The President Releases National COVID-19 Strategy and Signs Executive Actions to Expand Testing, Administer Vaccines, Advance Racial Equity, and Safely Reopen Schools and Businesses
Today, on his first full day in the White House, President Joe Biden released the National Strategy for the COVID-19 Response and Pandemic Preparedness — a comprehensive, 198-page roadmap to guide America out of this pandemic. To jumpstart this strategy, he signed 10 Executive Orders and other directives and took additional actions to move quickly to contain the COVID-19 crisis by expanding testing, administering vaccines, advancing racial equity, and safely reopening schools and businesses. These steps build on actions President Biden took yesterday to rejoin the World Health Organization, encourage masking, and to create his White House COVID-19 Response Team.
Here are more details on the steps that President Biden took today to immediately put his National Strategy into action.
IMMEDIATELY EXPAND EMERGENCY RELIEF AND EXERCISE THE DEFENSE PRODUCTION ACT (DPA)
Manufacture and Deliver Supplies for Vaccination, Testing, and Personal Protective Equipment (PPE) President Biden is taking immediate action to fill supply shortfalls for vaccination supplies, testing supplies, and PPE, and to ensure that these critical supplies equitably reach American communities, especially communities of color and other underserved communities hit hardest by the virus. The President will issue an Executive Order directing relevant agencies to exercise all appropriate authorities, including the DPA, to accelerate manufacturing, delivery, and administration to meet shortfalls in equipment and supplies needed for the COVID-19 response, beginning with action to increase the availability of critical supplies such as N95 masks, isolation gowns, nitrile gloves, PCR sample collection swabs, test reagents, pipette tips, laboratory analysis machines for PCR tests, high-absorbency foam swabs, nitrocellulose material for rapid antigen tests, rapid test kits, and all the necessary equipment and material to accelerate the manufacture, delivery, and administration of COVID-19 vaccine.
Reimburse States So They Can Deploy the Emergency Personnel and Supplies Americans Need The President will issue a Presidential Memorandum directing the Federal Emergency Management Administration (FEMA) to increase federal reimbursement to states and Tribes from 75 percent to 100 percent of the cost for National Guard personnel and emergency supplies, such as PPE, cleaning and sanitizing efforts, and the personnel and equipment needed to create vaccination centers. The order also includes restoring full reimbursement for eligible costs necessary to support safe school reopening through the FEMA Disaster Relief Fund. To help address the health and financial crises faced by Tribal Nations throughout our country and to advance Tribal sovereignty in our COVID-19 response, this Memorandum also expands FEMA resources for Tribal governments.
MITIGATE SPREAD THROUGH EXPANDING TESTING, TREATMENT, AND THE PUBLIC HEALTH WORKFORCE, AND ESTABLISHING CLEAR PUBLIC HEALTH STANDARDS
Establish the Pandemic Testing Board, Expand Testing, and Strengthen the Public Health Workforce To control the COVID-19 pandemic and safely reopen schools and businesses, the U.S. must have wide-spread testing. President Biden will issue an Executive Order that establishes the COVID-19 Pandemic Testing Board to bring the full force of the federal government’s expertise to expanding testing supply and increasing access to testing. The federal government will increase testing capacity by directing the use of the DPA and other authorities to procure more tests and expand manufacturing capacity where possible. The Executive Order will promote surge capacity for testing in the United States, onshore test manufacturing, expand the public health workforce, support COVID-19 screening for schools, and ensure that underserved communities, including communities of color, can equitably access tests.
Bolster Access to COVID-19 Treatments and Clinical Care Effective treatments for COVID-19 are critical to saving lives. President Biden will sign an Executive Order directing studies, including large-scale randomized trials, to identify treatments for COVID-19 and to ensure that such studies address the needs of diverse populations. The Executive Order establishes a comprehensive, integrated, equitable, and coordinated preclinical drug discovery and development program to allow therapeutics to be evaluated and developed in response to pandemic threats. The Order also outlines steps to improve clinical care, provide assistance to long-term care facilities and intermediate care facilities for people with disabilities, increase health care workforce capacity, expand access to programs designed to meet long-term health needs of patients recovering from COVID-19, and support access to safe and effective COVID-19 therapies for those without coverage.
Improve Data to Combat COVID-19 Metrics and metric-driven public health guidance will be essential to controlling the pandemic. President Biden’s Executive Order will enhance the United States’ collection, production, sharing, and analysis of data to support an equitable COVID-19 response and recovery. The federal government will work with state, local, Tribal and territorial governments to aggregate and analyze data to track access to vaccines and testing, reopen schools and businesses, and address disparities in COVID-19 infections and health outcomes. And, the federal government will create publicly available dashboards with national and state-by-state level information, consistent with privacy protections, on cases, testing, vaccinations, and hospital admissions to make real-time information available to policymakers and the public.
MOUNT A SAFE, EFFECTIVE, COMPREHENSIVE VACCINATION CAMPAIGN
Take Immediate Actions to Convert Vaccines into Vaccinations The Biden-Harris Administration will spare no effort to ensure the public can get vaccinated safely, effectively and equitably. To meet the aggressive vaccination target of 100 million shots by the end of his first 100 days in office, President Biden will take immediate action to improve the vaccination program. Yesterday, he directed FEMA to begin standing up the first federally-supported community vaccination centers, with the goal of standing up 100 centers in the next month. The Centers for Disease Control and Prevention (CDC) will also launch the federal pharmacy program — making vaccines available to communities in their local pharmacies beginning next month. And, he tasked the U.S. Public Health Services Commissioned Corps with expanding its workforce and preparing for deployment. Central to this effort will be expanded support and collaboration with state, local, Tribal and territorial governments, including the establishment of COVID Response Liaisons for each state — a model based on the response to Hurricane Sandy.
SAFELY REOPEN SCHOOLS, BUSINESSES, AND TRAVEL WHILE PROTECTING OUR WORKERS
Direct Action to Support Students & Safely Reopen Schools President Biden will issue an Executive Order directing the Departments of Education and Health and Human Services (HHS) to provide guidance on safe reopening and operating for schools, child care providers, and institutions of higher education. Ensuring the safety of students and educators and adherence to science will be paramount. And, the Order directs the Departments of Education and Health and Human Services to collect data around reopening and school closures so state and local officials have metrics to inform decision-making and can better understand the impact of closures on students from families with low-incomes, students of color, English-language learners, students with disabilities and others.
The COVID-19 Response Team will work to ensure that testing materials, support for contact tracing, and vaccinations for teachers are equitably provided to support in-person care and learning. Finally, the order encourages the Federal Communications Commission to increase connectivity options for students lacking reliable home broadband, so that they can continue to learn if their schools are operating remotely.
This work will be supported by the Presidential Memorandum directing FEMA to offer reimbursement for eligible emergency supplies, such as PPE for schools and child care providers.
The Administration will engage with educators and their unions, students and their families, state and local education and public health officials, civil rights advocates, and other experts in the field. And, the Department of Education will work with HHS to ensure that guidance for schools is updated based on the latest science and any developments in the pandemic, including the spread of new coronavirus variants that may have a higher transmission rate. The Administration will always be honest about the challenges we face, directly addressing how and whether changes in the pandemic may impact the reopening of schools or the ability of schools to remain open.
Help Protect Workers from COVID-19 Millions of Americans, many of whom are people of color, immigrants, and low-wage workers, continue to put their lives on the line to keep the country functioning through the pandemic. President Biden will sign an Executive Order calling on the Occupational Safety and Health Administration (OSHA) to immediately release clear guidance for employers to help keep workers safe from COVID-19 exposure. It also asks OSHA and Mine Safety and Health Administration to determine whether to establish emergency temporary standards that require employers to take steps to keep workers safe from COVID-19 and it directs OSHA to enforce worker health and safety requirements, targeting the worst violators. With the goal of protecting all workers from COVID-19, the order instructs agencies to explore ways to protect workers who are not always covered by OSHA standards, such as those who are self-employed.
Promote Safe Travel To protect travelers from COVID-19, President Biden will issue an Executive Order to require mask-wearing in airports, on certain modes of public transportation, including many trains, airplanes, maritime vessels, and intercity buses. For air travel, this Executive Order also requires international travelers to produce proof of a negative COVID-19 test prior to departing for the United States and to comply with CDC guidelines for self-isolation and self-quarantine upon arrival. The Executive Order also calls for the consideration of additional public health measures in domestic travel and for consultation with foreign governments and other stakeholders to implement public health measures for safe travel, including at land and sea borders.
PROTECT THOSE MOST AT RISK AND ADDRESS INEQUITIES FACED BY COMMUNITIES OF COLOR AND OTHER UNDERSERVED GROUPS
Advance Health Equity in the Nation’s COVID-19 Response In order to address the disproportionate and severe impact of COVID-19 on communities of color and other underserved populations, President Biden will issue an Executive Order to ensure an equitable pandemic response and recovery. The order establishes a COVID-19 Health Equity Task Force to provide specific recommendations to the President for allocating resources and funding in communities with inequities in COVID-19 outcomes by race, ethnicity, geography, disability, and other considerations. The federal government will expand equity data collection; increase access to PPE, testing, therapies, and vaccines in underserved communities and high-risk settings; and assess and update pandemic response plans to ensure equity. The health workforce, including community-based workers, will be expanded to assist with contact tracing, vaccination, and linkage to care. Additionally, the Biden Administration will work with states, local jurisdictions, Tribal communities, and territories to address unmet basic needs, including food, housing, and childcare, for individuals and families affected by COVID-19.
RESTORE U.S. GLOBAL LEADERSHIP AND BUILD BETTER PREPAREDNESS
Advance U.S. Global Leadership, Support the Health and Humanitarian Response to COVID-19, and Protect Against Future Biological Threats America’s withdrawal from the world stage and retreat from the World Health Organization has impeded progress on the global COVID-19 response and left the United States and the world more vulnerable to future pandemics. Yesterday, President Biden signed letters to the United Nations Secretary General and World Health Organization Director General to cease America’s withdrawal from the organization and to outline U.S. intent to work constructively with the WHO to strengthen and reform it. Today, President Biden will sign a Presidential Directive to restore America’s leadership, support the international pandemic response effort, promote resilience for future threats, and advance global health security and the Global Health Security Agenda. This directive restores U.S. leadership and seeks to support the international health and humanitarian response to the COVID-19 pandemic and its secondary impacts, global health security and diplomacy, and better biopreparedness and resilience for emerging and future biological threats.
RACIAL EQUITY IMPACT
The COVID-19 crisis has shined a light on and exacerbated the persistent racial inequities in our healthcare system and our economy. Americans of color are being infected and dying from COVID-19 at higher rates, while workers of color disproportionately put themselves at risk of exposure to COVID-19 on the frontline of this crisis to keep our country running. Changing the course of the COVID-19 crisis requires mobilizing an equitable response across the whole of our government. The new COVID-19 Health Equity Task Force will intensely focus on these issues. The actions to expand the availability of testing and vaccines in communities of color, and other underserved communities, ensure that new clinical treatments are developed to serve diverse Americans, and safely reopen our schools so that children who are facing disproportionately high risks of learning loss can get back into the classroom. These actions will also support Native communities and Tribal governments to address the health and economic crises in Indian country.
These executive actions will help keep millions of workers healthy and safe from COVID-19. They direct agencies to provide new guidance so that employers and schools know what they need to do to keep workers safe. They’ll increase access to personal protective equipment, testing, and vaccines that will help reduce the spread of COVID-19 in workplaces across the country. They’ll help ensure more people are wearing masks when they travel, immediately providing more protection to many airline workers, bus drivers, and other transportation workers, and providing Americans safe ways to travel to work.
With the support of funding from the President’s American Rescue Package, the President’s plan to safely reopen schools will help students engage in in-person learning, parents return to work and prevent more educators from being laid off, as we combat the virus and make schools safe for students and educators again.
These measures will help keep workers safe and healthy, get more Americans back to work, and ultimately reduce the spread of the virus.
Surprise! There wasn’t any Trump Administration plan to distribute COVID-19 vaccines. And those supplies that were supposedly held in reserve? The jokes on you – there aren’t any. The incoming Biden Administration – locked out of meaningful engagement during the transition – finds it has to basically create a vaccine distribution program almost from scratch, while holding to a goal of administering 100 million doses in the first 100 days. As each day continues to post new record numbers of deaths (well over 400,000 now, with as many as 100,000 more deaths by February forecast), hospitalizations choking state’s health care systems, the number of infections soaring over 22 million and new strains that are even more transmissible, Biden’s first Executive Order, signed within minutes of entering the White House, was to require mask-wearing at federal facilities and in interstate commerce, while launching a national, patriotic campaign to mask-up for 100 days. And the first order of business for the Biden Administration has been to introduce, for the first time, a national strategy to get a handle on the coronavirus pandemic that has so devastated lives and livelihoods.
Here it is: –Karen Rubin/news-photos-features.com
National Strategy for the COVID-19 Response and Pandemic Preparedness
January 21, 2021
We can and will beat COVID-19. America deserves a response to the COVID-19 pandemic that is driven by science, data, and public health — not politics. Through the release of the National Strategy for the COVID-19 Response and Pandemic Preparedness, the United States is initiating a coordinated pandemic response that not only improves the effectiveness of our fight against COVID-19, but also helps restore trust, accountability and a sense of common purpose in our government.
On January 9, 2020, the World Health Organization announced that there were 59 cases of coronavirus-related pneumonia. Just one year later, the United States has experienced over 24 million confirmed COVID-19 cases and over 400,000 COVID-19 deaths. America has just 4% of the world’s population, but 25% of the world’s COVID-19 cases and 20% of all COVID-19 deaths. And our nation continues to experience the darkest days of the pandemic, with record numbers of cases, hospitalizations and deaths. Over 77,000 Americans lost their lives to COVID-19 in December, and across our nation businesses are closing, hospitals are full, and families are saying goodbye to their loved ones remotely.
The National Strategy provides a roadmap to guide America out of the worst public health crisis in a century. It outlines an actionable plan across the federal government to address the COVID-19 pandemic, including twelve initial executive actions that will be issued by President Biden during his first two days in office:
The National Strategy is organized around seven goals:
Restore trust with the American people.
Mount a safe, effective, and comprehensive vaccination campaign.
Mitigate spread through expanding masking, testing, treatments, data, health care workforce, and clear public health standards.
Immediately expand emergency relief and exercise the Defense Production Act.
Safely reopen schools, businesses, and travel while protecting workers.
Protect those most at risk and advance equity, including across racial, ethnic and rural/urban lines.
Restore U.S. leadership globally and build better preparedness for future threats.
To execute on the National Strategy, the White House will establish a COVID-19 Response Office responsible for coordinating the pandemic response across all federal departments and agencies. Through implementation of the National Strategy, the United States will make immediate progress on the seven goals. To monitor outcomes, the National Strategy will establish a data-driven, evidence-based approach to evaluating America’s progress in the fight against COVID-19.
The federal government cannot solve this crisis alone. Full implementation of the National Strategy for COVID-19 will require sustained, coordinated, and complementary efforts of the American people, as well as groups across the country, including State, local, territorial, and Tribal governments; health care providers; businesses; manufacturers critical to the supply chain; civic, religious and civil rights organizations; and unions. It will also require a global effort to contain the virus and advance health security.
America has always risen to the challenge and we will do so now. In collaboration with the people of this country, the United States government will lead an effective COVID-19 response that gets us back to our lives and loved ones. As we’ve seen during this pandemic, we can’t solve our problems as a divided nation. The only way we come through this is together as fellow Americans and as the United States of America.
Goal 1: Restore trust with the American people.
The federal government should be the source of truth for the public to get clear, accessible, and scientifically accurate information about COVID-19. To rebuild the trust of the American people, the National Strategy will signal clear public leadership and a commitment to a robust whole-of-government response that puts science first. The federal government will be transparent with the American people, maintaining an open line of communication with the public and all stakeholders. To continue to restore trust, the United States will:
Establish a national COVID-19 response structure where decision-making is driven by science and equity. The Biden-Harris Administration has developed a unified plan to rebuild expert leadership across the government and regain the trust of the American public. As part of the strategy, on his first day in office, President Biden issued Executive Order Organizing and Mobilizing the U.S. Government to Provide a Unified And Effective Response to Combat COVID-19 and to Provide United States Leadership on Global Health and Security establishing a White House COVID-19 national response structure to coordinate across the U.S. Government and restoring the White House Directorate on Global Health Security and Biodefense established by the Obama-Biden Administration. The COVID-19 Response office will establish clear lines of communications with all governors, state public health officials and immunization managers, and local leaders.
Conduct regular expert-led, science-based public briefings. The federal government will conduct regular, expert-led, science-based public briefings and release regular reports on the state of the pandemic. Experts and scientists at the U.S. Centers for Disease Control and Prevention (CDC) will also develop clear, evidence-based, metric-driven public health guidance and effectively and frequently communicate and distribute guidance and updates to the American people.
