Tuesday, January 5, 2021

Vaccine Success in a Small Country

Video Of The Week - Israel Wins Worldwide Praise for Vaccination Program - https://tinyurl.com/y44fp3ls

Anshel Pfeffer, 03- 1- 2021, The Sunday Times https://tinyurl.com/y5dsjqho

The almost deserted street outside the Misgav Ladach hospital in western Jerusalem belies the intense operation going on inside.

 Every other minute, an elderly person or couple, quietly walk in, swipe their electronic card and take a seat in a corridor on the ground floor. A supervisor checks them off on a clipboard and, within minutes, they are sitting in one of the six curtained booths, baring their arms for the first dose of the Covid-19 vaccine. 

Within minutes they are out, with an appointment, three weeks hence, for their second jab.

“I was a bit sceptical at first about being vaccinated,” says Kenneth Cohen, a retired rabbi from Jerusalem. “Two of my daughters said that there may be side-effects. But my brother had his vaccine last week and felt fine, so I guessed that since we both have the same DNA, I’d be fine. I didn’t even need an appointment.”

As the sun set on Friday afternoon and the Jewish Shabbat began, more than a million Israelis had received their first dose of Pfizer’s vaccine, in a drive that began less than two weeks earlier. That is more than 11% of Israel’s population of nine million, the highest proportion of any country yet to be vaccinated. In Britain, which was the first to begin vaccinations, only 1.5% have received their first jab.

The atmosphere now in vaccine centres across Israel is businesslike. But in the earlier days, there were ecstatic scenes. Most of those receiving vaccines so far are over 60 and have been sheltering at home for long, lonely months.

“At first, many people coming in were so moved at the thought that they could soon be with their families that we had incredible scenes,” says Yael Nitzan, normally manager of the hospital’s sleep lab but now supervisor of the vaccination centre. “Some of the old people started singing. One 80-year-old woman wanted me to dance with her.”

One million Israelis vaccinated in world-leading drive

One of the nurses, Manal Abu-Rhami, said: “I’ve had patients asking me if they could give me a hug. I had to tell them that it will take time for the vaccine to take effect and that they still have to be careful and avoid contact with others for a while yet.”

 Every two hours, a refrigerated van parks outside and a courier arrives with a blue padded carrier. Inside is a flat cardboard container. Within are further layers of padding and a small tray of glass vials with purple tops, containing the vaccine. They are placed in a fridge.

 The Pfizer-BioNTech vaccine is stored at deep sub-zero temperatures and once a tray has been removed from storage, the doses need to be used within a few hours.

 While Israel has prioritised those over 60 for the first phase, often, towards the end of the day, vaccine centres will have dozens, even hundreds, of doses still in hand. As word quickly gets around on social media, younger Israelis gather in the hope of getting an early jab.

 How has Israel, which does not manufacture the vaccine and has so far flown them in from Pfizer’s manufacturing hub in Belgium, become the world leader in vaccination?

 Israel is a relatively small country, with strong, centralised hubs that allow quick transport from the main store, near Ben Gurion airport in the centre of the country. The Israeli army has also provided refrigerated lorries.

 Then there are the health maintenance organisations (HMOs). Israelis enjoy free healthcare but, unlike in Britain where there is one HMO, the National Health Service, Israel has four public HMOs that compete for members and government funding.

 “The internal competition gives Israel a dramatic advantage now,” says Eyal Gabai, chairman of the Meuhedet HMO. “Since our budgets are determined by our ability to attract new members and keep those we already have, each HMO is constantly looking at what the others are doing, copying each other and looking for better ways to make services more accessible. That’s why every Israeli now has complete online access to all their medical files and can book video consultations with their doctors. And we all have nationwide networks of clinics, so every Israeli lives very near one.

 “The moment the vaccines arrived in the country, each HMO has been working to be the one who can get as many of its members vaccinated, as quickly and easily as possible.”

 The success of the vaccine drive is in stark contrast to other aspects of Israel’s handling of the pandemic. The country is in the midst of its third nationwide lockdown, due to spiraling rates of infection and hospitalisations — though across the country, many citizens seem to be ignoring the lockdown and travelling and socialising nearly as normal.

 Israel is now expected to have a surplus of vaccine doses, due to the orders it has placed with multiple manufacturers. At some point, public health experts believe, it will supply some of these to the Palestinian Authority in the West Bank and Gaza, which has yet to begin vaccinating Palestinian citizens.

 There is also a political angle to the vaccination drive. Israel originally signed on with the two other large pharmaceutical companies developing vaccines — Moderna and AstraZeneca. But when it turned out that Pfizer would be the first to have a tested vaccine on the market, the government entered negotiations with Pfizer, agreeing to pay a much higher price to ensure early shipments of four million doses.

 Binyamin Netanyahu, the prime minister, was involved in the negotiations, speaking on the phone with Pfizer’s chief executive, Albert Bourla, and directing the Treasury to pay a premium. Netanyahu was at the airport to greet the first shipment. The next day he became the first Israeli to receive the vaccine. Since then he has visited a vaccination centre nearly every day, always accompanied by television crews.

 Israel is heading for another parliamentary election, its fourth in under two years, and Netanyahu’s ruling party, Likud, whose government has so far been blamed for haphazard handling of the pandemic, has been trailing in the polls. His campaign is based on portraying him as the man who saved Israel from Covid-19, by vaccinating its people before any other nation. And if the current rates hold up, a majority of Israelis will have received their vaccines just in time for election day on March 23.

 NEW ,VIEW OUR WEBSITE WWW.BRITISHISRAELGROUP.WEEBLY.COM

No comments:

Post a Comment