Thread by @BogochIsaac

1/ A few #COVID19 vaccine updates for Ontario:

The pace of vaccination is picking up again.

>130000 vaccines were administered May 4, and >133000 today so far.

>40% of adults in ON have received a 1st dose.

Some thoughts about the past & future weeks👇

2/ People came out in droves for AstraZeneca when the age limit dropped to 40. We had a lot of AZ in the freezer at that time & now there is not much left.

(Much has been said about AZ since then. I am happy for people who received it)

https://twitter.com/BogochIsaac/status/1389353158078521346?s=20

3/ AstraZeneca administered via ~1400 pharmacies & primary care (family doctors & nurse practitioners) pushed our daily vaccine rate to over 130K/day. The pace slowly dropped as supply diminished.

AZ use significantly dropped yesterday & today, likely driven by public discourse.

4/ The fast pace of overall vaccination yesterday & today is largely driven by Pfizer & to a lesser extent Moderna, through:

1) Mass vaccine clinics
2) Pop-up & mobile clinics

This is an impressive pace, especially given the lower rates of AZ administered via pharmacies.

5/ We are getting a ton of Pfizer this month & beyond. Moderna is also starting to pick up.

Pharmacies are starting to administer Pfizer & will expand. Primary care is administering AstraZeneca & will likely expand their use of Moderna as well.

Source: bit.ly/2RrFblt

6/ So the plan is to expand the pace of vaccination (with greater Pfizer access) through mass vaccine clinics & pop-up/mobile clinics.

The pace of vaccination will further increase as:

1) More pharmacies start to administer Pfizer
2) Primary care's role expands significantly

7/ Vaccines in Freezers? Nope.

Here are the vaccines allocated & administered by each province.

Data is from May 4th, right before the big Pfizer shipment...Ontario had administered >95% of all vaccines (highest in the country).

We have a lot to administer now to keep up.

8/ Equity (Part 1):

In early April we were seeing inequity of vaccine administration...more vaccines administered in less impacted neighbourhoods.

But through much of April, 25% of vaccines were allocated to "hot spots" & we can see many of these inequities ironed out.👇👇👇

9/ Equity (Part 2):

For the next 2 weeks, ON is allocating 50% of vaccines to 114 highly impacted postal codes, with everyone 18+ years eligible.

But even with this plan, ensuring equitable allocation & administration will be an ongoing effort.

Source: bit.ly/2SumdLD

10/ Equity (Part 3)

There are many teams working hard to get the right needles into the right arms.

Great example below by @joe_cressy. This involves community engagement & lowering as many barriers to vaccination as possible in hot spots.

Impressive:

https://twitter.com/joe_cressy/status/1389280738974044160?s=20

11/ Areas for improvement in Ontario's vaccine rollout:

*Expansion of primary care involvement, province-wide
*Cumbersome sign-up system
*Expansion of Pfizer in pharmacies
*More frequent communication & better transparency
*Other/etc.

12/ Also, just because various groups are eligible to sign up, it does not mean they will be vaccinated imminently.

In May we get ~800K doses of Pfizer per week & ~800K doses of Moderna total. That's a lot of vaccine but not enough for all of us.

It will take a bit more time.

13/ 2nd doses:

It is likely (not guaranteed) that many will receive 2nd doses before the 4 month mark due to greater supply.

Also, we can likely start to vaccinate the 12-16 year age group perhaps sometime in the early summer, well before school.

bit.ly/3ujIUjA

14/ **Total speculation here** For those who received a 1st dose of AstraZeneca, there may be an option to receive a 2nd dose of Pfizer given 1) stable/large supply of Pfizer, less so with AZ, 2) pending results of COM-COV study in the UK.

Stay tuned.

comcovstudy.org.uk/home

15/ I hope this clarifies a few questions that come up from time to time.

There is still room to improve but some aspects are going rather well.

We'll get this done.