Virginia Mercury, – February 24, 2021 (Short)
Executives from five COVID-19 vaccine manufacturers told Congress Tuesday that they expect to significantly boost the number of shots delivered to states in the coming weeks.
Pfizer will increase weekly shipments to more than 13 million doses by mid-March, an increase from the 4 to 5 million doses shipped weekly in early February, the company’s chief business officer, John Young, told a U.S. House panel.
Moderna, the other vaccine that has received federal authorization for emergency use, expects to double its monthly vaccine deliveries by April to more than 40 million doses per month.
Virginia Mercury, – February 22, 2021 (Short)
Fairfax County is ranked as one of the wealthiest communities in Virginia. It’s also one of the healthiest.
As of 2020, Fairfax led the state in measures including length of life, access to exercise opportunities and low rates of poor health indicators such as smoking and adult obesity, according to annual rankings by the Robert Wood Johnson Foundation. From 2015 to 2019, the county’s median household income was $124,831 (nationally, it’s around $68,703, according to the U.S. Census Bureau).
Currently, Fairfax County is also leading Virginia in vaccine distribution. In late January, health officials shifted the state’s strategy, routing doses through local health districts based on their percentage of the state’s population. As Virginia’s largest locality with more than 1.1 million residents, that left Fairfax with the largest share.
Even before then, the Fairfax County Health Department had requested — and received — more than eight times as many shots as other local health districts, according to data from the Virginia Department of Health. From Dec. 22 to Jan. 23, Fairfax received a total of 74,625 doses. Over the same time period, the Richmond-Henrico Health District, received a total of 19,550 doses for both localities, which have a combined population of nearly 560,000.
Virginia Mercury, – February 16, 2021 (Medium)
In the early weeks of Virginia’s COVID-19 vaccine rollout, hospital systems in five local health districts requested, and received, tens of thousands of doses — a disproportionately larger share than pharmacies, community health clinics and even the local health departments charged with overseeing the state’s immunization plan.
In Chesterfield, for example, HCA Virginia requested 27,775 first doses from Dec. 14 to Dec. 20 and ultimately received 18,275 — more than enough to vaccinate what Jeff Caldwell, the system’s vice president of communications, described as more than 17,000 total employees across the state. VCU Health in Richmond requested and received 20,050 first doses within the first three weeks of the state’s rollout — far more than its roughly 13,000 employees (spokeswoman Alex Nowak said the health system also has more than 10,000 “affiliated team members,” which include residents, medical students and food service workers, but not every direct or affiliated employee is involved in patient care.)
The Mercury obtained detailed distribution data for the Richmond, Henrico, Chesterfield, Fairfax and Central Shenandoah health districts from a reader, who noticed that the Virginia Department of Health’s public vaccine dashboard initially allowed the public to download spreadsheets showing how many doses were delivered to individual facilities.
Virginia Mercury, – February 9, 2021 (Short)
States will see another increase in the COVID-19 vaccine doses they receive, with President Joe Biden’s administration announcing Tuesday that the federal government will distribute 11 million doses next week.
That’s an increase from 10.5 million doses this week, and 8.6 million during the week President Joe Biden took office last month. Those increases were attributed to boosted production by vaccine manufacturers.
The administration has not published a state-by-state breakdown on how many doses are distributed each week. Iowa Sens. Joni Ernst and Chuck Grassley, both Republicans, have questioned whether Iowa is receiving a fair share of doses under that formula, and wrote to the Centers for Disease Control and Prevention on Tuesday, asking CDC officials to release the weekly formula for allocating vaccines to states.
Virginia Mercury, – February 2, 2021 (Short)
State officials say they’re confident that no COVID-19 vaccines are going to waste in Virginia.
But seven weeks into the state’s vaccine rollout, the Virginia Department of Health won’t release data on wastage, which vaccinators are required to report under a provider agreement distributed by the federal Centers for Disease Control and Prevention.
The document, which providers must fill out in order to administer vaccines, requires them to report the number of doses that were “unused, spoiled, expired, or wasted as required by the relevant jurisdiction.” In practice, that means hospitals, pharmacies and other administrators should be reporting the data to VDH, which then passes the information onto the CDC.
The Mercury first requested the data from VDH in late January, after Dr. Danny Avula, the state’s vaccine coordinator, stated in a telebriefing that the reporting was required but that he didn’t have information on wastage in Virginia.
– January 18, 2021 (Medium)
Here we go again, Virginia, trailing the pack at yet another critical turn in combating the global coronavirus pandemic — the rollout of the lifesaving vaccine that could finally break the back of COVID-19. And if you’re a Democrat in Virginia, particularly one who’s seeking statewide office this fall, this isn’t what you had hoped to see.
It feels like last March, when the coronavirus caught the commonwealth flat-footed and plodding in its initial mobilization against the novel and then-mysterious plague, forcing Gov. Ralph Northam’s administration to play catch-up.
Yes, catch up Virginia did. Eventually. Northam, the only physician governor of any U.S. state, finally issued forceful and unambiguous orders to kick Virginia’s protective response into the same high gear that Maryland, Ohio, New York and other states had already hit. Schools closed, as did most businesses not deemed essential. Home sheltering, working and learning remotely, social distancing, hand washing and mask wearing were the order of the day. Literally.
City streets fell silent and abandoned. For weeks on end, springtime gusts whistled across sprawling, empty shopping mall parking lots. Small businesses — and even some large ones — took it in the neck, particularly mom-and-pop restaurants, bars, retailers, gyms and cinemas. A chilling number of those shops and offices and eateries died, in many cases taking family livelihoods and life savings with them, and they will never be resurrected. Those were lifesaving steps Virginia had to take and the government was justified in taking them.
Even then, just when Northam had emphatically laid down the law on requiring the use of face coverings, he undermined his own messaging when photographs of him laughing it up unmasked and huddled close with others for selfies on Virginia Beach’s Boardwalk began trending across social media.
By summer, Virginia had ramped up testing, plateaued its numbers of COVID-19 cases and related deaths, and driven down the percentages of positive coronavirus tests. Restrictions were eased. By autumn, ours was among the states faring the best with the coronavirus. But getting there was like pulling teeth.
