Coronavirus / COVID-19 Response Team - UPDATE: January 26, 2021 - Miller Johnson

UPDATE:
January 26, 2021

                          Coronavirus / COVID-19
                          Response Team                   1

                         Tim Gutwald
                         Amy Murphy

            © 2021 Miller Johnson. All rights reserved.       1

The materials and information have been prepared for
informational purposes only. This is not legal advice, nor
intended to create or constitute a lawyer-client relationship.
Before acting on the basis of any information or material,
readers who have specific questions or problems should
consult their lawyer.

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 Latest DHHS Order
 COVID-19 Vaccine Distribution
   Where have we been? Where are we now? Where are we going?
 Latest Guidance from Michigan Department of Health and
  Human Services
   Various vaccination phases, including essential workers in critical
   infrastructure sectors
 Updates on county health department resources, Meijer
  Pharmacy partnership, and the DeVos Place clinic

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 Limits on indoor gatherings
 Limits on outdoor gatherings
 Entertainment facilities, rec facilities, food service
   Masked except when eating or drinking
   Social distancing followed and no physical contact
   20% capacity limits, 25% limit for restaurants offering indoor dining
 Restrictions on contact sports

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 Operation Warp Speed
  Goal of delivering 300 million vaccine with initial doses available by
   January 2021.
  Part of a broader strategy to accelerate development, manufacturing,
   and distribution of “countermeasures.”
  Government made billions of dollars available to pharmaceutical
   companies such as Johnson & Johnson, Moderna, Pfizer and
   AstraZeneca

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 FDA Fast Track
 Virtually all of the vaccines have been granted Fast Track
  status
 Emergency Use Authorization
   December 11, 2020 - Pfizer
   December 18, 2020 - Moderna
 Johnson & Johnson, AstraZeneca and other still in trials

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 Vaccine distribution began on December 14, 2020
 Distributions have primarily been to hospitals and
  pharmacies
 Federal Pharmacy Partnership for Long-Term Care Program
   Pharmacies and LTCFs enroll
 Federal Retail Pharmacy Partnership Program
 According to the CDC more than 40 million doses have been
  distributed to states

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 First vaccine delivered December 14, 2020
 As of January 21, 2021: 1,096,225 doses have been delivered
  to Michigan
 The majority have been delivered to hospitals (628,900)
 245,100 have been delivered to the long term care program
 215,325 have been delivered to local health department
 Over the weekend there were reports of low supply of vaccine
  doses.
   60K doses of Pfizer vaccine per week. Doses of Moderna vaccine are
   going to residents and staff of LTCFs

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 More than 20 million doses have been administered
 Priority determined by the CDC through the Advisory
 Committee on Immunization Practices (ACIP)
  December 1, 2020, ACIP recommended priority be given to health
   care personnel and long-term care facilities (Phase 1a)
  December 20, 2020, ACIP updated its recommendations:
  • Phase 1b 75 years and up and frontline essential workers;
  • Phase 1c ages 65-74, ages 16-64 with high-risk conditions, other essential
    workers

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 Vaccine administration began on December 14, 2020
 Michigan has administered 642,111 doses
 State has drafted a COVID-19 Vaccination Plan
   https://www.michigan.gov/documents/coronavirus/COVID-
    19_Vaccination_Plan_for_Michigan_InterimDraft10162020_705598_7.pdf
 385,147 administered by hospitals
 144,765 administered by local health departments
 76,452 administered by pharmacies

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 Partnerships with Pharmacies
   Long-Term Care Program
   Retail Pharmacy Partnerships
 Biden Administration
   100 million doses in the first 100 days
   Executive Orders
    Mask wearing: Employees and Federal Land
  Defense Production Act
  Stimulus package

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 Goal is to vaccinate 70% of people 16 and over (5.6 million )
  by the end of 2021.
 If Michigan could administer 50k per day, 70% could be
  vaccinated by August.
 Accelerated to Phase 1C, Group A: 65-74 year olds
 Other states have deviated from the CDC:
   Washington D.C. prioritizing overweight individuals

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 United Kingdom variant
   Spreads more easily. No indication it increases severity
   Has arrived in Michigan
   Initial studies have shown Pfizer and Moderna vaccines to be effective
 South African variant
   Spreads more easily. No indication it increases severity
   Has been found in the United Kingdom, but not in Michigan
   Initial studies have shown Moderna vaccine is still effective
 Moderna has announced it is developing a booster

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 The anticipated
 implementation
 schedule for moving
 through the CDC
 Phases is illustrated on
 the right.
 This schedule is
 provisional and will
 change over time.
                                  https://www.michigan.gov/documents/coronavirus/MI_COVID-
                                  19_Vaccination_Prioritization_Guidance_710349_7.pdf
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Phase 1B: Persons 75 years of age or older and frontline essential
workers in critical infrastructure.
 Group A: Persons 75 years of age or older not covered in
 Phase 1A. This includes those in a congregate setting that
 were not reached in Phase 1A.

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 Group B: Prioritized frontline workers whose work role has frequent or
  intense exposure, and, due to the nature of the work, are not able to
  maintain social distance. For example, a first responder may have to
  physically touch other people in their response, and a child care
  provider cannot maintain social distance from children when caring for
  their physical needs. The specific prioritized categories are:
   Pre-Kindergarten through high school teachers, support staff and child care workers
      who usually have direct contact with children
   First responders not covered in Phase 1A (e.g., firefighters, police, conservation
      officers, inspectors)
     Corrections workers (e,g,, staff in prisons, jails, juvenile justice facilities)
     Workers in homeless shelters, congregate child care institutions, and adult and
      child protective services

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Group C: Other frontline essential workers in sectors essential
to the functioning of society and at substantially higher risk of
exposure to SARS-CoV-2 because their work related duties
must be performed on site and involve being in close
proximity (i.e., within 6 feet) to the public or to
coworkers.

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Frontline essential workers in           If further
critical infrastructures include by      sub-prioritization is
ACIP are:                                needed of frontline essential
 Food and agriculture workers           workers due to limited vaccine
 Critical manufacturing workers         supply, local health departments
 Public transit workers                 may consider prioritizing workers
 Grocery store workers                  in locations of their jurisdiction
 U.S. Postal Service workers            where high rates of transmission
 Workers with unique skill sets not     and/or outbreaks have occurred
 covered above, such as non-hospital
 laboratories and mortuary services
                                         and/or workers who are at
                                         increased risk for severe illness
                                         based on age or underlying
                                         medical conditions.
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PHASE 2: Individuals 16 years of age or older
All individuals who did not otherwise fit into the earlier groups
for whom the vaccine is recommended.

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Advisory Committee on
                     Immunization Practices (ACIP)

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ACIP used CISA guidance to define frontline essential workers as the subset of essential
workers likely at highest risk for work-related exposure to SARS-CoV-2, the virus that
causes COVID-19, because their work-related duties must be performed on-site and
involve being in close proximity (

In Phase 1c, vaccine should be offered to persons aged 65–74
years, persons aged 16–64 years with medical conditions that
increase the risk for severe COVID-19, and essential workers
not previously included in Phase 1a or 1b.

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https://vaccinatewestmi.com/register/

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https://www.spectrumhealth.org/wmvaccineclinic

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Thursday, January 28, 2021 at 1pm

COVID-19 Vaccine Insights:
Speakers include Pfizer Head of
Vaccines, Alejandro Cane, MD

Register here:
https://register.gotowebinar.com/regi
ster/7499741737750266639

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                    Tim Gutwald                                       Amy Murphy
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