Earlier this week, Heidi Bond, Otsego County public health director, said, “I think it will open up pretty quickly with Johnson & Johnson,” a reference to the new one-shot vaccine approved over the weekend.
It’s even encouraging to read the daily reports in the doom-and-gloom national newspapers.
Monday, March 1, the Washington Post told us the seven-day average of “cases reported” dropped from 248,128 to 68,040.
As of that day, WAPO said 50 million Americans had been vaccinated, about the same number of us over 65.
Now, that’s progress.
After the state website kept complaining the whole State of New York had only been receiving 400,000 vaccines a week for its 16 million eligible citizens, Monday, March 1, it posted:
“New York is expected to receive approximately 164,800 doses of the single-shot Johnson & Johnson COVID-19 vaccine this week, pending final FDA authorization.”
That, plus 400,000 a week we’re already getting: It would still take 80 weeks to serve New York’s eligible citizens, but it’s accelerating.
The good news is if New York State gets the vaccine, New York State can administer it.
This marks the 50th column I’ve written in this series.
It’s hard to believe on many levels: How long we have been restricted or locked down, that I am still doing this weekly when we figured we would need to do this for at best a few months, that there remain new things to write about (in fact, every week brings new information), that my publisher makes me pay for my own subscription.
I am very grateful to my readers who have given me useful feedback, my publisher for giving me a forum to spread this information, and to my daughter who is a real scientific editor and has helped me with advice and, at times, review of my work.
In celebration, I’ve decided to write a column with good news for a change. (This is NOT to mean that we don’t still have to be vigilant, maintain masks and social distancing, avoid crowds, etc.)
Just that there’s finally some good news to write about.
►In a study of 600,000 people in Israel, which has vaccinated a higher proportion of its population than any other country, there has been a 94-percent drop in symptomatic COVID-19 infections. The vaccinated group was also 92-percent less likely to develop the severe form of the illness if present.
I was asked to give a talk at the Center for Continuing Adult Learning recently in Oneonta. It was supposed to be on vaccine development and distribution, but two days before I was to give it, I was asked by a participant to address treatment of active COVID-19.
Up to this point I have avoided discussing this because each physician chooses treatment for each patient based on many factors, including recommended protocols, approved medications, and most important, consideration of each patient as an individual.
Nonetheless there is some general advice from the NIH (National Institute of Health).
The NIH divides severity levels for COVID-19 into five parts with their recommendations.
►ONE: Not hospitalized, mild to moderate COVID-19.
There is insufficient evidence to recommend for or against any specific antiviral or antibody therapy.
SARS-CoV-2 neutralizing antibodies are available for outpatients who are at high risk of disease progression.
Antibodies bind to the virus, block its ability to get into a cell, and trigger a response from white blood cells to come and attack the virus.
Antibodies could be natural or manufactured. Dexamethasone is a steroid anti-inflammatory which is approved in more severe stages and should not be used here.
►TWO: Hospitalized but does not require supplemental oxygen.
Dexamethasone should not be used. There are insufficient data to recommend for or against the routine use of Remdesivir. (Remdesivir is a drug specifically to treat viral diseases). For patients at high risk for disease progression, the use of Remdesivir may be appropriate. (Yes, I too find this statement very confusing.)
►THREE: Hospitalized and requires supplemental oxygen, but does not require high-flow oxygenation, mechanical ventilation, or an ECMO (extracorporeal membrane oxygenator – sort of like a heart/lung machine used in open heart surgery).
Use one of the following three options: Remdesivir for patients who require minimal oxygenation, Dexamethasone and Remdesivir for patients who require increasing amounts of supplemental oxygenation, or Dexamethasone alone when combination therapy cannot be used or if remdesivir is not available.
►FOUR: Hospitalized and requires oxygen through a high-flow device or non-invasive ventilation. Use one of the following options; dexamethasone or dexamethasone and remdesivir.
►FIVE: Hospitalized and require mechanical ventilation or ECMO. Use dexamethasone.
There are other drugs that have been considered for use in COVID-19.
One is Invermectin. Others are monoclonal (all one type) antibodies as described above. Another drug fluvoxamine (Fluvox) is a drug used for obsessive-convulsive disorder and was hypothesized to block excessive inflammatory reactions.
Bottom line if sick is, find a physician who you trust. A good physician will listen to a patient’s concerns and questions and then when you are comfortable with them, your best shot is to follow their instructions.
