Thread by @TomBollyky

President-elect Biden has set a goal of vaccinating 100 million Americans (30% of the population) in 100 days.

It is an ambitious, achievable goal.

Here is what that will require, via @JenniferNuzzo, Sid Baccam @IEMNews, and me in the @nytimes 1/
nytimes.com/2021/01/20/opi…

Primary constraint on vaccinating more Americans so far has not been supply

Despite production shortfalls, US still distributed close to enough doses to vaccinate average of 1M people daily

Bigger hurdles have been administration & demand 2/
covid.cdc.gov/covid-data-tra…

Reaching 1 million people per day requires expanding beyond vaccinating small number of individuals on scheduled-basis to doing more mass vaccination

After 9/11, federal gov't thought through how to vaccinate many Americans in a short time 3/
liebertpub.com/doi/pdf/10.108…

Leveraging those plans, here's our estimate of what we think will be required to vaccinate average of 1M people per day for 100 days

- at least 400 vaccination sites

- 100k-184k staff, incl. at least 17k qualified vaccinators

- working 12 hrs/day

- 120-220 workers per shift

These numbers are just a start.

The point is that vaccinating 1M/per day for 100 days will require extensive and costly intervention from federal gov't.

The qualified personnel required to conduct vaccination at this scale simply don’t exist within public health departments 5/

Then there's the problem of demand

Mass vaccination plans generally assume population wants to be vaccinated

Reports of health care workers refusing COVID vaccinations are worrisome.

State and local govts must bolster their engagement with community groups to address concerns

Increasing the volume of vaccinations should not come at the expense of getting doses into the arms of the people most at risk from #COVID19

Here is how we think those goals can be balanced 7/

nytimes.com/2021/01/20/opi…

I think this important piece by @DrLeanaWen has good ideas on this too and is worth your time 8/
washingtonpost.com/opinions/2021/…

State, local & tribal authorities need more resources to dispense vaccines to every American who wants one

President-elect plan has $20 billion for vaccination & requests funding to hire 100,000 health workers

It's money well spent in a pandemic. Congress should authorize it

Reaching 100 million people in 100 days would be the most ambitious vaccination campaign in U.S. history.

It needs support that will be equal to the task.

You can read rest from @JenniferNuzzo, @JenniferNuzzo, Sid Baccam @IEMNews, and me here:

10/10
nytimes.com/2021/01/20/opi…