For reasons still not clear, Northam’s Department of Health balked at making public the granular coronavirus testing data for extended care facilities that families of elderly, ailing and vulnerable people could use to make informed decisions about their loved ones. That was particularly galling after an outbreak at a Henrico County nursing home was among the nation’s deadliest in the early weeks of the pandemic. Eventually, faced with withering media coverage and public outrage, the administration relented and, without explanation, made the data available.
The VDH’s reluctance to provide specific, actionable guidance last summer to school districts on whether, when and how to reopen classrooms or continue virtual schooling created chaos and conflict among faculty, administrators and parents within school divisions and resulted in a crazy-quilt patchwork of differing regimens across the state.
And so it goes.
Last Thursday, with the respected Becker’s Hospital Review ranking Virginia’s vaccination effort the fifth least effective in the nation, Northam found himself promising to jump-start a torpid immunization effort one month after Virginia got the first of its nearly 846,000 vaccine doses. According to Becker’s, only about 218,000 — barely over one-fourth — of those doses have been injected into the arms of Virginians.
Compare that to West Virginia, which has dispensed nearly 70 percent of its approximately 161,000 doses — the nation’s best rate. Maryland and North Carolina have each dispensed about 32 percent of their vaccine allotments, while Kentucky and Tennessee have injected 43 percent and 44 percent, respectively, of their doses. Idaho, Hawaii, Alabama and Georgia (the nation’s worst at just under 20 percent) were the only four states that performed worse than Virginia.
At Thursday’s news conference, Dr. Danny Avula, Northam’s newly appointed vaccine czar, said that to achieve a pace that puts the commonwealth ahead of the virus and returns life to normal sooner rather than later, Virginia needs to dispense about 50,000 doses daily. Last week, the state was at about 30 percent of that pace. As of Friday, 88 of the state’s 133 localities remained mired in Phase 1A, the first phase of the vaccine rollout that includes frontline healthcare workers, first-responders and nursing home residents. Only one-third of the localities, clustered mostly in Southwest Virginia, the Eastern Shore and Northern Virginia, had advanced to Phase 1B, which includes people 65 and older, police and firefighters, teachers, grocery workers and essential government workers.
Northam said he was “pleased” with a pace in which only one out of every four doses the state received a month ago has been injected.
“Everyone will need to be patient. It’s going to happen as fast as it can be done and it’s moving faster every day,” he said Thursday. “Monday, we vaccinated more than 15,000 people. Tuesday, it was more than 17,000.”
When Virginia is the laggard behind every one of its contiguous neighbors, isn’t it fair to ask why? Two weeks ago in Tennessee, for instance, officials in Sullivan County opened a max vaccination site at the Bristol Motor Speedway Dragway, a 10-minute drive from the Virginia border. On its first day, Jan. 7, the site ran out of doses by noon. Vaccinations are scheduled for four days starting this week at Richmond’s enormous car-racing venue. The sprawling NASCAR stadium in Martinsville also volunteered to be a mass-vaccination venue if needed, but thus far has no takers.
Patience, your excellency, is in short supply. After a life-altering (and, in more than 5,600 cases in Virginia and nearly 400,000 nationally, life-ending) 11 months of pandemic, a searing summer of racial unrest, an election from hell and an even worse post-election in which a defeated president instigated the attempted violent overthrow of Congress in a vain effort to keep the victor from taking office, this might not be the most opportune time to prescribe a chill pill.
And, boy, did Virginia’s out-of-power, victory-starved Republicans notice.
Del. Kirk Cox, a conservative former House speaker and a declared GOP candidate for governor, assailed the Northam administration’s lethargic response in a statement.
“While … it’s good news that he’s trying to speed up vaccine distribution, the truth is ‘better late than never’ just doesn’t cut it,” Cox said, adding that he urged Northam “to take decisive action over a week ago.”
Northam could still turn around Virginia’s thus-far inauspicious vaccine deployment, just as his administration eventually energized Virginia’s leisurely initial response to the pandemic last spring. But if he doesn’t, it could hand Republicans another significant election-year bouquet.
This year, the GOP won’t run in the shadow of a president so polarizing that he just cost once-ruby-red Georgia both of its Republican U.S. senators, flipping control of the Senate to the Democrats. They’ll also have a raft of brochure issues courtesy of Virginia Democrats, including proposals to end the death penalty and legalize marijuana, plus last year’s parole board debacle. Those issues resonate among conservatives and many centrists and could buttress a GOP argument that Democrats have gone too far left for an electorate that traditionally rewards moderation.
That said, Republicans haven’t found an opportunity over the past dozen years they couldn’t squander. They could do it again by nominating Amanda Chase, a Trump-style nationalist who urged the president to declare martial law to stay in power and whose incendiary claims have gotten her suspended from Facebook and ostracized by her own party.
The vaccine issue is one that voters will remember in November. The vaccine represents a genuine human triumph, our deliverance from the pain and loss that the past year has inflicted upon us. Government must get this right, and those in charge of it should answer for the consequences if it doesn’t.
Virginia Mercury, – January 15, 2021 (Short)
News that the federal government has already exhausted its supply of “reserve” COVID-19 vaccines sent Virginia officials scrambling on Friday — less than 24 hours after Gov. Ralph Northam outlined plans to expand vaccine eligibility.
The Washington Post reported Friday that there was no federal stockpile of additional vaccines, despite an announcement earlier this week by Health and Human Services Secretary Alex Azar, who told states the Trump administration would begin distributing those doses immediately. Previously, the administration said it was holding back the vaccines to ensure a second dose for everyone who had already received a first shot.
Both the Pfizer and Moderna vaccines — the only ones currently approved by the U.S. Food and Drug Administration — require a two-shot schedule.
Northam, along with multiple other Democratic governors, first asked HHS to begin releasing the reserve doses earlier this month. Virginia, like other states, has attributed its slower-than-expected vaccine rollout in part to the limited supply coming from the federal government.
HHS initially appeared unwilling to acquiesce to the request, according to reporting from Politico. But the administration’s Operation Warp Speed reversed that stance soon after President-elect Joe Biden announced he would begin releasing reserve doses to states after taking office.
Northam was one of many public officials to celebrate the arrival of additional vaccines. In his State of the Commonwealth address Wednesday, the governor announced that Virginia would begin vaccinating residents aged 65 and older — a direct response to Azar, who told states to expand their vaccination eligibility to speed up the pace of administration.