By MICHAEL FORSTER ROTHBART • Special to www.AllOTSEGO.com
As Margaret Wolff waited during the recommended 15-minute observation period following her inoculation Saturday afternoon, Jan. 30, Rita Tetenes was at her home here.
Tetenes was not one of the lucky ones.
Although she and her husband Leo are in their 80s, they still live independently in a far, hilly corner of Otsego County. Schoharie County begins across the narrow valley from their home, and the Delaware county line is at the bottom of the hill.
“We have no computer at our home. We don’t have cell service. You need a satellite phone to make calls out here,” Tetenes said during a call from her house.
She has not used email since she retired four years ago, and does not know if her old flip phone can send text messages.
“I’m going to do whatever it takes, but it has to be via the phone. I heard about the clinic at Clark but I called and all the spots were already taken. We didn’t even have a chance,” she said.
“Every place that we’ve called, whoever we spoke to, they’ve all been extremely nice, but if they can’t help us, they give us another phone number,” Tetenes said. The bottom line is that “no one can help, at this point.”
As of 11 a.m. (Monday, Feb. 1), 90 percent of first doses allocated to the state have been administered. This represents 1,393,064 first doses administered of the 1,554,450 first dose allocations received from the federal government. So far, 307,662 second doses have been administered out of 725,050 second doses received.
from GOVERNOR CUOMO’s Daily COVID report.
View COVID-19 New York State Vaccine Tracker Here.
By MICHAEL FORSTER ROTHBART • Special to www.AllOTSEGO.com
Margaret Wolff was one of the lucky ones.
She was one of the first 310 members of the general public to receive their first dose of the Moderna COVID-19 vaccine at Bassett Hospital’s first public clinic Saturday, Jan. 30, at the Clark Sports Center.
For three weeks she’d tried to get a vaccine appointment. Some days she got online at 6 a.m., figuring she might find an available slot when few people were awake. She heard a rumor that the state Department of Health made appointments available at noon, so she logged in then, even though it was difficult to do so during work. Nothing was available.
Last Friday evening, a friend called to say there were open appointments at SUNY Polytechnic in Utica. She got right on her computer and tried for three hours. “It said they had appointments, but the website was down for maintenance,” she said. “I kept refreshing it ’til 9 o’clock and then I thought, ‘The heck with this, I’m just not going to do this,’” and went to bed.
The struggle to lockdown concrete information and a larger anti-COVID vaccine allotment continues in Otsego County and beyond.
“There is not an adequate supply of the vaccine,” David Bliss, county Board of Representatives chair, said Tuesday, Jan. 19. “This is a statewide problem.”
According to a list he provided, the problems include:
• Demand is higher than the
• Only a 100-dose weekly allotment to the county Health Department and selected pharmacies.
• Undependable allotment to Bassett Hospital.
• Local appointments aren’t held for local people.
• The State of New York controls distribution of a limited supply.
• The state is falling down on communication.
• Due to high traffic, the state
COVID-19 website keeps crashing.
• Pharmacy reservation systems have no bearing on how much vaccine may be available.
• The state is receiving 250,000 doses a week, but has 7 million residents eligible for the vaccines.
• Eligibility still limited to Phases 1A and 1B.
In a daily press conference Monday, Jan. 4, Governor Cuomo called out Fox Hospital: If the Oneonta facility doesn’t use its anti-COVID vaccine allocation more quickly, it won’t get any more.
The governor said Fox had only used 18 percent of the doses it has.
Bassett Healthcare Network’s spokesman, Karen Huxtable-Hooker, said that figure is actually 30 percent as of Tuesday the 5th, both at Fox and its Tri-Town Campus in Sidney.
In all, she said, more than 2,000 Bassett Network staffers had been vaccinated, with 52 percent of the Moderna virus supply used up. The network employs 5,200 people over nine counties.
Bassett Hospital received its Moderna allotment Dec. 23, and immediately began vaccinating, Huxtable-Hooker said, and continues “to offer vaccination clinics for our health care staff, as do all of the hospitals in the Bassett network.”
The pace of vaccinations is just one challenge Bassett is facing, along with rising hospitalization – “double what it was in November,” she said. “The continued escalation of COVID-19 cases is challenging resources, but (at Bassett Hospital) we are managing.”