Publicly share data around key response indicators. Metrics and metric-driven public health guidance will be essential to controlling the pandemic. President Biden will issue Executive Order Ensuring a Data-Driven Response to COVID-19 and Future High Consequence Public Health Threats directing steps to enhance federal agencies’ collection, production sharing, and analysis of, and collaboration with respect to, data to support an equitable COVID-19 response and recovery. As further detailed in National Strategy Goals Two, Three, and Six, the federal government will track a range of performance measures and data including cases, testing, vaccinations, and hospital admissions, and will make real-time information readily available to the public and to policymakers at the federal, state, and local level. The CDC will also maintain a public dashboard tracking COVID-19 cases at the county level, so that Americans can gauge the level of transmission in their own communities to make their own informed choices.
Engage the American people. The federal government cannot solve this crisis alone. It will take regular engagement with the public, state and local leaders, the private sector, unions, community volunteers, and health care providers to guide policy and implementation. The Administration will prioritize outreach to state and local governments, the public and private sectors, vulnerable communities, students, workers, and community leaders, using input from these stakeholders to drive the government’s COVID-19 response.
Lead science-first public health campaigns. The Administration will lead world-class public education campaigns — covering topics like masking, testing, vaccinations and vaccine hesitancy — designed with diversity and inclusivity in mind, including communications in multiple languages, to maximize reach and effectiveness. The campaigns will be coordinated, across national, state, and local levels, and engage with the private and public sector. They will be anchored by science and fact-based public health guidance. The Administration will work to counter misinformation and disinformation by ensuring that Americans are obtaining science-based information.
Goal 2: Mount a safe, effective, comprehensive vaccination campaign.
The United States will spare no effort to ensure Americans can get vaccinated quickly, effectively, and equitably. The federal government will execute an aggressive vaccination strategy, focusing on the immediate actions necessary to convert vaccines into vaccinations, including improving allocation, distribution, administration, and tracking. Central to this effort will be additional support and funding for state, local, Tribal, and territorial governments — and improved line of sight into supply — to ensure that they are best prepared to mount local vaccination programs. At the same time, the federal government will mount an unprecedented public campaign that builds trust around vaccination and communicates the importance of maintaining public health measures such as masking, physical distancing, testing, and contact tracing even as people receive safe and effective vaccinations. To mount a safe, effective, comprehensive vaccination campaign, the United States will:
Ensure the availability of safe, effective vaccines for the American public. The national vaccination effort will be one of the greatest operational challenges America has ever faced. To ensure all Americans can be vaccinated quickly, the President has developed a plan for expanding vaccine manufacturing and purchasing COVID-19 vaccine doses for the U.S. population by fully leveraging contract authorities, including the Defense Production Act; deploying onsite support to monitor contract manufacturing operations; and purchasing additional FDA-authorized vaccines to deliver as quickly as possible. The effort includes prioritizing supplies that could cause bottlenecks, including glass vials, stoppers, syringes, needles, and the “fill and finish” capacity to package vaccine into vials.
Accelerate getting shots into arms and get vaccines to the communities that need them most. The success of the national vaccination effort will depend on reaching communities across the United States. To achieve this, the federal government will take a series of steps to simplify and strengthen the allocation and distribution process. In order to expand the supply available to states, the Administration will end the policy of holding back significant levels of doses, instead holding back a small reserve and monitoring supply to ensure that everyone receives the full regimen as recommended by the FDA. The United States will accelerate the pace of vaccinations by encouraging states and localities to move through the priority groups more quickly — expanding access to frontline essential workers and individuals over the age of 65, while staying laser-focused on working to ensure that the highest-risk members of the public, including those in congregate facilities, can access the vaccine where and when they need it. The Administration will also improve the allocation process by providing states and localities with clear, consistent projections to inform their planning. Through it all, the United States will work to ensure that the vaccine is distributed quickly, effectively and equitably, with a focus on making sure that high-risk and hard-to-reach communities are not left behind.
Create as many venues as needed for people to be vaccinated. The federal government — in partnership with state and local governments — will create as many venues for vaccination as needed in communities and settings that people trust. This includes, but is not limited to federally run community vaccination centers, in places like stadiums and conference centers, federally-supported state and locally operated vaccination sites in all 50 states and 14 territories, pharmacies and retail stores, federal facilities like Veterans Affairs hospitals, community health centers, rural health clinics, critical access hospitals, physician offices, health systems, urgent care centers, and mobile and on-site occupational clinics.
Focus on hard-to-reach and high-risk populations. As the United States accelerates the pace of vaccinations nationwide, we remain focused on building programs to meet the needs of hard-to-reach and high-risk populations, and meeting communities where they are to make vaccinations as accessible and equitable as possible. The federal government will deploy targeted strategies to meet the needs of individuals at increased risk and others who need to take extra precautions, according to the CDC, as well as the communities hardest hit by this pandemic. Local public health officials will play a critical role.
Fairly compensate providers, and states and local governments for the cost of administering vaccinations. Fairly compensating providers, and state and local governments for the costs of vaccine administration will be critical to expanding vaccination participation. President Biden will work with Congress to expand the Federal Medicaid Assistance Percentage (FMAP) to 100 percent for vaccinations of Medicaid enrollees—with the goal of alleviating state costs for administration of these vaccines and supporting states in their work to meet the needs of their communities. The Department of Health and Human Services will ask the Centers for Medicare & Medicaid Services to consider whether current payment rates for vaccine administration are appropriate or whether a higher rate may more accurately compensate providers. The federal government will fund vaccine supply and will greatly expand funding for vaccine administration by allowing state and local governments to reimburse vaccination administration expenses through the FEMA Disaster Relief Fund and by ensuring that workforce and equipment expenses for state and local-run sites are also eligible.
Drive equity throughout the vaccination campaign and broader pandemic response. The federal government will drive equity in vaccinations by using demographic data to identify communities hit hardest by the virus and supporting them, ensuring no out-of-pocket costs for vaccinations, and making sure vaccines reach those communities. Working with state, local, and community-based organizations and trusted health care providers, like community health centers, will be central to this effort.
Launch a national vaccinations public education campaign. The United States will build public trust through an unprecedented vaccination public health campaign at the federal, State, Tribal, territorial, local and community level. The public education campaign will support vaccination programs, address vaccine hesitancy, help simplify the vaccination process for Americans, and educate the public on effective prevention measures. The campaign will be tailored to meet the needs of diverse communities, get information to trusted, local messengers, and outline efforts to deliver a safe and effective vaccine as part of a national strategy for beating COVID-19.
Bolster data systems and transparency for vaccinations. The operational complexity of vaccinating the public will make robust data and its use in decision-making related to vaccinations more important than ever. The federal government, with CDC, will track distribution and vaccination progress, working hand-in-hand with states and localities to support their efforts. The Administration will build on and strengthen the federal government’s approach to data collection related to vaccination efforts, removing impediments and developing communication and technical assistance plans for jurisdictions and providers. The Administration, through HHS and other federal partners, will rely on data to drive decision-making and the national vaccinations program.
Monitor vaccine safety and efficacy. The Administration will ensure that scientists are in charge of all decisions related to vaccine safety and efficacy. The FDA will also continue to honor its commitment to make relevant data on vaccine safety and efficacy publicly available and to provide opportunities for public, non-governmental expert input. Through expanded and existing systems, the CDC and FDA will ensure ongoing, real-time safety monitoring. Through it all, the Administration will communicate clearly with the American public to continue to build trust around the vaccine and its benefits for individuals, their families and communities.
Surge the health care workforce to support the vaccination effort. A diverse, community-based health care workforce is essential to an effective vaccination program. The United States will address workforce needs by taking steps to allow qualified professionals to administer vaccines and encourage states to leverage their flexibility fully to surge their workforce, including by expanding scope of practice laws and waiving licensing requirements as appropriate.
Goal 3: Mitigate spread through expanding masking, testing, treatment, data, workforce, and clear public health standards.
A comprehensive national public health effort to control the virus — even after the vaccination program ramps up — will be critical to saving lives and restoring economic activity. The federal government will partner with state, local, Tribal, and territorial leaders to implement a cohesive strategy to significantly reduce the spread of COVID-19 and release clear public health guidance to the public about what to do and when, including implementing mask mandates; expanding testing; strengthening the public health workforce; modernizing data collection and reporting capabilities for COVID-19 and future epidemics; and providing equitable access to treatment and clinical care. To mitigate the spread of COVID-19 through clear public health standards, the United States will:
Implement masking nationwide by working with governors, mayors, and the American people. The President has asked the American people to do what they do best: step up in a time of crisis and wear masks. He has issued Executive Order Protecting the Federal Workforce and Requiring Mask-Wearing which directs compliance with CDC guidance on masking and physical distancing in federal buildings, on federal lands, and by federal employees and contractors. Additionally, the President will issue Executive Order Promoting COVID-19 Safety in Domestic and International Travel which directs applicable agencies to take immediate action to require mask-wearing on some airplanes, trains, and certain other forms of public transportation in the United States. He has called on governors, public health officials, mayors, business leaders, and others to implement masking, physical distancing, and other CDC public measures to control COVID-19.
Scale and expand testing. To control the COVID-19 pandemic and safely reopen schools and businesses, America must have wide-spread testing. A national testing strategy is a cornerstone to reducing the spread of COVID-19 and controlling outbreaks, and clear federal guidance and a unified national approach to implementation are essential. The President will issue Executive Order Establishing the National Pandemic Testing Board and Ensuring a Sustainable Public Health Workforce for COVID-19 and Other Biological Threats which establishes the COVID-19 Pandemic Testing Board to oversee implementation of a clear, unified approach to testing. The federal government will expand the rapid testing supply and double test supplies and increase testing capacity. The Administration will also increase onshore test manufacturing, fill testing supply shortfalls, enhance laboratory capacity to conduct testing over the short- and long-term, and expand surveillance for hotspots and variants.
Effectively distribute tests and expand access to testing. The federal government will support school screening testing programs to help schools reopen. The Administration will also stand up a dedicated CDC Testing Support Team, fund rapid test acquisition and distribution for priority populations, work to spur development and manufacturing of at-home tests and work to ensure that tests are widely available. Through Executive Order Establishing the National Pandemic Testing Board and Ensuring a Sustainable Public Health Workforce for COVID-19 and Other Biological Threats the President will direct agencies to facilitate testing free of charge for those who lack health insurance and to clarify insurers’ obligation to cover testing. The federal government will also provide testing protocols to inform the use of testing in congregate settings, schools, and other critical areas and among asymptomatic individuals. Further, technical assistance will support more widespread adoption of testing to improve timely diagnosis and public confidence in the safety of settings like schools.
Prioritize therapeutics and establish a comprehensive, integrated COVID-19 treatment discovery and development program. Effective treatments for COVID-19 are critical to saving lives. The federal government will establish a comprehensive, integrated, and coordinated preclinical drug discovery and development program, with diverse clinical trials, to allow therapeutics to be evaluated and developed rapidly in response to COVID-19 and other pandemic threats. This includes promoting the immediate and rapid development of therapeutics that respond to COVID-19 by developing new antivirals directed against the coronavirus family, accelerating research and support for clinical trials for therapeutics in response to COVID-19 with a focus on those that can be readily scaled and administered, and developing broad-spectrum antivirals to prevent future viral pandemics. President Biden will issue Executive Order Improving and Expanding Access to Care and Treatment for COVID-19 which also outlines steps to bolster clinical care capacity, provide assistance to long-term care facilities and intermediate care facilities for people with disabilities, increase health care workforce capacity, expand access to programs designed to meet long-term health needs of patients recovering from COVID-19, and support access to safe and effective COVID-19 therapies for those without coverage.
Develop actionable, evidence-based public health guidance. CDC will develop and update public health guidance on containment and mitigation that provides metrics for measuring and monitoring the incidence and prevalence of COVID-19 in health care facilities, schools, workplaces, and the general public, including metric-driven reopening guidance that the federal government communicates widely. Informed by up-to-date national and state data, the CDC will provide and update guidance on key issues such as physical distancing protocols, testing, contact tracing, reopening schools and businesses, and masking. The CDC also will provide focused guidance for older Americans and others at higher risk, including people with disabilities.
Expand the U.S. public health workforce and increase clinical care capacity for COVID-19. In addition to supporting the surge in health care workers for vaccination efforts detailed in Goal Two, the federal government will also build and support an effective public health workforce to fight COVID-19 and the next public health threat. As part of the President’s commitment to provide 100,000 COVID-19 contact tracers, community health workers, and public health nurses, the Administration will establish a U.S. Public Health Jobs Corps, provide support for community health workers, and mobilize Americans to support communities most at-risk. The United States will also provide technical support for testing, contact tracing, and other urgent public health workforce needs to better prepare for public health crises.
Improve data to guide the response to COVID-19. Federal agencies will make increased use of data to guide the public health response against COVID-19. To that end, Agencies will collect, aggregate, share, and analyze non-personally identifiable data, and take steps to make it publicly available and in a machine-readable form to enhance COVID-19 response efforts. And the federal government will facilitate evidence-based decision-making through focused data-based projects. These efforts will require collaboration with state, local, Tribal, and territorial governments to aggregate and analyze data for critical decisions to track access to vaccines and testing, reopen schools and businesses, address disparities in COVID-19 infections and health outcomes, and enhance critical monitoring capacity where needed. In addition, critical response activities such as workforce mobilization and vaccination appointment scheduling may require new technology solutions. The federal government will provide technical support to ensure that these systems meet mission critical requirements to support a robust response.
Goal 4: Immediately expand emergency relief and exercise the Defense Production Act.
It’s past time to fix America’s COVID-response supply shortage problems for good. The United States will immediately address urgent supply gaps, which will require monitoring and strengthening supply chains, while also steering the distribution of supplies to areas with the greatest need. As new vaccines, testing protocols, and treatments are developed, they will also need to be manufactured in sufficient supply. To respond to this unprecedented operational challenge, the President is immediately expanding emergency relief by giving state and local governments the support they need. To make vaccines, tests, Personal Protective Equipment (PPE), and other critical supplies available for the duration of the pandemic, the President has directed the use of all available legal authorities, including the Defense Production Act (DPA), instructing departments and agencies to expand the availability of critical supplies, to increase stockpiles so that PPE is available to be used in the recommended safe manner, and to start to fill all supply shortfalls immediately. To expand emergency relief and strengthen the supply chain, the government will:
Increase emergency funding to states and bolster the Federal Emergency Management Agency (FEMA) response. The President will issue a Presidential Memorandum entitled Extend Federal Support to Governors’ Use of National Guard to Respond to COVID-19 and to Increase Reimbursement and other Assistance Provided to States, directing FEMA to fully reimburse states for the cost of National Guard personnel and emergency supplies, including emergency supplies like PPE for schools and child care providers.
Fill supply shortfalls by invoking the Defense Production Act (DPA). The United States is taking immediate action to fill supply shortfalls for vaccination supplies, testing supplies, and PPE. The President will issue Executive Order A Sustainable Public Health Supply Chain which directs agencies to fill supply shortfalls using all available legal authorities, including the DPA, and the United States has identified twelve immediate supply shortfalls that will be critical to the pandemic response, including shortages in the dead-space needle syringes available to administer the vaccine. The President has directed relevant agencies to exercise all appropriate authorities, including the DPA, to accelerate manufacturing, delivery, and administration to meet shortfalls in these twelve categories of critical supplies, including taking action to increase the availability of supplies like N95 masks, isolation gowns, nitrile gloves, polymerase chain reaction (PCR) sample collection swabs, test reagents, pipette tips, laboratory analysis machines for PCR tests, high-absorbency foam swabs, nitrocellulose material for rapid antigen tests, rapid test kits, low dead-space needles and syringes, and all the necessary equipment and material to accelerate the manufacture, delivery, and administration of COVID-19 vaccine.
Identify and solve urgent COVID-19 related supply gaps and strengthen the supply chain.The A Sustainable Public Health Supply Chain executive order will also direct federal agencies to fill supply shortfalls using all available legal authorities.The federal government will focus on the near-term goal of building a stable, secure, and resilient supply chain with increased domestic manufacturing in four key critical sectors:
Antigen and molecular-based testing;
PPE and durable medical equipment;
Vaccine development and manufacturing; and
Therapeutics and key drugs.
The federal government will immediately focus on procuring supplies that will be critical to control the spread of COVID-19 by initiating contracts, entering into purchase commitments, making investments to produce supplies and expanding manufacturing capacity.
Secure the pandemic supply chain and create a manufacturing base in the United States. To respond more effectively to this crisis, and ensure that the United States is able to respond more quickly and efficiently to the next pandemic, we need a resilient, domestic public health industrial base. The U.S. Government will not only secure supplies for fighting the COVID-19 pandemic, but also build toward a future, flexible supply chain and expand an American manufacturing capability where the United States is not dependent on other countries in a crisis. To this end, A Sustainable Public Health Supply Chain will direct the development of a new Pandemic Supply Chain Resilience Strategy.
