapid and extensive vaccination of children under the age of 18,' she said.

The vaccine by Pfizer/BioNTech has received emergency use authorization for people 16 and older, while those by Moderna and Johnson & Johnson are authorized for people 18 and older.

Pfizer has submitted for an amendment to its vaccine's emergency use authorization by the Food and Drug Administration to extend authorization to people ages 12 to 15, while Moderna says it expects its vaccine to be authorized for people 12 and older this summer.

Pfizer and Moderna are also studying their vaccines in children as young as 6 months.

Model's projected deaths decrease

About 598,882 Americans will have died from coronavirus by August 1, according to the latest projection from Institute for Health Metrics and Evaluation (IHME) at the University of Washington.

That's down from last week's report, when IHME estimated at least 602,723 deaths by August 1. The new projection accounts for scaled up Covid-19 vaccine distribution over the next 90 days and the continued spread of the B.1.1.7 virus variant in the US.

'Daily cases and deaths continue to decline, signaling that despite widespread circulation of B.1.1.7, the combination of increasing vaccination and declining seasonality is driving a decline in the epidemic,' the IHME team said.

A lower death rate and higher vaccination rate would make it reasonable to target a full reopening by July 1, Walensky said Friday.

'We are focused on getting people vaccinated, decreasing the case rates,' she said in a White House Covid-19 news briefing. 'If we can continue at this pace, case rates are coming down, vaccinations going up, then I think July 1 would be a reasonable target.'

But, she cautioned, 'the virus has tricked us before,' and it will be crucial to keep an eye on cases in the coming months.

But CNN Medical Analyst Dr. Leana Wen fears the US will fall short of reaching herd immunity if people who are 'on the fence' about getting vaccinated see things returning to normal and become complacent.

'What I really worry about is that those people who are already on the fence don't get vaccinated. We don't reach herd immunity come the fall and then with the winter, because coronaviruses are winter respiratory viruses, we have a big resurgence. Maybe we have variants coming in from other countries,' she told CNN's Michael Smerconish on Saturday.

'And we could start this whole process all over again,' she said, stressing the importance of incentives for vaccinated individuals.

Most J&J vaccine side effects are not serious

Rare reports of blood clots had sparked concern over the Johnson & Johnson single-dose vaccine, but a new review of the safety data found that only 3% of reported reactions after receiving the vaccine are classified as serious.

There have been a total of 17 incidents of severe blood clotting and low blood platelet levels among people who received the J&J vaccine, according to the CDC report published on Friday.

The report noted that the safety profile of the vaccine so far has been similar to what was seen in clinical trials, but safety monitoring during the vaccine's rollout quickly identified the blood clot incidents.

'A rare but serious adverse event occurring primarily in women, blood clots in large vessels accompanied by a low platelet count, was rapidly detected by the U.S. vaccine safety monitoring system,' CDC researchers wrote in the report. 'Monitoring for common and rare adverse events after receipt of all COVID-19 vaccines, including the Janssen COVID-19 vaccine, is continuing.'

The data included 88 deaths reported after vaccination. Among those deaths, three occurred in patients with cerebral venous sinus thrombosis and CDC researchers wrote that, after preliminary reviews, 'no other deaths appear to have an association with vaccination.'

Oregon Coronavirus Cases

Data is updated nightly.

Cases: 190804

Reported Deaths: 2528
CountyCasesDeaths
Multnomah37830583
Washington25279229
Marion21739306
Clackamas17107209
Lane12799145
Jackson10716135
Deschutes866973
Umatilla814084
Linn479867
Yamhill441175
Klamath430861
Polk369952
Malheur349861
Josephine330268
Douglas322070
Benton302619
Jefferson216734
Coos204633
Columbia170526
Union144423
Lincoln137020
Wasco137028
Hood River117930
Morrow110015
Crook106520
Clatsop9738
Baker94614
Curry6459
Tillamook6363
Grant5065
Lake4447
Harney3378
Wallowa1825
Gilliam621
Sherman581
Wheeler281
Unassigned00

California Coronavirus Cases

Data is updated nightly.

Cases: 3757115

Reported Deaths: 62280
CountyCasesDeaths
Los Angeles123542224008
Riverside2990644587
San Bernardino2965144697
San Diego2777593725
Orange2707055005
Santa Clara1188512085
Kern1089931373
Sacramento1041761672
Fresno1016251684
Alameda875851545
Ventura808421011
San Joaquin730091391
Contra Costa68503804
Stanislaus619161055
Tulare49554839
Monterey43563382
San Mateo41844568
San Francisco36616543
Santa Barbara34306453
Solano32752249
Merced31743458
Sonoma29975318
Imperial28352721
Kings22965246
Placer22550290
San Luis Obispo21282260
Madera16439242
Santa Cruz16188206
Marin14034228
Yolo13875209
Shasta12071226
Butte11943199
El Dorado10111112
Napa984981
Sutter9411111
Yuba622146
San Benito604863
Lassen569824
Tehama555358
Nevada470775
Tuolumne412364
Mendocino406149
Humboldt393539
Amador365147
Lake346743
Glenn238125
Colusa223016
Siskiyou218123
Calaveras212153
Inyo142638
Del Norte13678
Mono12804
Plumas7066
Modoc4954
Mariposa4457
Trinity3995
Sierra1120
Alpine880
Unassigned330
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