At a news briefing the next day, Northam announced that Virginians aged 65 and older, and those 65 and under with underlying medical conditions (including asthma, heart conditions and obesity, according to the Centers for Disease Control and Prevention), would be moved into Phase 1b of the state’s vaccination plan — the second stage of prioritization after health care providers and long-term care residents.
“This means about half of Virginia is now eligible to receive the vaccine,” he said Thursday. “That’s a major logistical effort, and it’s not going to happen overnight.”
But with Friday’s report, the timeline — and whether those expanded populations will still be eligible for Phase 1b — is even more unclear. Last week, the Virginia Department of Health announced that 11 local districts were moving into the second stage of the state’s campaign (two more — Pittsylvania-Danville and Southside — later this week). At his briefing, Northam said the rest of Virginia would move into Phase 1b by the end of January, and some local health districts have already announced plans for delivering vaccines to the expanded population.
The governor’s office couldn’t immediately confirm whether the reported lack of reserve vaccines would affect plans to expand 1b. “Honestly, right now we’re just trying to get clear answers from the federal government,” spokeswoman Alena Yarmosky wrote in an email on Friday.
But the Post reported that vaccine shipments, for all states, would likely stay flat if no additional doses had been held in stockpile. For Virginia, that’s roughly 110,000 doses of Pfizer and Moderna vaccine a week.
If that distribution remained the same, it would take around 39 weeks to vaccinate roughly half of all Virginians who fall into the expanded 1b category — which also includes teachers, first responders, and other essential workers. That’s a rough estimate, not accounting for new vaccines that may enter the supply chain and assuming that the state was also administering 110,000 doses a week.
At the same time, Virginia is still struggling to administer the vaccine doses it does have available. As of Friday, the state had only administered about 28 percent of the 943,400 total doses distributed to hospitals, local health departments and other medical facilities, according to date from the Virginia Department of Health’s vaccine reporting dashboard.
State health officials have said the dashboard is undercounting vaccines, partially due to lags or glitches in its electronic reporting system. But the CDC currently ranks Virginia 43 out of 50 states and Washington, D.C., when it comes to the number of doses administered per 100,000 people.
Dr. Danny Avula, the director of the Richmond-Henrico Health District who was recently appointed to head the state’s vaccine efforts, said officials were actively working to speed up the pace of vaccinations — including plans to establish large, free-standing vaccine clinics across the state.
But any mass immunization efforts will be hindered if vaccine supply remains low. Yarmosky said it was just one more frustration in trying to coordinate a COVID-19 response with the federal government.
“Once again, the Trump administration cannot seem to provide basic facts and truths,” she wrote Friday. “On Tuesday, governors were told explicitly that we would be provided additional doses — Virginia immediately pivoted and we moved quickly to expand eligibility and increase access.
“Now, the news media is reporting that the exact opposite may be true,” she said. “We’re frankly trying to gather as much information as possible right now — like every American, we need to understand what is going on, so we can plan accordingly. While astonishing, this is hardly surprising. What we’re seeing is fully in line with the dysfunction that has characterized the Trump administration’s entire response to COVID-19. President-elect Biden cannot be sworn in fast enough.”
Virginia Mercury, – January 15, 2021 (Medium)
Gov. Ralph Northam’s latest message to local school systems is to start thinking about reopening — and soon.
“In the short term, all of our school divisions need to be making plans for how to reopen,” he said at a news briefing on Thursday. “It’s not going to happen next week. But I want our schools to come from this starting point: how do we get schools open safely?”
Some division leaders said the new directive — accompanied by interim guidance from the Virginia Department of Health and Department of Education — represented a significant departure from the state’s earlier messaging on in-person instruction. Virginia’s initial guidance, released in July, emphasized that the final decision on reopening laid “squarely in the hands of local school boards” amid uncertain evidence on the role of children in COVID-19 transmission.
But a new letter from Virginia Superintendent of Public Instruction James Lane and state Health Commissioner Dr. Norman Oliver assured superintendents, school leadership and local health departments that “data increasingly suggest that school reopenings are unlikely to contribute significantly to community transmission when rates of community transmission are low and schools have infection prevention measures in place.”
The accompanying guidance includes a decision-making matrix that elevates individual mitigation measures over levels of community transmission. In a separate briefing later on Thursday, Lane said many divisions have been basing their reopening decisions primarily on top indicators from the U.S. Centers for Disease Control and Prevention, which advise schools to consider community case rates and the percentage of positive tests over the last two weeks.
But Lane said heavier consideration should go to the ability of local schools to implement mitigation measures such as mask usage, sanitation and social distancing. Other main considerations include whether there’s evidence of spread within school buildings themselves, as well as the impact that school closures have had on the surrounding community.
“Even if they’re in the highest category of community transmission — and even more so for low and moderate — we recommend that they maximize in-person learning as much as possible,” Lane said.
The recommendations also call on schools to prioritize instruction for more vulnerable students, including young learners, students with disabilities and English language learners. And instead of making district-wide and long-term decisions — opting for remote learning over an entire quarter or semester, for example — officials say schools should have the flexibility to phase out decisions after a few weeks.
“If there’s low absenteeism, there’s no case transmission in buildings, your staff capacity isn’t strained — that school should have some in-person options,” Lane said. “If there’s an outbreak in a school, certainly think of closing for some time. But if there are no outbreaks and no transmission in the school community, we’re saying you should open as long as you can do mitigation strategies.”
However, as contact tracing resources have grown increasingly strained, most local health departments are prioritizing outbreaks and other cases that pose a significant public health risk. If multiple students or staff members test positive after close contact or sharing a potential exposure, health officials will likely investigate to determine if there was in-school transmission. But there’s little data on how most individual cases were contracted, and many local health officials have warned it’s become increasingly difficult to catch infected students or staff before they enter school buildings.
Reopening decisions have sparked fierce debate in local communities since Northam first announced a framework to bring students back to the classroom — four months after becoming one of the first governors in the country to close schools for the remainder of the spring semester.
Lane emphasized that the state never required schools to adopt remote instruction after releasing its first round of guidance in July. But those guidelines heavily emphasized CDC recommendations and asked schools to notify VDOE if they planned to deviate from the state’s framework.
