Delays in rolling out vaccine

[Paul O Mahoney]

Cohort 7 were messed about a lot aswell, it was one the blots on the general success story of the vaccine rollout and seems to be repeating here.

Its 2021 how can we have a health system that doesn't have data on patients?

And on your point, of course you're correct, but why didn't they capture those who are vulnerable during the vaccination program 8 months ago?

There just seems to be a lack of basic management skills at every level of an organisation that consumes billions of euros annually.

Its maddening and potentially lethal to citizens.

 

[odyssey06]

67% OF PATIENTS being treated in intensive care units with Covid-19 have not been vaccinated, HSE chief Paul Reid has said.
Speaking on RTÉ’s This Week, Reid said that of the 74 people currently in ICU with the virus, 67% have not been vaccinated while 3% are partially vaccinated.

 

[Paul O Mahoney]

67% OF PATIENTS being treated in intensive care units with Covid-19 have not been vaccinated, HSE chief Paul Reid has said.
Speaking on RTÉ’s This Week, Reid said that of the 74 people currently in ICU with the virus, 67% have not been vaccinated while 3% are partially vaccinated.

Pudding and proof that it's our only way out of this.

 

[Odea]

67% OF PATIENTS being treated in intensive care units with Covid-19 have not been vaccinated, HSE chief Paul Reid has said.
Speaking on RTÉ’s This Week, Reid said that of the 74 people currently in ICU with the virus, 67% have not been vaccinated while 3% are partially vaccinated.

It does mean though that 30% of people in ICU have been fully vaccinated.

 

[Purple]

The Sunday Business Post today has a story where it says the HSE are struggling with identifying people who would need a booster jab .
22500 people have been identified via hospital records, with 50% receiving appointments and 4000 receiving a jab.

Its goes on to say that the HSE thinks there are 50-100k people who will need a third jab.

Reading this one would be forgiven to think what do these people in the HSE do all day?

We have vaccinated a huge swathe of the population, surely the details of these vulnerable are already known, otherwise how were they identified initially?

This is unbelievable, there is no register for immunocompromised patients in Ireland and the work is very "labour intensive " in all honesty you couldn't make this up, the data was generated why are the reinventing the wheel? A simple database query would do this, but of course that would assume that the original data was captured properly.

Can't link but p10 in SBP has the story.

Paul, I'm surprised you are surprised.

It turns out that if you question the structural weaknesses within the HSE, the massive duplication of processes, the almost complete lack of standardisation, the fact that the HSE is in fact just an umbrella body which sits on top of the old Health Boards and Voluntary Hospitals (whose structures are both intact and unconnected) and point out that modern IT systems cannot to rolled out when such systematic structural chaos is ubiquitous you are, in fact, naive.
When you ask whether the people working within the system should take any responsibility for the suffering and deaths that are caused by the work practices and structures they protect you are also naive.

 

[Purple]

Pudding and proof that it's our only way out of this.

There are thousands of puddings, you can't avoid stepping on them while navigating your way around our world class healthcare system, staffed by heroes who are the best doctors and nurses in the world...

 

[Purple]

Its maddening and potentially lethal to citizens

There's nothing potential about it. The death and suffering caused is very real.

 

[Leo]

It does mean though that 30% of people in ICU have been fully vaccinated.

We know the vaccine is not 100% effective, and also that those with compromised immune systems will often have less of a response to, and so less protection from vaccines. It is highly likely that without the vaccine they would be in even worse shape.

 

[Paul O Mahoney]

Paul, I'm surprised you are surprised.

It turns out that if you question the structural weaknesses within the HSE, the massive duplication of processes, the almost complete lack of standardisation, the fact that the HSE is in fact just an umbrella body which sits on top of the old Health Boards and Voluntary Hospitals (whose structures are both intact and unconnected) and point out that modern IT systems cannot to rolled out when such systematic structural chaos is ubiquitous you are, in fact, naive.
When you ask whether the people working within the system should take any responsibility for the suffering and deaths that are caused by the work practices and structures they protect you are also naive.

Oh I know I honestly thought that with the pandemic and the need to contact and record that it might have been different. The rollout was well done and they should be congratulated for that but this is just is wrong.

 

[Purple]

Oh I know I honestly thought that with the pandemic and the need to contact and record that it might have been different. The rollout was well done and they should be congratulated for that but this is just is wrong.

When they can start from scratch they can do great work but when they are constrained by the existing structures and work practices it's a disaster.

 

[Paul O Mahoney]

Covid: Anti-vax protesters intimidate teen outside jab centre

Grace, 15, who uses a wheelchair after having Covid last year, was at a centre to receive a jab.

www.bbc.com

I saw a tweet highlighting this and thought I'd get the full story.

People who don't want to take the vaccine are perfectly entitled to their view and most get on their lives, but then there are these nutters.

I know we have our vocal anti vaxxers to but I've not seen/read/heard them carrying on like this.

 

[Paul O Mahoney]

French study of over 22m people finds vaccines cut severe Covid risk by 90%

Largest study of its kind also finds vaccines appear to protect against worst effects of Delta variant

www.theguardian.com

This is a huge study 22m in fact and the results are way beyond what anyone would have thought possible.

