COVID-19 Pandemic & Status of Vaccine Distribution Plans
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COVID-19 Pandemic & Status of Vaccine Distribution Plans
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COVID-19 Pandemic & Status of Vaccine Distribution Plans
- 1. COVID-19 Pandemic & Status of Vaccine Distribution Plans January 14, 2021
- 3. Current COVID-19 Data: Brazos County
- 4. Current COVID-19 Data – Brazos County • Trauma Service Area N Status 12/14/2020 11.30% 12/24/2020 16.64% 1/3/2021 25.58% 12/15/2020 11.86% 12/25/2020 18.12% 1/4/2021 25.76% 12/16/2020 12.07% 12/26/2020 17.11% 1/5/2021 27.96% 12/17/2020 14.51% 12/27/2020 17.84% 1/6/2021 26.73% 12/18/2020 14.61% 12/28/2020 16.93% 1/7/2021 27.14% 12/19/2020 15.19% 12/29/2020 19.42% 1/8/2021 25.43% 12/20/2020 13.85% 12/30/2020 19.72% 1/9/2021 24.16% 12/21/2020 15.90% 12/31/2020 21.04% 1/10/2021 26.33% 12/22/2020 17.29% 1/1/2021 24.37% 1/11/2021 25.88% 12/23/2020 16.54% 1/2/2021 23.81% 1/12/2021 26.93%
- 5. Local Test Collection Sites • Bachmann Park, 1600 Rock Prairie Rd, College Station o January 12-14 and January 19-21, from 11 am – 7 pm o No pre-registration required • St. Teresa Catholic Church, 307 Hall St, Bryan o Kiosk in Parish Hall parking lot through Friday, January 15, 8 am – 5 pm o Registration required • Texas A&M University, Rudder Plaza and Mays Business School o Kiosks available from January 11-15, 8 am – 5 pm o Tests for A&M students, faculty, and staff only
- 6. Impact on City Operations • COVID’s effect on City employees o Over 630 cases related to COVID: includes exposures, potential exposures, symptoms, testing, and confirmed positive cases o Recent increase in cases, consistent with general public o Currently managing 35 total cases o Cases spread across the organization • Eligible employees have begun receiving vaccines • Potential changes to EMS operations
- 7. Texas Vaccine Allocation Plan • Coordinated, statewide response led by Texas Department of State Health Services (DSHS) • Phased approach to COVID-19 Vaccination • CDC determines how many doses Texas will receive each week, based on population Source: https://www.dshs.state.tx.us/coronavirus/immunize/vaccine.aspx
- 8. Texas Vaccine Allocation Plan • DSHS Hub providers – 28 across the State of Texas o Offering a simpler process to vaccinate more people o Focus on vaccinating areas and populations hardest hit by COVID • Estimated that the vaccine will be more widely available to the general public in Spring 2021 • State’s Expert Vaccine Allocation Panel (EVAP) is considering criteria for future phases of vaccine delivery
- 9. Texas Vaccine Allocation Plan Vaccination Data as of 1/13/2021 Doses Allocated 2,058,050 Doses Shipped 1,574,800 Doses Administered 929,219 People Vaccinated with at least One Dose 816,130 People Fully Vaccinated 113,089 112,055 129,087 250,399 369,758 67,920 0 50,000 100,000 150,000 200,000 250,000 300,000 350,000 400,000 Vaccinations per Week 14-Dec 21-Dec 28-Dec 4-Jan 11-Jan
- 10. Brazos County Vaccine Distribution Plan • Coordinating partners: Brazos County, City of College Station, City of Bryan, TAMU, CHI St. Joseph Health, Baylor Scott & White o Retired Army Colonel Jim Stewart leading the initiative o Providing centralized vaccine distribution o Keys: location, staffing, management oversight, communication • Brazos County hub: CHI St. Joseph Health o Received an additional 1,200 doses of the Moderna vaccine o Administering this week for 1B patients – expected to utilize every dose by the end of the week o Unknown as this point when additional doses will be provided by DSHS
- 11. Brazos County Vaccine Distribution Plan • Five other Brazos County providers receiving another 800 doses of Moderna vaccine this week • Baylor Scott & White also moving into 1B Phase (Pfizer) – eligible patients will be contacted • Challenges: paperwork, time lag in reporting • Information for local providers: o CHI St. Joseph Health – www.st-joseph.org/covidvaccine o Baylor Scott & White – BSWHealth.com/COVIDVaccine o HEB – register at heb.com/vaccine
- 12. Brazos County Vaccination Data as of 1/13/2021 Doses Allocated 13,940 Doses Administered 3,243 People Vaccinated with at least One Dose 2,947 People Fully Vaccinated 296 241 569 927 1,094 412 0 200 400 600 800 1,000 1,200 Vaccinations per Week 14-Dec 21-Dec 28-Dec 4-Jan 11-Jan
- 13. Vaccines for Veterans • Central Texas Veterans Health Care System (Temple, TX) • For enrolled veterans age 75 and older Saturday, January 16, 2021, 9 am – 4 pm Olin E. Teague Veterans’ Medical Center 1901 Veterans Memorial Drive Temple, TX 76504 • Veterans are asked to call 1-800-423-2111, press #2 to schedule an appointment
- 14. COVID-19 Vaccine Key Points • Safety is a top priority • The vaccines are highly effective o Two doses for full protection for current vaccines o Critical that people get both shots • Remain vigilant: practice social distancing and wear a face covering • Vaccine distribution will continue to ramp up as we go forward
Editor's Notes
- Good evening Mayor and Council. Brian Piscacek with the City Manager’s Office. I am here to provide an update regarding the COVID-19 pandemic and vaccine distribution.
