This week’s Meet a Mom interview is with two doctors who have lead a huge vaccination effort at their CA-based hospital. At the time of press, the CDC reports almost 150 million Americans are fully vaccinated—and these two women have helped administer 25,000 of those to date. Dr. Stephanie White, D.O., FAAFP, Associate Dean of Clinical Education at WesternU College, lives in Los Angles, and is Mom to a 6-year-old son and 2-year-old daughter. Dr. Preeti Kotha, PharmD, APh, Director of Pharmacy Services/ Associate Professor at WesternU lives in Rancho Cucamonga and has two girls, 9 and 11. When vaccinations started to become available, Drs White and Kotha teamed up to make them available to their community, working for several months to gain access to doses. “WesternU is a health professions university and we were very eager to protect the students and staff from COVID exposure. We are also situated in a high risk community (Pomona, CA) and had seen devastating COVID outcomes for our patients and neighbors,” explains Dr. White.
The pair developed a partnership with the Los Angeles County Public Health department, and after several false starts they got the go-ahead. “In early February we received a call that over 1170 doses of Pfizer vaccine would be arriving in a few days’ time. Preeti and I sent out the call to the entire university asking for help in preparing a vaccine clinic. We moved into a large common space, relocated computers, crawled on the floor placing 6 foot markers, quickly ordered and designed signage and oriented the team to the electronic health record system. Preeti had run flu vaccine clinics in the past and I had given vaccines as a family doctor, but neither of us had attempted anything on this scale,” shares Dr. White.
We asked this doctor duo about going from 0 to 25,000 vaccinations in just a few weeks, combating vaccine hesitancy, being a working mom (in a high risk job) through a pandemic, their summer camp and vaccination plans for their own kids, and more.
Can you please share more about the logistics of this undertaking?
Dr. White: The vaccine arrived on a Tuesday and we carefully followed the manufacturer’s checklist. Every shipment of Pfizer vaccine arrives with a temperature monitor and when you open the box, you press and hold a button for 3 seconds that transmits a signal back to the company to let them know the vaccine is being unpacked. The sensor is then supposed to turn green. Ours went black. We frantically called Pfizer who transferred us 5 times and after 45 minutes we got the information that there had been a temperature excursion and that we should unpack the vaccine into the freezer and await instructions. Several hours later an email came stating that the vaccine had been too cold for a brief period of time. They informed us not to use the vaccine yet and more instructions would be given in 48 hours. We called the entire team to delay the start of vaccine clinic and planned for a 48 hour hold. Four hours after that we received an updated email stating the vaccine was safe to use. We hurriedly called the team to say we were back on.
On our first day of vaccinations we tested our work flow and administered 60 vaccines. We identified bottle necks, confusing signs and missing supplies. Members of operations, technical support and facilities all chipped in to suggest better throughput and more efficient processes. The following day we ramped up to 300 vaccines and by Friday we had administered the full 1170 doses with no wastage.
Over the following weeks we became increasingly efficient and maxed our daily doses to 1400 with almost no wait times. Faculty and staff from all over WesternU contributed and students volunteered to do health screenings, administer vaccines and monitor patients for side effects. Physicians, pharmacists, nurses, dentists, optometrists, physician assistants, physical therapists and even the veterinarians came to volunteer in medical and nonmedical roles. On any given day over 10 different languages were spoken, people from all different backgrounds, identities and abilities and talents collaborated to protect the community. To date we have administered over 25,000 injections.
What did it feel like to be part of keeping so many people and their families healthy?
Dr. White: The vaccine clinic was very healing for me. It was a lonely, frightening year. Even working face to face in clinic often felt isolating with the mask, face shield, glove and gowns. Team members had to eat alone in private rooms or personal cars and we didn’t get the reassuring hugs that help on hard days. All our potlucks and baby showers and community building stopped. It felt like a war zone some days.
When we started the vaccine clinic suddenly I was connected to so many people. Co-workers who had been home alone for months finally got to be in a room together. We were all vaccinated within the first month or two so the fear of infecting each other quickly dissolved. We could eat a meal and laugh and get a hug. We formed closer friendships and the sense of community returned.
The patient care experience was deeply moving. Patients would often sob in relief as the vaccine went in. I watched a teacher weep for the full 15 minute observation period after we vaccinated her. She thanked us over and over again and most of us cried with her. Vaccinating my own patients was very personal. As each one walked out the door I would take a deep breath and whisper to myself “okay, she’s safe.” I could feel the weight lifting every time another person walked out with this protection. So many people were lost. We were (are) all living with grief and trauma and finally there was a path forward.
Dr. Kotha: Providing these vaccinations was a truly humbling experience. Dr. White and I’ve have had so many people come up to us and tell us how much they appreciated us providing the vaccines at WesternU in Pomona. It’s a great feeling, keeps me going, and makes me want to do more.
What are the biggest barriers to getting enough people vaccinated for herd immunity?
Dr. White: Early on the barrier was primarily access. California, and most the US, has solved that issue. Vaccines are readily available in millions of locations with weekend and evening hours. Now we are facing vaccine hesitancy. Social media has spread false information about the vaccines and vaccines in general have become politicized. As a scientific community we are trained to be extremely precise in our language. We try to never overstate the facts or speak in absolutes. However when non-scientists are reading about the vaccines they see very persuasive language used by the anti-vaccine movement. Conspiracy theory and anti-vax language is often clear and even relatable. The marketing and graphics are more enticing than the often sterile, formal communications from the CDC or vaccine advocacy groups. There were many hard lessons in this public health effort. The medical profession has to adapt to the needs of the people we serve. Our insistence on cautious communication was interpreted as a lack of confidence in vaccines which led to reduced vaccination rates.
What would you share with anyone hesitant to get the vaccine?
Will you be sending your kids to in person camp this summer?
Dr. Kotha: Not this year. We just got a 4-month-old puppy and they want to stay home with him.