Joe Biden, Mitch McConnell get COVID-19 boosters, encourage vaccines

Seventy-eight-year-old Joe Biden and 79-year-old Mitch McConnell got their booster shots Monday, the Democratic president and the Republican Senate leader urging Americans across the political spectrum to get vaccinated or plus up with boosters when eligible for the extra dose of protection. The shots, administered just hours apart on either end of Pennsylvania Avenue, came on the first workday after the Centers for Disease Control and Prevention and the Food and Drug Administration recommended a third dose of the Pfizer vaccine for Americans 65 and older and approved them for others with preexisting medical conditions and high-risk work environments. Both leaders said that even though the booster doses provide more enduring protection against the virus, they weren’t the silver bullet to ending the pandemic. “Boosters are important, but the most important thing we need to do is get more people vaccinated,” Biden said. Nearly 25% of eligible Americans aged 12 and older haven’t received a single dose of the vaccines. They are bearing the brunt of a months-long surge in cases and deaths brought about by the more transmissible delta variant of the virus that has killed 688,000 in the U.S. since the pandemic began. “Like I’ve been saying for months, these safe and effective vaccines are the way to defend ourselves and our families from this terrible virus,” said McConnell, a polio survivor. Biden got his first shot on Dec. 21 and his second dose three weeks later, on Jan. 11, along with his wife, Jill Biden. Biden said the first lady, who is 70, would also receive the booster dose, but she was teaching Monday at Northern Virginia Community College, where she is a professor of English. “Now, I know it doesn’t look like it, but I am over 65 — I wish I — way over,” Biden joked. “And that’s why I’m getting my booster shot today.” Biden has championed booster doses since the summer as the U.S. experienced a sharp rise in coronavirus cases driven by the delta variant. While the vast majority of cases continue to occur among unvaccinated people, regulators pointed to evidence from Israel and early studies in the U.S. showing that protection against so-called breakthrough cases was vastly improved by a third dose of the Pfizer shot. But the aggressive American push for boosters, before many poorer nations have been able to provide even a modicum of protection for their most vulnerable populations, has drawn the ire of the World Health Organization and some aid groups, which have called on the U.S. to pause third shots to free up supply for the global vaccination effort. Biden said last week that the U.S. was purchasing another 500 million doses of the Pfizer vaccine — for a total of 1 billion over the coming year — to donate to less well-off nations. Biden took questions from reporters about his vaccination experience and matters of the day as a military nurse injected the dose into his arm. The president said he did not have side effects after his first or second shots and hoped for the same experience with his third. Vice President Kamala Harris, 56, received the Moderna vaccine, for which federal regulators have not yet authorized boosters — but they are expected to in the coming weeks. Regulators are also expecting data soon about the safety and efficacy of a booster for the single-dose Johnson & Johnson shot. At least 2.66 million Americans have received booster doses of the Pfizer vaccine since mid-August, according to the CDC. About 100 million Americans have been fully vaccinated against COVID-19 through the Pfizer shot. U.S. regulators recommend getting the boosters at least six months after the second shot of the initial two-dose series. Republished with the permission of the Associated Press.

