February 26, 2021

Madrid deploys its vaccination plan: two warehouses with three freezers to distribute the first doses in residences

The Government of the Community of Madrid announced this Wednesday that the first vaccines against Covid-19 will arrive in the region in just four days. The regional vice president, Ignacio Aguado, explained in the press conference after the Government Council that the first doses will be administered throughout this Sunday, December 27 and that the residences – there are 475 of the autonomy – will be the first to receive these doses. “There are 40 teams ready to start vaccinating,” Aguado pointed out that although he knows the number of the first doses that will arrive in Madrid, he has preferred not to reveal it while waiting for the Interterritorial Council this afternoon.

The Community of Madrid has already deployed its vaccination plan four days after the first doses begin to be distributed throughout the country. According to an internal document of the Ministry of Health, to which elDiario.es has had access, the regional government explains, among other issues, where the vaccine will be kept and who will be the first to receive them, as well as what to do in case of there are side effects.

The regional government will have two vaccine receiving centers and three -70ºC deep freezers. A central warehouse with two freezers with a capacity of 730 liters each freezer (480,000 doses), and a support warehouse with a 500-liter freezer for 160,000 reserve doses, they explain in a report. “The reception will take place in the two long-term storage centers and from these two centers the distribution will be carried out either weekly, or daily, to the vaccination points according to the storage and custody capacity of the receiving centers”, Add. Each vaccination point will have a person responsible for receiving the vaccines and for the custody until their administration.

As the regional administration explains, since the availability of vaccine doses will be “gradual”, an order of “priority” of the population groups to be vaccinated has been established in each of the stages. To establish the prioritization of the groups to be vaccinated in each of the stages, an evaluation has been carried out based on the following criteria: risk of severe morbidity and mortality, exposure, socioeconomic impact and transmission, in addition to feasibility and acceptance.

In this way, residents and health and social health personnel in residences for the elderly and with disabilities, will be the first to receive the first doses. Secondly, first-line health personnel, then other health and social-health personnel, and finally people with disabilities who require “intensive support measures to develop their lives (large non-institutionalized dependents)”.

As this newspaper has learned, relatives have already begun to receive informed consent to authorize the vaccine for residents of residences, since it is a vaccine that is received on a voluntary basis.

As explained in the document, the minimum age for administration of the vaccine is 16 years. The vaccine will be administered intramuscularly once diluted (it cannot be administered intravascularly, intradermally or subcutaneously). The vaccination schedule, he explains, is 2 doses of 30 mcg / 0.3 ml each separated at least 21 days from each other. The minimum interval for the second dose is 19 days after the first. “If more days have passed than the established period, the second dose must be applied anyway and it is not considered necessary to restart the regimen,” he explains.

People with severe acute febrile illness and / or who currently have Covid-19 may not be vaccinated. In that case, it will be necessary to wait until the person recovers from the acute illness (if the person has symptoms) and the criteria for interrupting the isolation are met.

The vaccine comes at a time when the contagion curve has reversed in the Community and is on the rise again. “The increase in infections is worrying. The accumulated incidence is starting to rise,” lamented the regional vice president. The latest reports from the Ministry of Health already place the cumulative incidence at 301 cases per 100,000 inhabitants. Just two weeks ago it was below 200.

“This is a third wave. We are moving away from the data that we had set ourselves and this is bad news. It has to make us be on alert and we will be aware of the evolution to take more measures,” Aguado insisted.


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