Getting the Vaccine Right

Context: The problems in carrying out vaccination on this massive scale are apparent, but not intractable.

Road map for a massive vaccination drive: like the COVID-19 vaccination drive.

• Prepare for Adverse Events Following Immunisation (AEFI):  A team of specialist doctors (including doctors in the private healthcare system) should be placed at every vaccination site to deal with AEFI.
  • Because there are possibilities of medical occurrences following a vaccination. E.g. In the United States, several people have experienced severe allergic reactions called anaphylaxis, after getting COVID-19 vaccine.
  • There can also be legal issues of culpability arising out of severe adverse events. 
• Give vaccinations based on a priority list: such a list should contains-
  • People with comorbidities and elderly.
  • Caregivers and family members residing with frontline workers.
  • Universal coverage, in identified geographical areas.
• Vaccination strategy should be based on the relevant efficacydata: Because the same vaccine may have different efficacy rates in diverse populations.
• Involve the private sector in vaccine delivery and administration: To reduce the burden on public healthcare facilities.
• Subsidisation of vaccines should be limited: Those who can afford the vaccines should buy from the open market. 
• Companies should be given the responsibility to hold vaccination drives for their employees: both Private Sector organisations and Public Sector Undertakings. E.g. this is being done in the United Arab Emirates (UAE).
• A National Health IdentityDocument (ID): For better identification of people with comorbidities with ease.
  • Data privacy concerns of various stakeholders should be addressed while creating such an ID.