Improve distribution and expand availability of critical materials. After conducting a review of existing COVID-19 and related pandemic supply chain distribution plans and working in consultation with state and regional compacts, the United States will coordinate distribution plans, prioritizing areas of highest-risk and highest need, and set up a structure to improve the distribution of critical materials. To work toward expanding the affordability and accessibility of supplies, A Sustainable Public Health Supply Chain will direct the Department of Defense (DOD), HHS, and Department of Homeland Security (DHS) to develop recommendations to address the pricing of COVID-19 supplies. The federal government will also reduce the opacity of the market for critical supplies and supply chains by clearly and rapidly communicating with states, health care providers, and manufacturers about federal interventions.
Goal 5: Safely reopen schools, businesses, and travel, while protecting workers.
Reopening schools, businesses, travel, and our economy will require major, unified federal investments in rapid testing, an expanded rapid response public health workforce, clear guidance and protections, and support for people to stay home when they are infected to stop the spread of COVID-19. At the same time that the United States takes immediate steps to achieve an overall decrease in COVID-19 spread, it will also support the safe operation of schools, businesses, and travel. To protect workers and safely reopen, schools, businesses, and travel, the United States will:
Implement a national strategy to support safely reopening schools. The United States is committed to ensuring that students and educators are able to resume safe, in-person learning as quickly as possible, with the goal of getting a majority of K-8 schools safely open in 100 days. The President will issue Executive Order Supporting the Reopening and Continuing Operation of Schools and Early Childhood Education Providers which directs a national strategy for safely reopening schools, including requiring the Departments of Education and HHS to provide guidance on safe reopening and operating, and to develop a Safer Schools and Campuses Best Practices Clearinghouse to share lessons learned and best practices from across the country. Presidential Memorandum Extend Federal Support to Governors’ Use of National Guard to Respond to COVID-19 and to Increase Reimbursement and other Assistance Provided to States will restore full reimbursement for eligible costs necessary to support safe school reopening through the FEMA Disaster Relief Fund and the President has called on Congress to provide at least $130 billion in dedicated funding to schools, $350 billion in flexible state and local relief funds that will help districts avoid lay-offs and close budget gaps, and additional resources so that schools can safely reopen, including funds to implement screening testing. The Administration will release a handbook that helps schools and local leaders implement the precautions and strategies necessary for safe reopening. It will also work with states and local school districts to support screening testing in schools, including working with states to ensure an adequate supply of test kits.
Support safe operations at child care centers and at-home providers. With enrollments down and costs up due to COVID-19 precautions, child care providers are struggling to stay afloat while providing vital services to their communities. Due to increased costs and lower enrollment, a recent survey of child care providers showed that most child care providers expect that they will close within a few months without relief, or are uncertain how long they can stay open. If not addressed, child care providers will close and millions of parents will be left to make devastating choices between caring for their children and working to put food on the table. President Biden has called on Congress to provide $25 billion in emergency stabilization to support hard-hit child care providers through the pandemic. These funds would help providers pay rent, utilities, and payroll, as well as cover pandemic-related costs like personal protective equipment, ventilation supplies, smaller group sizes, and alterations to physical spaces that improve safety. The President has also called on Congress to provide $15 billion to help families struggling to afford child care.
Support equitable reopening and operation in higher education. College enrollment for high school graduates was down more than 20% in 2020 compared to 2019, and students from low-income families are nearly twice as likely to report canceling their plans to attend college. Reopening and keeping colleges open is critical to ensuring that all Americans have a shot at a college credential — but it must be done safely, to protect the health of students, faculty, staff, and the broader community. To support colleges through the pandemic, President Biden has requested that Congress provide an additional $35 billion in emergency stabilization funds for higher education.
Protect workers and issue stronger worker safety guidance. It is critical that the federal government protect the health and safety of America’s workers and take swift action to prevent workers from contracting COVID-19 in the workplace. The President will issue Executive Order Protecting Worker Health and Safety which directs the Occupational Safety and Health Administration (OSHA) to issue updated guidance on COVID-19 worker protections. It also directs OSHA and the Mine Safety and Health Administration (MSHA) to consider whether emergency temporary standards, including with respect to mask-wearing, are necessary. President Biden is taking steps to cover workers not typically covered by OSHA or MSHA by directing agencies like the Department of Transportation to keep workers safe. He has also called on Congress to extend and expand emergency paid leave; to allow OSHA to issue standards covering a broad set of workers, like many public workers on the frontlines; to provide additional funding for worker health and safety enforcement, and to provide grant funding for organizations to help keep vulnerable workers healthy and safe from COVID-19.
Provide guidance and support to safely open businesses. To maintain safe operations during the pandemic, businesses need to know how to change their practices to protect employees and customers. As the conditions of the pandemic continue to evolve and more Americans get vaccinated, the business community needs clear information from the federal government on what to expect and how to adapt their operations. Many businesses affected by the pandemic–particularly the smallest ones–need additional support to adjust their physical spaces and purchase PPE and supplies. The United States will immediately work to prioritize funds under the recent COVID relief package to the companies hardest hit by COVID-19 and in compliance with public health restrictions, ensuring that small businesses have the funds they need to operate safely. Further, the Small Business Administration will work with the Department of Labor to disseminate updated OSHA guidance on worker safety and support businesses in implementing the updated guidance.
Promote Safe Travel. Ensuring that people can safely travel will be critical for families and to jumpstarting the economy, which is why the President will issue an executive order that requires mask-wearing on certain public modes of transportation and at ports of entry to the United States. For international air travel, Executive Order Promoting COVID-19 Safety in Domestic and International Travel will require a recent negative COVID-19 test result prior to departure and quarantine on arrival, consistent with CDC guidelines. The Executive Order will also direct agencies to develop options for expanding public health measures for domestic travel and cross-border land and sea travel and calls for incentives to support and encourage compliance with CDC guidelines on public transportation.
Goal 6: Protect those most at risk and advance equity, including across racial, ethnic and rural/urban lines.
The COVID-19 pandemic has exposed and exacerbated severe and pervasive health inequities among communities defined by race, ethnicity, geography, disability, sexual orientation/gender identity, and other factors. Addressing this pandemic’s devastating toll is both a moral imperative and pragmatic policy. The federal government will address disparities in rates of infection, illness and death. Each of the goals of this National Strategy include comprehensive actions that will address these disparities and advance equity. In addition, the United States will:
Establish the COVID-19 Health Equity Task Force. The President will issue Executive Order Ensuring an Equitable Pandemic Response and Recovery which establishes a high-level task force to address COVID-19 related health and social inequities and help coordinate an equitable pandemic response and recovery. The Task Force will convene national experts on health equity and provide recommendations on how to mitigate COVID-19 health inequities.
Increase data collection and reporting for high risk groups. The fragmented and limited availability of data by race, ethnicity, geography, disability and other demographic variables delays recognition of risk and a targeted response. President Biden will issue the Executive Order Ensuring a Data-Driven Response to COVID-19 and Future High-Consequence Public Health Threats directing federal agencies to expand their data infrastructure to increase collection and reporting of health data for high risk populations, while reaffirming data privacy. Using these data, the federal government will identify high-risk communities, track resource distribution and evaluate the effectiveness of the response. Finally, HHS will optimize data collection from public and private entities to increase the availability of data by race, ethnicity, geography, disability, and other demographic variables, as feasible.
Ensure equitable access to critical COVID-19 PPE, tests, therapies and vaccines. The continued surge of COVID-19 highlights the critical importance of meaningful access to PPE, tests, therapies, and vaccines to prevent spread and reduce illness and death in high-risk populations and settings. The federal government will center equity in its COVID-19 response, providing PPE, tests, vaccines, therapeutics and other resources in a fair and transparent way. A targeted, stakeholder- and data-informed vaccination communication campaign will be launched to encourage vaccination in all communities. Additionally, the CDC will work with states and localities to update their pandemic plans. Finally, through prioritizing diverse and inclusive representation in clinical research and strengthening enforcement of anti-discrimination requirements, the federal government will increase access to effective COVID-19 care and treatment.
Expand access to high quality health care. The federal government will work to expand affordable coverage to increase access to care during this pandemic, and the Task Force will provide recommendations to align federal incentives with improved clinical outcomes. Specific actions include efforts to increase funding for community health centers, provide greater assistance to safety net institutions, strengthen home- and community-based services, expand mental health care, and support care and research on the effects of long COVID.
Expand the clinical and public health workforce, including community-based workers. In order to assure equitable PPE distribution, testing, contact tracing, social support for quarantine and isolation and vaccination, there must be sufficient workforce to serve the communities in greatest need. The federal government will augment the health workforce, including with community based workers, as outlined in Goal Three above, to help fill this critical gap. The federal government will create a United States Public Health Workforce Program of new community based workers to assist with testing, tracing and vaccination. Additionally, it will deploy federal workers to assist with the COVID-19 response in under-resourced areas.
Strengthen the social service safety net to address unmet basic needs. With millions of families already struggling pre-pandemic to meet basic needs, including food, housing and transportation, COVID-19 has exacerbated these challenges. These challenges contribute to difficulties by many to adhere to public health guidance regarding social distancing and quarantine/isolation. This Administration is committed to addressing these needs in multiple ways, including providing paid sick leave, child care support, and rental assistance, with requested Congressional appropriations. Additionally, it will undertake agency actions to designate COVID-19 health equity leads and extend eligibility and enrollment flexibilities for select programs during the pandemic, as well work with community-based, multi-sector organizations to align health and social interventions.
Support communities most at-risk for COVID-19. The federal government is committed to supporting populations that are most vulnerable to COVID-19. Whether residing in congregate settings (such as prisons, nursing and group homes, and homeless shelters), serving as essential workers, living as a person with a disability, or bearing the burden of chronic medical conditions, these vulnerable populations are disproportionately composed of people of color. The CDC will develop and update clear public health guidance for such high-risk populations and settings to further minimize the risk of COVID infection, and work with states to update their pandemic plans to incorporate such guidance as necessary.
Goal 7: Restore U.S. leadership globally and build better preparedness for future threats.
U.S. international engagement to combat COVID-19, promote health, and advance global health security is urgent to save lives, promote economic recovery, and develop resilience against future biological catastrophes. America’s withdrawal from the world stage has impeded progress on a global COVID-19 response and left the U.S. more vulnerable to future pandemics. The Biden-Harris Administration will restore America’s role in leading the world through global crises, advancing global health security and the Global Health Security Agenda, including by supporting the international pandemic response effort, providing humanitarian relief and global health assistance, and building resilience for future epidemics and pandemics. The President will issue a National Security Directive that directs steps to restore U.S. leadership globally and build better preparedness. In addition, the United States of America will:
Restore the U.S. relationship with the World Health Organization and seek to strengthen and reform it. The World Health Organization (WHO) is essential to coordinating the international response to COVID-19 and improving the health of all people. On his first day in office, the President sent letters informing the UN Secretary-General and the WHO Director General of his decision to cease the previous Administration’s process of withdrawal from the WHO and meet its financial obligations. The United States is participating in the WHO Executive Board meeting this month, and will take actions to strengthen and reform the WHO.
Surge the international COVID-19 public health & humanitarian response. The United States will commit to multilateralism in the international COVID-19 public health and humanitarian response. The President will restore U.S. leadership on the global COVID-19 response and health security, laying out an active role for the United States in surging the health and humanitarian response to COVID-19, and supporting global vaccine distribution and research and development for treatments, tests, and vaccines. The United States will support the Access to COVID-19 Tools (ACT) Accelerator, join the COVID-19 Vaccines Global Access (COVAX) Facility, and seek to strengthen other existing multilateral initiatives, such as the Coalition for Epidemic Preparedness Innovations; Gavi, the Vaccine Alliance; and the Global Fund to Fight AIDS, Tuberculosis, and Malaria. The United States will also take steps to enhance humanitarian relief and support for the capacity of the most vulnerable communities to prevent, detect, respond to, mitigate, and recover from impacts of COVID-19, such as food insecurity and gender-based violence.
Restore U.S. leadership to the international COVID-19 response and advance global health security and diplomacy. The United States will promote sustainable global health and global health security, rebuild health security alliances, elevate U.S. efforts to support the Global Health Security Agenda, and revitalize U.S. leadership. The United States will advance global health security financing, promote efforts to harmonize crisis response and early warning for public health emergencies, and strengthen global pandemic supply chains. The United States will also work within the UN Security Council and with partners to strengthen multilateral public health and humanitarian cooperation on the COVID-19 response, global institutions to combat disease, and a global health security architecture to prevent, detect, and respond to future biological threats.
Build better biopreparedness and expand resilience for biological threats. The United States is committed to strengthening U.S. biopreparedness and capacity to counter COVID-19 and future biological threats. The President has immediately restored the White House National Security Council Directorate for Global Health Security and Biodefense, originally established by the Obama-Biden administration. He has reconstituted White House and Administration-wide infrastructure for monitoring and responding to emerging biological risks. And to improve the United States’ preparedness, the Administration will work to secure funding and Congressional support to establish an integrated, National Center for Epidemic Forecasting and Outbreak Analytics to modernize global early warning and trigger systems to prevent, detect, and respond to biological threats. The United States will also review and seek to strengthen our pandemic supply chain, public health workforce, medical countermeasure development and distribution, bioeconomic investment and technology-related risks.
With a promise to “manage the hell out of this thing,” President-Elect Joe Biden laid out a cogent, detailed, realistic plan to “efficiently and equitably vaccinate” the population, with a pledge to administer 100 million doses in his first 100 days.
Biden plans to use a “whole of government,” “whole of society” approach, enlisting FEMA, the Defense Production Act, the National Guard, to set up federally manned and funded sites including mobile clinics to complement local communities, and increase supply of vaccines and vaccinators.
“Our plan is as clear as it is bold:
“Get more people vaccinated for free.
“Create more places for them to get vaccinated.
“Mobilize more medical teams to get shots into peoples’ arms.
“Increase supply and get it out the door as soon as possible.
“This will be one of the most challenging operational efforts ever undertaken by our country.
“You have my word that we will manage the hell out of this operation.”
“For God’s sake, wear a mask for yourself, for your loved ones, for your country,” he declared in remarks from Wilmington on January 15. “These are life and death matters. We need you to stick with the hand washing, social distancing, and avoid indoor gatherings with people outside your household.
“We’ll be a partner to the states and cities, so where things are working, we’ll help do more of the good work, and where things can improve, we’ll bring more resources to bear to get folks tested and vaccinated.
“We will work closely with nonprofits and the private sector who we know all want to partner with us in this effort.
“The more people we vaccinate and the faster we do it, the sooner we can put this pandemic behind us.
“And the sooner we can build our economy back better, and get back to our lives and loved ones.
“As we’ve seen during this pandemic, we can’t solve our problems as a divided nation.
“The only way we come through this is together as fellow Americans and as the United States of America.
“Vice-President-elect Harris and I ran on that vision. And starting noon on Wednesday, that is exactly how we are going to govern and ask for your help.”
Here’s Biden’s plan:
The COVID-19 pandemic is getting worse by the day — more people are hospitalized with COVID-19 than ever before, the death rate is up almost 20 percent, and we’re nearing 400,000 deaths total. At the same time, there is a new, more contagious strain spreading across the country and we are woefully behind on vaccinating the U.S. population.
President-elect Biden will confront this historic challenge with the full strength of the federal government — working closely with local communities already in the trenches. He will lead an unprecedented, whole-of-society effort that mobilizes every resource available — across the public and private sectors. It will take every American doing their part.
As we move forward to get vaccines in arms as quickly as possible, we will not leave anyone behind. Communities across the country are counting on it. The health and economic security of our nation depend on it.
Today, the president-elect outlined key highlights of his plan to efficiently and equitably vaccinate the U.S. population. This includes taking action to:
Get more people vaccinated
Encourage states to allow more people to be vaccinated including individuals 65 and older as well as frontline workers. The process of establishing priority groups was driven by science, but the implementation has been too rigid and confusing. We now see doses of vaccines sitting in freezers unused while people who want the vaccine cannot get it. President-elect Biden’s plan encourages states to open up eligibility beyond healthcare workers and long-term care facility residents and staff, to include frontline essential workers like teachers, first responders, grocery store employees, and anyone who is 65 and older. It won’t mean that everyone in these groups will get vaccinated immediately, as supply is not where it needs to be. But it will mean that as vaccines become available, they will reach more people who need them. For states with the capacity and supply to further expand, we encourage that as well. The federal government will continue to look to the CDC Advisory Committee on Immunization Practices (ACIP) framework for an equitable, effective vaccination program.
Ensure equity throughout the vaccination process to reach those in hard-to-reach, marginalized communities. We will ensure that there is equity in the vaccination process by using data to target resources to hard-hit communities, ensuring no out-of-pocket costs for vaccinations, and equitable access to vaccines in marginalized and medically-underserved communities. Partnerships with state, local and community-based organizations and trusted health care providers, like community health centers, will be central to this effort.