By early September, the majority of local school divisions — 67 in total — had chosen to begin the fall semester remotely. As of Thursday, that number had dropped to 52. But Keith Perrigan, the superintendent for Bristol Public Schools in Southwest Virginia, said much of the ongoing caution stemmed from the original guidance, which took a more incremental approach to bringing students back to the classroom.
“This is a huge change,” he said. “The previous phase guidance, it was probably more of a recommendation to be cautious. And I think the new guidance is to try your very best to reopen. If you can mitigate appropriately, you ought to do what you can to get back in school.”
There’s still no mandate for school divisions to follow the state’s revised guidance. Lane said Thursday that the Virginia Constitution left the final decision with local school boards. But education officials also faced heavy criticism from some superintendents earlier this year for allowing local divisions to deviate from the original plan.
Some school systems have already made the decision to stay closed until at least the early spring — something Lane said he’d recommend reconsidering in light of the new guidance and the rollout of COVID-19 vaccines. But there are also continued debates even in districts that have prioritized in-person learning. In Chesterfield County, which announced plans to bring back elementary students next month, parents launched a petition calling on the school system to reverse the decision and keep schools mostly closed until teachers are fully vaccinated against COVID-19.
Both Northam and Lane faced significant questioning over the timing of the new guidelines, given that many schools have already announced reopening decisions for the spring. Virginia is also experiencing an ongoing surge of COVID-19 which some models suggest could continue until February. Rates of community transmission are consistently higher across Virginia than they’ve been at any other point during the pandemic. Daily new cases have risen in all five geographic regions throughout the early days of January, and hospitalizations are at an all-time high. Many health systems have voluntarily canceled elective surgeries or announced new surge plans to boost capacity for an ongoing influx of cases.
Lane said announcing the new guidance would give school districts the opportunity to prepare their plans in the coming weeks — even as Virginia contemplates longer-term changes such as year-round instruction to make up for learning loss during the pandemic. Northam also touted the arrival of COVID-19 vaccines as an important step in returning students safely to the classroom.
“While getting everyone vaccinated isn’t necessary to reopening schools, it will make it a lot easier,” he said. Eleven local health districts have begun vaccinating educators — or plan to start soon — after moving into Phase 1b of the state’s vaccine campaign.
But the timeline for the rest of the state remains unclear. As of Thursday, the U.S. Centers for Disease Control and Prevention ranked Virginia in the low bottom third of all U.S. states when it came to immunizing residents. The same day, VDH’s vaccine reporting dashboard showed that only about 25 percent of shots distributed across the state had made their way into patients’ arms.
And throughout November and December, some health districts advised in-person schools to again close their buildings, warning that the surging cases made it impossible for them to trace and investigate new infections. In Bristol, Perrigan said it was the first dose of vaccines — administered by the local health department earlier this week — that helped reassure teachers more than anything else.
“That’s what had the biggest impact — the availability of vaccines,” he said. “I think a lot of pressure was released once our staff was able to get that first round.”
Virginia Mercury, – January 11, 2021 (Medium)
Every Virginian vaccinated by early to mid-summer?
Many experts say it’s no longer likely. Gov. Ralph Northam has also readjusted earlier — and more optimistic — estimates from late November, when he spoke to NPR about the state’s COVID-19 vaccination plans.
“Phase three will be the general population and hopefully by, you know, early to midsummer have everybody in Virginia vaccinated,” he said at the time. But after a slower-than-expected rollout — both in Virginia and across the country — the administration has slightly revised its targets.
“The governor is still hopeful that everyone will have the opportunity to be vaccinated by mid-summer to fall,” spokeswoman Alena Yarmosky wrote in an email on Tuesday. The administration’s prospective timeline includes a few caveats, including the fact that children under 16 — or roughly 2 million Virginians — won’t be included in the overall total because a vaccine hasn’t yet been approved for them.
The goal also assumes that some of the state’s residents will decline the vaccine (“although we’re hopeful that is not a large percentage and will decrease further as this process continues,” Yarmosky wrote). And ultimately, it means Virginia will need to be administering at least 50,000 doses a day, which is contingent on new vaccines entering the market and an increase in federal shipments.
Yarmosky pointed to recent changes that have inspired optimism from state leaders across the country. One, announced Friday, is that the Biden administration plans to begin releasing available vaccines immediately, rather than holding back a second dose from shipments from Pfizer and Moderna.
But even with the change in administration, many experts say there needs to be a rapid shift in how COVID-19 vaccines are distributed and administered in order to meet a late-summer to fall target. Mark Capofari — who worked for Pfizer and spent more than a decade as the director of global logistics at Merck before becoming a full-time lecturer at Penn State — thinks vaccinations will be ongoing well into the third quarter of the year, which stretches from July to September.
Thomas Denny, the chief operating officer of the Duke Human Vaccine Institute, said it might take even longer for most of the public to get inoculated — possibly not until October or November.
“I got a bit more optimistic when it looked like vaccines were coming and we’d have a good number of doses to start out with,” he said. “But then in between late December and so far in January, just about every place has missed its mark with using the amount of doses they’ve gotten.”
“I’m now back to thinking that it’s not likely by the summer that we’ll achieve it,” he continued.
When the vaccine will be accessible to most Virginians has been a major question since the state received its first doses in mid-December. The Northam administration has tentatively predicted that Phase 1a — when vaccines are prioritized for health care providers and long-term care facilities — could conclude by the end of this month. But there’s already been some overlap with Phase 1b, which includes first responders, correction officers and teachers, followed by other frontline personnel such as grocery store clerks and mail carriers.
On Friday, the Virginia Department of Health announced that 11 local districts across the state were beginning Phase 1b early after vaccinating the majority of their medical workers and long-term care residents. Scheduling an appointment would “depend on the supply of vaccine available,” the department warned, and the phase is likely to take “several weeks to months” even with an early start.
But at a briefing last week, Northam also outlined prioritization plans for Phase 1c, the next step of the state’s vaccine campaign, which will include other essential workers in construction, transportation and utilities.
Providing a clear timeline for all the different subgroups can be complicated. VDH guidelines set a clear order for frontline workers in Phase 1b “because there is not sufficient supply at this time to vaccinate everyone at the same time.” But Virginians aged 75 and older are also included in Phase 1b, and it’s unclear where they fall in the order of prioritization.
