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Vaccine distribution problems: complicated by use of algorithms

Faced with the daunting task of parceling out a limited supply of coronavirus vaccines, Trump administration officials came up with a seemingly simple formula last year to streamline distribution of the shots.

First, federal administrators would run an automated algorithm to divide vaccine doses nationwide, based on the size of each state’s adult population. Then each state would decide how to dole out the shots to local hospitals, nursing homes and clinics.

But rather than streamline vaccine distribution, public health experts say, the algorithm has increased the burden for many states. It requires them to come up with multiple delivery plans for their weekly quotas of Pfizer and Moderna shots, even if the different shipments are destined for the same clinics and hospitals.

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As pandemic fatigue sets in, trauma and exhaustion plague health care workers

As pandemic fatigue sets in, trauma and exhaustion plague health care workers

NY Times:

 ....  Doctors, paramedics and nurses’ aides have been hailed in the United States as frontline Covid-19 warriors, but gone are the days when people applauded workers outside hospitals and on city streets. A year into the pandemic, with emergency rooms packed again, vaccines in short supply and more contagious variants of the virus threatening to unleash a fresh wave of infections, medical workers are feeling burned out and unappreciated.

Some health care experts are calling for a national effort to track the psychological well-being of medical professionals, much like the federal health program that monitors workers who responded to the 9/11 terrorist attacks.

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What went wrong with America’s $44 million vaccine data system?

The first time Mary Ann Price logged into her employer’s system to schedule a vaccine, she found an appointment three days later at a nearby Walgreens pharmacy. She woke up the next day to an email saying it had been canceled.

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With All Eyes on Covid-19, Drug-Resistant Infections Crept In

As Covid-19 took hold over the last year, hospitals and nursing homes used and reused scarce protective equipment — masks, gloves, gowns. This desperate frugality helped prevent the airborne transfer of the virus.

But it also appears to have helped spread a different set of germs — drug-resistant bacteria and fungi — that have used the chaos of the pandemic to grow opportunistically in health care settings around the globe.

These bacteria and fungi, like Covid-19, prey on older people, the infirm and those with compromised immune systems. They can cling tenaciously to clothing and medical equipment, which is why nursing homes and hospitals before the pandemic were increasingly focused on cleaning rooms and changing gowns to prevent their spread.

That emphasis all but slipped away amid an all-consuming focus on the coronavirus. In fact, experts warn, the changes in hygiene and other practices caused by the Covid-19 fight are likely to have contributed to the spread of these drug-resistant germs.

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