Create more vaccination sites
Stand up new, federally-supported community vaccination centers across the country. Getting as many people vaccinated as quickly as possible will require close coordination between the federal government and all states and territories. Knowing that not all states and jurisdictions have the resources to scale vaccinations at the pace this crisis demands, the Biden-Harris administration will leverage federal resources and emergency contracting authorities to launch new vaccination sites and to expand state and local efforts across the country. With the support of Federal Emergency Management Administration (FEMA), these sites will mobilize thousands of clinical and non-clinical staff and contractors who will work hand-in-glove with the National Guard and state and local teams. The program will be scaled based on what is working best on the ground for state and local partners, and the communities they serve.
Fully reimburse state deployment of the National Guard to support vaccinations and provide additional FEMA assistance. Many states are planning to use their National Guard to support vaccine distribution efforts, including to support critical transportation and logistics functions. To further support states, President-elect Biden’s plan fully reimburses states for the use of the National Guard and provides 100% cost match for state and local emergency costs through FEMA.
Launch mobile vaccination clinics and provider partnerships to reach underserved urban areas and rural communities. President-elect Biden will deploy mobile vaccination clinics in the most hard-to-reach communities and to support those who face challenges accessing vaccination sites, including individuals who live in underserved urban and rural areas. The federal government will partner with states and local providers, including primary care providers, to ensure that they have the resources needed to help get vaccines to the communities they serve. The federal government will launch targeted programs to engage community health centers, rural health clinics, critical access hospitals, and tribal health services to ensure that we can meet the needs of all communities.
Make vaccines available in pharmacies. Millions of Americans turn to their local pharmacies every day for their medicines, flu shots, and much more. Nearly 90 percent of Americans live within five miles of a pharmacy. President-elect Biden will quickly jumpstart efforts to increase capacity at chain and independent pharmacies across the country to get Americans vaccinated.
Launch a new partnership with Federally Qualified Health Centers nationwide. Federally Qualified Health Centers (FQHCs) serve more than 30 million patients each year — one in 11 people nationwide. Many are people of color and many live in rural communities. FQHC patients are often individuals struggling to make ends meet. Given the critical role that these providers play in their communities, President-elect Biden will launch a new program to ensure that FQHCs can directly access vaccine supply where needed. At the same time, the administration will encourage jurisdictions to engage and work closely with health centers in their community vaccination planning. And to ensure that health centers have the resources they need to successfully launch vaccination programs, President-elect Biden has called on Congress to provide additional funds to support community health centers, and HHS will launch a new program to provide guidance, technical assistance, and other resources to prepare and engage these providers nationwide.
Launch new models to serve high-risk individuals. The administration will make programs available for high-risk congregate settings, including homeless shelters, jails, and institutions that serve individuals with intellectual and developmental disabilities.
Increase supply and get it out the door as quickly as possible
Ensure a robust vaccine supply and spur manufacturing. To help people get vaccinated more quickly, the president-elect will maximize the manufacture of vaccine and vaccine supplies for the country, including using the Defense Production Act. This effort will prioritize supplies that could cause bottlenecks, including glass vials, stoppers, syringes, needles, and the “fill and finish” capacity to package vaccine into vials.
Be a reliable partner for states by providing actionable data on vaccine allocation timelines and delivery. To effectively plan and scale distribution, states and localities rely on both advanced understanding of their allocations and timely delivery of their ordered doses. Under President-elect Biden’s plan, the federal government will provide regular projections of the allocations states and localities will receive. The federal government will build on the operational plans in place to ensure the effective distribution, storage, and transit of vaccines to states, including support for maintaining or augmenting the vaccine-specific required cold chain. The federal government will also fully leverage the Defense Production Act to fill any distribution gaps, including with respect to any needed refrigeration, transportation, or storage facilities.
Increase vaccine availability while maintaining a commitment to the two-dose schedule. President-elect Biden’s plan will release the vast majority of the vaccines when they are available, so more people can get vaccinated quickly, while still retaining a small reserve for any unforeseen shortages or delays. To continue ensuring second-dose availability on the timeline recommended by the FDA, the Biden-Harris administration will closely monitor development, production and release of vaccines, and use the DPA as needed to ensure adequate supply for second doses on the timeline recommended by the FDA.
Mobilize more personnel to get shots in arms.
Surge the public health workforce to support the vaccination effort. A diverse, community-based public health workforce is essential to an effective vaccination program. President-elect Biden will address workforce needs by taking steps to allow additional qualified professionals to administer vaccines and strongly encourage states to use their flexibility fully to surge their workforce, including by expanding scope of practice laws and waiving licensing requirements as appropriate. The federal government, in partnership with states, will provide appropriate training, including thorough use of the U.S. Public Health Service Commissioned Corps. The president-elect will also act swiftly to amend the current COVID-19 Public Readiness and Emergency Preparedness Act declaration to permit certain qualified professionals, including retired medical professionals, that are not licensed under state law to administer vaccines to be able to do so with appropriate training in order to expand the number of qualified professionals able to administer the vaccine.
Mobilize a public health jobs program to support COVID-19 response. President-elect Biden has asked Congress to make an historic investment in expanding the public health workforce, funding 100,000 public health workers to nearly triple the country’s community health roles. These individuals will be hired to work in their local communities to perform vital tasks like vaccine outreach and contact tracing in the near term, and to transition into community health roles to build our long-term public health capacity that will help improve quality of care and reduce hospitalization for low-income and underserved communities.
Ensure the American people have the information and confidence they need to get vaccinated
Launch a federally led, locally focused public education campaign. The federal government will build public trust through increased transparency, communication around progress and setbacks, and a public education campaign that addresses vaccine hesitancy and is tailored to meet the needs of local communities. The campaign will work to elevate trusted local voices and outline the historic efforts to deliver a safe and effective vaccine as part of a national strategy for beating COVID-19.
President-Elect Joe Biden described the first part of his two-pronged plan of Rescue and Recovery from the surging coronavirus pandemic and the economic devastation. In the first of two speeches, he detailed his Rescue Plan to speed up distribution of COVID-19 vaccinations and economic relief to families, states and localities.
Here is a highlighted transcript of his remarks, delivered from Wilmington, Delaware, on January 14: –Karen Rubin/news-photos-features.com
Good evening, my fellow Americans.
It’s been three hundred and forty-three days since the virus that has ravaged our nation tragically claimed its first life.
On February 6, 2020, Patricia Dowd took her last breath at home, under the California sun of Santa Clara. She was 57 years old. A beloved wife, mother, daughter, and sister. She never knew she had the virus, at a time when most folks never even heard about the virus. But just like that, she was gone.
Almost exactly one year later, nearly 400,000 of our fellow Americans have met the same cruel fate. Countless families and friends left behind, with unrelenting grief and guilt, anger and frustration. And the emptiness felt by the loss of life is compounded by the loss of our way of life.
During this pandemic, millions of Americans — through no fault of their own — have lost the dignity and respect that comes with a job and a paycheck.
Millions of Americans who never thought they’d be out of work are facing eviction or waiting hours in their car to feed their families as they drive up to a food bank.
Millions who have kept their job but have seen their hours and paycheck reduced are barely hanging on as well.
That is happening today in the United States of America.
Just as we are in the midst of a dark winter of this pandemic as cases, hospitalizations, and deaths spike at record levels, there is real pain overwhelming the real economy. The one where people rely on their paycheck — not their investments — to pay their bills, their meals, and their children’s needs.
You won’t see this pain if your score card is how things are going on Wall Street. But you will see it very clearly if you examine what the twin crises of the pandemic and the sinking economy have laid bare.
The growing divide between those few people at the very top who are doing quite well in this economy — and the rest of America.
Just since this pandemic began, the wealth of the top 1% has grown by roughly $1.5 trillion since the end of last year — four times the amount for the entire bottom 50%.
Some 18 million Americans are still relying on unemployment insurance.
Some 400,000 small businesses have permanently closed their doors.
It’s not hard to see that we are in the middle of a once-in-several generation economic crisis within a once-in-several generation public health crisis.
A crisis of deep human suffering in plain sight.
And there is no time to wait.
We have to act and act now.
This is what the economists are telling us.
More importantly, it is what the values we hold in our hearts as Americans are telling us.
A growing chorus of top economists agree that, in this moment of crisis, with interest rates at historic lows, we cannot afford inaction.
It’s not just that smart fiscal investments, including deficit spending, are more urgent than ever. It’s that the return on these investments — in jobs, in racial equity — will prevent long-term economic damage and the benefits will far surpass the costs.
A growing number of top economists has shown even our debt situation will be more stable — not less stable — if we seize this moment with vision and purpose.
And so, tonight, I’d like to talk to you about our way forward. A two-step plan of rescue and recovery. A two-step plan to build a bridge to the other side of the crises we face and to a better, stronger, more secure America.
Tonight, I’ll lay out the first step — the American Rescue Plan — that will tackle the pandemic and get direct financial assistance and relief to Americans who need it the most.
Next month, in my first appearance before a Joint Session of Congress, I will lay out the second step, my Build Back Better Recovery Plan. It will make historic investments in infrastructure and manufacturing, innovation, research and development, and clean energy. Investments in the caregiving economy and in skills and training needed by our workers to compete and win the global economy of the future.
Moody’s — an independent Wall Street firm — said this approach would create more than 18 million jobs.
Our rescue and recovery plan is the path forward with a seriousness of purpose, a clear plan with transparency and accountability with a call for unity that is equally necessary.
Unity is not a pie-in-the-sky dream, it is a practical step to getting things done.
As I said when it passed in December, the bipartisan COVID-19 relief package was an important first step. I am grateful for the Democratic, Republican, and Independent members of Congress who came together to get it done.
But as I said at the time, it’s just a down-payment. We need more action, more bipartisanship, and we need to move fast.
Our rescue plan starts aggressively in order to speed up our national COVID-19 response.
The vaccines offer so much hope. We are grateful to the scientists and researchers, and everyone who participated in the clinical trials. We are also grateful for the rigorous review and testing that’s led to millions of people around the world already being vaccinated safely.
But, the vaccine rollout in the United States has been a dismal failure thus far.
Tomorrow, I will lay out our vaccination plan to correct course and meet our goal of 100 million shots by the end of our first 100 days.
This will be one of the most challenging operational efforts we have ever undertaken as a nation.
We will move Heaven and Earth to get more people vaccinated, to create more places for them to get vaccinated, to mobilize more medical teams to get shots in peoples’ arms, and to increase vaccine supply and get it out the door as fast as possible.
We will also do everything we can to keep our educators and students safe and to safely open a majority of our K-8 schools by the end of our first 100 days.
We can do it, if we give school districts, communities, and states the clear guidance they need as well as the resources they will need that they can not afford right now because of the economic crisis we are in. That means more testing and transportation, additional cleaning and sanitizing services, protective equipment, and ventilation systems in the schools.
And we need to make sure that workers who have COVID-19 symptoms and are quarantined, and those who need to take care of family members with COVID-19 symptoms should be able to stay home from work and still get paid.
This will reduce spread of the virus and make sure workers get the support they need.
But they need about $400 billion in funding from Congress to make all of this happen.
It’s a lot, but I’m convinced we are ready to get this done.
The very health of our nation is at stake.
Our rescue plan also includes immediate relief for Americans hardest hit and most in need.
We will finish the job of getting a total of $2,000 in direct relief to people who need it the most.
$600 is simply not enough if you still have to choose between paying rent and putting food on the table.
Even for those who have kept their jobs these checks are really important.
You see, if you are an American worker making $40,000 a year with less than $400 in savings, maybe you’ve lost hours, or maybe you’re doing fewer shifts driving a truck, or caring for kids, or the elderly.
You’re out there putting your life on the line to work during this pandemic and worried every week that you’ll get sick, lose your job, or worse.
$2,000 is going to go a long way to ease that pain.
We will also provide more peace of mind for struggling families by extending unemployment insurance benefits for millions of workers.
That means that the 18 million Americans currently relying on unemployment benefits while they look for work can count on these checks continuing to be there. Plus, there will be a $400 per week supplement to help make ends meet.
This gets money quickly into the pockets of millions of Americans who will spend it immediately on food, rent, and other basic needs. That helps our whole economy grow.
We will also tackle the growing hunger crisis in America.
As I speak, and as Vice President-elect Harris has spoken about this many times, 1 in 7 households in America — more than 1 in 5 Black and Latino households in America – report that they do not have enough food to eat.
This includes 30 million adults and as many as 12 million children.
It’s wrong. It’s tragic. It’s unacceptable.
We will extend emergency nutrition assistance for 43 million children and families enrolled in the SNAP program through the rest of this year.
And we will help hard-hit restaurants prepare meals for the hungry and provide food for families who need it.
We will also invest $3 billion in making sure mothers and their young children have the nutrition they need.
This would not only meet our moral obligation we have to one another, but it would also spur our economy and get restaurant workers back on the job.
As we work to keep people from going hungry, we will also work to keep a roof over their heads to stem the growing housing crisis in America.
Approximately 14 million Americans have fallen behind on rent, many at risk of eviction.
If we don’t act now there will be a wave of evictions and foreclosures in the coming months as the pandemic rages on. This would overwhelm emergency shelters and increase COVID-19 infections as people have nowhere to go and can’t socially distance.
Next week we will take action to extend nationwide restrictions on evictions and foreclosures. This would provide more than 25 million Americans greater stability instead of living on the edge every single month.
And, I am asking Congress to do its part by funding rental assistance for 14 million hard-hit families and tenants. It will also be a bridge to economic recovery for countless mom and pop landlords.
These crises are straining the budgets of states, cities, and tribal communities that are forced to consider layoffs and service reductions. It means the people putting their lives at risk are the very people now at risk of losing their jobs.
Police officers. Firefighters. All first responders. Nurses. Educators. Over the last year, more than 600,000 education jobs have been lost in our cities and towns.
Our rescue plan will provide emergency funding to keep these essential workers on the job and maintain essential services. It will ensure that vaccines are administered and schools can re-open.
Vice President-elect Harris and I have been speaking with county officials, mayors, and governors of both parties on a regular basis. We are ready to work with them to help get the relief they need.
Our rescue plan will also help small businesses that are the engines of our economic growth and economy as a whole. They are the glue that holds communities together.
But they are hurting badly, and they account for nearly half of the entire U.S. workforce.
Our rescue plan will provide flexible grants to help the hardest hit small businesses survive the pandemic. And low-cost capital to help entrepreneurs of all backgrounds create and maintain jobs, plus provide the essential goods and services that communities depend on.
Last week, I laid out how we will make sure our emergency small business relief is distributed swiftly and equitably.
It will focus on small businesses on Main Street. It will focus on minority-owned small businesses and women-owned small businesses finally having equal access to the resources they need to reopen and rebuild. And, we will be responsible with taxpayer dollars ensuring accountability that reduces waste, fraud, or abuse like we did with the Recovery Act during the Obama-Biden Administration.
Direct cash payments. Extended unemployment insurance. Rent relief. Food assistance. Keeping essential frontline workers on the job. Aid to small businesses.
These are key elements of the American Rescue Plan that would lift 12 million Americans out of poverty and cut child poverty in half.
That’s 5 million children lifted out of poverty.
Our plan would reduce poverty in the Black community by one-third. It would reduce poverty in the Hispanic community by almost forty percent.
And it includes much more, like an increase of the minimum wage to at least $15 an hour. No one working 40 hours a week should still be below the poverty line.
It includes access to affordable child care that will enable parents, particularly women, to get back to work.
I look forward to working with members of Congress from both parties to move quickly to get the American Rescue Plan to the American people.
And then we can move with equal urgency and bipartisanship to my Build Back Better Recovery Plan that I will call for next month to generate even more economic growth.
American manufacturing was the arsenal of democracy in World War II. It will be so again. Imagine the future Made in America in all of America and all by Americans. We will use taxpayer dollars to rebuild America. We will buy American products and support millions of American manufacturing jobs and enhance our competitive strength in an increasingly competitive world.
Imagine historic investments in Research & Development to sharpen America’s innovative edge in markets where global leadership is up for grabs, markets like battery technology, artificial intelligence, biotechnology, and clean energy.
Imagine confronting the climate crisis with American jobs and ingenuity leading the world.
It’s time to stop talking about infrastructure and finally start building it. Millions of good-paying jobs that put Americans to work rebuilding our roads, bridges, and ports to make them more climate resilient, to make it faster, cheaper, and cleaner to transport American-made goods across our country and around the world.
And, imagine millions of jobs in our caregiving economy to ease the financial burden of caring for young children and aging loved ones. Let’s make sure our caregivers, mostly women, women of color, and immigrants, have the pay and dignity they deserve.
We can do these bold, practical things now.
I know what I just described will not come cheaply. But failing to do so will cost us dearly. But the consensus among leading economists is we simply cannot afford not to do it.
Independent, respected institutions from around the world from the Federal Reserve to the International Monetary Fund have underscored the urgency. Even Wall Street firms have reinforced the logic.
If we invest now, boldly, smartly, and with an unwavering focus on American workers and families we will strengthen our economy, reduce inequity, and put our nation’s long term finances on a more sustainable course.