Northam emphasized flexibility in his briefing last week, saying he’d rather see providers administer more doses than hew strictly to the state’s guidance. But given the state’s current pace, it’s unclear when the next two phases — which cover about half of the state’s roughly 8.5 million residents — will fully get underway.
As of Friday, the state had received 481,550 doses of vaccine and administered nearly 150,000, or about 30 percent of its total allocation. Health Commissioner Dr. Norman Oliver said Tuesday that the Virginia Department of Health’s vaccine reporting dashboard could be undercounting anywhere from 35,000 to 55,000, which would push the state’s total closer to 40 percent.
Bloomberg’s vaccine tracker ranks Virginia above nearby states including Pennsylvania, North Carolina and South Carolina, but below neighbors such as Maryland, Kentucky, Tennessee and West Virginia (which has an administration rate more than double the Old Dominion’s). And some experts, including Denny and Bruce Y. Lee, a professor at the CUNY Graduate School of Public Health and Health Policy, say the haphazard rollout of vaccines across the country is mainly attributable to poor federal planning.
“When it comes right down to it, very few states have the wherewithal or the resources for the kind of coordination that’s required,” said Lee, who also works as the executive director of CUNY’s Public Health Computational and Operations Research. “That needed to come from the federal government.”
But Capofari said that state planning also played a major role, pointing to sometimes drastically different vaccination rates across the country. Funding makes a major difference, as does intensive planning and coordination between different agencies and providers.
He pointed to hospitals and local health departments — two settings where the state has routed a significant number of vaccines, though the Virginia Department of Health still can’t say which vaccines went where. If hospitals are going to play a role in vaccinating groups other than their own employees, Capofari said they need clear guidance on who to prioritize and how to reach them. And if hospitals are expected to transport any surplus doses to other settings, there needs to be clear communication and a plan of action, from which facility is responsible for transporting the vaccine to the equipment they’ll use to preserve the doses to when the delivery will be made.
“I think there’s still a lot of uncertainty still as to what the plans are and even where to do the inoculations and how to go about it,” he said.
Virginia Mercury, – January 11, 2021 (Medium)
Virginia Mercury, – January 7, 2021 (Medium)
Gov. Ralph Northam acknowledged Wednesday that Virginia needs to speed up the pace of its COVID-19 vaccinations, announcing a “you use it or you lose it policy” prodding health care providers to administer the shots to more residents.
“I want you to empty those freezers and get shots in arms,” he said. “When you have vials, give out shots until they’re gone. No one wants to see any supplies sitting unused.”
The governor’s news briefing — his first in nearly a month — came as Virginia experiences its worst COVID-19 caseload than at any other point in the pandemic. The statewide percent positivity rate rose to nearly 17 percent on Wednesday, and Northam pointed out that daily case numbers are currently four times higher than they were in the spring — an average of more than 4,700 new infections every day.
At the same time, Virginia has been grappling with a sluggish rollout of a vaccine described by the governor as “the most powerful tool — the one that’s going to literally change things.” Northam has not announced new restrictions since early December, but has described COVID-19 vaccines as a ray of hope in the ongoing pandemic.
Many states have struggled with administering the shots after the federal government shipped out early doses in mid-December. But until recently, Virginia ranked 46th in the country when it came to the percentage of vaccines administered among states, the Richmond Times-Dispatch reported. The state’s rating has improved, but thousands of vaccines still have yet to make their way into the arms of Virginians.
State health officials also elaborated on reporting issues that have prevented administered doses from appearing on the Virginia Department of Health’s vaccine reporting dashboard. Health Commissioner Dr. Norman Oliver said Wednesday that the department updated its internal immunization reporting system in anticipation of the COVID-19 vaccine, but that some providers, as a result, have struggled to enter data in a timely manner. There have also been technical glitches that have prevented some health systems’ vaccines from hitting the dashboard.
Northam’s spokeswoman, Alena Yarmosky, said that in some cases, providers are reporting vaccinations but the data is appearing inaccurately in the state’s system, requiring VDH employees to go back and verify the numbers. As a result of all the problems, Oliver said that the state’s totals could be undercounting anywhere from 35,000 to 55,000 doses.
“We’re actually doing better than we appear,” he said after the briefing. But even if 55,000 was added to the state’s total number of administered vaccines, it would mean that health providers have given out around 171,247 of the 481,550 doses delivered to the state — around 35 percent.
To address the slow rollout, Northam announced several steps the administration plans to take over the next several weeks.
New goals for administering the vaccine
Northam outlined new goals for giving out the vaccine as one of the first steps in his plan to ramp up administration. Currently, he said the state receives roughly 110,000 doses of Pfizer and Moderna vaccine a week, which equates to an immediate goal of delivering 14,000 shots a day to fully use up that supply.
On Wednesday, VDH reported that 2,695 doses had been administered in the last 24 hours. That daily increase has been as high as 12,000 in recent days, but Yarmosky said the large jump was the result of backlogged data. Current reporting delays make it difficult for the department to assess daily progress, which is why resolving those issues is an instrumental part of achieving the governor’s goal, she added.
Longer-term, Northam said he’d like to build up to 25,000 daily doses — a number that also depends on federal officials ramping up shipments to states. Oliver later said the goal was achievable if President-elect Joe Biden delivered on his promise to distribute 100 million shots within his first 100 days in office. Yarmosky also said the state’s daily goal would increase with the greater supply.
‘Lose it or lose it’
Northam’s newly announced policy is directed at health systems, local health departments and other clinical settings that receive doses of the vaccine. The governor said with the next shipment of Pfizer and Moderna doses, VDH would expand its reporting so Virginians can see where vaccines are delivered and how quickly they’re being used.
“Virginians, you deserve this transparency,” he said. State officials will also monitor usage, and sites that don’t fully use their allocated doses could face reduced shipments going forward.
“Don’t save anything,” Northam said. “You’re going to get every dose you need because more is coming. But if you’re not using what you receive, you must be getting too much.”
A plan for next phases
The governor also unveiled priority groups for Phase 1b and 1c, the next stages in the state’s vaccination campaign. According to Yarmosky, the current phase — 1a, which includes medical workers and long-term care facilities — should be finished by late January. VDH spokeswoman Erin Beard told the Mercury yesterday that moving onto later phases is based on whether “vaccine supply significantly increases” and “if vaccine demand is less than supply.”