“Fortunately, with five hospitals in the network, we are able to make use of all available beds to meet patient needs to identify space within our hospitals that can appropriately be converted for patient care needs as demand dictates,” she said.
On a “case-by-case basis,” she continued, some elective surgeries that require hospital says have been postponed “ to have those beds available for seriously ill patients,” Huxtable-Hooker said.
Despite such challenges, healthcare workers see the vaccine as a light at the end of the tunnel.
Some staffers have declined the vaccine, “but this has been the exception,” the spokesman said. “Most staff members are anxious to receive the vaccine as soon as they are eligible and can be scheduled.”
While there are two bills in the state Legislature seeking to mandate that healthcare workers and others be vaccinated, they have not yet been acted on. (See related story, Page A1).
Nor has the state Department of Health issued any such order, so “we cannot require staff to get the COVID-19 vaccine, but we are strongly encouraging it,” Huxtable-Hooker said.
Meanwhile, she said, masks, social distancing, hand-washing and the like is being encouraged to reduce transmission, she said.
At his Sunday, Jan. 3 press conference, Cuomo said 70-90 percent of New Yorkers need to be vaccinated to push back COVID-19, part of his dismay at the vaccination rate.
If hospitals do not use up their allotment they may face fines and/or possible disqualification from future vaccine distributions, according to Cuomo’s statements.
“Bassett Healthcare Network continues holding vaccination clinics with the goal of using the vaccine allocated to us,” Huxtable-Hooker said.
Meanwhile, on Saturday Jan. 9 and Jan. 16, asymptomatic rapid testing will be available to the public as long as supplies last at Bassett’s Oneonta location on 125 Main St.
Reservations are required by calling 607-433-6510 from 8 a.m. to 5 p.m. Monday through Friday.
The network is working to schedule other locations and dates for asymptomatic testing.
This could be the begining of a beautiful friendship.
Fresh from his swearing-in as state Sen. Peter Oberacker, R-Schenevus, in his hometown fire hall at 1:08 p.m. New Year’s Day, the freshman signaled he is planning to collaborate with Assemblyman John Salka, R-Brookfield, on two key pieces of legislation:
One, as he promised during the campaign, Oberacker plans to introduce legislation mirroring Salka’s to overturn the Democrats’ bail reform, which has allowed suspects in petty and some less-petty crimes to be immediately released.
Two, the new senator is planning to carry the flag in the upper house for Salka’s counter-legislation to two Democratic bills requiring New Yorkers to be vaccinated for COVID-19 or, in one of the bills, face possible detention. “That should be a personal choice,” said Oberacker.
“Peter and I have become good friends,” the second-term assemblyman said Tuesday, Jan. 5, the first day of the 2021 session. “I’m excited about having a member of the Senate to consider and possibly carry our legislation through this session.”
Both men appeared Tuesday morning via Zoom on the Otsego County Chamber of Commerce’s State of the State meeting.
Afterwards, Oberacker, his Chief of Staff (and former campaign manager) Ron Wheeler, and his Communications Director Jeff Bishop headed to Albany, where the senator has been assigned Office 506 in the Legislative Office Building in Empire State Plaza.
Salka was clearing his desk in his Oneida office, planning to head up to Albany Wednesday.
To help continuity between his predecessor, state Sen. Jim Seward, R-Milford, who represented Otsego County in Albany for 34 years, the new senator will occupy Seward’s Oneonta office on South Main Street.
He has also kept most of Seward’s staff, except his chief of staff, Duncan Davie, the former Oneonta town supervisor, who retired.
Already, Oberacker said in an interview Monday, Jan. 4, constituents are calling, seeking his assistance.
The foremost issue is COVID-fueled unemployment. “I’ve had many inquiries. A lot of folks are wanting to know what should they do, how they should go about it.” He convened a staff meeting that afternoon “to put together an action plan.”
The second issue came out of the Mohawk Valley, where RemArms, controlled by Roundhill Group LLC, described in news reports as “a group of experienced firearms manufacturing and hunting industry professionals,” is seeking to work around the United Mine Workers in reopening the Ilion plant.
The plant, which has traditionally employed many people from Northern Otsego County, was sold to RemArms when Remington was broken up under the supervision of U.S. Bankruptcy Court, according to www.syracuse.com.
Oberacker said he has been seeking to ensure to clear red tape and allow the plant to reopen as soon as possible.