U.S. has enough COVID-19 vaccines for boosters, kids’ shots

With more than 40 million doses of coronavirus vaccines available, U.S. health authorities said they’re confident there will be enough for both qualified older Americans seeking booster shots and the young children for whom initial vaccines are expected to be approved in the not-too-distant future. The spike in demand — expected following last week’s federal recommendation on booster shots — would be the first significant jump in months. More than 70 million Americans remain unvaccinated despite the enticement of lottery prizes, free food or gifts, and pleas from exhausted health care workers as the average number of deaths per day climbed to more than 1,900 in recent weeks. Federal and state health authorities said the current supply and steady production of more doses can easily accommodate those seeking boosters or initial vaccination, avoiding a repeat of the frustratingly slow rollout of COVID-19 vaccines across the country early this year. “I hope that we have the level of interest in the booster … that we need more vaccines,” Colorado Gov. Jared Polis said Tuesday. “That’s simply not where we are today. We have plenty of vaccines.” Robust supply in the U.S enabled President Joe Biden this week to promise an additional 500 million of Pfizer’s COVID-19 shots to share with the world, doubling the United States’ global contribution. Aid groups and health organizations have pushed the U.S. and other countries to improve vaccine access in countries where even the most vulnerable people haven’t had a shot. Among the challenges states face is not ordering too many doses and letting them go to waste. Several states with low vaccination rates, including Idaho and Kansas, have reported throwing away thousands of expired doses or are struggling to use vaccines nearing expiration this fall. While most vaccines can stay on the shelf unopened for months, once a vial is opened the clock starts ticking. Vaccines are only usable for six to 12 hours, depending on the manufacturer, according to the U.S. Food and Drug Administration. Moderna vaccines come in vials containing 11 to 15 doses. Pfizer vials contain up to six doses and Johnson & Johnson vials five doses. “We are going to see more doses that go unused over time,” said Wisconsin’s health secretary, Karen Timberlake. “They come in multidose files. They don’t come in nice, tidy individual single-serving packages.” State health officials said they have tried to request only what health care providers and pharmacies expect to need from the federal supply. Those numbers have dwindled since the vaccines became widely available in early spring. But U.S. officials — holding out hope that some of the unvaccinated will change their minds — are trying to keep enough vaccines in stock so all Americans can get them. That balancing act is tricky and can lead to consternation around the globe as the U.S. sits on unused vaccines while many countries in places such as Africa can’t get enough vaccines. “Somebody sitting in a country with few resources to access vaccines, seeing people in the U.S. able to walk into a pharmacy and get that vaccine and choosing not to, I’m sure that’s causing heartache,” said Jen Kates, senior vice president and director of global health and HIV policy for the Kaiser Family Foundation. Dr. Marcus Plescia, chief medical officer of the Association of State and Territorial Health Officials, which represents the public health agencies of all 50 U.S. states, the District of Columbia, and U.S. territories, said officials anticipate that on-hand doses of COVID-19 vaccines and manufacturers’ ability to supply more will meet needs across the country. “I think states have tried to plan as if everybody’s going to be offered a booster,” he said, suggesting they will be overprepared for the more narrow recommendations issued by the FDA and the Centers for Disease Control and Prevention. California, for example, estimated earlier this month that it would need to administer an extra 63 million doses by the end of 2022 — if initial shots for children under 12 were approved and boosters were open to everyone. U.S. health officials late Thursday endorsed booster shots of the Pfizer vaccine for all Americans 65 and older — along with tens of millions of younger people who are at higher risk from the coronavirus because of health conditions or their jobs. California, with nearly 40 million residents, has the lowest transmission rate of any state and nearly 70% of eligible residents are fully vaccinated. That leaves nearly 12 million people not vaccinated or not fully vaccinated. Dr. Mark Ghaly, California’s health secretary, said the state will rely largely on pharmacies and primary care providers to give boosters to seniors while some large counties and health care groups will use mass vaccination sites. In Pennsylvania, more than 67% of residents older than 18 are fully vaccinated. Alison Beam, acting secretary of health, said health authorities now have “two missions”: Continuing to persuade people to get vaccinated and serving those eager to receive a booster or initial shots. “Pennsylvania is going to be prepared,” Beam said. “And we’re going to have the right level of vaccine and vaccinators to be able to meet that demand.” Republished with the permission of the Associated Press.

Kay Ivey announces vaccine eligibility expanded to individuals ages 12 and older, effective immediately

On Thursday, Governor Kay Ivey announced Alabama is expanding COVID-19 vaccination eligibility to include individuals age 12 and older, effective immediately. The U.S. Food and Drug Administration (FDA) authorized the Pfizer-BioNTech COVID-19 vaccine for emergency use in adolescents on Monday.  The Center for Disease Control Director Rochelle Walensky stated, “The CDC now recommends the vaccine be used among this population, and providers may begin vaccinating them right away.” Ivey commented, “This is great and welcome news that the Pfizer-BioNTech vaccine will now be available for Alabamians 12 and up, offering another option for families in our state as we get back into full gear. We have seen good success so far with these safe and effective vaccines, and I encourage parents and children to consult with your pediatrician if you have any questions. The vaccine is our ticket back to normal, and I continue to feel optimistic and hopeful in the positive direction we are moving in as a state.” The Pfizer vaccine is available to individuals age 12 and up. The Moderna and Johnson & Johnson vaccines are available to individuals 18 years of age and older. On Twitter, Ivey stated, “Alabama is expanding #COVID19 vaccination eligibility to include individuals age 12 & older, effective immediately. This is great news! Folks, the vaccine is our ticket back to normal.” Alabama is expanding #COVID19 vaccination eligibility to include individuals age 12 & older, effective immediately. This is great news! Folks, the vaccine is our ticket back to normal. #alpolitics @ALPublicHealth https://t.co/tJenuuoqGn — Governor Kay Ivey (@GovernorKayIvey) May 13, 2021 “We encourage the vaccination of adolescents ages 12 and older to get the protection offered by the Pfizer COVID-19 vaccine,” State Health Officer Dr. Scott Harris stated. “This vaccine will be available at private providers and other sites which have Pfizer COVID-19 vaccine available.” As of May 12, 2,722,909 doses of COVID-19 vaccines have been administered.

