American coronavirus: Fauci urges Americans to be “part of the solution” and vaccinate while states prepare for dissemination

“Say,‘ I’m not going to be one of the people who will be a stepping stone to the virus to get to someone else. I’ll be a dead end to the virus, ”Fauci told Facebook CEO Mark Zuckerberg Monday.

Festive gatherings – like Thanksgiving, the upcoming Christmas and Hanukkah – are the “perfect setting” for people who have no symptoms to spread infections innocently and involuntarily.

With this in mind, officials are preparing for the first wave of vaccine distribution.

Vaccine candidates for Pfizer and Moderna are all awaiting emergency permits (EUAs). States must ask for the Pfizer vaccine dose number by Friday, Claire Hannan, executive director of the Association of Immunization Managers, told CNN on Monday.

As soon as the U.S. Food and Drug Administration provides it to the EUAs, and the U.S. Centers for Disease Prevention and Control makes recommendations on which groups will receive the vaccines first, they are ready to ship, Dr. Moncef Slaoui, Warp Speed Chief scientific adviser to the operation, he said on Monday. And the first vaccinations can be given that day or the next day, he said.

The US is still struggling with surges

But even after the vaccines begin to be distributed in December, it won’t be enough to immunize the wider public in April or May 2021, Fauci said. Until then, the US is still struggling with an unprecedented spike.

In Minnesota, more than a third of counties are more than ten times the high-risk threshold for infection growth because the state is “in the worst position since March,” Jan Minnesota’s health ministry commissioner said Malcolm on Monday.

“When this large increase is seen in the number of Minnesans in need of hospital treatment for Covid, it could have really serious implications for access to hospital care on other critical issues as well,” Malcolm said. “And the number of people hired on Covid far overshadows what we saw back in May.

To address the risk of reopening, New Mexican Governor Michelle Lujan Grisham has announced a new “Red-Green” system that defines counties based on their risk of spread. The data is updated every two weeks, and if a county does not meet the indicators, it will start operating at the strictest level within 48 hours.

Nationwide, Monday was the 28th consecutive day that the U.S. reported more than 100,000 new cases – a number far exceeding the records reached in the spring and summer ups and downs, both of which remained below 60,000.

Hospitals under stress

As cases increase during the holiday season, so do hospital benefits – this puts health care systems under stress.

California Governor Gavin Newsom told reporters on Monday that the capacity of the state’s intensive care unit beds could reach 112% by Christmas Eve if the rapid rise in coronavirus cases continues.

In Rhode Island, officials prepared to use on-site hospitals after telling residents their systems were already operational.

Officials are concerned about hospital capacity as a record number of Covid-19 patients were hospitalized in the United States

In New York, where room capacity was taxed in some hospitals in March, this time Governor Andrew Cuomo said medical systems should take steps to relocate patients to another room.

“No patient wants to be overburdened with a hospital because they receive less care, staff are thin, it is in the patient’s best interest to distribute the patient’s burden over the system,” the Cuomo said Monday. “We will not relive the nightmare of flooded hospitals.”

Health care systems could be even more strained this time because researchers are still seeing people affected by the virus after they no longer show symptoms, Fauci said.

Some, called “long carriers,” experience protracted symptoms for months. Others see residual and perhaps indeterminate organ system dysfunctions, he said.

“The idea is that you get infected, or you have no symptoms, or you die, and if you don’t die, everything’s fine – I think that’s really a misconception,” he added.

Challenges for small communities to obtain vaccines

Health care systems, which are already under stress, will face another challenge in spreading vaccines to rural communities, experts say.

Pfizer has planned to store its vaccine in ultra-cold storage and transport it in heat carriers capable of accommodating a minimum of 975 and a maximum of 5,000 doses.

Our cities can never change again after a pandemic

“It’s a small town from a rural perspective that doesn’t work,” Alan Morgan, chief executive of the National Rural Health Association, told CNN on Monday. – It’s just not.

These doses should be shared among multiple providers in these communities and they should do so without risking storage temperatures, Hannan said.

In these areas, immunization managers need to find solutions such as if providers take doses from a central location or transport them in dry ice containers, Morgan and Hannan said.

If they don’t, they risk standing aside, ”Morgan said.

“This kind of approach only sets up these rural communities in the United States because of the truly unacceptable mortality rate and the potential for the health system to collapse,” he said.

Pfizer did not receive an immediate response to concerns about the size of the shipment.

CNN’s Lauren Mascarenhas, Raja Razek, Steve Almasy, Holly Yan, Sara Murray, John Bonifield, Shelby Lin Erdman and Jennifer Selva contributed to this report.