Governor Ralph Northam has shifted Virginia into phase โ1B,โ meaning that a “front line” worker, or anyone over 65 or with a chronic health condition, is eligible for COVID-19 vaccination. Thatโs clearly a population several times the estimated 440,500 that are in the state’sย โ1Aโ group ย โ only about half of whom have gotten a first dose. Expanding eligibility was needed because bureaucratic and resource constraints were clearly delaying getting shots out of the freezers and into peopleโs arms.
The next issue will quickly become managing events and appointments to avoid the type of long-line chaos in Florida. We also need to make sure we donโt waste the doses we have.
A surprising discovery that physicians made when they received the distribution of Pfizer vaccine is that the 5-dose vials actually contain enough for six doses, or in some cases enough for seven.* The key to getting this extra dose or two is to use syringes that donโt waste any of the vaccine. Waste normally occurs in a small dead space in the top of the syringe just below the needle. The low dead-space design often has the needle manufactured as an integral part of the syringe or with a greatly reduced cavity under the snap-on needle assembly. Even within low dead space versions, there are specific products that waste less and, thus more reliably offer the extra dose. (more…)


by DJ Rippert













