Thread by @BogochIsaac

1/ Ontario #COVID19 vaccine update (Take 2 - after twitter hack/drama):

Ontario has vaccinated >130000 people per day May 4, 5 & on track for this today too.

Over 40% of adults in the province have received at least 1 dose.

Some details on past few days & next few weeks 👇

2/ We doled out a ton of AstraZeneca when eligibility dropped from 55 to 40 yrs, but then ⬇️ supply led to ⬇️ pace of AZ vaccination.

Currently there is very little AZ administered this week following recent public discourse.

I am happy for those who received this vaccine.

3/ Equity of vaccine administration was an issue earlier in April. There is ongoing prioritization of supply to heavily impacted neighbourhoods & it's working.

This graph was when 25% of vax supply went to hot spots.

Now hot spots get 50% of supply for the next 2 weeks.

4/ Equity means much more than allocating +++vaccines to hot spots. It's also community engagement & heavy lifting to ensure barriers to vaccination are removed & the right needles go into the right arms. It's working...

Excellent example by @joe_cressy:

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

5/ Vaccines in the freezer? Nope.

This data is from right before Canada received 2 million doses of Pfizer (ON received ~800K).

Not much difference between the provinces, but ON is at the top of the pack, administering >95% of vaccines allocated. Pretty good...

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

*Work around the convoluted sign-up system (thank you @VaxHuntersCan)

*Underutilizing primary care (family docs & nurse practitioners) across the province - need to expand significantly

*Better comms & transparency

*Etc

7/ What does the next month look like?

*Significant delivery of Pfizer via mass vaccine clinics, pop-up/mobile clinics
*Expanding Pfizer in pharmacies
*Hopefully mobilizing Moderna via primary care
*Keep pace of vaccination >130K/day

Ontario Phase 2: bit.ly/3tzfexX

8/ What about AZ?

**Total speculation here** but I imagine people will get 2nd doses of Pfizer because of:
1) Large Pfizer supply
2) Public perception & clots
3) Imminent results of Com-Cov study (mixing vaccine study)
4) Etc

France/Germany doing this.

bit.ly/3eWwiIU

9/ Vaccine supply looks good for May & beyond.

There is massive expansion of who is eligible, but that does not mean people will be vaccinated imminently.

It will take a bit of time, but ~65% of adults should have a first dose by end of May.

10/ 2nd doses *may* be administered prior to 4 months based on⬆️supply & for other health conditions.

Also we may see expansion of vaccine eligibility to 12-15 yr olds, perhaps in late spring/early summer.

bit.ly/3tleigt

11/ I hope this helps clarify a few points.

Hot spot/essential worker prioritization is the ethical approach. It also ends the epidemic faster in ON.

Some aspects of the rollout need improvement, other parts are going rather well. I'll try keep you posted.