And where we are making permanent investments as I said on the campaign, we will pay for them by making sure that everyone pays their fair share in taxes.
We can do it without punishing anyone by closing tax loopholes for companies that ship American jobs overseas or that allow American companies to pay zero in federal income taxes.
Asking everyone to pay their fair share so we can make permanent investments to rescue and rebuild America is the right thing for our economy, it’s the fair thing and decent thing to do.
But we not only have an economic imperative to act now, we have a moral obligation.
In this pandemic, in America, we cannot let people go hungry.
We cannot let people get evicted.
We cannot watch nurses and educators and others lose their jobs.
We must act now and decisively.
My fellow Americans, the decisions we make in the next few weeks and months will determine whether we thrive in a way that benefits all Americans, or whether we stay stuck in a place where those at the top do great while economic growth for most everyone else is just a spectator sport — where America’s prospects dim, not brighten.
They will determine whether we reassert American leadership and out-compete our competitors in the global economy or whether we watch them catch up and pass us by.
Together I know we will choose a path that includes all Americans so we own the 21st Century.
But even with all of these bold steps,it will take time to get where we need to be. There will be stumbles. But I will always be honest with you about both the progress we’re making and the setbacks meet.
Here’s the deal — the more people we vaccinate, and the faster we do it, the sooner we can save lives put this pandemic behind us and get back to our lives and loved ones.
The sooner we can rescue and rebuild our economy.
I know it’s been nearly a year that’s tested us beyond measure.
For all of you who have lost someone my heart goes out to you. I know what it’s like to stare at the empty chair. For those who have fallen on hard times, I know you can never get back what you lost.
But as your president, I know that every day matters, and every person matters.
From the very first to the nearly 400,000 lost American souls and counting, and to the millions of you just looking for a fighting chance in this economy: I will not forget what you’re going through. We understand what you’re going through.
We will not give up.
We will come back together.
While we didn’t get into all of this overnight, we won’t get out of it overnight, and we can’t do it as a divided nation. The only way we come through this is together as fellow Americans and as the United States of America.
And when we do, there is nothing beyond our capacity.
Out of all the peril of this moment I want you to know, I see all the promise as well.
I remain as optimistic about America as I have ever been.
The Initial Groups of Phase 1b Now Eligible for COVID-19 Vaccine Include Individuals 75 and Older, First Responders, Corrections Officers, Teachers and Other School Staff; In-Person College Instructors, Childcare Workers, Public Facing Grocery Store Workers, Transit Workers and Individuals Living and Working in Homeless Shelters
Vaccine Administrations to Begin at Hundreds of New Sites This Week As Part Of New York’s Newly Expanded Vaccine Distribution Network
Due to Limited Federal Distribution of Vaccine Supply All New Yorkers are Encouraged to Remain Patient When Scheduling Appointments
Appointments Could Take Up to 14 Weeks Due to Limited Federal Allocation
Click Here to Determine Eligibility and Schedule Appointments with Administrating Providers
Governor Andrew M. Cuomo announced the New Yorkers within priority group 1b can now begin scheduling appointments with individual providers, including pharmacies, local health departments, and hospitals, to receive the COVID-19 vaccine. Those now eligible to receive the vaccine include individuals 75 and older, first responders, public safety officers, teachers and other school staff; in-person college instructors, childcare workers, public-facing grocery store workers, transit workers and individuals living and working in homeless shelters. Eligibility determinations and a list of nearby providers where appointments can be scheduled can all be done through New York’s new ‘Am I Eligible ” app. New Yorkers can begin calling the New York State Vaccination Hotline at 4PM on Monday, January 11: 1-833-NYS-4VAX (1-833-697-4829).
Since federal supply severely limits the ability to distribute vaccine, New Yorkers are encouraged to remain patient and are advised not to show up at vaccination sites without an appointment. New York’s vast distribution network and large population of more than 4 million eligible individuals in this priority group dwarf the vaccine supply coming from the federal government, which is arriving at a rate of approximately 300,000 doses per week. As such, eligible New Yorkers should be prepared to receive an appointment date as far as 14 weeks in the future.
“After ten long months, the expansion of eligibility for additional New Yorkers to begin making their COVID-19 vaccination plan is a light at the end of the tunnel,”said Governor Cuomo. “The vaccine is the weapon that will end the war, and as we continue to prioritize healthcare workers as hospital capacity necessitates, New York is proud to have reached this milestone and we strongly encourage all who are newly eligible to schedule their free vaccination appointment as soon as possible.”
Under New York’s expanded eligibility, the following individuals will now be eligible to schedule a COVID-19 vaccine appointment:
Individuals Age 75 and older
First Responders and Support Staff of First Responder Agencies
State Fire Service, including firefighters and investigators (professional and volunteer)
Local Fire Service, including firefighters and investigators (professional and volunteer)
Police and Investigators
State Police, including Troopers
State Park Police, DEC Police, Forest Rangers
County Police Departments and Police Districts
City, Town, and Village Police Departments
Transit of other Public Authority Police Departments
State Field Investigators, including Department of Motor Vehicles, State Commission of Correction, Justice Center, Department of Financial Service, Inspector General, Department of Tax and Finance, Office of Children and Family Services, and State Liquor Authority
Public Safety Communications
Emergency Communication and Public Safety Answering Point Personnel, including dispatchers and technicians
Other Sworn and Civilian Personnel
Other Police or Peace Officers
Support of Civilian Staff of any of the above services, agencies or facilities
State Department of Corrections and Community Supervision Personnel, including correction and parole officers
Local Correctional Facilities, including correction officers
Local Probation Departments, including probation officers
State Juvenile Detention and Rehabilitation Facilities
Local Juvenile Detention and Rehabilitation Facilities
P-12 school or school district faculty or staff (includes all teachers, substitute teachers, student teachers, school administrators, paraprofessional staff, and support staff including bus drivers)
Contractors working in a P-12 school or school district (including contracted bus drivers)
In-Person College Instructors
Employees or Support Staff of Licensed, Registered, Approved or Legally Exempt Childcare Setting
Licensed, Registered, Approved or Legally Exempt Childcare Providers
In-Person College Instructors
Public-Facing Grocery Store Workers
Airline and airport employees
Passenger railroad employees
Subway and mass transit employees (i.e., MTA, LIRR, Metro North, NYC Transit, Upstate transit)
Port Authority employees
Public bus employee
Individuals living in a homeless shelter where sleeping, bathing or eating accommodations must be shared with individuals and families who are not part of your the same household
Individuals working (paid or unpaid) in a homeless shelter where sleeping, bathing or eating accommodations must be shared by individuals and families who are not part of the same household, in a position where there is potential for interaction with shelter residents
Until this point, 2.1 million New Yorkers in priority group 1A have been eligible to receive the vaccine. This includes patient-facing health care and other critical hospital workers, seniors living in nursing homes and assisted-living facilities, and people with disabilities living in congregate settings. Distribution sites were established directly within hospitals, FQHCs, and urgent care clinics to provide direct access to all those eligible. To further accelerate the vaccination rate of priority health care workers, and begin the vaccination of group 1B essential workers and 75-plus year olds, New York has established a network of distribution sites that will supplement the work being done in hospitals to prevent any one hospital from becoming overburdened.
This new network will utilize doctors’ offices, Federally-Qualified Health Centers, county health departments, ambulatory centers and pharmacies to get doses in the arms of eligible New Yorkers. More than 1,200 pharmacies have already committed to participating in this network, with nearly 500 scheduled to come on-line this week. Providers across the state will begin accepting vaccination reservations on Monday, January 11 when a centralized state website goes online that lists nearby providers where appointments can be scheduled. Pharmacies will be provided vaccines for New Yorkers aged 75 and older, while hospitals will continue vaccinating 1a healthcare workers, and local health departments and union-organized efforts will serve essential workers in 1b.
Additionally, the Department of Health is setting up 20 mass distribution sites throughout the state over the next several weeks to support all categories of eligibility. Opening on Wednesday:
Jacob K. Javits Convention Center (NYC)
Westchester County Convention Center (Westchester County – in partnership with County Health Dept. and Westchester Medical Center)
State Fairgrounds (Onondaga County – in partnership with County Health Dept.)
Additional sites will be launched in the days to come.
Under this expanded vaccination network, hospitals will continue to prioritize unvaccinated members of 1A: health care workers. Additionally, large union groups, including but not limited to police, firefighters and educators, have been asked to organize plans for vaccinating their members to the extent possible, incorporating coordination and partnership with local health departments. This will enable other providers in the network to focus on New Yorkers over the age of 75, which represents the largest group in 1B at approximately 1.4 million people.
Nassau County, Long Island, opened its second COVID-19 vaccine distribution center, in partnership between the County, Northwell Health and New York State at the “Yes We Can” Community Center in Westbury. The vaccines will be administered by Nassau County Department of Health staff, Members of Nassau County’s Medical Reserve Corps (MRC) with assistance from Northwell Health, which has been designated by New York State as Long Island’s vaccination HUB. The center began vaccinations on Saturday, January 9 for residents who met the criteria set by New York State.
Together with Nassau Community College site, Dr. Lawrence Eisenstein, Nassau County Commissioner of Health, anticipates administering up to 1,000 shots a day, depending upon supply of doses.
“Nassau County is leading the way with distribution of the COVID-19 vaccine as we open another vaccine POD,” said Nassau County Executive Curran. “Along with our hospital partners, we have already vaccinated tens of thousands of residents–we are not wasting any time or any doses.
“I am committed to providing equitable access to the vaccine, especially in our hardest hit communities such as the Westbury/New Cassel area,” she said. ”The County will continue to build the infrastructure to dole out this vaccine as quickly and effectively as possible as supply comes in. Thank you to all the volunteers who are the gears keeping our vaccine machine running at full speed. I encourage all residents who are eligible to roll up their sleeve and get the vaccine. We can do it, Nassau!”
The site at the “Yes We Can” Community Center in Westbury will be operating 7 days a week to vaccinate eligible residents with an appointment. The announcement comes less than a week after the first County vaccine center opened at Nassau Community College and inoculated over one thousand people.
New York State continues to expand the criteria for who can receive the COVID-19 vaccine. For regular updates on who is currently eligible for the vaccine under New York State’s guidance and to make an appointment, residents can visit the County’s vaccine website at www.nassaucountyny.gov/vaccine. Only those who meet the criteria can make an appointment at this time. The vaccine will be provided for free regardless of insurance or immigration status.
As of Friday, January 8, those who are eligible to be vaccinated are:
High-risk hospital staff, affiliates, volunteers and contract staff including State-operated Office of Mental Health (OMH) psychiatric centers
Emergency Medical Services (EMS) Personnel
Medical Examiners and Coroners
Funeral workers who have direct contact with infectious material and bodily fluids.
Health care, other high-risk direct care essential staff and agency staff working in Long Term Care Facilities and long-term, congregate settings overseen by Office of People with Developmental Disabilities (OPWDD) the Office of Mental Health (OMH) and the Office of Addiction Services and Supports (OASAS).
Residents living in Long Term Care Facilities and in long-term congregate settings overseen by OPWDD, OMH and OASAS
Urgent Care providers
Any staff administering COVID-19 vaccinations
All public facing health care workers including those who provide direct in-person patient care or other staff in a position where they have direct contact with patients.
Hospice workers and home health aides
Law Enforcement with ALS (advanced lifesaving) certification
But as of Monday, January 11, the state is expanding the list of those who are eligible to be vaccinated, to Group 1B essential workers including education workers, first responders, public safety workers, public transit workers and people 75 and older.
“A successful, equitable rollout of the COVID-19 vaccine is the key to ensuring New Yorkers are protected from the coronavirus, and our community is able to reopen and recover from the pandemic era,” said State Senator Anna Kaplan. “It’s critical that every community have access to this life-saving resource, and I’m grateful to County Executive Curran and Governor Cuomo for working together to open a vaccination distribution center at the Yes We Can Center in Westbury. I encourage everyone in our community to roll up their sleeves and get vaccinated as soon as they are able.”
“Residents of communities like New Cassel and Westbury have played an indispensable role in Nassau County’s pandemic response through their labor as frontline workers, medical professionals and first responders. By establishing this site at the Yes We Can Center, Nassau County and the Town of North Hempstead are recognizing the valiant efforts of these essential workers,” said Nassau County Legislator Siela A. Bynoe.“Most importantly, we are increasing access to the COVID-19 vaccine by embedding this life-saving service in a residential community that has been greatly impacted by the pandemic.”
“The early emergence of COVID-19 vaccines has brought on much needed optimism for the future,” said North Hempstead Supervisor Judi Bosworth.”While availability has been limited, more residents will become eligible to receive the vaccine as distribution centers continue to open and New York’s supply increases. With that said, we are proud to partner with County Executive Curran to make vaccinations available at our facility in Westbury.”
“As a Town we continue to collectively monitor and address the uphill battle of the current pandemic caused by Covid -19 and now the virus’ variant strain of B117. Having access to the newly available Moderna vaccine at a Point of Distribution location set up here at our easily accessible “Yes We Can” Community Center now provides a strong opportunity to keep this deadly virus at bay. As a heavily impacted area, this POD will greatly benefit the community and serve as a strong deterrent against the virus here in New Cassel/Westbury and the surrounding areas,” said North Hempstead Councilwoman Viviana Russell.
Curran said that wide-scale vaccination is key to returning to normalcy, reopening businesses and having kids in school, but until then, and especially with a new, more transmissible strain of the coronavirus now in Long Island, residents must continue to wear masks, keep social distance and wash hands.
How fast a critical mass of people can become vaccinated depends on the supply of the vaccines – so far Pfizer and Moderna are available. It is expected that a third and fourth vaccine, ones that require only a single dose, will also soon be on line.
“We’re putting out doses as fast as we can,” Curran said she said it is likely that by late spring, enough will be available so that anyone who wants a vaccination will be able to get one. I think we will have a relatively normal summer.”
In response to new concerns over the UK strain found in a 64-year old Massapequa man, Dr. Eisenstein said “All viruses mutate. We knew this one would mutate. People should do exactly what they have been doing to protect themselves. We’re not panicked by it. We have the weapon” – the vaccine.
State Expands Vaccine Distribution Network
On Friday, Governor Cuomo Governor Andrew M. Cuomo today announced the expansion of the state’s vaccination distribution network to help accelerate the administration of the COVID-19 vaccine to New Yorkers currently eligible under group 1A and begin the vaccination of New Yorkers eligible under group 1B. As part of this effort, thousands of new providers and distribution sites are being identified throughout the state. Essential workers and New Yorkers over the age of 75 can begin to make vaccination reservations at administration sites as early as Monday, January 11.
“Over the past week, we have seen hospitals increase their vaccination rates and I thank them for their efforts, but it’s still not enough, so we’re going to accelerate the distribution,” Governor Cuomo said. “We are establishing a network of thousands of providers statewide to both supplement the work of hospitals to vaccinate health care workers, as well as begin the vaccination of other essential workers and individuals 75 and older. The federal government controls the supply, so as we continue to receive more, New York will not only ensure doses are distributed in the most fair and socially equitable way possible, but that health care workers continue to be prioritized so our hospitals remain safe and staffed.”
Currently, 2.1 million New Yorkers in group 1A have been eligible to receive the vaccine. This includes health care and hospital workers, seniors living in nursing homes and assisted-living facilities, and people with disabilities living in congregate settings. Distribution sites were established directly within hospitals to provide direct access to all those eligible. While the speed of vaccinations has increased throughout the past week, further acceleration is still needed.
To further accelerate the vaccination rate of priority health care workers, and begin the vaccination of group 1B essential workers and 75-plus year olds, New York has established a network of additional distribution sites that will supplement the work being done in hospitals to prevent any one hospital from becoming overburdened. The largest group, 3.2 million New Yorkers will be eligible to receive the vaccine in 1B, including:
870,000 Education workers
207,000 first responders
100,000 public safety workers
100,000 public transit workers
1.4 million people 75 and older
This new network will utilize doctors’ offices, Federally-Qualified Health Centers, county health departments, ambulatory centers and pharmacies to get doses in the arms of eligible New Yorkers. More than 1,200 pharmacies have already committed to participating in this network, with nearly 500 scheduled to come on-line next week. Providers across the state will begin accepting vaccination reservations on Monday, January 11 when a centralized state website goes online.
Additionally, the Department of Health is setting up 20 mass distribution sites throughout the state over the next several weeks, with the first of those sites, the Jacob K. Javits Convention Center, slated to open its doors on Wednesday, January 13.
Under this expanded vaccination network, new providers will prioritize their health care workers and hospitals will continue to prioritize unvaccinated members of 1A: health care workers. Additionally, large union groups, including but not limited to police, firefighters and educators, have been asked to organize plans for vaccinating their members to the extent possible. If viable plans are established, these groups will receive weekly allocations from their local health departments. This will enable other providers in the network to focus on New Yorkers over the age of 75, which represents the largest group in 1B at approximately 1.4 million people.