- Data from the Texas Department of State Health Services.
- This was as of yesterday, January 13th. Contributed to strained hospital resources. According to our local health officials, majority of transmission is due to household gatherings – also, gatherings that occur without masks. Cases per day-since the beginning of 2021, every day has seen at least 100 new cases. 12/31/20: 105 1/1/21: 108 1/2/21: 1/3/21: 100 1/4/21: 104 1/5/21: 152 1/6/21: 162 1/7/21: 175 1/8/21: 155 1/9/21: 154 1/10/21: 110 1/11/21: 135 1/12/21: 108 1/13/21: 106 Disclaimers: 1. Recovered is defined as someone who has been fever free for 24 hours without fever reducing medications, and it has been 10 days after onset of symptoms. This number also includes those cases that are assumed to be recovered based on the average duration of illness. 2. Active cases are those that have not met the definition of being recovered. 3. Hospital Occupancy percentages include all hospitals in Brazos County and include all patients-not just COVID-19 patients. This percentage changes often, but it is closely monitored by local health officials. 4. A probable COVID-19 case is determined by a positive antigen test. Confirmed COVID-19 cases are determined by a positive PCR test. The health district conducts case investigations on all confirmed and probable cases. 5. The *positivity rate is calculated using the total number of tests performed and the total number of positive cases resulting from those tests. 6. Race: A status of unknown indicates that the data has not been provided to the health district.
- The Governor’s Order GA-32 included a provision that factored in the % of COVID-hospitalized patients as a percentage of overall hospital capacity. The order defined “high hospitalizations” as any Trauma Service Area that has seven consecutive days in which that percentage exceeds 15%. You can see on this chart that our Trauma Service Area – Area N – has exceed that threshold consecutively since December 21st. 22 Trauma Service Areas across the State of Texas. TSA N includes Brazos, Robertson, Leon, Madison, Grimes, Burleson, and Washington Counties.
- Overall, we’ve experienced over 630 cases related to COVID. Now this includes exposures, potential exposures, symptoms, testing, and confirmed positive cases. Cases have been spread across the organization. Most cases have been mild to moderate, but there have been some serious cases, including those requiring hospitalization. There have also been direct impacts on family members of employees. We’ve seen a higher percentage of cases come back positive recently. Currently managing 35 cases. Eligible employees – first responders, those in Phase 1A – have begun to receive their vaccines through CHI St. Joseph City staff remain vigilant in slowing the spread of the virus. We are mindful of even minor symptoms, such as what we would consider to be seasonal allergies, to reach out to the clinic and potentially get tested. We continue to impress upon all employees and visitors the need to observe social distancing and wearing of masks. There was some concern that potential changes would be necessary to EMS services as a result of the high utilization of our hospital beds. EMS operations would move to Level 2, non-transport (not transporting people to hospital on days that hospital is over capacity if the issue is relatively minor and can be addressed by a personal care physician . Fortunately, the numbers came down this week, but remains an option if necessary.
- DSHS is collaborating with the Texas Division of Emergency Management (TDEM) and the Texas Emergency Management Council (TEMC) and coordinating efforts between state, regional, and local leaders As you're aware, there are 2 vaccine that have been approved for use – one from Pfizer, and another from Moderna. There are others in the pipeline, however. Just this past Monday, Fujifilm Diosynth Biotechnologies and A&M system officials announced that local production had begun on 2 COVID-19 vaccine candidates at their College Station location. Vaccine supply is limited as this project gets underway, so initial allocations have focused on vulnerable and frontline populations. 1A: Front-line healthcare workers and residents at long-term care facilities 1B: People 65 years of age and older; or people 16 years of age and older with at least one chronic medical condition that puts them at increased risk for severe illness from the virus that causes COVID-19, such as: cancer, chronic kidney disease, COPD (chronic obstructive pulmonary disease), heart conditions, such as heart failure, coronary artery disease or cardiomyopathies, solid organ transplantation, obesity and severe obesity (body mass index of 30 kg/m2 or higher), pregnancy, sickle cell disease, or Type 2 diabetes mellitus CDC determines how many doses of vaccine Texas will receive each week, based on population. Once the Texas Department of State Health Services (DSHS) is notified of the number of doses expected the following week, DSHS staff presents possibilities for vaccine distribution to the Expert Vaccine Allocation Panel (EVAP). The panel makes modifications and recommendations to the Commissioner of Health, who makes the final decision on that week’s distribution.