Alabama NAACP offering chance to win $1,000 with vaccination

The Alabama NAACP is trying to boost COVID-19 vaccinations among younger people in the state by offering a chance to win $1,000 for getting a shot, a leader said Thursday. With health officials worried that too few young people are getting immunizations, the civil rights organization this week began promoting a program to offer anyone between the ages of 18 and 40 a chance to receive $1,000 for completing the vaccination process between May 1 and June 21. That means getting two shots of the Pfizer or Moderna vaccine or one shot of the Johnson & Johnson dose. “We just keep hearing that the Millennials and the Gen Zers don’t want to get the vaccine, so we’re doing what we can to encourage them to go ahead and get it,” said Bernard Simelton, state president of the NAACP. Entrants have to send a selfie of themselves and their vaccination cards to the organization, and organizers hope they’ll also share the images on social media. “We want them to encourage other young people to get vaccinated,” he said. While 1.1 million people are fully vaccinated in Alabama, that represents only about 20% of the state’s population. After briefly surpassing Mississippi in the rate of vaccination, statistics from the Centers for Disease Control show Alabama is again last in the nation. Health officials initially were worried that Black people distrustful of government health care initiatives wouldn’t get shots, but many did. The counties with the lowest rates of fully vaccinated residents now are primarily white and rural, statistics show. With federal officials considering the possibility of reallocating vaccine doses from states where demand is declining, Gov. Kay Ivey warned this week that Alabama could lose part of its vaccine supply if more people don’t get shots. “Y’all, we want shots in the arms and off the shelf,” she said in a statement. “If you have not made it a priority to schedule a vaccine, I encourage you to go get the shot as soon as you are able.” Republished with the permission of the Associated Press.

Kay Ivey encourages mask wearing after mandate expires April 9

Alabama Gov. Kay Ivey this week urged people to wear masks in public after the statewide mask mandate expires next month. Ivey has been adamant that she will not extend the mask mandate past April 9. On Monday, her office released designs for signs for businesses to use to request patrons to wear masks. The designs range from “Mask Preferred” to “Mask Required For Service.” “After April 9, masks will no longer be a mandate, but they remain one of the most successful tools we have to keep folks safe from COVID-19,” Ivey said in a statement. “Masks are soon to be a memory but until then, let’s wear them out.” Alabama this week expanded eligibility for COVID-19 vaccinations. The expansion, which started Monday, will add more than 2 million people to the groups who can get a COVID-19 vaccination in Alabama, roughly doubling the number of people now eligible. The new eligible groups include more frontline workers; people 55 and older; those with intellectual and developmental disabilities; and residents age 16 to 64 with certain high-risk medical conditions. The qualifying medical conditions include cancer, chronic kidney disease, diabetes, smoking, obesity, sickle cell disease, and heart conditions. State Health Officer Dr. Scott Harris on Friday said most adults will now be eligible for shots and urged people to be patient as they seek vaccination appointments. “Probably between half and two-thirds of all the adults in the state are going to be covered,” Harris said. “So that will be a significant increase in demand.” The Alabama National Guard on Tuesday began a series of COVID-19 vaccine clinics around the state as health officials try to bring the shots to rural areas that may have fewer providers. The Alabama National Guard is providing first-dose COVID-19 vaccination clinics in 24 counties for the next three weeks. There will be a round of second-dose clinics April 13-30. Ivey activated guard units to set up the mobile sites to bring COVID-19 vaccinations to underserved and rural communities. A list of vaccinations clinics can be found at the Alabama Department of Public Health website. The vaccine will be administered at the clinics located in: Barbour, Bullock, Butler, Choctaw, Clarke, Coffee, Conecuh, Covington, Crenshaw, Dale, Dallas, Greene, Hale, Henry, Lowndes, Macon, Marengo, Monroe, Perry, Pike, Russell, Sumter, Washington, and Wilcox counties. There continues to be positive signs in the state. The number of COVID-19 patients in Alabama hospitals has dipped to below 400. It had been as high as 3,000 at the start of the year. Republished with the permission of the Associated Press.

