{"id":335010,"date":"2020-12-14T06:04:05","date_gmt":"2020-12-13T20:04:05","guid":{"rendered":"https:\/\/www.saipantribune.com\/?p=335010"},"modified":"2020-12-14T06:04:05","modified_gmt":"2020-12-13T20:04:05","slug":"pro-rata-vaccine-distribution-is-fair-equitable","status":"publish","type":"post","link":"https:\/\/www.saipantribune.com\/index.php\/pro-rata-vaccine-distribution-is-fair-equitable\/","title":{"rendered":"\u2018Pro rata vaccine distribution is fair, equitable\u2019"},"content":{"rendered":"
Army Gen. Gustave F. Perna, chief operating officer of Operation Warp Speed, reacts to a guest in his Washington, D.C. office Nov. 13, 2020. (DOD PHOTO BY EJ HERSOM)
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While COVID-19 vaccines roll out in limited supply, distribution is determined in direct proportion to the nation\u2019s adult population 18 years and older. The pro rata method was approved Nov. 6 by the Health and Human Services Secretary Alex Azar. <\/p>\n

\u201cWe considered several approaches before determining the pro rata method would result in the most fair and equitable division of available vaccine,\u201d said Operation Warp Speed chief operating officer Gen. Gus Perna. <\/p>\n

Operation Warp Speed covers 50 states, eight territories and freely associated states, six metropolitan cities, and five federal entities identified by pre-existing vaccine dissemination infrastructure determined by the Centers for Disease Control and Prevention. <\/p>\n

Official population data establishes the foundation for both initial and ongoing allocations. <\/p>\n

\u201cVaccine manufacturing continues, and each week, we will allocate additional vaccine doses based on availability and divided by the population,\u201d said Operation Warp Speed\u2019s Chief of Plans, Operations and Analytics Deacon Maddox. <\/p>\n

New allocations will be made available to jurisdictions and agencies each Friday and uploaded into Operation Warp Speed\u2019s Tiberius software platform. Tiberius is the system of record that computes the allocations, which are visible to state, territory and agency health officials and providers who are enrolled in the CDC\u2019s Vaccine Tracking System, or VTrckS. <\/p>\n

The Tiberius algorithm that determines allocation is simple, Maddox explained. The team inputs risk-adjusted manufacturing estimates, a small portion is subtracted to provide a \u201csafety stock,\u201d and the remainder is divided by population. The safety stock reserves about 5 percent of doses off the top that act as a buffer to account for uncertainties or issues that arise as the delivery plan is executed. <\/p>\n

Population numbers for the states and metropolitan areas were derived from the American Community Survey as published by the U.S. Census Bureau using a 2018 data release. Populations of the U.S. territories\u2014American Samoa, the CNMI, Guam, Puerto Rico, and the U.S. Virgin Islands\u2014and the freely associated states\u2014Federated States of Micronesia, Palau, and Marshall Islands\u2014came from the Central Intelligence Agency\u2019s World Factbook. The five federal entities include the Department of Defense, Veterans Health Administration, Indian Health Service, Department of State and Bureau of Prisons. <\/p>\n

While four of the five federal entities provided their own population estimates, Operation Warp Speed\u2019s leadership approved a final working figure for the Department of Defense population to account for active duty service members, their family members, military retirees, and DOD civilians. <\/p>\n

\u201cThe diverse DOD population overlaps with other federal agencies, including the Veterans Health Administration and the states,\u201d said Perna. \u201cIn this case, we used an approximation to maintain our goal of fair and equitable distribution.\u201d<\/p>\n

Like any complex plan, Operation Warp Speed made some allowances where it made sense, Maddox explained. One such decision involved allocations to Indian Health Service and the potential for inequity within tribal populations. Indian Health Service determined its population by polling 706 Indian Health facilities nationwide, asking each to decide whether to receive vaccines from the agency or their resident state. <\/p>\n

\u201cWe identified the potential for imbalance where tribal populations opted to receive vaccines from the state where they reside,\u201d Maddox said. <\/p>\n

As a remedy, Operation Warp Speed created a \u201csovereign nation supplement\u201d for those states with Indian Health centers that did not choose to affiliate with Indian Health Service. The solution adds a pro rata calculation to those states based on the state-supported Indian Health centers. <\/p>\n

Geographically isolated areas, such as Alaska, American Samoa, Guam, and the Northern Mariana Islands, may order up to their monthly allocation in advance, to be delivered in the first shipment of the month. For some locations, the delivery includes both first and second doses of the two-shot vaccines.<\/p>\n

\u201cWhere it makes sense, we have made some conciliatory decisions\u2014and in those cases, it is beneficial both from a distribution and recipient perspective,\u201d Maddox said. <\/p>\n

Once vaccines are allocated, it is up to each jurisdiction or agency to place orders, designate delivery points, prioritize recipients and administer vaccines to the American people. <\/p>\n

\u201cWe have empowered governors and agencies to make the most critical decisions because they know their people, their challenges and how to best serve their communities,\u201d Perna said.<\/p>\n

Lisa Simunaci (Office of the Secretary of Defense)<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

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