New York is mandating social equity and fair distribution among the groups included in 1B to ensure fair treatment and proportionate allocations both by group and by region. For example, New Yorkers 75 years of age and older represent approximately 45 percent of the population within group 1B and as such, 45 percent of the 1B vaccine supply will be reserved for them. Similarly, 5.9 percent of New York’s 75+ population reside in the Capital District, so 5.9 percent of the allocation for New Yorkers 75+ will be directed to the Capital District. The state will open distribution sites in underserved areas to ensure social equity.
To support the increased staffing needs resulting from the establishment of this vaccination network, the Governor has signed an Executive Order to expand the eligible pool of trainees who can administer vaccinations at distribution sites to include:
Licensed Practical Nurses
Certain Dental Hygienists
Emergency Medical Technicians
Certain Eligible Students
The expanded vaccination program is welcome at a time when the county and the state are in the midst of a second-wave surge on top of a surge. As of Saturday, January 9, the seven-day positivity rate was 8.7%, 761 were hospitalized, 115 in ICU – the highest number since May – 66 on ventilators and 10 county residents died.
“Tens of thousands of Nassau residents have already received their first vaccine shots with over 1,000 just at the County’s POD (Point of Distribution) at Nassau Community College since Jan 5 alone,” Curran said.
“I have asked that the State increase eligibility and today it was announced that they are expanding beginning on Monday. Every day is crucial, and we must continue to pick up the pace. We’ve concentrated on vaccinating medical and frontline residents as fast as possible so that we can focus on groups like residents over 75, Police, Teachers, Firefighters, Corrections Officers, and more. The County will continue mobilizing its resources at full scale to expedite the vaccine distribution process, and we expect to open another POD tomorrow.
“With vaccine distribution ramping up and cases surging at the same time, my message to residents is simple: Hold fast and stay strong. Help is on the way.”
New York State announced its plan to dramatically increase vaccination efforts, approving 3,762 providers to serve as vaccination sites. Currently, 636 locations have been activated.
By the end of this week, the state would have distributed 911,000 first doses for administration to eligible New Yorkers.
In an effort to take pre-emptive steps to ensure this network of sites does not become immediately overwhelmed once the vaccine is available to the general public, Governor Andrew Cuomo is encouraging essential worker groups such as police departments, fire departments, educators, and public transit organizations to begin developing plans for their workforce if possible. The more groups of essential workers able to receive vaccines through internal distribution plans, the more availability there will be for those New Yorkers seeking the vaccine through the “retail network,” he said.
To further bolster these plans, New York is continuing to move forward on a number of special efforts to ensure resources are in place to facilitate widespread vaccination, especially in underserved communities. Pop-up vaccination centers will be established to facilitate public vaccinations. The state is also identifying public facilities and convention centers to also be used as vaccination centers. This includes the Javits Center, as well as SUNY and CUNY facilities. The state is also actively recruiting retired nurses, doctors and pharmacists to support vaccine administrations.
At the same time, the Governor renewed his call on the federal government to test all travelers from outside the United States. Despite the fact that the highly transmissible UK strain has been identified in 33 countries, as well as here in the state of New York, the federal government has yet to learn from mistakes made in the spring and mandate testing for international travelers entering the country, he said.
“The vaccine is the weapon that will win this war and we must move quickly and efficiently to get New Yorkers vaccinated as soon they become eligible,” Governor Cuomo said.”All health care workers can now receive the vaccine and the state is working around the clock to ensure resources are in place as more and more members of the general public become eligible to receive it. While these efforts are underway, the UK strain of the virus remains highly problematic – it is here and it could complicate matters further, as it is much more transmissible. Despite all of this, the federal government continues its refusal to test all international travelers entering the country. Government is supposed to be competent, government leaders are supposed to be competent. We already saw this situation play out in the spring – have we learned nothing?”
New York is working around the clock to distribute vaccines to eligible groups as fairly and expeditiously as possible, he said. Work is also under way to prepare for widespread vaccination of the general public once allowable under state guidelines. As part of this work, New York has worked with the public and private sectors across the state to develop a ‘retail network’ of vaccination provider sites. Similar to operations for the annual distribution of the influenza vaccine and ongoing COVID-19 testing, these sites will help ensure access to the vaccine through multiple locations in each of the state’s 10 regions. The network includes pharmacies, federally-qualified health centers, local health departments, private urgent care clinics, private doctor networks, and other sites capable of vaccinations. More sites continue to be added to the network every day.
A breakdown of the different types of retail vaccination sites:
Number Enrolled to Administer Vaccine
Pharmacy – Chain
Long-Term Care /Congregate Living Facility
Federally Qualified Health Center
Community/Rural/Public Health Center & Clinic
The regional breakdown of sites:
Number of Sites Enrolled to Administer Vaccine
New York City
Central New York
Western New York
Already, 636 of these sites have been activated and are administering the vaccine to eligible New Yorkers. Those include:
Federally Qualified Health Centers
Urgent Care Clinics
Local Health Departments
A regional breakdown of activated sites:
Number of Sites
New York City
Central New York
Western New York
A main focus of these efforts is ensuring vaccine access in under-served communities and health care deserts. The state has already begun building Community Vaccination Kits and working with public housing officials, churches, and community centers to support these efforts and deploy kits to the appropriate locations. Each kit includes step-by-step instructions for how to set up a site, and critical supplies and equipment such as office supplies, workstation equipment, communications equipment, cleaning supplies, lighting equipment, PPE, crowd/traffic control equipment, vials, syringes, room dividers and privacy curtains.
President-Elect Joe Biden, in remarks that included a rebuke of the Trump Administration’s failure to achieve even a fraction (2 million) of the 20 million vaccinations promised by the end of 2020, outlined five things Americans need to know about the coronavirus pandemic and his administration’s plans to get COVID-19 under control:
1. Things are going to get worse before they get better, with nation on track to hit 400,000 dead by Inauguration Day, but tens of thousands of lives can be saved if people are vigilant.
2. “The Trump administration plan to distribute vaccines is falling behind, far behind.”
3. The Biden-Harris administration will spare no effort to provide vaccines, free, and stand up distribution system to deliver 100 million vaccinations in the first 100 days, to “make sure the vaccine is distributed equitably, so every person who wants the vaccine can get it no matter the color of their skin or where they live.”
4. Will use the Defense Production Act to accelerate production of the materials needed for the vaccine. And massive public education campaign to show vaccines are safe – and equitable distribution
5. Remain vigilant. Will ask Americans to wear mask for first 100 days of his presidency, as part of his 100-day challenge; get Congress to fund COVID action plan for testing, PPE, vaccination program and so that K-8 schools can open safely
Here is a highlighted transcript of Biden’s remarks on Tuesday, December 29, from Wilmington, Delaware:
Vice President-elect Harris and I just received a briefing on COVID-19 by our team of experts.
As we end one of the most difficult years as a nation, I am optimistic about the future.
The vaccines that have been discovered and developed give us enormous hope.
Our economy is poised to come back, and come alive.
And I can see a return to normalcy in the next year.
I also see the incredible opportunities for our nation in the years ahead in job creation, in clean energy, racial equality, and so much more.
But I need to be honest.
The next few weeks and months are going to be a very tough period of time for our nation — maybe the toughest of the entire pandemic.
I know that’s hard to hear. But it’s the truth.
So, we need to steel our spines for what’s ahead.
We need to follow even more closely the recommendations to slow the spread of the virus.
And each of us needs to do what we can to protect ourselves, our families, and our fellow Americans.
We are going to get through this.
Brighter days are coming.
But it’s going to take all the grit and determination we have as Americans to get it done.
So today, I want to clear about five things every American should know about our efforts to contain COVID-19 and where the vaccine stands today
First — things will get worse before they get better.
In September, we passed the grim milestone of 200,000 deaths.
At the time, I warned that we’d hit 400,000 deaths before the end of the Trump Administration in January.
Critics said I was being too alarmist and negative.
But as I’ve said all along, I will tell it like it is when it comes to COVID.
And the reality is, it looks like we’ll hit that grim milestone.
We just crossed 330,000 deaths.
We’re averaging a daily death rate of nearly 2,200 people — which means we will lose tens of thousands of more lives in the months to come.
Hospitals are being stretched beyond capacity.
And that’s data before we see the impact of cases coming from the holidays.
People getting infected today don’t show up in case counts for weeks, and those who perish from the disease die weeks after exposure.
So we have to anticipate that infections over the holidays will produce soaring case counts in January and a soaring death toll into February.
Turning this around will take time. And we might not see improvement until well into March, as it will take time for our COVID response plan to begin to produce visible progress.
Second, the Trump administration’s plan to distribute vaccines is falling behind, far behind.
We are grateful to the companies, doctors, scientists, researchers, and clinical trial participants, and Operation Warp Speed for developing the vaccines quickly.
But as I long feared and warned, the effort to distribute and administer the vaccine is not progressing as it should.
A few weeks ago the Trump Administration suggested that 20 million Americans could be vaccinated by the end of December.
With only a few days left in December, we have only vaccinated a few million so far.
At the pace the vaccination program is moving now, it would take years, not months, to vaccinate the American people.
Which brings me to the third thing every American should know: the Biden-Harris Administration will spare no effort to make sure people are getting vaccinated.
I’ve laid out three challenges in our first 100 days.
One of them is ensuring that 100 million shots have been administered by the end of our first 100 days.
If Congress provides the funding, we would be able to meet this incredible goal.
It would take ramping up five to six times the current pace to 1 million shots a day.
But even with that improvement, even if we boost the speed of vaccinations to 1 million shots a day, it will still take months to have the majority of the country vaccinated.
I have directed my team to prepare a much more aggressive effort — with more federal involvement and leadership to get things back on track.
We will find ways to boost the pace of vaccinations.
But as Dr. Fauci and others have stated these past few days, this will all take more time than anyone would like – and more time than the promises from the Trump administration has suggested.
This will be the greatest operational challenge we have ever faced as a nation.
We will get it done.
But it’s going to take a vast new effort that is not yet underway.
And that gets to the fourth thing you should know: I will move Heaven and Earth to get us going in the right direction.
I will use my power under the Defense Production Act to order private industry to accelerate the making of materials needed for the vaccine.
Vice President-elect Harris and I have been speaking with county officials, mayors, and governors of both parties to speed up the distribution of the vaccine across the nation.
We are planning a whole-of-government effort.
We will work to set-up vaccination sites and send mobile units to hard-to-reach communities.
We also know there is vaccine hesitancy in many communities, especially in Black, Latino, and Native American communities who have not always been treated with the dignity and honesty they deserve by the federal government and the scientific community throughout our history.
That’s why we will launch a massive public education campaign to increase vaccine acceptance.
We will do everything we can to show the vaccines are safe and critically important for one’s own health and that of their family and community.
That means we will also make sure the vaccine is distributed equitably, so every person who wants the vaccine can get it no matter the color of their skin or where they live.
And we’re going to ensure vaccinations are free of charge.
Fifth — while the pandemic rages on and as we increase the supply, distribution, and administration of the vaccine, we must remain vigilant.
As part of our 100-day challenge, I’ll be asking the American people to wear a mask for the first 100 days of my administration.
Not as a political statement, but as a patriotic duty.
Our Administration will require masks where we can for federal workers, in federal facilities, and on interstate travel like planes and trains.
And we’ve been working directly with county officials, mayors, and governors to implement mask mandates in their towns, cities, and states.
Masking has been a divisive issue in this country.
But COVID is a killer in red states and blue states alike.
So — I encourage all of you — wear a mask.
Encourage your family and friends to do the same.
It’s one of the easiest things we can do that will make a huge difference to save lives.
Another 100-day challenge is opening most of our K-8 schools by the end of our first 100 days in the spring.
But we can only do that if Congress provides the necessary funding so we can get schools, districts, communities, and states the resources they need for so many things that aren’t in their already tight budgets.
They need funding for testing to help reopen schools.
More funding for transportation so students can maintain social distancing on buses.
They need it for school buildings, for additional cleaning services, protective equipment, and ventilation systems.
This will require an additional tens of billions of dollars to get it done.
And Congress also needs to fund and provide more protective equipment for frontline health care workers who are still reusing masks and gowns.
And we need to scale up testing so anyone who needs one can get one.
After 10 months of the pandemic, we still don’t have enough testing.
That’s a travesty.
All of this — vaccinations, testing, protective gear — will require more funding from Congress, more than was just approved.
That is why I will propose a COVID action package early next year and challenge Congress to act on it quickly.
My ability to change the direction of the pandemic starts in three weeks.
But with thousands dying every day between now and then, let me conclude by discussing what needs to happen now.
I congratulate the bipartisan majority on passing and President Trump on signing the COVID relief bill.
It is a step in the right direction.
It will help people in need.
It will pay for some, but far from all of what we need to fix the COVID response.
It’s a down payment.
But now, with that done — I hope that the President will also clearly and unambiguously promote mask wearing.
I give former Governor Chris Christie credit. He and I disagree on most things.
But I’m thankful he’s now encouraging people to do the right thing and wear a mask for themselves, their loved ones, and their country.
I hope President Trump listens to him.
He can do it, too.
It would make a huge difference.
And I hope that the President will clearly and unambiguously urge all Americans to take the vaccine once it’s available.
I took it to instill public confidence in the vaccine.
Vice President-elect Harris took hers today to do the same.
When his doctors recommend it, President Trump should take it and instill that same degree of confidence.
And let me also say this to the American people: we can save 60,000-100,000 lives in the weeks and months ahead if we step up together.
Wear a mask. Stay socially distanced. Wash our hands. Avoid large indoor gatherings.
I know that these are often not easy asks.
You’re already making tremendous sacrifices every single day.
It’s hard on your lives, on your livelihoods, and on your kids and families.
It’s not small what’s being asked of you.
But we are in it together.
And the actions we take now will help us contain the pandemic and get us back to our lives and loved ones.
So, to the American people, I know there’s a lot that we have to do.
But I want you to know there’s also so much we can do.
We are the United States of America.
We’ve been through hard times before as a nation, and we’ll come through this as well.
FDA Expected to Authorize Pfizer Vaccine This Week; New York Could Receive Initial Allocation of 170,000 Doses Beginning this Weekend
Nursing Home Residents, Nursing Home Staff and ‘High Risk’ Hospital Workers Prioritized First
90 Cold Storage Sites Identified Across the State to Receive and Store Vaccines
New York National Guard Selected by Department of Defense to Participate in One of 16 Pilot Programs Aimed at Vaccinating Military Personnel
With the FDA expected to authorize Pfizer’s COVID-19 vaccine this week, New York State Governor Andrew M. Cuomo detailed plan for distributing what is expected to be an initial allocation of 170,000 vaccines as soon as this weekend.
The state’s vaccination distribution effort will focus on battling skepticism, include outreach to Black, Brown and poor communities, as well as expedited distribution and administration.
“Distributing the vaccine is a massive undertaking. I think frankly, people have not focused enough on the extent of what this undertaking means. I can’t think of a government operation that has been commenced that is more difficult and intricate than what governments will be asked to do here,” Governor Cuomo said. “The way the vaccine is going to work is the federal government will be responsible for the procurement and the distribution. The military is doing the transportation with private companies, and they will send it where we ask them to send it. We then set the priorities for not only where it goes, but who gets it. The first allocation is for nursing home residents, nursing home staff and high-risk health care workers. We’ve identified 90 regional centers that can keep the vaccine at the required temperature and they’ll act as distribution centers for that region. Pfizer’s vaccine is expected to be approved by the FDA tomorrow. Immediately after that, our New York State panel will convene and review and approve it. They’ve already been speaking to the FDA about the process.”
As outlined in New York’s vaccination program, high-risk healthcare workers, nursing home residents and staff are prioritized first to receive the vaccine, followed by other long-term and congregate care staff and residents and EMS and other health care workers. Essential workers and the general population, starting with those who are at highest risk, will be vaccinated after these initial priority groups.
New York has opted into the federal government’s nursing home vaccination program. Under the federal program, employees of CVS and Walgreens will vaccinate residents and staff in these facilities, much like the do for the flu vaccine. New York State will issue guidance for hospitals to select which patient-facing staff should be prioritized as “high-risk” in line with state rules.
If authorized by the FDA, the first delivery of Pfizer vaccines for the federal nursing home vaccination program could begin arriving next week, with the federal program slated to begin on December 21. New York is dedicating a portion of its initial allotment of 170,000 doses to this program. Portions of future state allocations will also be used to help complete the program and ensure all residents and staff are vaccinated.
‘High risk’ hospital workers eligible to receive a vaccination from the state’s initial allotment include emergency room workers, ICU staff and pulmonary department staff. As part of the effort to vaccinate ‘high risk’ hospital staff, the state has identified 90 locations across the state with requisite cold storage capabilities and those sites will receive enough doses for approximately 90,000 patient-facing hospital staff, or 40 percent of the entire patient-facing hospital workforce. The state expects all ‘high risk’ hospital staff will receive a vaccine by the end of week two. Staff at every hospital in New York State, regardless of storage capabilities, will have access to the first allocation of a vaccine.