Alabama to expand COVID-19 vaccine eligibility on March 22

Alabama is expanding eligibility later this month for COVID-19 vaccinations to more frontline workers, residents with certain chronic health conditions, and people 55 and older, state officials announced Friday. “We have been concerned that many people at high risk and others engaged in close-contact work have not been eligible to receive the vaccine yet, but with the additional vaccine supply we are better able to meet the needs of Alabama residents,” Gov. Kay Ivey said in a statement. The expansion, starting March 22, will add over 2 million people to the groups who can receive a COVID-19 vaccination in Alabama, roughly doubling the number of people now eligible. The dramatic increase comes at a time when demand continues to exceed supply and will increase the competition to find shots. State Health Officer Scott Harris said Alabama expanded eligibility because of the expectations of the public — particularly as they see people in other states getting shots — and health officials’ expectations that the supply will jump over the coming weeks. “I would just encourage people to please remember to be patient. They have been patient for so long and we are really very very close to having enough vaccine to go around. I think in a month, probably six weeks at least, there is going to be more than an adequate supply of vaccine,” Harris told reporters Friday. The new eligible groups include more frontline workers; people 55 and older; those with intellectual and developmental disabilities; and residents age 16 to 64 with certain high-risk medical conditions. The qualifying medical conditions include cancer, chronic kidney disease, diabetes, smoking, obesity, sickle cell disease and heart conditions. More workers will also be eligible for the shots, including restaurant staff, transportation workers, construction workers, bank tellers, legal professionals and members of the news media. Alabama currently ranks near the bottom for the percentage of the population that has been vaccinated, according to numbers from the Centers for Disease Control and Prevention. About 16.1% of the state’s 4.9 million people have received at least one vaccination dose. Harris said the department conducted surveys to try to gauge vaccine hesitancy and found up to 30% of adults are reluctant to take the vaccine. Some of those are “people who simply just need better information. We need to find away to educate them,” Harris said. He said others are people who have “other ideas about vaccinations in general or even about the coronavirus event in general.” Since the pandemic began, more than 500,000 Alabamians have tested positive for COVID-19. Ivey has directed flags to be placed at half-staff on Saturday to honor and remember the more than 10,000 Alabamians who lost their lives to the COVID-19 pandemic, her office announced. The announcement of the expanded eligibility comes a year after the first COVID-19 case was identified in the state. Harris noted the remarkable work that went onto developing the vaccines. “The vaccine response to COVID-19 is really going to be like landing on the moon was for some of us of a certain age,” Harris said. Republished with the permission of the Associated Press.

