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Constantly evolving recommendations and processes. Flexibility of SNHD branches and being able to adapt quickly to changes was a strength.

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Would not have been able to accomplish distribution of vaccine without National Guard. Helpful, always present, especially valuable in the mega pods. Provided excellent assistance and demonstrated the strength of the National Guard. Always provided follow through and reliably provided resources. NG personnel were very trainable and adaptable to changing conditions.

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Support from OPHP in implementing ICS, establishing chain of command; having ICS structure in place was vital to success of vaccine program.

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Running as one stop shop to make sure resources were available.

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2021 - IMT Team - January
2021 - Phase 1 - Priority - Mega Pods - Emerging approaches and systems
Summer 2021 - stabilized
2022 - Omicron ramp up, homebound, flexible approaches, adaptation to monkey pox
2023 - ICS structure still in place

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Community partners were very helpful moving from mega pods to smaller community pods. Goal from Day 1 was to ensure equity and support for underserved populations.

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Cooperation between departments to help community and avoid duplication of effort for both covid testing and covid vaccines.

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Training community partners on how to administer vaccines; train the trainer program, used community partners as a force multiplier to augment staff. Developed a training manual and training program for partners to administer vaccines out in the community.

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Partnered with RTC to bring underserved populations to vaccine sites.

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Office of Informatics provided zip codes of interest to identify historic locations of vaccine sites and at-risk zip code areas to identify vulnerable populations. Seniors, kids, historically marg. groups (ethnic groups), lack of access to primary care. Implemented home bound vaccination program.

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Developed team to help bring vaccines to special needs children and adults, e.g. autistic children. Training provided for nurses to assist with vaccinating special needs population.

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Worked to overcome vaccine hesitancy through PIO's office and consistent messaging. Made sure staff was up to date on information and provided information to health care providers.

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Consistent community presence helped with vaccine hesitancy.
Vaccine champions in community groups to overcome vaccine inequity.

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Worked with Immunize NV - FAQs to provide accurate vaccine information.

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Dr. Leguen spoke at a NLV Town Hall to address vaccine hesitancy.

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Ongoing challenge for health care providers to maintain supply and administer vaccines. Vaccine reporting for Covid is an impediment for doctors and health care facilities. Space was an issue in hospitals and doctors offices, so they were reluctant to provide.

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Many requirements (constant change) and regulations for handling of covid vaccine. Storage, handling, packaging of multiple doses and multiple types of vaccine administered concurrently, reporting, etc. was overwhelming for providers.

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Ongoing challenge making sure people know that covid is still a concern and that vaccines are available. Convincing people to take bi-valent booster.

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Various platforms for collecting data, methods for collecting (paper vs. electronic), affected data consistency and accuracy. Continues to be a challenge.

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The priority groups set by CDC and State were confusing and did not make sense to administrators of vaccine and to the public.

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Law enforcement needed a vaccine sites to address vaccine priority and protocol. Administering CDC and State requirements was difficult and caused public to react negatively. Public perception that SNHD was not taking care of at risk populations rather than age group due to demographics (75 and up, etc.)

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The plan was difficult to administer as laid out and a challenge to address vulnerable populations early in the vaccine program.

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Need to have a dedicated person trained to train others.

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Need to have someone assigned to coordinate volunteers.

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Wi-fi was not always available, messaging to the public about keeping and providing vaccine card, support for appointments process.

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Need a system in place to consistently survey the public.

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In process of establishing Reminder Recall system for ongoing support for boosters, etc.

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Had to address security and personnel safety during times of protest against vaccines.

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Covid fatigue is a challenge when it comes to achieving buy in to address any new serious variants that come along. The public may not support requirements that were in place. Continued surveillance is needed going forward (e.g. wastewater, passive surveillance, etc.) as an early warning of new variants.

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Resulted in potential under reporting of cases. Difficult to identify needs on an ongoing basis.

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Dedicated Epidemiologist fo Vaccine Branch

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Dedicated Epidemiologist fo Vaccine Branch

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Provided real-time information to anticipate needs and to direct vaccines/pods where they were needed most.

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Increased through-put at PODs to increase through-put.

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Covid-19 vaccines for all ages are available mostly during the day on weekdays and weekends and a few hours in the evening.

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Ongoing challenge there are still individuals who do not fully understand the importance of prevention by laughing at people who continue to wear masks, refusing to follow an employer's respiratory illness protocol by refusing to stay at home if become ill.