Phase 1b will include essential and frontline workers — “people who work in jobs that keep society functioning,” Northam said. That includes roughly 285,000 teachers and childcare providers, along with first responders, mail carriers, corrections officers and grocery store workers. Essential workers in manufacturing and food production will also be included, as will public transit employees.
All adults aged 75 or older will also be included in phase 1b.
Phase 1c will cover essential workers in construction, transportation, and food service, such as restaurant servers, as well as adults aged 65 or older and all Virginians between 16 and 65 with high-risk medical conditions. The two groups — phase 1b and 1c — cover about half of the state’s roughly 8.5 million residents, Northam said, before the vaccine will move to the general public.
But the logistics of moving onto different phases — and the details of how state officials will ensure quicker innoculation — are largely unclear. Northam appointed Dr. Danny Avula, the director of the Richmond-Henrico Health Department, to oversee and coordinate statewide vaccination efforts, saying more details would become available in the coming weeks.
But as the Mercury has reported, some large health systems are vaccinating non-clinical employees who have worked from home since the start of the pandemic — even as some community providers struggle to book appointments with their local health departments.
Northam emphasized Wednesday that distribution sites should err on the side of vaccinating Virginians rather than holding doses based on prioritization. But Oliver also said that sites should follow the state’s guidance whenever possible “because that’s been well thought through” (he later added that VDH advised against giving out doses to Virginians who aren’t frontline workers, including anyone who can work from home).
What’s not clear is how Virginians in phase 1b and 1c will be notified that they’re eligible for the vaccine and when it becomes available. It’s also still unclear how health systems will manage excess doses. Northam said his administration hasn’t heard of vaccines being wasted, but Oliver later said anecdotal data suggests that only 60 percent of EMS workers and nurses have opted for vaccination.
Whether health systems will assist in vaccinating other priority groups remains to be seen. Oliver said it would require close collaboration with local health departments so that hospitals could redistribute unused doses to other settings.
“Maybe they vaccinate, maybe they just provide the supplies,” he said. “And we would shift the allocations if they weren’t using them.”
Virginia Mercury, – January 1, 2021 (Short)
Virginia State Sen. A. Benton “Ben” Chafin Jr., R-Russell, has died of COVID-19, the Senate Republican leadership announced Friday evening.
“Tonight, as the Senate of Virginia comes to grips with this tremendous and untimely loss caused by COVID-19, our sympathy and prayers are with Ben’s wife, Lora Lee, their children and grandchildren, and Ben’s mother and his sister, Justice Teresa Chafin,” Senate Republican Leader Tommy Norment, R-James City, said in a statement.
Chafin, 60, was born in Abingdon and was briefly a member of the House of Delegates before winning a special election to the Senate in 2014. He is the first Virginia lawmaker to die from the virus, though several have had bouts with COVID-19, as has Gov. Ralph Northam and his wife, Pam.
“Ben was deeply and wholeheartedly committed to the commonwealth, and especially to the people of Southwest Virginia. A community leader in Russell, Ben rose to prominence in the fields of law, banking and agriculture long before his neighbors elected him to the General Assembly,” Norment said.
“First as delegate and then senator, Ben relentlessly promoted and fought for the interests and values of Southwest. He put the interests of those he was entrusted to serve first, cherishing the people of the region he proudly called ‘home.’”
Northam, a Democrat and former state senator who also presided over the chamber as lieutenant governor, said Southwest Virginia had “lost a strong advocate — and we have all lost a good man.”
“I knew Ben as a lawmaker, an attorney, a banker, and a farmer raising beef cattle in Moccasin Valley, working the land just as generations of his family had done before him. He loved the outdoors, and he loved serving people even more. He pushed hard to bring jobs and investment to his district, and I will always be grateful for his courageous vote to expand health care for people who need it,” Northam said, referring to Chafin’s vote to expand Medicaid in 2018. Northam has ordered the state flag to be lowered to half-staff.
“Pam and I are praying for Lora and their children. … This is sad news to begin a new year with the loss of a kind and gracious man. May we all recommit to taking extra steps to care for one another,” Northam said.
The Roanoke Times reported that Chafin had tested positive for the virus in December but that his family kept the diagnosis private for weeks.
Democratic House Speaker Eileen Filler-Corn, D-Fairfax, said she was “deeply saddened” by Chafin’s death, which comes less than two weeks before the General Assembly is scheduled to convene on Jan. 13.
“I respected his commitment to the people of the 38th senatorial district and his strong advocacy on their behalf,” she said.
Democratic Senate Majority Leader Dick Saslaw, D-Fairfax, said Chafin “epitomized the Virginia gentleman — he was compassionate, thoughtful and cared deeply for his district and all Virginians. We will miss him dearly.”
Virginia Mercury, – October 29, 2020 (Short)
Americans can be a selfish lot. Not everybody, of course. But too many people couldn’t care less about taking the necessary steps to keep deaths and infections from COVID-19 at bay.
It’s not that hard: Stay at home as much as possible. Wear a mask out in public and in buildings. Wash your hands. Avoid situations where you can’t stay at least 6 feet apart. Treat workers with respect and deference who must come into contact with consumers. Limit the number of people at social gatherings.
Folks, none of these are Herculean tasks. We’re not being asked to climb mountains, mine for ore or donate a kidney just to survive.
Yet several months into this raging pandemic, the “me-first” mentality is readily apparent, in the commonwealth and elsewhere:
• The Virginia Department of Health issued a news release last week noting COVID-19 cases were surging in Norton city and Lee, Scott and Wise counties. “Keep in mind that your behavior can help protect yourself and others — or put you and them at increased risk,” said Dr. Sue Cantrell, a director of health districts in the area. (I tried to interview Cantrell about whether resistance to mask-wearing contributed to the numbers, but I couldn’t reach her.)
• A mid-October wedding at Wintergreen Resort forced several employees to quarantine because of possible exposure to COVID-19, an official said. Some staffers tested positive. Weddings are special, but shouldn’t couples limit the number of guests because of the times we’re in? Even then, you don’t know if all the well-wishers had recent tests confirming they were free of the virus.
• Lynchburg General Hospital’s acute care facilities were “strained,” a top official said, because of an influx of coronavirus patients last week.
