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                Saturday 10 OctOber 2020

             Official says vaccine expected in January, countering Trump



            By MARTHA MENDOZA AND                                                                                               duced  in  Congress  this
            JULIET LINDERMAN                                                                                                    year, only a handful seek to
            Associated Press                                                                                                    resolve supply chain issues;
            A Trump administration offi-                                                                                        none of those has reached
            cial leading the response to                                                                                        the president.
            the  coronavirus  pandemic                                                                                          "We  need  to  claw  back
            says  the  U.S.  can  expect                                                                                        our  medical  supply  chain
            delivery of a vaccine start-                                                                                        back to the U.S.," said Sen.
            ing  in  January  2021,  de-                                                                                        Marsha Blackburn, R-Tenn.,
            spite  statements  from  the                                                                                        who  has  sponsored  bills  to
            president  that  inoculations                                                                                       bolster  the  U.S.  pharma-
            could begin this month.                                                                                             ceutical    manufacturing
            And  a  growing,  bipartisan                                                                                        base.
            chorus  of  lawmakers,  ex-                                                                                         Roughly  nine  months  into
            perts and public health of-                                                                                         the pandemic, health care
            ficials says the country is ill                                                                                     workers and even the Gov-
            prepared  for  a  projected                                                                                         ernment     Accountability
            winter surge of COVID-19.                                                                                           Office report there still isn't
            Dr.  Robert  Kadlec  said  in                                                                                       enough  protective  equip-
            an  email  Friday  that  the                                                                                        ment  for  frontline  workers
            administration  "is  acceler-                                                                                       or  adequate  coordination
            ating  production  of  safe                                                                                         from  the  federal  govern-
            and  effective  vaccines  ...                                                                                       ment.  And  although  there
            to  ensure  delivery  starting                                                                                      are  emergency  prepared-
            January  2021."  Kadlec  is                                                                                         ness and response plans in
            the  Department  of  Health                                                                                         place, implementation has
            and Human Services' assis-                                                                                          been inconsistent.
            tant secretary of prepared-                                                                                         "We  went  into  this  pan-
            ness and response.                                                                                                  demic  unprepared,  and
            President  Donald  Trump                                                                                            we remain so months later,"
            has said at rallies, debates                                                                                        said  Boris  Lushniak,  former
            and    press   conferences                                                                                          acting  surgeon  general  in
            that  a  vaccine  could  ar-                                                                                        the Obama administration.
            rive within weeks. "We think   In this March 3, 2020 file photo, Health and Human Services Assistant Secretary for Preparedness   "It is time to reevaluate the
            we  can  start  sometime  in   and Response Dr. Robert Kadlec testifies before a Senate Education, Labor and Pensions Commit-  complete  medical  supply
            October,"  Trump  said  at  a   tee hearing on the coronavirus on Capitol Hill in Washington.                       chain  in  the  U.S.  The  fed-
            White  House  press  briefing                                                                      Associated Press  eral  government  needs  to
            last month.                                                                                                         take on the leadership role
            Kadlec  wasn't  the  first  Kadlec  was  responding  to  Experts say those shortages  al  coordinated  strategy  here."
            health  official  to  counter  a  series  of  questions  from  could  now  extend  to  the  would  help  ensure  that  Across  the  country,  public
            the  president's  optimistic  The  Associated  Press  and  syringes, needles and glass  states,  hospitals,  physician  health leaders are warning
            timeline.  Health  and  Hu-  FRONTLINE  about  the  ad-   vials  that  are  vital  to  a  fu-  offices  and  other  facilities  about the coming months.
            man  Services  Secretary  ministration's  response  to  ture  nationwide  vaccina-     have  a  single,  centralized  "A  cohesive  national  plan
            Alex  Azar  said  Thursday  the pandemic and, in par-     tion program.                authority  to  work  through  for  equitably  distributing
            that  there  could  be  100  ticular,  about  shortages  of  Kadlec  agrees  that  sup-  to acquire essential person-  PPE  has  still  not  been  pro-
            million vaccine doses avail-  critical medical supplies.   ply chain disruptions led to  al  protective  equipment,"  posed,  let  alone  imple-
            able  by  the  end  of  the  ___                          shortages. He said the ad-   American Medical Associa-    mented,"   said   Harvard
            year  "pending  FDA  autho-  EDITOR'S  NOTE:  This  story  is  ministration  needs  more,  tion President Dr. Susan Bai-  Medical  School  professor
            rizations."  And  Dr.  Moncef  part of an ongoing investi-  consistent,  flexible  fund-  ley told the AP and FRONT-  Dr.  Andrew  T.  Chan,  who
            Slaoui,  who  is  leading  the  gation  by  The  Associated  ing from Congress to shore  LINE on Thursday. "The burn  found  Black,  Hispanic  and
            government's  vaccine  ef-   Press, the PBS series FRONT-  up  the  Strategic  National  rate  of  personal  protec-  Asian  health  care  workers
            fort,  told  Marketwatch  on  LINE and the Global Report-  Stockpile  of  medical  sup-  tive  equipment  and  medi-  had the highest risk of con-
            Friday   that   researchers  ing  Centre  that  examines  plies  and  drugs  and  ex-  cal  supplies  has  been  far  tracting  COVID-19.  "Thus,
            could  know  "by  late  Oc-  the  deadly  consequences  pand  domestic  manufac-       greater than anything that  we  will  continue  to  fly  by
            tober,  or  November,  or  in  of  the  fragmented  world-  turing.                    we have experienced and  the  seat  of  our  pants  with
            December"  whether  one  wide medical supply chain  "There seems to be universal  for  a  far  longer  time,  and  our  fingers  crossed  for  the
            of the vaccines in develop-  and includes the film Amer-  consensus  from  both  sides  the need for PPE and test-  foreseeable future."
            ment is effective, but that it  ica's Medical Supply Crisis.  of  the  aisle  in  Congress,  ing supplies will continue for  Michael Lu, dean of Univer-
            would  then  take  weeks  to  ___                         from the health care sector  the foreseeable future."     sity of California, Berkeley's
            get  emergency  authoriza-   The  AP  and  FRONTLINE  re-  and  from  the  manufactur-  The  collapse  of  the  medi-  school  of  public  health,