The vaccine will be allocated on a regional basis. Regional estimated distributions are as follows:
New York City -72,000
Long Island – 26,500
Mid–Hudson – 19,200
Capital Region – 7,850
North Country – 3,700
Mohawk Valley – 4,200
Central New York – 6,400
Southern Tier – 4,500
Finger Lakes – 11,150
Western New York – 14,500
Following the vaccination of ‘high risk’ health care workers, the priority will shift to all long-term and congregate care residents and staff, EMS and other health care workers. Essential workers and the general population will follow those groups, and those with the highest risk will be prioritized.
Additionally, the New York National Guard has been selected by the Department of Defense as one of 16 pilot programs across the nation to be part of the limited distribution of the Pfizer COVID-19 vaccine to military personnel. Members of the New York Army and Air National Guard who serve as part of the state’s COVID response efforts will be eligible for the vaccine.
In his daily update, Cuomo said, “New York expects the initial allocation of 170,000 doses. The federal government is doing the allocation based on state population. Again, they distribute it to the state, the state then turns around and does an allocation within the state. It could arrive as soon as this weekend. That assumes the FDA does act right away. The FDA does approve it and the military turns around and ships it immediately. It could actually be coming this weekend. Further allocations will be in the following weeks.
“Our state priority: Nursing home residents first, nursing home staff. There was a discussion about if you do the residents or do you do the staff. New York, we decided to do both residents and the nursing home staff. Then you go to high-risk hospital workers. We have about 700,000 hospital workers in this state so its’s a very large population. We’ll prioritize the high-risk hospital workers within that overall health care population. We have rules that we have established that we will send to hospitals about what is a quote, unquote high-risk health care worker. The hospitals will select the actual individuals who will get the first vaccines within that guidance. Emergency room workers, ICU staff, pulmonary department staff.
“The allocation by region, again, this is based on number of nursing home residents, number of nursing home staff and number of high-risk health care workers. The 90 locations across the state that can provide the cold storage will receive enough doses for roughly 90,000 patient-facing hospital staff. That is 40 percent of the total hospital patient-facing workforce of 225. The 225,000 is a subset of the overall 700,000, obviously. By the end of week two, if all goes well and the federal government sticks to the schedule, we expect all high-risk staff will receive the vaccination. Staff at every hospital will have access to the allocation, even if their hospital doesn’t have this cold storage capacity. They will have access to the vaccine by a hospital in their region that does have that storage capacity. After we take care of all the high-risk healthcare workers, we’ll then move to all long-term and congregate care staff and residents. NEMS and other healthcare workers and then essential workers, general population, starting with those who have the highest risk.
“The federal government offered a program that New York State opted into, whereby pharmacies will do the vaccinations in nursing homes, which will take a burden off the nursing home staff, and New York has opted into that program. It’s run by the federal government, but basically they subcontract with private companies to do the vaccinations in nursing homes. Flu vaccine we do this way. New York by participating in that program, we provide part of our allocation to that program, so we actually have enough vaccinations to cover all residents. Part of the future allocations will ensure enough doses to make sure we complete that program. Completion is all nursing home residents and staff.
“We expect deliveries to begin next week. The federal administration says they’re going to start by 12/21. New York is dedicating part of our initial allocation to the program, but we do expect to have enough to cover all residents and all staff. The staff is actually vaccinated on a rolling basis to make sure they have staff that’s receiving the vaccine and staff that’s working at all times.
We’re also pleased that the New York National Guard has been selected by the Department of Defense as a pilot program where they will vaccinate people from the National Guard who have been working on our COVID-19 task force. And New York is pleased to participate in that. And the National Guard who have been doing a phenomenal job for the past nine months as we’ve worked through this barrage, they’ll be eligible for the vaccine also.
“The fairness of the vaccine is paramount, and I mentioned it before, but we have to make sure this nation understands that we can’t make the same mistake twice. Death rate among Blacks, twice what the death rate among whites is from COVID. Death rate among Latinos, one and a half times the death rate among whites. COVID testing, fewer tests taken in the Black and Latino and poor communities. It was just a manifestation of the disparity in healthcare, and it has to be corrected during the vaccination program. we have to get into public housing. We have to partner with Black churches and Latino churches, community groups. This has to be a fair distribution, and New York will lead the way. We’ve made these concerns known to HHS, I’ve sent letters, I’ve done speeches, I’m working with civil rights groups across the state. Made these points to Congress on several occasions, we’re working with the NAACP, Mr. Johnson, we’re working with the Urban League, Mayor Marc Morial. But this is a point that we have to bring home and we have to be successful.
“We do have good news that we waged a similar effort on the rules for vaccinations for undocumented people. The way the federal government constructed the program, basically they wanted the states to collect social security numbers, passport numbers or driver’s license numbers for anybody vaccinated. These are all bells for people who are undocumented, alarm bells. And it sounded like you were trying to use the vaccination to identify undocumented people. We have gone through this with the federal government at length wit the trusted traveler program previously. If undocumented people don’t get vaccinated, it compromises their health and it compromises the whole program. again, the program only works if you hit a critical mass of the population. If you say, well, the undocumenteds we’re going to exclude practically because they don’t come in and participate, you have 50 percent of the population that’s skeptical, if we’re not going to reach out to the Black, Latino and poor communities, it’s never going to be a success. So, we raised this point again. We did letters. I did speeches. I’ve spoken out publicly and HHS has agreed. The CDC specifically has agreed that the State will not send individual data identifying a person in a way that could be used to document citizenship or deportation, et cetera.
“We insisted on that in what’s called the data-sharing agreement, data use agreement, and the CDC agreed. So, that is a better vaccination program for this country and for this state. It took a lot of work, but I want to congratulate all the advocates and people who stepped up and spoke up, because it was a good service.”
President-Elect Joe Biden introduced the individuals he will nominate to key health and COVID positions in remarks in Wilmington, DE, and declared three key actions he would take in the first 100 days of his administration to turn around the skyrocketing rates of coronavirus sickness, hospitalizations and deaths: promote masking, facilitate vaccinations, and opening schools.
The key health and COVID members – widely hailed for their expertise and accomplishments – include:
Secretary of Health and Human Services: Xavier Becerra
Coordinator of the COVID-19 Response Team: Jeff Zients
Surgeon General of the United States: Dr. Vivek Murthy
Director of the Centers for Disease Control and Prevention: Dr. Rochelle Walensky
COVID-19 Equity Task Force Chair: Dr. Marcella Nunez-Smith
Head of the National Institute of Allergy and Infectious Diseases and Chief Medical Advisor on COVID-19: Dr. Anthony Fauci
Here are remarks, as prepared for delivery, highlighted:
President-Elect Joe Biden
Today, I am announcing our health care and COVID team at a critical time, as we near the end of one of the toughest years we’ve faced as a nation.
More than 285,000 Americans are dead because of COVID-19 — and counting.
Last week, COVID-19 was the number one cause of death in America.
For Black, Latino, and Native Americans — who are nearly three times as likely to die from it — COVID-19 is a mass casualty event.
For families and friends left behind, it’s a gaping hole in your heart that will never fully heal.
And as a country, we’ve been living with this pandemic for so long that we’re at risk of becoming numb to its toll on us.
We’re resigned to feel there is nothing we can do. That we can’t trust one another. That we must accept the death, the pain, and the sorrow.
We are in the midst of this deadly pandemic that has infected almost 15 million Americans — one out of every 22 of our people — often with devastating consequences to their health.
And at this very moment, what is the outgoing Administration asking the Supreme Court of the United States to do? To repeal in its entirety the Affordable Care Act.!
A law that’s on the frontlines against the pandemic.
That protects more than 100 million Americans who live with pre-existing conditions — which now includes lung scarring and heart damage from COVID-19.
That provides coverage to more than 20 million Americans who get the care they need if they’re showing symptoms of COVID-19.
The law that fulfills our moral obligation that, here in America, health care is a right for all, not a privilege for the few.
But I know that out of our collective pain, we will find our collective purpose — to control the pandemic, to save lives, and to heal as a nation.
Today, I am pleased to announce the team that will do just that.
It’s a team of world-class experts at the top of their fields. Crisis-tested. Defined by a deep sense of duty, honor, and patriotism.
They are ready on Day One to spare no effort and get the pandemic under control, so we can get back to work, back to our lives, and back to our loved ones.
They will lead the COVID-19 response across our government to accelerate testing, fix our supply chain, and distribute the vaccine.
They will work with my economic team — because controlling the pandemic, delivering better health care, and reviving the economy go hand in hand.
They will work with my foreign policy and national security team — because we can only beat this virus if we beat it everywhere.
And today I am announcing that — in consultation with Dr. Tony Fauci — we’ve developed the first three objectives and new initiatives that I am asking this team to complete during my first 100 days in office.
My first 100 days won’t end COVID-19. I cannot promise that. We did not get into this mess quickly, and it’s going to take time to fix.
But I am convinced that in 100 days we can change the course of the disease and change life in America for the better.
First, my 100 day masking plan.
It starts with my signing an order on Day One to require masks where I can — like federal buildings and interstate travel on planes, trains, and buses.
I’ll be working with governors and mayors to do the same in states and cities.
We are going to require masks wherever possible, but this goes beyond government action.
And so, as a new President, I’m going to speak directly to the American people.
We need your help. Wear a mask for 100 days.
It’s the easiest thing you can do to reduce COVID cases, hospitalizations, and deaths.
Help yourself, your family, your community. Whatever your politics or point of view — mask up for 100 days.
100 days to make a difference.
It’s not a political statement — it’s a patriotic act.
It won’t be the end of our efforts. But it’s a necessary and easy start.
Second, this team will help get at least 100 million COVID-19 vaccine shots into the arms of Americans in 100 days.
We will follow the guidance of scientists and get vaccines to those most at-risk.
That includes health care personnel and people in long-term care; and, as soon as possible, that will include educators.
This will be the most efficient mass vaccination plan in U.S. history. I credit everyone who has gotten us to this point, but developing the vaccine is one herculean task.
Distributing it is another.
And vaccines in a vial only work if they are injected into the arms of people, especially those most at risk.
This will be one of the hardest and most costly operational challenges in our history.
We’re going to need Congress to fully fund vaccine distribution to all corners of our country.
I am encouraged by the bipartisan efforts in Congress around a $900 billion economic relief package, which I’ve said is critical now, but this package is only a start for more action early next year.
We must also focus significant resources on the direct public health response to COVID-19.
Our preliminary review of the Trump Administration’s vaccine distribution plan confirms media reports.
Without urgent action this month by Congress to put sufficient resources into vaccine distribution and manufacturing — which the bipartisan group is working on — there is a real chance that, after an early round of vaccinations, the effort will slow and stall.
Let me repeat: We need Congress to finish the bipartisan work underway now or millions of Americans may wait months longer — months longer — than they otherwise would have to to get their vaccinations.
And then we will need additional action next year to fund the rest of our distribution efforts.
We also need the Trump Administration to act now to purchase the doses it has negotiated with Pfizer and Moderna and to work swiftly to scale manufacturing for the U.S. population and the world.
This can be fixed.
If it does, my team will be able to get at least 100 million vaccinations done in my first 100 days.
Third, it should be a national priority to get our kids back into school and keep them in school.
If Congress provides the funding we need to protect students, educators, and staff, and if states and cities put strong public health measures in place that we all follow, then my team will work to see that the majority of our schools can be open by the end of my first 100 days.
That’s right, we will look to have most of the schools open in 100 days if Congress provides the funding we need.
Masking. Vaccinations. Opening schools.
These are three key goals for my first 100 days.
But we will still have much to do in the year ahead. And sadly, much difficulty, too. We will be far, far from done.
Yet, it is possible that after 100 days, we will be much further along in the fight against the pandemic.
And I’m grateful for the members of my core COVID team, that I will now introduce, to lead the way.
For Secretary of Health and Human Services, I nominate Xavier Becerra.
He’s currently Attorney General of California, leading the second largest Justice Department in America — only behind the United States Department of Justice.
For nearly 25 years before that, he was a Congressman representing Los Angeles, one of America’s largest and most diverse cities.
Xavier spent his career fighting to expand access to health care, reduce racial health disparities, protect the Affordable Care Act, and take on powerful special interests who prey on and profit off people’s health — from opioid manufacturers to Big Tobacco.
During the pandemic, he’s protected the safety of frontline healthcare workers, rooted out fraud from bad actors taking advantage of people, and stood up for homeowners trying to pay their mortgage during the devastating economic crisis.
And as HHS Secretary, he will skillfully oversee the CDC and FDA, Medicare and Medicaid.
No matter what happens in the Supreme Court, he will lead our efforts to build on the Affordable Care Act.
He’ll work to dramatically expand coverage and take bold steps to lower health care and prescription drug costs.
Xavier is the key leader who will lead the key agency charged with protecting the health and wellness of the American people.
He will also be the first Latino leading HHS, a son from a working-class immigrant family that came from Mexico.
A true public servant who has dedicated his career in service to the people, and in service to this country that we all love.
To serve as the Coordinator of the COVID-19 Response Team, I’m turning to a world-class manager and leader, Jeff Zients.
I’ve known Jeff for a long time — from the first and last days of the Obama-Biden White House, and throughout the campaign, and now the transition.
There’s no one else you want to help manage some of the most consequential and complex priorities of a country.
Director of the National Economic Council for President Obama.
Acting Director of the Office of Management and Budget.
He was there during the Great Recession, as we went from crisis to recovery to resurgence over eight years.
He was there to lead the team and help implement the Affordable Care Act — to get HealthCare.gov up and working at a critical moment. That was a monumental feat that required vision, patience, and fortitude and expertise.
Well-respected across the aisle, and around the country from business and labor leaders to entrepreneurs and educators.
Chairman of the Board of Children’s National Medical Center, one of the world’s top children’s hospitals.
Jeff knows how to build and lead a team. How to identify and solve problems.
And how to fully mobilize the federal government on behalf of the health, safety, and prosperity of the American people.
For Surgeon General of the United States, I nominate Dr. Vivek Murthy.
A renowned physician and research scientist. A trusted national leader on health care, and for me, a trusted advisor during this campaign and transition.
This will be his second time serving as America’s Doctor, having served in this role under President Obama.
During his tenure, he took on some of the most pressing public health issues we face — from the opioid crisis to threats to America’s mental health.
I’ve asked Dr. Murthy to serve again as Surgeon General — but with expanded responsibilities.
He will be a key public voice on our COVID response, to restore public trust and faith in science and medicine.
But he will also be a key advisor to me and help lead an all-government approach to broader public health issues — mental health, addiction and substance use disorders, social and environmental determinants of health, and so much more.
Above all, he will help restore faith in this country as a place of possibilities.
A son of Indian immigrants, who raised their children to always believe in the promise of America.
Dr. Murthy will be one of my most trusted public health and medical advisors — and I’m grateful for his continued public service.
For Director of the Centers for Disease Control and Prevention, I appoint Dr. Rochelle Walensky.
She is the Chief of Infectious Diseases at one of the country’s preeminent hospitals, Massachusetts General in Boston.
A distinguished professor at Harvard Medical School. A world-class physician.
One of the nation’s foremost experts on the testing, treatment, and eradication of viruses.
She has served on the front lines of the COVID crisis. She has conducted groundbreaking research on vaccine delivery, including how to reach underserved communities that are too often hit first and the hardest.
Dr. Walensky’s work was instrumental in helping the world mitigate one public health crisis — HIV/AIDS.
It inspired her as a young doctor to pursue her pioneering research in virus containment.
Now, she will bring her experience to bear against COVID-19.
She is uniquely qualified to restore morale and public trust.
She will marshal our finest scientists and public health experts at the CDC to turn the tide on the urgent crisis facing us today.
Because of the pandemic’s disproportionate impact on communities of color, I concluded we need a COVID-19 Equity Task Force.
To chair it, I appoint Dr. Marcella Nunez-Smith. One of the country’s foremost experts on health care disparities.
Associate Professor of Medicine, Public Health, and Management at the Yale School of Medicine.
Founding director of Yale’s Equity Research and Innovation Center.
And co-chair of my COVID-19 Transition Advisory Board.
Dr. Nunez-Smith will lead our efforts to provide care to the communities most in need and most affected by the pandemic and most often overlooked.
She will ensure that fairness and equity are at the center of every part of our response.
This is a central front in our fight against the pandemic, and I am grateful Dr. Nunez-Smith will lead this charge.
And finally, as both head of the National Institute of Allergy and Infectious Diseases, and my chief medical advisor on COVID-19 — I am pleased that Dr. Tony Fauci will be a member of my core COVID team.
By now, he needs no introduction.
But he will have my gratitude when I’m president, the seventh president he will have served.
We’ve known each other a long time.
I’ve seen him take on HIV/AIDS, H1N1, Ebola, Zika, COVID-19, and every infectious disease in between, over his nearly forty years of service to our country.
Trusted. A truth teller. A patriot.
Like every good doctor, he will tell me what I need to know, not what I want to know.
This is my core COVID and health care team.