The new senator attended two days of orientation at the state Capitol in mid-December, “to get to know my fellow senators,” and to get guidance from “the vast knowledge that incumbents have. It harkens back to being a freshman on campus.”
Asked about the chances of overturning bail reform, Salka pointed out that Upstate Democrats like Assemblywoman Marianne Buttenschon, D-Marcy, support him, suggesting he may win votes from across the aisle on his measure.
“We’re hoping to present these bills” – bail reform and blocking mandatory vaccinations – “and get bi-partisan support,” he said.
Meanwhile, he pointed out, Job One will be “the 800-pound gorilla in the room – the $16 billion deficit,” which has risen from $10 billion in a year due to COVID challenges.
Last Sunday, www.AllOTSEGO was able to trumpet the news: “VACCINE HERE! 350 Bassett Tier 1 Workers Getting Shots Over Weekend.” Within hours, thousands had clicked throughto read the good news.
It – the COVID-19 pandemic – is not over, but it’s on the way to being over.
This happy news comes at a time when, as the Gospel of Luke had it, humanity wishes for “peace on Earth, good will toward men.”
It’s the time of year when we pause and reflect on how close we’ve come to the ideal.
The reality, this year as always, is that we missed it, given we live in an imperfect world, populated by imperfect people looking to find the way through a glass more or less darkly.
To what? To a modicum of happiness, prosperity, good will, not just for ourselves, but to our fellow humans. Not just here, in our relatively safe and secure Otsego County,
but throughout our state, country and even world.
Perfection, whether you’re religious or not, is not of this world – but the journey is life’s meaning.
Statistically, we can reflect with some satisfaction on meeting the COVID-19 challenge, (although it’s not over yet, and continued vigilance is essential.)
The crudest measurement – mere numbers – affirms this. As of this writing, 11 local people have succumbed to COVID. According to the state Health Department, 700 people die in our county annually, so this worldwide health challenge, the worst in a century, raised the local death rate by 1.4 percentile points.
Even with the post-Thanksgiving spike, only 1,300 people were infected.
Take out the 750 on SUNY Oneonta’s campus – only one person in the community was determined to have been infected by that outbreak – only 550 people in the county at large have been stricken with the virus.
That’s less than one percent of our county’s population of 59,493 people.
To focus on the numbers shouldn’t harden us to the grief suffered by those 10 families, or to the lost wages, damaged and closed businesses, stunted educations, or the other very real negative impacts of the disease.
But Otsego County achieved something special and we can be proud: We can take comfort in how our neighbors, professionals and political leaders reacted to what could have been a devastating onslaught.
First, we can thank ourselves.
The widespread – in some cases, almost universal – wearing of masks, is an expression of caring for our fellow citizens. Masks, it’s been widely reported, may protect the wearer – but, mostly, they protect us from infecting people with whom we come into contact.
In that sense, wearing a mask is an act of love, the central Christmas sentiment. We should be proud of ourselves and others.
Second, we can thank our professionals.
Our Bassett Healthcare Network was up to the challenge. Brinton Muller, the local hospital’s emergency preparedness manager, formed a committee to prepare for a possible coronavirus infestation as early as January, well ahead of our state and national leaders.
In March, when the worst began to happen, then-President/CEO Bill Streck was able to roll out a “hotline” and testing tents almost immediately. He was assisted in those early days by Drs. Bill LeCates, Steve Heneghan (since departed) and Charles Hyman.
Fingers crossed, but an expanded ICU has yet to reach its capacity, a fear in those early days.
(Astonishingly, Bassett accomplished all this during a transition to the new president/CEO, Tommy Ibrahim, who devised and began implementing a futuristic, system-wide reorganization parallel to the COVID fight. That reflects a first-rate operation – and brings the famous Scott Fitzgerald quote to mind.)
Outside Bassett, county Public Health Director Heidi Bond became the face of the COVID-19 fight.
Third, of our political leaders.
Oneonta Mayor Gary Herzig reported the other day that, in limiting the campus outbreak’s impact, the City of Oneonta’s infection rate is among the lowest in the state.
Cooperstown Mayor Ellen Tillapaugh achieved similar results, with Governor Cuomo singling out “America’s Most Perfect Village” last month for its particular success. This, despite hosting baseball fans from around the country over the summer – fewer, for sure, but enough to pose a threat.