            tion to administer it.       ported  earlier  this  week  ing  base,  that  it  is  critical  cal  supply  chain  wasn't  said  one  important  part
            When asked about the dis-    that  a  breakdown  in  the  to move from a just-in-time  unexpected: For decades,  of  the  solution  lies  in  a  bi-
            parity, the White House was  supply  chain  for  critical  manufacturing model to a  politicians  and  corporate  partisan bill  fast tracked in
            not specific on a date but  medical equipment includ-     more  flexible  and  resilient  officials  ignored  warnings  the  Senate  that  would  re-
            said Trump's priority is to dis-  ing  masks,  gloves,  gowns  domestic   manufacturing  about  the  risks  associated  build the Strategic National
            tribute  a  vaccine  "as  soon  and  ventilators  hobbled  capability," he said.       with America's overdepen-    Stockpile  and  strengthen
            as  possible."  Kadlec  said,  the  U.S.  response  to  COV-  Health experts have called  dence  on  foreign  manu-  U.S. manufacturing of med-
            without elaborating, that it  ID-19 and was likely a fac-  for  the  same  changes  but  facturing  and  a  lack  of  ical masks, gowns and oth-
            wasn't correct to conclude  tor  in  the  country's  death  say  there's  a  vacuum  of  adequate  preparation  at  er protective gear.
            that  this  meant  the  coun-  rate,  which  is  higher  per  federal leadership to imple-  home.                   "We  weren't  ready  for  the
            try  couldn't  see  a  vaccine  capita  than  almost  every  ment them right now.      Of  the  hundreds  of  CO-   pandemic,"  Lu  said.  "And
            sooner than January.         other country in the world.   "Having  a  single  nation-  VID-19  related  bills  intro-  we are still not ready."q
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