[Goose]

I think it is important to get as many vaccinations done as quickly as possible.

I posted a day or two ago about the Salk and Sabin vaccination distributions in 1955 and 1962.  At that time, entire neighborhoods lined up for the vaccination, typically at a (elementary) school.

Daily deliveries could come to the counties, who would store overnight (or not) and have vaccination neighborhoods scheduled around the county.  The first neighborhoods would be for the (say) long-term care facilities, then to hospitals & other health-care workers, etc.  Eventually you would get to neighborhoods such as Stanford University or Palo Alto High School district.

This neighborhood-vaccination approach avoids the storage issue mainly (if you're willing to tell an entire neighborhood "It didn't arrive today, come back tomorrow").   It is far different from the "Drop by your pharmacy on your own schedule to get a shot" that it seems some people are thinking of (to me, that seems fraught with gross inefficiency & potentially wasted vaccine).

The neighborhood approach should work for most everyone.  You can start in the hardest hit neighborhoods.   I suppose you could even subdivide it finer (by age & comorbidity) by allocating windows (as grocery stores do).

For COVID, there is the problem of infections caused by such a program. People would stay in their cars.   The concept of neighborhood vaccination centers (such as schools) still works, but the lines will be out on the streets.  (At schools, you'd want to do this on a non-school day and non-typical-workday;  probably Saturday, maybe Sunday; or other holiday.)   Don't forget that distribution may be occurring during blizzards or sub-0 weather.

Or you could modify it for the bazillion cars in a line model.  Use stadiums or shopping centers with large parking lots and lots of access, with multiple vaccination stations scattered across the acres.  (Those without cars have to get vaccinations too, but that can be a separate process, maybe at mass transportation centers).   The problem with this is that you'll need to have a limitation so the lines aren't 24 hours long on the first day.  First letter of last name or zip code or something like that.

Some people won't be able to make any particular window, so make-ups have to be dealt with.  (One of the polio vaccination pictures was for a van that would deliver the vaccine to shut-ins.)

The same teams would be doing this day after day in possibly different locations.  If the vaccinations are done by the county, law enforcement would be available for traffic control or to deal with other problems (someone demanding the vaccination when it wasn't their neighborhood, for instance).  They would likely be very efficient at doing as many vaccinations in as short a time as possible.

I agree with your ideas here. Even if you had a line distanced by 6 feet apart it could work. The line could be mostly inside the school or whatever building if you are in a cold climate. It can be done. I still believe that doing the most highly positive zip codes is a good selection criteria (after health care workers and such). Go where the disease is. Why it is there and not elsewhere may be an interesting question, but getting cases down in the most infected area is best for all concerned.

[Goose]

I think it is important to get as many vaccinations done as quickly as possible.

I posted a day or two ago about the Salk and Sabin vaccination distributions in 1955 and 1962.  At that time, entire neighborhoods lined up for the vaccination, typically at a (elementary) school.

Daily deliveries could come to the counties, who would store overnight (or not) and have vaccination neighborhoods scheduled around the county.  The first neighborhoods would be for the (say) long-term care facilities, then to hospitals & other health-care workers, etc.  Eventually you would get to neighborhoods such as Stanford University or Palo Alto High School district.

This neighborhood-vaccination approach avoids the storage issue mainly (if you're willing to tell an entire neighborhood "It didn't arrive today, come back tomorrow").   It is far different from the "Drop by your pharmacy on your own schedule to get a shot" that it seems some people are thinking of (to me, that seems fraught with gross inefficiency & potentially wasted vaccine).

The neighborhood approach should work for most everyone.  You can start in the hardest hit neighborhoods.   I suppose you could even subdivide it finer (by age & comorbidity) by allocating windows (as grocery stores do).

For COVID, there is the problem of infections caused by such a program. People would stay in their cars.   The concept of neighborhood vaccination centers (such as schools) still works, but the lines will be out on the streets.  (At schools, you'd want to do this on a non-school day and non-typical-workday;  probably Saturday, maybe Sunday; or other holiday.)   Don't forget that distribution may be occurring during blizzards or sub-0 weather.

Or you could modify it for the bazillion cars in a line model.  Use stadiums or shopping centers with large parking lots and lots of access, with multiple vaccination stations scattered across the acres.  (Those without cars have to get vaccinations too, but that can be a separate process, maybe at mass transportation centers).   The problem with this is that you'll need to have a limitation so the lines aren't 24 hours long on the first day.  First letter of last name or zip code or something like that.

Some people won't be able to make any particular window, so make-ups have to be dealt with.  (One of the polio vaccination pictures was for a van that would deliver the vaccine to shut-ins.)

The same teams would be doing this day after day in possibly different locations.  If the vaccinations are done by the county, law enforcement would be available for traffic control or to deal with other problems (someone demanding the vaccination when it wasn't their neighborhood, for instance).  They would likely be very efficient at doing as many vaccinations in as short a time as possible.

I agree with your ideas here. Even if you had a line distanced by 6 feet apart it could work. The line could be mostly inside the school or whatever building if you are in a cold climate. It can be done. I still believe that doing the most highly positive zip codes is a good selection criteria (after health care workers and such). Go where the disease is. Why it is there and not elsewhere may be an interesting question, but getting cases down in the most infected area is best for all concerned.