At the county level, the Big Three – Treasurer Allen Ruffles, with the support and encouragement of the county board’s top leadership, Chairman Dave Bliss and Vice Chair Meg Kennedy – put together a package of borrowings and revenue streams designed to get county government through a historic challenge with minimal impact.
Of course, as we wish for “peace on Earth, good will toward men” at Christmastime, let’s not forget pride is considered a sin. We’ve done well, but we’re not out of this yet.
It could take weeks, maybe months – let’s hope otherwise – before the anti-COVID vaccines are available locally. Let’s stay the course, wearing masks, social distancing, washing our hands and avoiding crowds – as we have.
We’ve proven we can do it. As we count our blessings this Christmas, let’s stay the course.
Dr. Anush Patel, Bassett Hospital’s chief of medical oncology and radiology, expressed relief on receiving the first of his two Pfizer vaccinations.
“This is the light at the end of the tunnel,” he said.
Patel was one of 350 Tier One Bassett employees who received the Pfizer vaccine last Saturday through Monday at Arnot Ogden Medical Center, Elmira, and Faxton-St. Luke’s Campus, Utica.
“People were overwhelmingly excited to receive the vaccine,” said Karen Huxtable-Hooker, Bassett Healthcare Network spokesman. “It’s energizing health care workers; for them it means the beginning of the end.”
Tier One healthcare employees are staff members in clinical and nonclinical patient-care areas considered to be of high exposure, according to the state, including emergency room and Intensive Care Unit employees.
Some 170,000 doses of the Pfizer vaccine were shipped across New York State this week and received by Bassett’s Tier One employees.
Going forward, however, Bassett has opted for the Moderna vaccine, which has a similar efficacy against COVID-19, but doesn’t require the extreme refrigeration the Pfizer one does.
“Because it doesn’t need the ultra-cold storage like the Pfizer vaccine, (Moderna) is easier to store and transport throughout our region, so we can reach more patients in our service area,” said Kelly Rudd, PharmD, the Bassett Network’s pharmacy director.
Although Arnot Ogden and Faxton-St. Luke’s are not in the Bassett Network, they are medical campuses designated by New York State as regional hubs for initial vaccine administration.
“We have been able to help them and they were able to help us; this really takes everybody working together,” Huxtable-Hooker said.
“We are proud to be part of the state’s efforts to vaccinate front-line healthcare workers as we move through the vaccination distribution phases outlined by the CDC,” said Jonathan Lawrence, Arnot president/CEO. “We look forward to working with hospitals in our region to achieve the goal of vaccinating as many people as possible, as quickly as possible, in our efforts to contain the spread of COVID-19.”
According to Huxtable-Hooker, all five Bassett Network hospitals have received their first allotment of the Moderna vaccine and vaccinations of Tier One staff will begin this week.
“Schedules for inoculating staff are in development,” she added.
Those that have already received the Pfizer vaccine at one of the two locations in Utica or Elmira will be returning to those sites to receive the booster for the vaccine after three weeks.
Those that will receive the Moderna vaccine will return for their booster after 28 days.
And with 350 staff members on their way to completing the vaccination process against COVID-19, Heidi Bond, Otsego County public health director, says she hopes this will speed up the timeline for getting the vaccine to the public.
“Hopefully the vaccine will begin to come at a fast pace,” she said. “We can vaccinate our front-line healthcare workers, then increase out to the next tier and vaccinate other essential workers.”
Bassett’s attending physician of infectious diseases, Dr. Charles Hyman, suggested last week that the public will likely not have access to the vaccine until the end of April, but adds that planning as to how best to distribute it is already underway.
Many people have asked me to explain vaccines to them, and specifically the ones for COVID-19. They are most concerned with how they work, when they will be available, and if they will be safe.
Hopefully, this column will help.
The terms vaccine and vaccination derive from the Latin name Variola vaccinae, which means small pox of the cow. Vacca is Latin for cow.
The term vaccine was first devised by Sir Edward Jenner in 1778 based on the fact that he used an inoculation with cowpox to elicit a protective reaction to smallpox.
In 1881, Louis Pasteur proposed that the term vaccine be used to cover all new protective inoculations that were developed in order to honor Jenner.
There are multiple types of vaccines and at least one of each type has been tried or is being developed for SARS-CoV-2 (the virus that causes COVID-19).
The following are the different types of vaccines that are administered to a subject to induce a protective immune response along with examples of each.