Joe Biden vows enough vaccine for all US adults by end of May

President Joe Biden said Tuesday the U.S. expects to take delivery of enough coronavirus vaccine for all adults by the end of May — two months earlier than anticipated — and he pushed states to get at least one shot into the arms of teachers by the end of May to hasten school reopenings. Biden also announced that drugmaker Merck will help produce rival Johnson & Johnson’s newly approved one-shot vaccine, likening the partnership between the two drug companies to the spirit of national cooperation during World War II. “We’re now on track to have enough vaccine supply for every adult in America by the end of May,” Biden said. Despite the stepped-up pace of vaccine production, the work of inoculating Americans could extend well into the summer, officials said, depending both on the government’s capacity to deliver doses and Americans’ willingness to roll up their sleeves. Biden’s announcements quickly raised expectations for when the nation could safely emerge from the pandemic with the promise of speedier vaccinations, but even as he expressed optimism, Biden quickly tempered the outlook for a return to life as it was before the virus hit. “I’ve been cautioned not to give an answer to that because we don’t know for sure,” Biden said, before saying his hope for a return to normal was sometime before “this time next year.” As Biden spoke, states across the country were moving to relax virus-related restrictions. This despite the objections of the White House and the nation’s top infectious disease expert, Dr. Anthony Fauci, who have warned against any relaxation of virus protocols until more Americans are vaccinated. In Texas, GOP Gov. Greg Abbott moved to lift his state’s mask-wearing mandate and a host of other limitations. Michigan’s Democratic Gov. Gretchen Whitmer eased capacity limits on restaurants and both public and residential gatherings. Fauci has previously said the nation must achieve a vaccination rate of about 80% to reach “herd immunity.” Only about 8% of the population has been fully vaccinated, according to the Centers for Disease Control and Prevention, though the pace of vaccination has been increasing. The U.S. set a new daily record for injections last Thursday and Friday. In hopes of increasing vaccinations even further. the Biden administration told governors to make preparations to administer even more doses in the coming weeks. More shots are also headed toward the federally backed program to administer doses in retail pharmacies, which federal officials believe can double or triple their pace of vaccination. More than 800,000 doses of the J&J vaccine will also be distributed this week to pharmacies, on top of the 2.4 million they are now getting from Pfizer and Moderna. Those pharmacies will be key in getting the vaccines into the arms of teachers — particularly in the roughly 20 states where they have not been prioritized for shots. The aim is to help reopen schools to better educate students who have been at risk of falling behind during the pandemic and reduce the burden on parents who have had to choose between childcare and a job. “Let’s treat in-person learning as the essential service that it is,” Biden said. Teachers will be able to sign up directly through participating retail pharmacies, the administration said. White House press secretary Jen Psaki also announced Tuesday that the federal government was increasing supply of the Moderna and Pfizer vaccines to states next week to 15.2 million doses per week, up from 14.5 million previously. States will also receive 2.8 million doses of the J&J shot this week. On a call with governors Tuesday, White House coronavirus coordinator Jeff Zients said states should prepare to administer 16 million to 17 million total weekly doses of Pfizer and Moderna vaccines by the end of March, climbing to 17 million to 18 million weekly by early April. The supply of J&J doses to states, expected to dip after the initial shipment this week, will climb to 4 million to 6 million weekly doses by the end of March and 5 million to 6 million doses weekly through the end of April. Officials have said J&J faced unexpected production issues with its vaccine and produced only 3.9 million doses before being cleared for emergency use authorization on Saturday. The company has promised to deliver 100 million doses by the end of June. Before the approval of the J&J shot, Biden had suggested that it would take until the end of July to have enough vaccine for every adult in the U.S. Facing questions about the company’s slipping delivery schedule, J&J Vice President Richard Nettles told lawmakers on Capitol Hill last week that the company had faced “significant challenges” because of its “highly complex” manufacturing process. Psaki said that an “across-the-administration effort” was required to get the two historic rivals to work together on the vaccines, even though conversations between J&J and Merck have been going on for months. “There’s a difference between conversations and it moving forward,” she said. The White House said Merck would devote two plants to the production process. One would make the vaccine and the other would handle inserting the vaccine into vials and ensuring strict quality controls. Psaki said the Biden administration was using its powers under the Defense Production Act to help Merck retool to work on the production. Still, it was not immediately clear when the effect of Merck’s assistance would be reflected in supply. Federal officials have cautioned that setting up the highly specialized manufacturing lines to produce vaccines would take months. Compared to the two-dose versions produced by Moderna and Pfizer, the J&J vaccine is less resource-intensive to distribute and administer, making it critical for U.S. plans to spread vaccinations around the world — but only once Americans are inoculated. The J&J vaccine can be stored for months at refrigerated temperatures, rather than frozen, and doesn’t require patients to return for a second dose three or four weeks later. J&J has set up a global production network that includes brewing bulk

