Thread by @yaneerbaryam

Vaccination program not working well?

Solution:

Vaccination seems complex but it is large scale: Many of the same action

Complexity science says medical institutions are not efficient at vaccination. They are organized for the complex task of treating individual patients.

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Solution? Retail — pharmacies. They have the right Infrastructure, people, distribution, process, locations,

Million per day? No problem. CVS alone can do it:

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https://twitter.com/megtirrell/status/1350194413776105477?s=20

See my published analyses:

Yaneer Bar-Yam, Improving the effectiveness of health care and public health: A multi-scale complex systems analysis, American Journal of Public Health 96(3): 459-466 (2006).

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ajph.aphapublications.org/doi/10.2105/AJ…
also at
necsi.edu/improving-the-…

Yaneer Bar-Yam, Dion Harmon, Keith Nesbitt, May Lim, Suzanne Smith, and Bradley A. Perkins, Opportunities in delivery of preventive services in retail settings, in Handbook of Systems and Complexity in Health (Springer, 2013), pp. 879-887.
tinyurl.com/y573q3vp

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Just announced Biden plan:

"..launching community vaccination centers around the country and mobile units in hard-to-reach areas."

Community vaccination centers? Pharmacies have many of the best community locations. And people know them.

cnn.com/2021/01/14/pol…
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One more thing:

Many search for treatments for COVID

The best chance we have right now is to give immediate vaccines to anyone who has symptoms. Disease progression can take a few weeks and it might be less severe with a vaccine (that’s the point!)

I would prioritize that

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To be clear: This suggestion should be part of a careful trial process, one that can be done quickly.