High Level Task Force on COVID-19 Vaccination - 5 July 2021 Meeting Updates, decisions and actions from meeting
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High Level Task Force on COVID-19 Vaccination 5 July 2021 Meeting Updates, decisions and actions from meeting
High Level Taskforce on COVID-19 Vaccination | 5 July 2021 Meeting High Level Task Force on COVID-19 Vaccination Monday 5 July 2021 14:00 1. Attendees A. Members in attendance B. Additional attendees in support Prof Brian MacCraith, Task Force Chair Dr Ronan Glynn, Deputy CMO, DOH Liz Canavan, Chair, SOG on COVID-19 David Walsh, SRO WS4 Prof Karina Butler, Chair, NIAC Dr John Cuddihy, SRO WS5 Dr Colm Henry, Chief Clinical Officer, HSE David Leach, SRO WS7 Fergal Goodman, Assistant Secretary, Health Kate Waterhouse, Task Force Secretariat Protection Division, DOH Barry Lowry, Chief Information Officer, OGCIO Deirdre Watters, Head of Communications Derek McCormack, Expert on Cold Chain Logistics Damien McCallion, National Director, HSE Sean Bresnan, National Director of Procurement, Dr Lorraine Nolan, Chief Executive, HPRA HSE Dalton Philips, Chief Executive Officer, DAA Roisin Collier, DOH Paul Quinn, Government CPO and CEO, OGP Eileen Hearne, Government Information Service Paul Reid, Chief Executive Officer, HSE Deirdre Gillane – Chief of Staff Dermot Mulligan, Assistant Secretary, Innovation Anna Conlon, Special Advisor and Investment Division, DETE Martin Shanahan, Chief Executive Officer, IDA Brian Murphy, Special Advisor Derek Tierney, Programme Director Deirdre McNamara, Acute Hospitals Division, HSE B. Additional attendees in support Michael Butler (PWC), Programme Office Minister Stephen Donnelly, Minister for Fiona Smith (PWC), Programme Office Health Dr Lucy Jessop, SRO WS2, Director, NIO Apologies: Rachel Kenna, Chief Nursing Officer, DOH, Dr Nuala O'Connor, ICGP, Gerry O’Brien, Health Protection Division, DOH; Dr Lorraine Doherty, Clinical Director Health Protection, HSE 2
High Level Taskforce on COVID-19 Vaccination | 5 July 2021 Meeting Updates, decisions and approvals by Task Force At the meeting, the Task Force: • Noted that almost 50% of all adults are fully vaccinated, 340k vaccines are being administered a week and there is a new operational plan following the NIAC recommendations regarding the ongoing role of viral vector vaccines for the 18 – 49 group. • Heard a communications update: public information campaigns continue to run including: #ForUsAll; radio ads for registration of those aged 35-39 and vaccinations in pharmacies for those aged 18-34 are on air; material targeting a range of communities, including across languages; community pharmacies; young science communicators focussing on vaccine myth-busting/hesitancy. High traffic continues to HSE.ie. News coverage included: the Digital COVID Certificate/implementation in Ireland; the role of pharmacists, purchase of vaccines from other countries and queries regarding roll out to children aged 12-15. Research continues to show positive vaccine intent with some rise in hesitancy among younger adults although this remains at less than 10%. • Heard a programme update: Over 4.3 m vaccines have now administered – at least 68% of adults have received a Dose 1 and almost 50% are fully vaccinated. Last week saw 348K vaccines administered with over 50k administered per day on four days. Rollout of AstraZeneca with the reduced interval continues with 103k dose 2’s administered last week. This is due to complete on 19 July. Work on procuring additional supplies from EU members states continues • Heard a brief update from Dr. Ronan Glynn on the Delta variant. The variant is 40- 60% more transmissible than the Alpha variant. Full vaccination provides very strong protection. Highlighted the need for monitoring across all age groups. A further update will be provided at the next meeting when more data is available. • Over 300K vaccines are planned for administration w/c 5 July, including for cohorts 2, 4, 5, 7 and 9. Registration portal for mRNA vaccine will open on 9 July for those aged 30-34. Those aged 18-29 will be able to register in August. Those aged 18-34 can currently register with participating community pharmacies if they wish to avail of Janssen. From w/c 12 July a further option will open on the HSE portal to allow those aged 18-34 to opt in to an early vaccination with either AstraZenca or Janssen. • Reviewed a programme status report noting that supply remains the key challenge and that work remains ongoing across all workstreams. Under WS4, vaccination continues across cohorts. Over-70s complete with NAS programme ongoing within local communities. Cohort 4 substantially complete. Vaccination of vulnerable groups ongoing and expanded to include those in Direct Provision Centres and those in receipt of Opioid Substitution Treatment. Vaccination of prisoners continues with a majority having received dose 1. Under WS6, the focus continues to be on maintaining stability and business continuity of operations. Scoping and planning of 3