States easing virus restrictions despite experts’ warnings

With the U.S. vaccination drive picking up speed and a third formula on the way, states eager to reopen for business are easing coronavirus restrictions despite warnings from health experts that the outbreak is far from over and that moving too quickly could prolong the misery. Massachusetts on Monday made it much easier to grab dinner and a show. In Missouri, where individual communities get to make the rules, the two biggest metropolitan areas — St. Louis and Kansas City — are relaxing some measures. Iowa’s governor recently lifted mask requirements and limits on the number of people allowed in bars and restaurants, while the town of Lawrence, home to the University of Kansas, now lets establishments stay open until midnight. Mike Lee, who owns Trezo Mare Restaurant & Lounge in Kansas City, said he hopes increased vaccine access, combined with warmer weather, will improve business. “I think that people are excited to put this past them and be able to start to get back to their ways of doing things,” Lee said. The push to reopen comes as COVID-19 vaccine shipments to the states are ramping up. Nearly 20% of the nation’s adults — or over 50 million people — have received at least one dose of vaccine, and 10% have been fully inoculated 2 1/2 months into the campaign to snuff out the virus, according to the Centers for Disease Control and Prevention. Johnson & Johnson shipped out nearly 4 million doses of its newly authorized, one-shot COVID-19 vaccine Sunday night to be delivered to states for use starting on Tuesday. The company will deliver about 16 million more doses by the end of March and a total of 100 million by the end of June. That adds to the supply being distributed by Pfizer and Moderna and should help the nation amass enough doses by midsummer to vaccinate all adults. The White House is encouraging Americans to take the first dose available to them, regardless of manufacturer. In New York City, where limited indoor dining has resumed, officials said the J&J vaccine will help the city to inoculate millions more people by summer, including through door-to-door vaccinations of homebound senior citizens. But the efforts come with strong warnings from health officials against reopening too quickly, as worrisome coronavirus variants spread. On Monday, the head of the CDC, Dr. Rochelle Walensky, urgently warned state officials and ordinary Americans not to let down their guard, saying she is “really worried about reports that more states are rolling back the exact public health measures that we have recommended.” “I remain deeply concerned about a potential shift in the trajectory of the pandemic,” she said. “We stand to completely lose the hard-earned ground that we have gained.” Cases and hospitalizations have plunged since the end of January, and deaths have also dropped sharply, but they are still running at dangerously high levels and have even risen slightly over the past several days. “We cannot be resigned to 70,000 cases a day and 2,000 daily deaths,” Walensky said. Overall, the outbreak has killed more than a half-million Americans. The vaccine already is contributing to a decrease in severe cases and deaths among older people, and is “quickly becoming a bigger contributor” nationally, Justin Lessler, an expert in infectious diseases at Johns Hopkins University, said in an email. “I suspect we will see it overtake natural infection as the biggest driver of immunity late spring earliest, more likely midsummer,” Lessler said. Dr. Amesh Adalja, an infectious disease specialist at Johns Hopkins University, said he believes states and cities have leeway to ease some restrictions because hospitals no longer are at capacity in most communities. But “I do think that masks are likely going to need to be kept in place for some time until we get more of our vulnerable populations vaccinated,” he said. “It is important for restaurants who are increasing their capacity to remember that we are still in a pandemic and to continue to follow some of those rules,” Adalja said. The Biden administration wants to see all three vaccines distributed evenly, while also acknowledging that the easy-to-handle J&J vaccine will be used in pop-up mobile sites and locations without freezer storage capacity. States are hoping that the surging vaccine supply will help tamp down new infections. In Massachusetts, Gov. Charlie Baker lifted restaurant capacity limits entirely. Theaters can open at 50% capacity, with a maximum of 500 people. And capacity limits across all businesses have been raised to 50%. Las Vegas on Monday became the latest of the nation’s largest school districts to return children to classrooms. Pre-K children to third graders will go back two days a week, with other grades to be phased in by early April. And in California, Gov. Gavin Newsom and legislative leaders reached an agreement aimed at getting most children back in classrooms by the end of March. Under the deal announced Monday, school districts could receive up to $6.6 billion if they reopen by March 31. The U.S. ranks fourth in the world, behind Israel, the United Arab Emirates, and Britain, in the number of doses administered relative to the population, according to data compiled by the University of Oxford. President Joe Biden fell well short of his goal of setting up 100 new federally operated mass-vaccination sites by the end of February, with just seven up and running. White House vaccination coordinator Jeff Zients also acknowledged that scheduling of vaccination appointments “remains too difficult in too many places.” But he said the White House is working with states to improve scheduling systems and is exploring federal support for call centers to make it easier for people to get appointments. Republished with the permission of the Associated Press.