• Despite new restrictions imposed by Illinois Gov. J.B. Pritzker prohibiting indoor dining in specific communities, a throng of customers showed up and packed a restaurant in defiance of the guidelines, the Chicago Tribune reported. The restaurant’s social media post said it was opening “out of survival and to help our staff pay their bills.” Yet Pritzker this week warned “there seems to be a COVID storm coming.”
The United States has proved the days of exceptionalism are over — unless you’re talking about leading everybody else with more than 226,000 deaths. By mid-October, the United States had the highest numbers of COVID-19 infections and deaths, and officials said we’ve entered a third peak of cases in many states.
We don’t have a vaccine. So why is it so hard for Americans to do what medical experts advise to fight this thing?
University professors I interviewed and scholarly articles suggested several reasons: Partisanship, since many Republicans followed President Donald Trump’s lead in downplaying or even denying the coronavirus’ existence, and they resisted wearing masks. A rugged individualism — baked into the nation’s founding — over working for the common good. And pandemic fatigue, even as there’s no end in sight to the carnage.
“We are a country that values individualism, materialism and wealth over the well-being of our neighbors,” Tim Goler, assistant professor of sociology and urban affairs at Norfolk State University, told me. He’s one of the researchers overseeing a pandemic study of older adults.
Goler added that people are fed up with being at home, especially if they haven’t been directly affected by deaths or illnesses: “They’re willing to sacrifice people dying.” You saw indications of this even earlier this year, when protesters demanded states to reopen their economies — even as spikes of infections continued.
“The pandemic has exposed the extent to which we do not live in a ‘United States of America,’ ” said Ernestine Duncan, a psychology professor at NSU. She noted people in other nations have accepted strong restrictions on movements and behavior, and they’re faring better than the U.S.
Clearly, we’re an individualistic society, Duncan noted.
It made me wonder about the last time our sprawling, populous country really sacrificed as a whole for the common good. Historians might point to World War II, in which food, gasoline and clothes were rationed.
Officials and residents collected scrap metal and rubber for the war effort. Women entered defense plants to work because so many men had joined the military and people grew “Victory Gardens” in large numbers to supplement their meals.
The circumstances, though, aren’t totally analogous. Back then, Americans were forced into rationing because of governmental mandates; that hasn’t always been the case this time. Trump has hesitated to restrict the movements and actions of citizens in spite of the way the coronavirus is transmitted.
In the 21st century, our rugged, go-it-alone mentality has horrific consequences. We shouldn’t be surprised by the ever-rising COVID-19 death toll if we continue to be more concerned about individual comfort rather than our collective safety.
It’s a self-fulfilling prophecy — an awful one.
VPM – October 28, 2020 (59:00)
NBC29.com, – October 28, 2020 (Short)
Virginia Health Officials are warning about small gatherings. It’s part of the concern over rising numbers in southwest Virginia but the message goes to the entire state as we head into the holidays.
“Coming together as an extended family as if you are in one household does present risk,” said Dr. Daniel Carey, Virginia Secretary of Health and Human Resources.
During a COVID-19 briefing Wednesday, Governor Ralph Northam said those gatherings are the reason behind a percent positivity climb from 5% to 8% in southwest Virginia.
“I know that many people are tired of COVID restrictions. We are all tired of not having social get togethers, not going to see sports or shows, not having the regular interactions that we count on in our lives,” said Northam.
VPM – October 13, 2020 (54:00)
VPM – September 15, 2020 (40:00)
VPM – September 1, 2020
VPM – August 5, 2020 (01:00:00)
VPM – July 28, 2020 (55:00)
Virginia Mercury, – July 13, 2020 (Short)
To understand the mind of a teacher, those of us who do other things for a living must attempt some mental gymnastics.
Let’s imagine a professional passion so acute that when the coronavirus shuttered classrooms, they pivoted with little warning or rehearsal to digitally link dozens of children from home and continue daily instruction remotely.
Close your eyes and comprehend a devotion to students so strong that you spend your personal money to supplement classroom supplies as eclectic as sanitizing wipes and Elmer’s glue, crepe paper and whiteboard markers.
Now, as days start shortening and summer bends toward autumn and a new academic calendar, imagine balancing your innate yearning for the classroom with a well-reasoned fear of a monstrously contagious, potentially deadly virus that medicine still can’t control and science doesn’t fully understand.
Finally, overlay that against the backdrop of political conflict and chaos that multiplies by the day.
Virginia Mercury, – July 13, 2020 (Short)
The Virginia Department of Corrections says it’s down to 22 active cases of COVID-19 among inmates in the 40 prisons it operates around the state.
Gov. Ralph Northam’s secretary of public safety, Brian Moran, touted the figures Friday, which include six hospitalized prisoners and 16 still being held at various correctional facilities. He emphasized the latter number in a presentation to lawmakers.
“We have 16, let me repeat, 16 active cases in all of our correctional facilities,” he said during a joint meeting of the Senate’s judiciary and social services committees. “That’s out of 28,000 inmates, 40 correctional facilities. Sixteen — one six — active cases.”
Virginia Mercury, – July 9, 2020 (Short)
Virginia is refusing to release information on COVID-19 outbreaks at poultry processing plants on the grounds of privacy concerns, despite a June decision to provide such data for long-term care facilities.
In response to a Freedom of Information Act request filed by the Mercury in June after Gov. Ralph Northam’s administration began releasing facility-specific data for nursing homes, the Virginia Department of Health said it would not provide the same information for poultry processing plants “in order to ensure that VDH is able to preserve the anonymity of individuals whose medical records have been examined during the investigation of COVID-19.”
“VDH is considering how to make the information you have requested available at the health district and/or regional level,” wrote VDH Deputy Commissioner for Governmental and Regulatory Affairs Joseph Hilbert in an email.
Neither a followup request to Hilbert nor an inquiry to the governor’s office about the justification for releasing such information for nursing homes but not poultry plants were answered.
Virginia Mercury, – July 6, 2020 (Short)
PBS NewsHour – June 16, 2020 (53:00)
Virginia Republicans and Democrats Call for Bipartisan COVID-19 Relief Bill
By Erik Burk, reporter for the Virginia Star on December 9, 2020
As Senator Mark Warner (D-Virginia) signals that a $908 billion relief bill will be ready for the Senate to consider soon, Virginia Republicans are calling for a similar bill in the House of Representatives. But Congressman Morgan Griffith (R-VA-09) is warning leadership not to bundle it with a budget appropriations bill.