►INACTIVATED: a dead copy of the infectant, e.g., polio
►ATTENUATED: A weakened version of the infectant, e.g., yellow fever, measles, mumps
►TOXOID: an inactivated form of the poison made by the infected cell, e.g. tetanus and diphtheria
►SUBUNIT: a portion of the protein of the infectant that cannot cause the disease by itself, e.g., hepatitis B and HPV (human papillomavirus, causes genital warts and cervical cancer).
►CONJUGATE: Weak version of the infectant, coupled with a strong antigen for something benign to increase the immune response to the weakened version, e.g., Hemophylus influenza.
►RECOMBINANT DNA, where a stand of genetic material for part of the infectant is inoculated into the host’s cells and teaches the cells to make an antigen for part of the infectant.
►RNA: This is the approach that right now is the most promising in treating SARS-CoV-2. A portion of messenger RNA is inoculated into the host cells and tells the host to make a portion of the infecting virus. This technique has not been used for human diseases clinically before.
Typically, it takes 15-20 years to bring a new vaccine to market, and less than 5 percent of candidates will succeed. The speed in which the SARS-CoV-2 vaccine has come to be distributed really is warp speed.
The first regular immunizations begin a week ago Monday in Great Britain. This is less than a year from recognition that there was a new disease and 10 months from identifying the genetic code of the virus causing it.
Currently there is only one vaccine approved for use, the one made by Pfizer and BioNTech. This is awaiting approval along with that of Moderna in the United States. Pfizer’s was approved, distributed Sunday, and injection began Monday. Approval for Moderna may come later this week.
Both of these are of the RNA type.
There are several reasons that things have moved with lightning speed.
One, the unprecedented cooperation between pharmaceutical companies and academic and government research labs.
Two, the approval of governments to allow fast-tracking such that steps of the development are done in parallel. In my mind, there is no doubt the government’s Warp Speed initiative helped move the process along.
Three, scientists have been working for 10 years on what they call pandemic preparedness. In this case they had developed a template that would allow the development of vaccines for newly emerging diseases quickly. Essentially as one scientist called it, plug and play.
In my next column I will discuss plans for the roll out and how it has gone up to that point.
Normally, the time from submission of data to approval by a government agency takes two years. In the case of SARS-CoV-2 vaccines it is one week.
After approval, time to distribution takes more than a year while the pharmaceutical companies develop and implement manufacturing plans.
Amazing what we can do when everyone is desperately pulling in the same direction.
With the Moderna COVID-19 vaccine just days away from a likely approval, Bassett Hospital is prepping to give the first vaccination to one of its healthcare workers as the New Year starts.
“It will be a celebration by our organization,” said Dr. Kelly Rudd, Clinical Pharmacy technician. “It’s a way to celebrate the beginning of the end of the pandemic.”
Though 170,000 doses of the Pfizer vaccine were shipped across New York State this week, Bassett has opted for the Moderna vaccine, which has similar efficiency against COVID-19, but requires less refrigeration.
“Because it doesn’t need the ultra-cold storage like the Pfizer vaccine, it’s easier to store and transport throughout our region so we can reach more patients in our service area,” said Rudd.
According to news reports, 346,000 doses of the Moderna vaccine will be distributed by the state Department of Health, the first going to “high risk” hospitals and nursing home patients.
“We submitted our total number of employees to the state,” Rudd said. “We’re not anticipating that the whole supply will come in one shipment, so we’re working on stratification, determining who is in the closest proximity to COVID patients, age, who is at the highest risk with underlying conditions, so we can vaccinate them first.”
The Moderna vaccine, like Pfizer’s, is given in two doses, 28 days apart. “One of the things we have to look at is how to structure those vaccinations,” said Rudd. “If one of our healthcare workers begins showing symptoms, we want to be able to monitor to see if it is because they are sick or if it’s side effects, so we don’t want to vaccinate everyone at once.”
Though not made up of the live COVID virus, the vaccine can cause similar side effects, including fevers, chills and joint pain for a few days after the shot is administered.
After all “high-risk” people are vaccinated, the second tier is “essential” workers, such as county Public Health Director Heidi Bond.
However, it could be several months before the vaccine is ready for the public, Rudd said.
“People need to know that they’re not going to get it for Christmas,” said Dr. Charles Hyman, attending physician, Infectious Diseases.
But when the vaccine is available to the public – Hyman suggests end of April – plans are beginning to form about how to get it out to the public.