Beyond 100M: Joe Biden team aiming for bigger vaccine numbers

It sounded so ambitious at first blush: 100 million vaccination shots in 100 days. Now, one month into his presidency, Joe Biden is on a glide path to attain that goal and pitching well beyond it to the far more ambitious and daunting mission of vaccinating all eligible adults against the coronavirus by the end of the summer. Limited supply of the two approved COVID-19 vaccines has hampered the pace of vaccinations — and that was before extreme winter weather delayed the delivery of about 6 million doses this past week. But the United States is on the verge of a supply breakthrough as manufacturing ramps up and with the expectation of a third vaccine becoming available in the coming weeks. That means the act of delivering injections will soon be the dominant constraint, and it’s prompting the Biden administration to push to dramatically expand the universe of those who will deliver injections and where Americans will meet them to get their shots. “It’s one thing to have the vaccine, and it’s very different to get it in someone’s arms,” Biden said Friday as he toured Pfizer’s manufacturing plant in Portage, Michigan. The company is set to double its pace of vaccine deliveries in the coming weeks. Since their approval in December, more than 75 million doses of the two-shot-regimen Moderna and Pfizer vaccines have been distributed, of which 63 million have been injected, reaching 13% of Americans. Nearly 45 million of those doses have been administered since Biden’s inauguration on Jan. 20. The pace of deliveries of those vaccines is about to take off. About 145 million doses are set for delivery in the next 5 1/2 weeks, with an additional 200 million expected by the end of May and a further 200 million by the end of July. That’s before the anticipated approval by the Food and Drug Administration for emergency use of a third vaccine, from Johnson & Johnson. The single-dose J&J vaccine is expected to help speed the path to immunity and requires half the vaccination resources of the two-shot regimens. But there is no massive stockpile of J&J doses ready to roll out on Day One. “We’re going to be starting with only a few million in inventory,” White House COVID-19 coordinator Jeff Zients said this past week. Still, when combined with the anticipated increases in the other vaccines, the J&J doses could prove the pivotal advance in delivering enough shots for nearly all American adults by the end of June, at least a month earlier than currently anticipated. The daily inoculation average climbed to 1.7 million shots per day last week, but as many as double that number of doses are soon expected to be available on average each day. The focus of Biden’s team is now quickly shifting to ensuring those doses can get used, though the administration has resisted the calls of some health experts to publicly set a “moonshot” target for how many daily doses it hopes to deliver. Biden first set his target of 100 million doses in 100 days on Dec. 8, days before the first vaccines received emergency use authorization. By Inauguration Day, it was clear the U.S. was on course to attain that goal. Dr. Leana Wen, an emergency physician and public health professor at George Washington University, said she would like to see the administration commit to a more ambitious 3 million shot-per-day target. “I want to see them put that stake in the ground and ask everyone to help them achieve that goal,” she said. The current pace of vaccination dipped markedly in recent days as winter weather shuttered administration sites in Texas and across the South, and icy conditions stranded supplies at shipping hubs in Louisville, Kentucky and Memphis, Tennessee. One-third of the delayed doses have already been delivered, Dr. Anthony Fauci, the nation’s top infectious disease specialist, announced Sunday. The White House anticipates that remaining delayed doses will be injected by March 1 and that the daily pace of vaccinations will continue to climb. Much of the increase, according to data from the Centers for Disease Control and Prevention, comes from people receiving their second dose of the Moderna or Pfizer vaccine. The pace of first-dose vaccinations, meanwhile, has been largely steady over the past several weeks, hovering around an average of 900,000 shots per day. Increasing both the rate of first-dose administrations and the rate of overall vaccinations will be key to achieving herd immunity — estimated to require vaccination of about 80% of the population — in hopes of ending the pandemic and curtailing the emergence of potentially even more dangerous “mutant” strains of the coronavirus. That means keeping demand high. The administration has expressed concerns about public surveys showing that tens of millions of Americans are reluctant to get the vaccine and it is stepping up public outreach to overcome that hesitancy as the U.S. death toll nears 500,000 — “a terribly historic milestone in the history of this country,” as Fauci put it, and “we’re still not out of it.” Dr. Cyrus Shahpar, the White House COVID-19 data director, said in an interview that the administration is “focused on going out to communities and making sure people know these vaccines are safe and how they can get them, with a goal of vaccinating nearly all Americans,.” The administration has also turned its focus toward identifying new delivery paths for the vaccines beyond those already used by states, including federally-run mass vaccination sites, smaller community health centers and retail pharmacies. The White House’s goal is to stand up the sites now so that they will be ready to handle the influx of vaccine in the coming weeks. “They can push a lot more volume through those channels, through those big box stores, through the community health centers,” Scott Gottlieb, a former Trump administration FDA commissioner, told MSNBC on Friday. He praised the Biden administration for setting up those sites in advance. The Pentagon, at the request of the Federal Emergency Management Agency, has started deploying thousands of active-duty troops to open mass vaccination centers

