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Zink says the country's fractured health care system leads to inequities. In fact, we are trying to reach out to oncologists to say, 'Do you know this is out there?' Because we have supplies and we think more people need to be reached." We have not had to go to a lottery system. Demand may be high in these areas because populations that require complex medical care often concentrate near specialized care centers that provide it.Īlaska, however, is having "the opposite experience," Zink says. Anne Zink, state medical officer for Alaska and president-elect of the Association of State and Territorial Health Officials. "Colorado, Washington, Massachusetts - those places are really struggling with having enough supply," says Dr. The approach doesn't prioritize where the need is greatest. The government provides Evusheld to states based on their total adult populations. The hospital is distributing its limited supply by notifying clinicians with the most immunocompromised patients first. "We do not have nearly enough to protect all of the patients at risk, but we have some," Morris says. The hospital received its first Evusheld shipment mid-January.
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despite the fact that Miami-Dade County is the center of a large transplant population," says Michele Morris, an infectious disease physician who cares for organ and stem cell transplant patients at Jackson Memorial Hospital and the Sylvester Comprehensive Cancer Center. "Unfortunately, the initial allocations in my state did not go to the largest transplant or cancer center. Florida initially bypassed large hospitals and sent its first doses to a small private clinic, Stat and the Miami Herald reported. waited weeks to get its first Evusheld shipments. Jackson Memorial Hospital in Miami - one of the largest transplant centers in the southeastern U.S. "They happen to be randomly picked by the computer system." Razonable says it will likely take months for the Mayo Clinic to get through the list of several thousand people in its tier for most vulnerable patients. Raymund Razonable, who runs its monoclonal antibody treatment program. The Mayo Clinic, in Rochester, Minn., has a similar system - with five tiers and randomized selections within them - says Dr.
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"If people literally get their name pulled in the lottery, we bring them in for an injection." "We put everybody's name into a lottery," she explains. So the hospital devised a three-tier system to rank patients by medical need - and to give patients in the top tier an equal chance. Camille Kotton, clinical director of transplant and immunocompromised-host infectious diseases.
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The scarcity has forced some doctors to run a lottery to decide who gets it.Īt Massachusetts General Hospital in Boston, the initial deliveries of Evusheld covered fewer than 1% of its immune-suppressed patients - and came with little guidance on how to make fair use of a limited supply, says Dr. The Department of Health and Human Services, which manages the process, did not respond to questions about supply and distribution. It has shipped nearly 400,000 doses to health care providers and has ordered 1.2 million doses to date. The federal government controls distribution. Here's what to knowīut the drug is in short supply. Shots - Health News The COVID antiviral drugs are here but they're scarce. Early data suggests it may work less well against the omicron variant of the coronavirus, but it is still expected to offer some protection. For those who don't respond well to vaccines, Evusheld shots put COVID-fighting proteins directly into their bodies.Īnalysis by AstraZeneca - completed last year - showed that the drug reduced the risk of getting COVID-19 by 77% and that the protection from a single two-shot treatment lasted for at least six months. In December, the Food and Drug Administration authorized Evusheld, a monoclonal antibody combination from the drug company AstraZeneca that's designed to give patients like Cheung protection. "I haven't been inside of a grocery store for over a year." "Except for work, I don't go out at all," she says. Now she hasn't been to her lab in two years.
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Before the coronavirus pandemic, she flew weekly from her clinic at the National Institutes of Health in Maryland to her lab at the University of Michigan. It also means that her body didn't really make antibodies in response to two shots she got of the Moderna COVID-19 vaccine.Ĭheung is a pediatrician and research scientist. The drugs suppress her immune system, which puts her at high risk of getting very sick from COVID-19. Vivian Cheung takes steroids to manage a rare genetic disease. Evusheld is a treatment authorized for prevention of COVID-19 in people who are seriously immunocompromised or who have had serious adverse reactions to COVID-19 vaccines.ĭr.