- 28 hub providers across Texas that will focus on large community vaccination efforts This week, Texas is set to receive nearly 940,000 doses. For the remainder of January, Texas expects to deliver an additional 310,000 first doses per week and up to 500,000 second doses. Providers in 104 counties, including Brazos County, will or have received shipments this week. The vaccine has been administered to residents of all 254 Texas counties. Rather than showing up at a hospital or clinic, eligible patients should review their website for information about vaccine availability. Generally, vaccinations are by appointment only.
- What is currently being reported to the state. There’s actually quite a bit more than have been done. Note that the week of January 11th is only a couple days of data. Also, keep in mind that the number of doses allocated does not match the number of doses shipped.
- There was an important press conference yesterday by our local health officials that explained the status of COVID cases and the plans for vaccine distribution. The coordinating partners in this effort include Brazos County, both cities, Texas A&M, and both hospital systems. Retired Army Colonel and Former Chief Deputy Jim Stewart is leading this effort. The goal is to establish the logistics to effectively provide centralized vaccine distribution. Also includes the Brazos County Health District and local emergency management. Keys: location – where this will be carried out. Potential for the Brazos Center to be up and running as soon as next week. Staffing. Overhead support. TEEX and Health Science Center are contributing as well to this effort. Also working 2-1-1 system for people with questions about the vaccine. Not up and running right now, but it’s something that should come to fruition. – Stewart Centralized vaccine distribution – will be given out by the end of the week to 1B CHI doesn’t know when they will receive additional doses Hub: Brazos Center, M-F, next 3 months
- Paperwork remains a challenge – finding an efficient way to complete everything, perhaps online in advance. As was described by the chief medical officers of both hospital systems at yesterday’s press conference, the perception that there is some sort of bottleneck in terms of getting these shots out is incaccurate. A lot of it comes down to the time lag in reporting from when people are given shots vs. when the state is reporting it. And those are the numbers that are reported and used. After the shot is recorded, it goes back to a state repository and then onto the reporting website. Nonetheless, it remains a logistically complicated endeavor, magnified by the wave of hospital admissions coming out of the holidays. What you have then is a situation in which hospital resources are already strained – there are limits to space and personnel – and then on comes the vaccine. According to St. Joseph, they were administering shots within 2 hours of receiving them. # available/administered: and why? 2,575 administered – 5,200 received Bottleneck? Certainly not demand. Comes down to logistics. Space to provide the vaccine. Strained hospital resources. Space/personnel. Will ease in time. Wave of hospital admissions over the break. CHI giving shots within 2 hours of receiving Pivoting to 1A and 1B. Starting late last week CHI started giving 1B. (from chief medical officers of hospitals)
- What is currently being reported to the state. Again, this number is low and not reflective of where we are right now, but it’s the best data the state can provide at the moment. Secondly, also note that the week of January 11th is only a couple days of data. According to our emergency management, they are working on a local solution to get more real-time numbers. Just because they’ve been allocated doesn’t mean they’re in-hand, so to speak. We also do not have control over the number of vaccines pushed to our area. Doses allocated by week: Week 1 – 1,950 Week 2 – 7,800 Week 3 – 700 Week 4 – 1,500 Week 5 – 2,000 Administering Org Type: Hospital – 1,836 Pharmacy – 746 Medical Clinic/Doctor’s Office – 362 Health Center – 119 Long-Term Care – 100 Public Health/Government – 50 Other – 22 Emergency Services – 8 Age Breakdown-People Vaccinated with at least One Dose 16-49 years: 1,414 50-64 years: 623 65-79 years: 542 80+ years: 361 Unknown: 7 Age Breakdown-People Fully Vaccinated 16-49 years: 205 50-64 years: 73 65-79 years: 18 80+ years: 0 Unknown: 0
- The clinic will take place Saturday, January 16, 2021, from 9 a.m. - 4 p.m. (or until supplies last) at Olin E. Teague Veterans' Medical Center Gold Team, Primary Care on 1901 Veterans Memorial Drive, Temple, TX 76504. Veterans are asked to call 1-800-423-2111 and press #2 to schedule an appointment. Due to current high call volumes, callers may experience delays. The Central Texas VA says you must remain on the line to be scheduled. Walk-ins will be accepted until 2 p.m. and vaccinated based on vaccine availability. Long wait times are expected. Veterans must bring proper identification with them to verify VA enrollment and schedule their second dose; administered approximately 21 days after the first. Both vaccines are required for maximum efficacy.
- Safety is a top priority. The COVID vaccines have been evaluated through a rigorous process including tens of thousands of volunteers in clinical trials. The vaccines are highly effective, and you’ll need two doses from the same manufacturer, 21 or 28 days apart. You will get full protection from the vaccine usually 1-2 weeks after getting your second dose. Vaccine may keep you from getting sick, but not necessarily keep you from spreading it to others Vaccine distribution is continuing to ramp up, though this remains a long-term project. Will take still take some time to figure all the logistics. Will also be buoyed by hopefully lessening the hospitalization demand, which has been quite high over the last several weeks.