Adriana santagati
11/04/2020 8:53 PM
Clarín.com
Society
Updated 11/04/2020 21:24
Is it going to be mandatory or is it not going to be mandatory?
And if it is going to be mandatory, how will you control whether people apply it?
The doubts about the coronavirus vaccine, after the announcement by the national government of the agreement to buy 25 million doses of the Russian Sputnik V vaccine, are many.
And regarding this point, there was a very important contradiction among the officials of the ruling party: while the Deputy Minister of Health of the Nation, Carla Vizzotti, affirmed that the vaccine will be "free and mandatory", the head of that portfolio in the Province, Daniel Gollan, denied it: "Get out this lie that it will be mandatory."
A recent survey by the University of Belgrano showed that, despite the urgency of the vaccine to stop the pandemic, a significant percentage of the population shows reluctance.
It's that never before has a vaccine developed so fast.
According to the UB survey, only 38% of those interviewed said they would like to be among the first to receive the vaccine.
Another survey by Opinaia asked about the vaccine from which country generates the most confidence.
13% voted for the Russian, but the low percentages reached all the others: 15% for Germany, 12% for the United Kingdom and 8% for the United States.
It is, as you can see,
a sensitive subject
.
For this reason, in addition to Gollan, Kicillof's chief of staff, Carlos Bianco, also clarified that "there will be no compulsive vaccination" but that it will be "voluntary and under consent."
The idea of the national government is to
include it in the vaccination calendar
and that as such it is free and mandatory, although in order to establish this obligation it is necessary to have the full availability of the doses to be vaccinated, which will be confirmed as the contracts.
But Lisandro Bonelli, Chief of Staff of the Ministry of Health, assured that “we are not going to persecute people to get vaccinated.
We are going to bet on awareness and persuasion
”.
The coronavirus vaccine would be, in this case, like the influenza vaccine: it will be sought that those who are in risk groups are vaccinated.
They are analyzing mechanisms to use the databases of different programs of the ministry or of organizations such as the National Cancer Institute to contact these people, for example
via text message and remind them that they have to be vaccinated
.
All this, of course, when the vaccine is.
For this, the approvals of the phase III trials, which are expected at the end of the month, and the signing of the purchase contracts, which will be done once the law that gives a regulatory framework to this special acquisition is enacted.
The latter is expected to occur in the next few hours.
"The obligation in a vaccine that generates so much uncertainty is not a factor that adds, but on the contrary," says Iris Aguilar, head of Immunizations of the province of Mendoza and member of the National Immunization Commission (CoNaIn).
For Bonelli, the concept of obligation does not seek to be "a requirement, but rather
implies that people understand the need to give it to them
."
"The more people are vaccinated, the
greater the possibility of achieving community immunity
and controlling the advance of the pandemic", remarks the infectologist Pablo Bonheví, a member of the advisory committee on the importance of the target population being immunized.
Now, is there a way to control if you are not going to be vaccinated?
“There are control mechanisms, like in schools for pediatric vaccines.
In adults it is more complex, points such as the renewal of DNI have been proposed through the Vaccine Law to remember the need to complete adult vaccines ”, he points out.
Bonelli insists that there will be no persecution and that it would not be necessary to sign a consent at the time of vaccination.
Assuming that purchases are made from the different laboratories with which they are negotiating, will people be able to know what vaccine they are giving?
“Not only can you, but you
have to know
.
In your vaccination card they will tell you what brand of vaccine it is, ”says Aguilar.
Here is
a key fact
.
Most of the vaccines are in two doses and "are not interchangeable", remarks the expert.
Thus, if someone receives a first dose of vaccine X, they must receive the second dose of X, they cannot receive either Y or Z.
And can someone refuse to receive a certain vaccine and ask for another one?
Aguilar anticipates that it is very likely that
not all vaccines will be in all centers
.
As
Clarín
had already pointed out
, the cold chain will be fundamental in the logistics of the vaccination campaign.
Some developments can be kept in a refrigerator at a standard temperature of 2 to 8 degrees, but others require lower temperatures.
Sputnik, for example, specifies -17 ° and Pfizer's, -80 °.
Vaccination centers do not have ultra-freezers to keep these drugs, as blood products centers do.
Aguilar explains that a logistics scheme is already being worked on and that surely this type of vaccine will be sent to urban centers (where this infrastructure is available) and to the most remote places, those with the
least complications for their conservation
.
But, clarifies the specialist, this difference in temperature
does not influence the "quality"
of the vaccines.
“It has to do with the platform that was used for its development.
All the vaccines that are approved will be safe and effective ”, he emphasized.
ACE
Look also
Mandatory or voluntary?
The contradictions between the Nation and the Province regarding the coronavirus vaccine
Coronavirus: the Government insists that the vaccine will be mandatory despite the fact that "there are people who may feel threatened"