“Once again, congressional leadership finds itself expecting one enormous appropriations bill to address all the needs of the moment. The House should have followed regular order earlier and passed individual spending bills as the law demands,” Griffith said in a Tuesday press release.
More VA congressional member views in article.
ep. Don Beyer this week introduced the COVID-19 Long Haulers Act, which would authorize and fund research at the National Institutes of Health (NIH) and the Patient-Centered Outcomes Research Institute (PICORI) to benefit so-called “long haulers,” people who experience long term effects of COVID-19 infections. From the beginning of the pandemic medical researchers have documented a wide array of lingering conditions affecting patients long after they recover from initial infection, but leading public health officials say more research is needed to fully understand and respond to the phenomenon.
“Over ten months after coronavirus was first documented in the United States, some of the worst suffering is still being borne by people who got sick and recovered from their initial infections early in the year,” said Beyer. “Given the alarming pace of the virus’ spread right now, we may see significant proliferation of individuals suffering long term effects of coronavirus infections. We need to do everything we can as soon as we can to help those people, and to get a handle on this problem. My bill would make major investments in research funding at leading institutions, and make this a major priority for American medical research.”
Beyer serves on the House Committee on Ways and Means, which has partial jurisdiction over health care. He previously led successful efforts to reauthorize and fund the Patient-Centered Outcomes Research Institute (PCORI), spearheaded a House push to fund the Agency for Healthcare Research and Quality (AHRQ), and is the sponsor of legislation to ensure data transparency at the CDC during the COVID-19 pandemic.
Text of the COVID-19 Long Haulers Act is available here.
COVID-19 Relief Fund
Last April Gov. Ralph Northam and lawmakers created the COVID-19 Relief Fund. The goal is to help the commonwealth push through its revenue losses without drastically cutting programs or increasing taxes. The fund also sends 12 percent of its revenue straight to localities.
In December the governor shifted the focus of the relief money, saying it will target struggling small businesses. Virginia is estimated to reap $140 million from the fund this fiscal year through a $1,200-a-month tax on skill game machines, the type found in bars, gas stations, convenience stores and restaurants.
Frequently Asked Questions – Coronavirus
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Includes limit of 25 individuals for in-person gatherings, expanded mask mandate, on-site alcohol curfew, and increased enforcement
As COVID-19 surges in states across the country, Governor Ralph Northam today announced new actions to mitigate the spread of the virus in Virginia. While the Commonwealth’s case count per capita and positivity rate remain comparatively low, all five health regions are experiencing increases in new COVID-19 cases, positive tests, and hospitalizations.
“COVID-19 is surging across the country, and while cases are not rising in Virginia as rapidly as in some other states, I do not intend to wait until they are. We are acting now to prevent this health crisis from getting worse,” said Governor Northam. “Everyone is tired of this pandemic and restrictions on our lives. I’m tired, and I know you are tired too. But as we saw earlier this year, these mitigation measures work. I am confident that we can come together as one Commonwealth to get this virus under control and save lives.”
Governor Northam shared a new video to update Virginians on the additional steps the Commonwealth is taking to mitigate the spread of COVID-19, which is available here.
The following measures will take effect at midnight on Sunday, November 15:
- Reduction in public and private gatherings: All public and private in-person gatherings must be limited to 25 individuals, down from the current cap of 250 people. This includes outdoor and indoor settings.
- Expansion of mask mandate: All Virginians aged five and over are required to wear face coverings in indoor public spaces. This expands the current mask mandate, which has been in place in Virginia since May 29 and requires all individuals aged 10 and over to wear face coverings in indoor public settings.
- Strengthened enforcement within essential retail businesses: All essential retail businesses, including grocery stores and pharmacies, must adhere to statewide guidelines for physical distancing, wearing face coverings, and enhanced cleaning. While certain essential retail businesses have been required to adhere to these regulations as a best practice, violations will now be enforceable through the Virginia Department of Health as a Class One misdemeanor.
- On-site alcohol curfew: The on-site sale, consumption, and possession of alcohol is prohibited after 10:00 p.m. in any restaurant, dining establishment, food court, brewery, microbrewery, distillery, winery, or tasting room. All restaurants, dining establishments, food courts, breweries, microbreweries, distilleries, wineries, and tasting rooms must close by midnight. Virginia law does not distinguish between restaurants and bars, however, under current restrictions, individuals that choose to consume alcohol prior to 10:00 p.m. must be served as in a restaurant and remain seated at tables six feet apart.
Virginia is averaging 1,500 newly-reported COVID-19 cases per day, up from a statewide peak of approximately 1,200 in May. While Southwest Virginia has experienced a spike in the number of diagnosed COVID-19 cases, all five of the Commonwealth’s health regions are currently reporting a positivity rate over five percent. Although hospital capacity remains stable, hospitalizations have increased statewide by more than 35 percent in the last four weeks.
On Tuesday, Governor Northam announced new contracts with three laboratories as part of the Commonwealth’s OneLabNetwork, which will significantly increase Virginia’s public health testing capacity. Contracts with Virginia Tech in Blacksburg, University of Virginia Medical Center in Charlottesville, and Sentara Healthcare in Norfolk will directly support high-priority outbreak investigations, community testing events, and testing in congregate settings, with a goal of being able to perform 7,000 per day by the end of the year.
The full text of amended Executive Order Sixty-Three and Order of Public Health Emergency Five and sixth amended Executive Order Sixty-Seven and Order of Public Health Emergency Seven will be made available here.
Funding supports 11 projects that foster innovation, expand workforce development programs, and grow portfolio of business-ready sites
“GO Virginia has succeeded in creating a framework for strategic thinking in at the regional level,” said GO Virginia Board Vice Chair Nancy Howell Agee. “The mission of the program is perhaps even more relevant today than it was when we announced our first grant. Growing and diversifying regional economies while creating high quality jobs for Virginians is a goal we share with our partners across the Commonwealth.”
Since the program began in 2017, GO Virginia has funded 149 projects and awarded approximately $52.2 million to support regional economic development efforts. The 24-person GO Virginia Board includes members of the Governor’s cabinet, the business community, and the General Assembly. Additional information about the GO Virginia program is available at dhcd.virginia.gov/gova.