We really need to get the poorer countries vaccinated now, the west has done what it can and has protected the majority.

 

[odyssey06]

French study of over 22m people finds vaccines cut severe Covid risk by 90%

Largest study of its kind also finds vaccines appear to protect against worst effects of Delta variant

www.theguardian.com

This is a huge study 22m in fact and the results are way beyond what anyone would have thought possible.

We really need to get the poorer countries vaccinated now, the west has done what it can and has protected the majority.

I'm not convinced about the J&J single dose effectiveness v Delta variant. Given that was used for over 50s, I don't think we should take the eye of the ball there on that cohort in terms of a booster.

I'm curious where all the J&J and astrazeneca vaccines are going at the moment from all the production plants that popped up. India?

 

[Paul O Mahoney]

I'm not convinced about the J&J single dose effectiveness v Delta variant. Given that was used for over 50s, I don't think we should take the eye of the ball there on that cohort in terms of a booster.

I'm curious where all the J&J and astrazeneca vaccines are going at the moment from all the production plants that popped up. India?

In reality all the people who got J&J should be given a booster, I haven't read if AZ has a booster.
I don't think theres another booster that has done trials available or at least not approved.

Last question, who knows.

 

[odyssey06]

In reality all the people who got J&J should be given a booster, I haven't read if AZ has a booster.
I don't think theres another booster that has done trials available or at least not approved.

Last question, who knows.

I'd be less concerned about AZ, at least they got 2 doses. In the hierarchy it's:
Pfizer 2 dose
Moderna 2 dose
AZ 2 dose
J&J 1 dose

I don't know if this will be sufficient for authorisation:

J&J Covid vaccine recipients are better off getting Pfizer or Moderna booster, NIH study suggests

The NIH study on "mixing and matching" Covid vaccines included more than 450 adults who received J&J's, Moderna's or Pfizer's shots.

www.cnbc.com

 

[Paul O Mahoney]

I'd be less concerned about AZ, at least they got 2 doses. In the hierarchy it's:
Pfizer 2 dose
Moderna 2 dose
AZ 2 dose
J&J 1 dose

I don't know if this will be sufficient for authorisation:

J&J Covid vaccine recipients are better off getting Pfizer or Moderna booster, NIH study suggests

The NIH study on "mixing and matching" Covid vaccines included more than 450 adults who received J&J's, Moderna's or Pfizer's shots.

www.cnbc.com

They all wane but like everything now nobody seems to know exactly by how much, the French study is probably the best study so far, and that appears to have ifs and buts too.
Israel has seen a pick up in cases and hospitalisations but they don't seem clear on what is causing this either.

I think when I joined this thread last year I said getting people vaccinated is really only step one, all the known knowns will come first, we already have known unknowns and what unknown unknowns that are lurking is anyone's guess at this time.

Personally I think the vaccine in tablet/pill form is probably the best way that the planet will deal with this , if someone gets Covid get the tablet from the local pharmacy and hopefully not allow someone to end up in hospital. This is of course until the true source of this has been found, understood and prevented, so, sometime in the next 100 years.

 

[Paul O Mahoney]

Why are cases high if our vaccine rate is so good? Our proximity to the UK, says Donnelly

No consideration is being given to re-introducing any restrictions, says the minister.

www.thejournal.ie

This will cause anyone to giggle, say a few curse words and just wonder what is going on.

I'm in a state of shock with the reasons given by the HSE and then repeated by our Minister for Health....

 

[Paul O Mahoney]

I'd be less concerned about AZ, at least they got 2 doses. In the hierarchy it's:
Pfizer 2 dose
Moderna 2 dose
AZ 2 dose
J&J 1 dose

I don't know if this will be sufficient for authorisation:

J&J Covid vaccine recipients are better off getting Pfizer or Moderna booster, NIH study suggests

The NIH study on "mixing and matching" Covid vaccines included more than 450 adults who received J&J's, Moderna's or Pfizer's shots.

www.cnbc.com

Update Moderna got FDA approval for its booster today for over 65s and vulnerable people.

On the other point where are the vaccines, well another story I read was that Moderna haven't shipped any vaccines to poorer countries citing they have allegedly production constraints, which is true they have 3rd parties producing , but so do all manufacturers.

Moderna stock price popped today on the booster news, but it would when the majority of its debt and share is owned by Wall Street, and they want to supply the US first and others like the EU next, not so much countries that need discounted vaccines.

 

[seamus m]

A testing pass antigen like Denmark was what was needed to suppress numbers because as we see the vaccinated can catch carry and pass covid.In Ireland we have also decided that close contacts of cases who have been vaccinated don't need test or to isolate .

 

[Leo]

A testing pass antigen like Denmark was what was needed to suppress numbers because as we see the vaccinated can catch carry and pass covid.In Ireland we have also decided that close contacts of cases who have been vaccinated don't need test or to isolate .

Perhaps have a read about how successful their mass testing strategy was.

Denmark tested 8,000 people per 100,000 population daily, they have capacity for 500,000 tests per day with a mix of mandatory and voluntary testing. All that cost and disruption and they haven't been all that much more successful than us in repressing Covid.