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Where is the National Strategy for COVID-19 Vaccination?

Lots of sound and fury on vaccine development, but only crickets on implementation.

One of my favorite quotes of all time is, "Execution is the chariot of genius."  It is great to talk, talk talk, and plan, plan, plan, but eventually someone has to actually do something--that is called "execution." It a performance trait that has been found lacking in so many different ways with the current federal administration. Grand announcements--that lead to nothing!

Which brings me to how we are planning at the federal level to manufacture, distribute, prioritize and vaccinate ideally, 330 million Americans. In reality if we get 60-70% it would be a record number. 

Studies have already shown that there is likely to be huge reluctance by many people to avoid vaccination. Therefore, a significant public education and information effort needs to be readied. Who are vaccinations offered to first? People at risk? First responders? Medical professionals? Essential workers, most making below $20.00 an hour? And, how about their families?

I've heard previously about a potential shortage of needles for the number of injections needed. More recently there has been commentary on the fact that we could have a shortage of vials and stoppers used in the vaccination manufacturing process. Next, I expect we may well hear about a shortage of cotton ball and alcohol to swab the arm before injection.

All the above requires a well coordinated plan, priority establishment and assurances that the demand for vaccinations can be met. Today we are still experiencing a broken coronavirus testing system that highlights a dysfunctional national effort--that is lacking the key word "national" in its  development and execution. 

At present I can only imagine future COVID-19 vaccination performance failures to match those we have already experienced to date.

Eric Holdeman is a contributing writer for Emergency Management magazine and is the former director of the King County, Wash., Office of Emergency Management.