It looks like the vaccine delays are at an end, with ramped up deliveries planned through to the end of March, and Pfizer’s Canadian president insisting that they fully plan to meet their contracted deadlines. Add to that, there is more talk of AstraZeneca vaccines on the way (which could be from India as well as the US), but as has been pointed out in this breakdown of vaccine delivery math, this is going to put more pressure on provinces to get those doses into arms.
Why is that concerning? Well, provincial government competence is a very live concern. Ontario, for example, still hasn’t set up a web portal or call centre to book appointments for vaccinations, when they’ve been caterwauling that they need more doses – only, whoops, it turns out that they can’t even bloody count the doses they’ve delivered and they only delivered half as many as they thought they had. That’s not exactly encouraging (particularly because the government is being run by a gang of incompetent murderclowns).
Add to that, Ontario’s ethical framework for vaccine priorities is far more confused than it should be. Would that this government could get its act together, but no. This is only making a bad situation worse, but remember, everyone has to keep praising Ford for how he really exceeded his (low) expectations, rather than holding him to account for the thousands of unnecessary deaths that have occurred on his watch.
These multiple and divergent priorities (reduce illness/death vs. promote economic/social wellbeing) aren't clearly ranked.
e.g., 1.5 million essential workers have similar priority to 3.5 million older adults (who account for 96% of COVID19 deaths): https://t.co/WGLNkgundp
2/8 pic.twitter.com/OvirKydjpR
— Nathan Stall (@NathanStall) February 16, 2021
Using age to determine vaccine priority (like the U.K.) respects the KISS principle (e.g. "systems should be as simple as possible") and has been used by other countries like Israel to vaccinate as fast as possible to reduce morbidity and mortality: https://t.co/JOra4etgCg
4/8
— Nathan Stall (@NathanStall) February 16, 2021
Prioritizing vaccine distribution based on age clearly prevents the most #COVID19 deaths, which I think should be the #1 goal.
Importantly, an age-based approach will require explicit attention to promoting health equity to further reduce mortality: https://t.co/KAj4Nk3bHQ
6/8 pic.twitter.com/5lWwbSwgQi
— Nathan Stall (@NathanStall) February 16, 2021
I think most people appreciate that vaccine supply is limited—the current frustration is caused by the multiple unranked priorities of #Ontario's vaccine program, meaning that those at highest risk of #COVID19 death will not always be first in line to receive the vaccine.
8/8
— Nathan Stall (@NathanStall) February 16, 2021