High Level Taskforce on COVID-19 Vaccination | 5 July 2021 Meeting Sprint 12, with a focus on data quality including pharmacy integration and supporting Digital Covid Certification, is close to completion. • Discussed Integrated Operational Planning. Noted the recent NIAC guidance in the context of the threat of a further wave of Covid-19 infections. Those aged 18 to 34 will be offered the option of earlier vaccination with either AstraZenca or Janssen, • AZ Dose 2 programme: acceleration continues across cohorts 2, 4, 5 and 7 (455K individuals) and is on track to complete by 19 July. • VCs: 42 sites are currently operational nationally (1.8m doses administered to date). Significant work has been carried out by HSE Estates on sustainability, with extensions now agreed for 32 VCs. Work continues in relation to the remainder. Vaccination centres have the capacity to absorb additional vaccine supplies should they become available. The Chair acknowledged the work of the HSE estates team. • VC vaccinations: analysis for the period 21-26 June show a cumulative DNA figure of 5.7%, based on 330,728K appointments scheduled. Over the period 31 May – 27 June the DNA figure was 6.4% based on almost 1.08m appointments scheduled. DNA rate to be monitored over the coming months in terms of people receiving dose 2. • Workforce readiness: no issues, there are sufficient vaccinators to deliver scheduled supply • Vaccination uptake: continues to be extremely strong, including relative to European figures. • The vaccination programme will now have a twin track approach. Those aged 34-30 can register for mRNA vaccine from 9 July with registration continuing for those aged 29-18 throughout August. From 5 July those aged 18-34 can register with participating community pharmacies to receive Janssen. From w/c 12 July the HSE registration portal will allow those aged 18-34 who opt into an early vaccination to register their interest from AstraZenca or Janssen • Discussed the importance of clear communication of the messages from CMO and NIAC regarding the ongoing role of viral vector vaccines for the 18 – 49 group, specifically: ▪ 1) Currently, an mRNA vaccine is preferable for those under 50 years of age. The data from the ComCov study is awaited to inform any further recommendations regarding heterologous vaccination. ▪ 2) The prevalence of the new, more transmissible Delta variant has changed the balance of risks. Those aged 16 – 49 years should be offered an mRNA vaccine as previously recommended according to their age. Those aged 18-49 years who wish to opt for earlier vaccination can be offered an adenoviral vector vaccine. ▪ 3) That the programme will now offer younger people access to the adenoviral vector vaccine if they feel, having been provided with appropriate information to inform their decision on the risks and benefits applicable to their own individual situation (as part of the informed consent process) that they should take this vaccine earlier rather than wait for an mRNA vaccine. 4
High Level Taskforce on COVID-19 Vaccination | 5 July 2021 Meeting • Discussed vaccine supply and forecast noting that the programme is at peak supply levels to date with the largest delivery of AZ due this week. • On medium-term issues, noted: that the matter of sustainability of vaccination capacity is closed; NIAC considerations on boosters; threats of variants and vaccination for those aged 12-15, especially medically vulnerable. • Reviewed operational performance, including the scorecard, noting that over 4.396m doses have been administered up to 4 July with almost 50% fully vaccinated. 300k vaccines planned for the coming week not including those administered in pharmacies. EMA approval of the use of Pfizer/BioTech vaccine for adolescents. • Noted, in summary, the NIAC recommendations and new operational plan; supply updates and impact; engagement with members states to explore surplus vaccine availability; the positive update and significant work done in respect of VC sustainability; and the ongoing positive impact of the vaccine programme. • Agreed that the next meeting of the HLTF will take place on Monday 12 July. 5
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