Draft New York State COVID-19 Vaccination Administration Program

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Governor Andrew M. Cuomo announced today that the NYS Department of Health has released a draft COVID-19 vaccination administration program, which will serve as the first framework for ensuring the safe and effective distribution of a COVID-19 vaccine in New York.

The draft program was developed in consultation with leading clinical and public health experts and requires collaboration and partnership with local health ministries, community partners and organizations, and the federal government.

Given the many unknowns in the vaccine development process at this point, the New York State COVID-19 Vaccination Administration Program is designed to be flexible, taking into account multiple variables and scenarios related to vaccine availability, vaccine approval timing, and federal and state boundaries Responsibilities, funding, supply chain requirements, and assignment requirements.

“We have a plan for a lot of guesswork. We don’t know how many doses we’re going to get. We don’t know what vaccine we’re going to get. We don’t know when we are.” The state will have a nationwide vaccination schedule. We will do this together with the federal government. The federal government is responsible for manufacturing the actual vaccine and distributing the vaccines. ” said Governor Cuomo. “States cannot do this alone. Period. This is a massive endeavor. This is a bigger operational endeavor than anything we’ve done to date under COVID. This is a more complicated endeavor and a more complicated task. And we need the federal government.” a competent partner with this state and with every state. “

After determining that the vaccine is safe and effective, the draft vaccination program prioritizes vaccine recipients based on science, clinical expertise and public health. The plan includes the following proposed prioritization matrix to ensure that the most vulnerable and essential workers are priority recipients, with special attention paid to those living in communities with the highest COVID prevalence.

High COVID-19 prevalence in the geographic area

Low COVID-19 prevalence in the geographic area

High risk populations / essential health care workers

Priority 1

Priority 2

Lower risk populations / other essential workers

Priority 3

Priority 4

Average population

Priority 5

Priority 6

At each stage, the draft plan includes the following proposed additional prioritization stages to be applied based on vaccine availability and vaccination rates:

Phase 1

  • Healthcare workers (clinical and non-clinical) in patient care (ICU, ED, EMS top priority)
  • Long-term care facility workers who regularly interact with residents
  • Most vulnerable patients in long-term care facilities

Phase 2

  • First aiders (fire brigade, police, national guard)
  • Teachers / school staff (personal instructions), child carers
  • Public Health Workers
  • Other key frontline workers who regularly interact with the public (pharmacists, grocery store workers, transit workers, etc.) or maintain critical infrastructure
  • Other patients in long-term care facilities and patients who live in other communities
  • People in the general population are classified as particularly high-risk due to comorbidities and health conditions

Phase 3

  • People over 65
  • People under 65 at high risk

Phase 4

  • All other essential workers

Phase 5

  • Healthy adults and children

The New York State COVID-19 Vaccination Administration Program was drafted by the NYS Department of Health and is subject to change based on future details anticipated by the federal government. The draft plan describes:

  • Guiding principles to be followed throughout the vaccination process
  • Key assumptions, unknowns, and variables that can affect vaccine planning
  • Measures to ensure the safety and effectiveness of the vaccine before and after administration
  • Expertise in managing the distribution and implementation of vaccines
  • A vaccine prioritization matrix based on clinical guidelines
  • A process for the efficient distribution and delivery of vaccines
  • Measures to train, register, deliver and assist providers in administering the vaccine
  • A data and IT infrastructure to coordinate and monitor all aspects of the vaccination program
  • An education and public relations campaign to build trust and educate the public
  • A central vaccination command center for managing the entire vaccination program
  • A budget and procurement process to get the necessary supplies and equipment

New York State’s draft COVID-19 Vaccination Administration Program responds to the fact that there are still countless unknowns about the federal government’s vaccine development process and schedule, including when, allotment, quantities, prioritization, distribution, administration and post-administration monitoring. So far, the federal government has not clearly outlined federal-state roles and responsibilities, how the vaccine will be funded or reimbursed, and other key details that are required before New York can finalize plans for a vaccination program.

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October 18, 2020, 8:19 PM GMT

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