Before January 20, we will be adding more leaders to oversee vaccine distribution, supply chain, testing, and other key functions.
To each of you on this team, you have my gratitude for answering the call to serve. And to your families, thank you. We could not do this without them, or without you.
And to the American people, I know we’ve all had a lot of sleepless nights this year.
So many of you staring at the ceiling late at night, worrying if you’re going to be okay.
All I can tell you is the truth.
We’re in a dark winter. Things may well get worse before they get better. A vaccine may soon be available. But we need to level with each other.
It will take longer than we would like to distribute it to all corners of our country.
We will need to persuade enough Americans to take it.
It’s daunting, but I promise you that we will make progress starting on Day One.
But we didn’t get into this mess quickly, and it’ll take time to fix.
That’s the truth, and telling you the truth is what this team, Vice President-elect Harris, and I will always do.
This is one of the toughest challenges America has ever faced.
But I know that we will overcome — and heal — together as one nation.
To all of the front-line health professionals and first responders, the grocery store workers and delivery truck drivers, the educators, parents, and our children.
Thank you for everything you have done to get us through this crisis thus far.
We will never give up on you.
And we will never give up on our country.
We can do this, together.
To all those we have lost in this pandemic, and all those sick and suffering, our hearts go out to you.
May God bless you all.
May God protect our troops.
Remarks by Attorney General Xavier Becerra
Along with Carolina, my wife, and Natalia, Olivia, Clarisa, and Yvonne: greetings from California.
Mr. President-elect, Madam Vice President-elect, I am honored and excited to join your team.
The mission of the Department of Health and Human Services has never been as vital or as urgent as it is today.
The COVID pandemic and its economic fallout have thrust families into crisis.
Too many Americans are sick or have lost loved ones.
Too many have lost their jobs, and with that, their healthcare and hope.
You have made it clear, Mr. President-elect, that to build back a prosperous America we need a healthy America. That, then, will be Job One for your team at HHS.
Fifty-five years ago, during another time of hardship, former Health Secretary — and fellow Californian — John Gardner said:
“What we have before us are some breathtaking opportunities disguised as insoluble problems.”
Gardner went on to help President Lyndon Johnson build the Great Society — ushering in Medicare, Medicaid, and Civil Rights that brought greater equity, greater opportunity, and greater hope to all Americans.
Now it is our turn to discover the breathtaking opportunities before us in the midst of hardship and pain.
It is our turn to build up and to back up our doctors and medical professionals, our hospitals and clinics, battling the coronavirus; our turn to restore faith and confidence in our leaders to deliver solutions that unite and heal us and inoculate us from fear; our turn to spur our brightest minds to launch the next generation of innovative medicines and cures.
And, it is our turn to build a nation where, as the President-elect so often says, health care is a right — not a privilege.
At HHS, tackling pandemics, saving lives, and keeping us healthy should be our calling card.
And we won’t forget that there is a second “H” in HHS…The “human” services — the work we do for our children, seniors, and disabled — they will stand tall in a Biden-Harris HHS.
Almost a year ago, on New Year’s Day, my father Manuel passed away peacefully at home surrounded by his family. We got to celebrate Christmas together. And, when the end came, my dad knew we were there with him.
No one should ever have to die alone in a hospital bed, loved ones forced to stay away. That seems so contrary to the values of a great nation — the values that drew my parents, like generations before and after them, to come to America.
Manuel and Maria Teresa had only their health and hope when they arrived in California. A road construction worker with a sixth grade education and a clerical worker who arrived in her teens from Guadalajara, Jalisco, Mexico.
They built a pretty good partnership that lasted 67 years. Along the way they sent four kids to college and the military.
They opened the door for me. I am enormously grateful to them.
Now, President-elect Biden has offered me a breathtaking opportunity to work with his team to shape our healthcare future.
I share the president-elect and vice-president-elect’s determination to rebuild unity and civility in America. We know it takes hard work. We know we must do it together. We know it will be key to building critical momentum and support for the prevention and treatment of the coronavirus.
Those values and priorities will help us emerge from this pandemic a stronger, more just, and more equitable nation. Literally, there are millions of small business owners and tens of millions of workers who are counting on us.
I am proud to have this chance to implement the president-elect’s vision for a better America through the challenging assignments that are in store for the Department of Health and Human Services.
Mr. President-elect and Madam Vice President-elect, thank you for this opportunity to serve.
Remarks by Dr. Vivek Murthy
Mr. President-elect and Madam Vice President-elect, thank you for your trust and confidence.
When I left my role as Surgeon General, I never dreamed I would have an opportunity to serve again.
And in this moment of crisis, when so many Americans have fallen sick and lost loved ones, when people are losing jobs and struggling with childcare, I feel grateful to be able to do everything I can to end this pandemic.
While this is a daunting task, we absolutely have what it takes to get the job done.
We have world class scientists.
We have courageous medical professionals who are risking their lives to care for the ill.
We have companies on the cusp of delivering vaccines, and we are blessed with generous, compassionate people all across America who are stepping up to help those who are struggling.
If we all work together, we will overcome this pandemic and return to our lives.
But COVID 19 is not the only health crisis we face — if anything, it has underscored a host of other epidemics that are devastating families and shortening lifespans: addiction, the opioid crisis, and spiraling mental health concerns; glaring racial disparities and high rates of diabetes and heart disease.
These challenges are both caused and exacerbated by broader societal issues — from the economic strains families face to the disconnection and loneliness many of us feel.
In my new, expanded role, I will work to bring a health perspective to our policies across government so that our schools, workplaces, and communities can be forces for strengthening our health and well being.
But the truth is that the best policies — and the best vaccines and treatments — will not heal our nation unless we overcome the fear, anxiety, anger, and distrust so many Americans are feeling right now.
So more than anything, I will come to this role as a doctor — one who learned the most important lessons about medicine not in medical school, but in the clinic my parents opened when they first came to America as immigrants decades ago.
As a child, I saw how they took the time not just to diagnose illnesses, but to ask about their patients’ families and lives, happily poring over photos of children and grandchildren taken from wallets, listening deeply to people’s stories and struggles, often running well over the appointment time.
They taught me that the best doctor is not an authority figure who writes prescriptions, but rather a partner in healing — someone who sees patients in their fullest humanity and empowers them to take control of their health.
That is the kind of doctor I have always tried to be.
And if confirmed, that is the approach I will take as I serve as America’s doctor.
I will dedicate myself to caring for every American, driven always by science and facts, by head and heart — and endlessly grateful to serve one of the few countries in the world where the grandson of a poor farmer in India can be asked by the president-elect to look out for the health of the entire nation.
That is a testament to the promise of America — one that I will work to fulfill every day as Surgeon General.
Remarks by Dr. Rochelle Walensky
Mr. President-elect, Madam Vice President-elect, I’m honored by the trust you’ve placed in me to serve the American people at this critical moment.
I want to thank my amazing husband and our three wonderful sons for answering this call along with me.
As all doctors and public servants know, these jobs ask a great deal not only of us, but of our families.
The pandemic that brought me here today is actually one that struck America and the world more than thirty years ago.
Because my medical training happened to coincide with some of the most harrowing years of the HIV/AIDS crisis.
As a medical student, I saw firsthand how the virus ravaged bodies and communities.
Inside the hospital, I witnessed many people lose strength and hope. While outside the hospital, I witnessed those same patients — mostly gay men and members of vulnerable communities — be stigmatized and marginalized, by their nation and many of its leaders.
A scientific breakthrough came in 1995, when the FDA approved the first AIDS cocktail, and we saw the first glimmers of hope.
I’ve dedicated my career ever since to researching and treating infectious disease and to ending the HIV/AIDS crisis for good.
Now, a new virus is ravaging us.
It is striking hardest, once again, at the most vulnerable — the marginalized; the under-served.
Nearly 15 million Americans have been infected.
Nearly 285,000 of our loved ones are gone.
The pain is accelerating, our defenses have worn down.
We are losing life, and hope, at an alarming rate.
I never anticipated that I would take on a role helping lead our national response.
Government service was never part of my plans.
But every doctor knows that when a patient is coding, your plans don’t matter.
You run to the code.
And when a nation is coding, if you are called to serve, you serve.
You run to take care of people; to stop the bleeding, to stabilize, to give them hope and a fighting chance to come back stronger.
That’s what doctors do.
And I’m honored to get to work with an administration that understands that leading with science is the only way to deliver breakthroughs, to deliver hope, and to bring our nation back to its full strength.
To the American people, and to each and every person at the CDC, I promise to work with you to harness the power of American science — to fight this virus and prevent unnecessary illness and deaths — so that we can all get back to our lives.
Thank you for this opportunity.
Remarks by Dr. Marcella Nunez-Smith
Mr. President-elect, Madam Vice President-elect, thank you for the opportunity to serve the American people.
I’m proud to go to work with leaders who are deeply committed to science and to centering equity in our response to the pandemic.
Not as a secondary concern, or as a box to check — but as a shared value, woven into all of the work we do and prioritized by every member of the Biden-Harris team.
I’m enormously thankful to my research team, my colleagues, to President Salovey and the leadership at Yale for supporting me in this work.
And I’m grateful to all of the researchers and advocates who’ve blazed the trail, whose work on health equity and racial justice too often went unbelieved or overlooked across the generations.
Most of all, I’m thankful to my family, to Jessie and our three children, for their unwavering support and humor.
And to my mother, and her mother, for modeling kindness, generosity, and courageous leadership through service.
I have wanted to be a doctor since I was six years old, and I am a proud general internal medicine physician today.
But as I grew up, I came to understand that there were deeper dimensions to health, beyond what I saw in the human biology textbooks I borrowed from my mother’s bookshelf.
I grew up on St. Thomas, in the U.S. Virgin Islands.
A place where people too often died too young — from preventable conditions.
My own father had his first stroke in his forties and was left paralyzed.
I learned there was a term for what we were: an “underserved community” — marginalized by place and by race.
In my medical training, I saw countless patients whose conditions were shaped by factors having nothing to do with science — and everything to do with broader social inequities.
Now, the COVID-19 crisis has laid those inequities bare.
It is not a coincidence, or a matter of genetics, that more than 70 percent of African Americans, and more than 60 percent of Latinx Americans, personally know someone who has been hospitalized or died from COVID-19.
The same disparities ingrained in our economy, our housing system, our food system, our justice system, and so many other areas of our society have conspired, in this moment, to create a ‘grief gap’ that we cannot ignore.
It is our societal obligation to ensure equitable access to testing, treatments, and vaccines.
Equitable support for those who are hurting.
And equitable pathways to opportunity as we emerge from this crisis and rebuild — including for the most marginalized communities: the undocumented, the incarcerated, and the homeless.
I’m grateful for the chance to continue this work, to earn trust and find success through genuine partnerships with the people and communities who’ve been hit the hardest during — and before — this crisis.
On this team, you will be heard, you will be counted, and you will be valued.
Remarks by Dr. Anthony Fauci in a Pre-recorded Message
President-elect Biden and Vice President-elect Harris, thank you so much for asking me to be part of this COVID response team.
I hope that you don’t mind that the reason that I am sending this video is because a close friend and colleague at the NIH, Dr. Harvey Alter, is receiving the Nobel Prize in Medicine at the same time, and we wanted to attend the ceremony at the NIH to show our support.
Such an achievement is a reminder of the incredible public servants we have at the NIH and of America’s place as a pioneer in science and medicine.
I believe — as you do — that in the fight against this pandemic, we must lead with science. And that a key piece of our ongoing work is communicating consistently with the American people.
Whether it’s maintaining social distancing and not congregating indoors; or the 100 day challenge you described on masking; or to get as many people vaccinated as possible.
These actions are bold, but they are doable and essential to help the public avoid unnecessary risks, to help us save lives, reopen schools and business, and to eventually beat the pandemic.
I look forward to advising you on these most urgent priorities and to working with this team of world-class experts whom I have known for many years and deeply respect.
I have been through many public health crises before, but this is the toughest one we have ever faced as a nation.
The road ahead will not be easy. We have got a lot of hard and demanding work to do in the next year.
But, as we have done during previous crises, I also know we can get through this pandemic together, as a nation.
Thank you for giving me the opportunity to be part of this effort.
Remarks by Jeff Zients
President-elect Biden and Vice President-elect Harris — I am honored by your trust in me and humbled by the task at hand. And I am hopeful because of your leadership.
As it is for both of you, everything starts with family for me. And I am forever grateful for the love and support of my wife, our children, and our parents.
Mr. President-elect, we’ve known each other for a long time, and our relationship has been forged under immense pressure: the severity of the Great Recession; the challenge of implementing the Affordable Care Act; and the daily decisions a White House makes that affect the lives of millions of Americans.
You and President Obama knew how to build a team with the right diversity of backgrounds and views. A team to make progress on difficult situations and capture enormous opportunities.
That’s what I’ve tried to do throughout my career.
I am not a doctor or public health expert. In fact, we’ve got the best ones in the world on this team.
But I know management and execution. And the key part of the role you’ve asked me to take on is the last part, “Coordinator.”
It’s about empowering experts, developing a culture of teamwork, and maintaining a focus on strategy and execution.
It’s knowing that leadership requires expertise, transparency, and prioritization. It also requires trust, truth, and integrity.
To the American people, that’s what this team will provide.
We will utilize the full capacity of the federal government to get this pandemic under control.
To harness and examine the data to expand testing. To deliver equipment and PPE to those on the frontlines. To provide resources for schools and businesses to operate safely. To address the racial disparities and inequities of this pandemic. To rejoin the global fight against COVID-19 — because no one is safe until everyone is safe.
And with our collective expertise, we will oversee the rollout of the vaccine which, as the president-elect said, will be one of the greatest operational challenges our country has ever faced.
And we will also pull the country together — across governments at the federal, state, and local levels, and across the private sector.
And as we begin this vital work, Mr. President-elect, I remember what you told me when we were implementing the Affordable Care Act.
Your message was: I know this is no small task; I know you and the team are feeling tremendous pressure to succeed; and we want and need the team to pull this off.
You then said, “I know you and the team can do this, but I need you to promise me one thing: That you will always, always, give it to us straight because we have to understand the challenge we’re facing. Because most of all, we are in this together. And together we can do this.”
President-elect Biden, Vice President-elect Harris, and the American people, this team will always tell it to you straight.
The work ahead will not be easy. But we know what needs to be done. And we will get it done, together.
Remarks by Vice President-elect Kamala Harris
Congratulations Mr. President-elect on nominating and appointing this outstanding team to get this pandemic under control.
And thank you to these accomplished physicians, experts, and public servants for answering the call to serve the American people in this hour of need.
Over Thanksgiving, the president-elect and I called health care workers who are on the front lines of this pandemic. Just to thank them.
We wanted to express our gratitude — and our nation’s gratitude — for everything they have been doing. For every sacrifice they have made.
That day, I spoke with a registered nurse named Maureen in Pennsylvania and Talisa in Illinois.
They shared stories we’ve all heard.
We’ve all heard the stories about grandmothers and grandfathers, loved ones and friends spending their last moments alone.
We’ve all heard about nurses and physicians who are physically and mentally exhausted trying to keep up with ever-increasing caseloads. Those on the frontline who say to each other, it’s a matter of when, not if, they get the virus.
We’ve all heard about health care workers without the supplies and equipment they need to care for patients and save lives.
So, today, we have a message for Talisa, Maureen, and all Americans: help is on the way.
And it’s long overdue.
The scale of this pandemic is heartbreaking.
Almost 15 million cases. More than 2,800 deaths. In a single day.
And then, there’s the economic devastation. The lost jobs. The small businesses shuttered.
Not to mention what’s happening to our schools. The parents and teachers who are being stretched to their limits. And the toll it’s all taking on the mental health and well-being of our children who risk falling behind.
Opening our schools and economy safely and responsibly, getting this virus under control — all of it starts with listening to experts and leaders like these; Americans who reflect the very best of our nation.
They are top physicians, public health experts, and public servants.
And they are the team the American people need and deserve.
To make sure testing and treatment are free for everyone.
To make sure vaccines are safe, free, and equitably distributed.
To make sure we are better prepared for future pandemics and other health threats.
And to make sure quality, affordable health care is available to all.
From an early age, I saw the lifesaving work that our health care professionals provide, especially for the most vulnerable among us.
You see, my mother was a breast cancer researcher, and my sister and I spent many hours roaming the halls of the hospital where she worked.
It’s why I co-founded an auxiliary group to help patients at the county hospital in Oakland more than twenty years ago.
It’s why we need to protect and expand the Affordable Care Act.
And it’s why we have to listen to frontline health care workers like Maureen and Talisa.
During our conversation, Talisa said:
“We wouldn’t send our soldiers to battle without the gear they need. And we shouldn’t send our doctors and nurses to fight this pandemic without the gear they need.”
She is right.
And President-elect Biden and I — along with this world-class team — will make sure we are doing everything we can, to save lives and contain this pandemic once and for all.
Getting this virus under control is one of the defining challenges of our time.
And we will do what the American people have always done in the face of a great challenge.