Joe Biden says U.S. is securing 600 million vaccine doses by July

President Joe Biden said Thursday that the U.S. will have enough supply of the COVID-19 vaccine by the end of the summer to inoculate 300 million Americans. Biden made the announcement at the sprawling National Institutes of Health complex just outside Washington as he visited some of the nation’s leading scientists on the frontlines of the fight against the disease. He toured the Viral Pathogenesis Laboratory that created the COVID-19 vaccine now manufactured by Moderna and being rolled out in the U.S. and other countries. The U.S. is on pace to exceed Biden’s goal of administering 100 million vaccine doses in his first 100 days in office, with more than 26 million shots delivered in his first three weeks. “That’s just the floor,” Biden said. “Our end goal is beating COVID-19.” Biden announced on Thursday that the U.S. had secured contractual commitments from Moderna and Pfizer to deliver the 600 million doses of vaccine by the end of July — more than a month earlier than initially anticipated. “We’re now on track to have enough supply for 300 million Americans by the end of July,” he announced. The pace of injections could increase further if a third coronavirus vaccine from drugmaker Johnson & Johnson receives approval from the Food and Drug Administration. Speaking with Dr. Anthony Fauci, the nation’s top infectious-disease specialist, Biden emphasized that his administration is doing everything possible to increase the vaccine supply and the country’s capacity to deliver injections into arms. “It’s been a hell of a learning process,” Biden said. Biden, wearing a mask, used his remarks to criticize President Donald Trump, saying he inherited “no plan to vaccinate most of the country.” “It is no secret that the vaccination program was in much worse shape than my team and I anticipated,” he said. To date, the Biden administration has deployed active-duty troops to help stand up mass vaccination sites in several states, as it looks to lay the groundwork for increasing the rate of vaccinations once more supply is available. The Viral Pathogenesis Laboratory is led by Dr. Barney Graham, whose team made critical discoveries years ago that laid the groundwork for rapid development of that and other COVID-19 vaccines. Before the pandemic erupted, one of Graham’s research fellows, Dr. Kizzmekia Corbett, had been using those earlier findings to develop a vaccine for MERS, a cousin of COVID-19. On the tour, Biden was shown the lab bench where researchers sequenced the virus and developed the precursor of the Moderna vaccine. Armed with their prior research, Corbett and Graham had a head start when Chinese scientists shared the genetic map of the new coronavirus in January 2020. They already knew how to make spike proteins, which coat the surface of the new coronavirus and its MERS relative, that were stable enough to be used as a key vaccine ingredient. Within days, the NIH had sent instructions to Moderna to brew up doses, and Corbett and her colleagues were setting up the key lab and animal tests that would eventually prove they were on the right track. Republished with the permission of the Associated Press.

Virus vaccine available at dozens of Alabama Walmart stores

Vaccines against COVID-19 will soon be available at more than 70 Walmart and Sam’s Club stores across Alabama, the company and the state announced. The Arkansas-based retailer said people who meet the state’s eligibility requirements can begin signing up for appointments, and the immunizations begin Friday. Part of the program is meant to get the vaccine into areas without adequate medical services, the company said. That includes the south Alabama town of Brewton, which the company said was chosen to get the vaccine because other immunization sites are so far away. More than 1,000 Walmart and Sam’s Club pharmacies in Alabama and 21 other states are receiving federal vaccine allocations this week. Gov. Kay Ivey said the state was grateful for the doses but urged patience since each store will have a limited supply of vaccine. The state on Monday expanded vaccine eligibility to include everyone 65 and older; school workers; grocery store employees; some manufacturers; public transit workers; agriculture employees; state legislators and constitutional officers. As many as 1.5 million people now qualify for shots, up from about 700,000 previously. Republished with the permission of the Associated Press.

Alabama begins expanded COVID-19 vaccinations on Monday

Alabama on Monday will expand who is eligible to receive immunizations against COVID-19 but health officials cautioned there’s still not enough vaccine for everyone who qualifies for a shot. Beginning Monday, everyone 65 and older; educators; grocery store workers; some manufacturing workers; public transit workers; agriculture employees; state legislators, and constitutional officers will be eligible to get vaccinations. Previously only health care workers, first responders, nursing home residents, and people 75 and older were eligible. “If you are eligible for a vaccine, then we will get you one if want to take it. But it is not going to happen immediately for everyone. There is still going to be a while before we have enough,” Dr. Scott Harris, the state health officer, told reporters Friday. Harris said an estimated 1.5 million people will be eligible for the vaccinations. The Alabama Department of Public Health site has a map of providers providing shots. The state is opening large, drive-thru clinics in eight cities: Anniston, Birmingham, Dothan, Huntsville, Mobile, Montgomery, Selma, and Tuscaloosa. Harris said it will require 3 million doses to give the 1.5 million people the two shots required for maximum protection. The state has so far received 923,750 doses and is receiving about 70,000 per week. So far, 436,962 doses have been given. Harris said the remaining doses have someone’s name on it through appointments and clinics for a first or second shot. The University of Alabama at Birmingham announced it is opening an a third clinic, this one at Parker High School, for vaccinations. People do not have to be UAB patients but must fall in the statewide eligibility group. Birmingham Mayor Randall Woodfin urged people in the city to get vaccinated. “We are not out of the woods yet. So I really want to encourage the citizens of Birmingham to take advantage of this site,” Woodfin said. More than 8,500 people in Alabama have died of COVID-19, including confirmed and probable cases. More than 472,000 have tested positive. While the virus causes only mild or moderate symptoms for most people, it can be deadly for the elderly and people with serious health problems including diabetes, cardiovascular disease. Republished with the permission of the Associated Press.