1/ Ontario #COVID19 vaccine update (Take 2 - after twitter hack/drama):

Ontario has vaccinated >130000 people per day May 4, 5 & on track for this today too.

Over 40% of adults in the province have received at least 1 dose.

Some details on past few days & next few weeks https://abs.twimg.com/emoji/v2/... draggable="false" alt="👇" title="Rückhand Zeigefinger nach unten" aria-label="Emoji: Rückhand Zeigefinger nach unten">
2/ We doled out a ton of AstraZeneca when eligibility dropped from 55 to 40 yrs, but then https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten"> supply led to https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten"> pace of AZ vaccination.

Currently there is very little AZ administered this week following recent public discourse.

I am happy for those who received this vaccine.
3/ Equity of vaccine administration was an issue earlier in April. There is ongoing prioritization of supply to heavily impacted neighbourhoods & it& #39;s working.

This graph was when 25% of vax supply went to hot spots.

Now hot spots get 50% of supply for the next 2 weeks.
4/ Equity means much more than allocating +++vaccines to hot spots. It& #39;s also community engagement & heavy lifting to ensure barriers to vaccination are removed & the right needles go into the right arms. It& #39;s working...

Excellent example by @joe_cressy: https://twitter.com/joe_cressy/status/1389280738974044160?s=20">https://twitter.com/joe_cress...
5/ Vaccines in the freezer? Nope.

This data is from right before Canada received 2 million doses of Pfizer (ON received ~800K).

Not much difference between the provinces, but ON is at the top of the pack, administering >95% of vaccines allocated. Pretty good...
6/ Areas for improvement in Ontario& #39;s vaccine rollout:

*Work around the convoluted sign-up system (thank you @VaxHuntersCan)

*Underutilizing primary care (family docs & nurse practitioners) across the province - need to expand significantly

*Better comms & transparency

*Etc
7/ What does the next month look like?

*Significant delivery of Pfizer via mass vaccine clinics, pop-up/mobile clinics
*Expanding Pfizer in pharmacies
*Hopefully mobilizing Moderna via primary care
*Keep pace of vaccination >130K/day

Ontario Phase 2: https://bit.ly/3tzfexX ">https://bit.ly/3tzfexX&q...
8/ What about AZ?

**Total speculation here** but I imagine people will get 2nd doses of Pfizer because of:
1) Large Pfizer supply
2) Public perception & clots
3) Imminent results of Com-Cov study (mixing vaccine study)
4) Etc

France/Germany doing this.

https://bit.ly/3eWwiIU ">https://bit.ly/3eWwiIU&q...
9/ Vaccine supply looks good for May & beyond.

There is massive expansion of who is eligible, but that does not mean people will be vaccinated imminently.

It will take a bit of time, but ~65% of adults should have a first dose by end of May.
10/ 2nd doses *may* be administered prior to 4 months based onhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="⬆️" title="Pfeil nach oben" aria-label="Emoji: Pfeil nach oben">supply & for other health conditions.

Also we may see expansion of vaccine eligibility to 12-15 yr olds, perhaps in late spring/early summer. https://bit.ly/3tleigt ">https://bit.ly/3tleigt&q...
11/ I hope this helps clarify a few points.

Hot spot/essential worker prioritization is the ethical approach. It also ends the epidemic faster in ON.

Some aspects of the rollout need improvement, other parts are going rather well. I& #39;ll try keep you posted.
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