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ARCHIVED - Second doses of Pfizer vaccine administered in the Murcia Region
As of Sunday, the regional health authority had administered 37,530 vaccines (94% of the vaccines delivered to date)
After a slow start to the vaccine campaign, the Murcia Region had caught up with the vaccinations programme scheduled by the end of the week and had administered 94% of its 39,560 allocation by Sunday evening.
In line with other regions, the second vaccinations began on Monday, the first patient to receive her second vaccine being the same lady who received the first vaccine administered in the region, Josefa, a resident of the Mensajeros de la Paz residency in San Pedro del Pinatar.
The roll-out of the second dose of the Pfizer vaccination began on Sunday in other areas of Spain.
The biggest issue facing the authorities is the temporary shortage of the Pfizer vaccine.
On Monday Spain received 44% less of the Pfizer vaccine than had originally been scheduled, only 205,727 instead of 350,000.
Today the authorities in Murcia will administer the first of the Moderna vaccines, exhausting the 39,560 doses sent by the Ministry since December (38,360 Pfizer and 1,200 from Moderna).
The cut in the Pfizer delivery means that Murcia will only receive an estimated 6,825 doses as opposed to the 12,675 doses it should have received, all of which will be used to administer second vaccines to workers and residents of the care homes in the region, those most likely to suffer the worst effects, should they become infected.
Background:
Although the UK is aiming to administer a first dose to as many people as possible and wait several weeks before administering a second dose, the Spanish authorities have decided to take the other route open to them and will complete the vaccination process with two doses, two weeks apart, as was originally planned.
Spain is amongst the European countries which form the EU bulk purchasing block and were told last week that Pfizer would be reducing the number of vaccines sent for the coming weeks whilst it adapts its manufacturing installations in order to be able to produce a larger number of doses more efficiently from the end of March onwards.
On Saturday the Health Minister said that the distribution of vaccines to the autonomous regions was being amended following the announcement of Pfizer on Friday that the supply would be reduced in order for the company to make changes to its production facilities.
This is a blow to roll-out plans, as lack of vaccines will cause significant pressure unless further supplies come online within the next 2 months. This week the first batch of Moderna vaccines (35,700 doses) arrived in Spain and was shared out between the autonomous regions.
The agreement with Moderna establishes that the number of doses will gradually increase in future deliveries to a total of 599,500 doses in the next five weeks (until the third week of February).
52,000 more doses are scheduled to arrive in the fourth week of January; in the first week of February, 127,900, and in the third week of February, 383,900 doses.Moderna's vaccine uses messenger RNA and requires two doses.
The authorities know that they cannot mix the two types of vaccine, so will use the exisiting stocks of Pfizer vaccines to complete the second dose of vaccines for those who have already received a first Pfizer vaccine, rather than innoculating more people and finding themselves short of vaccines to compete the course.
There have already been instances of patients who have received a first dose subsequently contracting corronavirus as the vaccine has not yet had time to give immunity.
The Spanish government is focusing initially on vaccinating the most vulnerable in carehomes, carehome workers, health service employees and the over 85’s, before moving onto the population as a whole.
The Government has been heavily criticised for the slow rollout of the vaccine, and blames a variety of factors including lack of availability, logistics and the weather. During the week, the vaccinations roll-out started to speed up.
This Sunday the second phase of vaccination started in the residences for the elderly, Nieves Cabo, the first person who was vaccinated against Covid-19 in Galicia, launched this second phase in Spain by receiving the second dose of the Pfizer vaccine at the Porta do Camiño residence in Santiago de Compostela. Eight communities - including Galicia, Catalonia, the Basque Country, the Valencian Community, the Balearic Islands, Murcia and the Canary Islands, have started their secnd round of vaccinations.
There is resistance in some quarters to receiving the vaccine, and there has been some controversy in Spain, as in other parts of the world, over whether Covid-19 vaccinations should be made obligatory, with the government in this country having stated that each individual will be guaranteed the right to refuse the injections although a register will be kept of those who opt to do so, and on Wednesday the issue again hit the headlines as the result of a ruling made by a judge in Galicia.
The case in question concerns an 84-year-old woman in the Domus VI San Lázaro home for the elderly in Santiago de Compostela who is described as being “without cognitive ability”. Doctors in the home certified that she was unable to participate even minimally in deciding whether to receive the vaccine, and instead asked her daughter to provide permission for the innoculation to be administered.
However, the daughter stated that she felt unable to take on such a responsibility and that she was under pressure from her brothers to reject the vaccine, and this led to the matter being referred to the courts of Galicia, where the judge ordered that it should be administered to the patient. In doing so, he explained that while receiving the vaccine does entail a certain minimal amount of risk, rejecting it is far riskier, and the longer the process is delayed the more the risk increases as case numbers continue to rise.
This is the first such case to arise in Spain.
Although hopes are high that the vaccination programme will help to ease restrictions in the country, virologists are calling for caution and advising against over optimism. Those who are receiving the vaccines are principally elderly people in nursing homes, who represent just 3% of the Spanish population over 65 years of age, so the vaccination will have a limited short-term impact on the probability of the majority of the population being infected as the virus is circulating most vigorously amongst the younger population who are not in the nursing homes. Although the early vaccinations of this most vulnerable group aims to reduce the number of deaths, it will do little to stem the spread of the virus, as those next in line are health care workers and all those whose professional career makes them more vulnerable to infection, such as police, teachers etc, so the vaccine will not be available to those for example in their 60’s, until March, or even later.
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