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State Department of Health Pulls County Health Department Out of Vaccine-Distribution Loop

In the wake of its most severe and prolonged weather emergency in recent history, Shelby County received another shock Tuesday with the announcement by the state Department of Health that the Shelby County Health Department has mismanaged storage, allocation, and distribution of COVID-19 vaccine. Tero Vesalainen | Dreamstime

Dr. Lisa Piercey, director of the TDH, said investigators from her department had, on an emergency weekend visit to Memphis, concluded that some 2,400 doses of temperature-sensitive Pfizer vaccine had been allowed to spoil before being distributed and were subsequently junked. The investigators had also determined that the Health Department was in possession of an inventory of some 50,000 doses — 30,000 more than the TDH had anticipated.

Those discoveries prompted a significant revision of how vaccines will be delivered henceforth to Shelby County, Piercey said. At least for the short run, they will not go to the Health Department for further allocation but will be delivered directly to the distribution sites of participating partners, which include the City of Memphis, UT Center for Health Sciences, and numerous other agencies, public and private, offering vaccination services.

Meanwhile, the TDH has dispatched personnel to embed with the Health Department as advisors. Piercey could offer no long-term prognosis on how long the new arrangement will last.

Dr. Shelley Fiscus of the TDH said that the spoiled Pfizer doses never left the premises of the in-house Health Department pharmacy that was the starting point of the local distribution network, but had been thawed along with doses that were distributed to vaccination sites. The surplus doses were refrigerated and then discarded after they had reached their expiration date.

This process occurred several times, beginning on February 3rd, and only on occasion could be blamed on the week of bad weather, the TDH investigation found. Poor “communication” was alleged to be a major cause of the spoliations.

Terming himself “absolutely supportive” of the state Department’s actions, Shelby County Mayor Lee Harris pronounced the discovered disruptions “gut-wrenching” and said he had terminated the county’s site manager who had managed the relationship with the pharmacy and had also requested for the pharmacist “to be removed.” He also said he had launched an internal investigation to complement the state review.

A public chorus of indignation on social media sites, which had previously focused on criticism of the Health Department’s restrictions and had increased with the snafus at the Pipkin vaccination site (now and henceforth to be managed by city government in connection with UT) began to focus on the new revelations. And members of the Shelby County Commission, many of whom had withheld public criticism earlier, were coming forward with expressions of concern.

“There’s no excuse for having to dump the vaccine,” said Commissioner Van Turner, although he said, in taking note of hits that the Health Department’s Alisa Haushalter was taking, that she “could have been better supported.” Commissioner Mick Wright, who has often slammed the Health Department for “insensitivity” in its dealing with small businesses and citizens, called for the County Commission to be directly involved in the deliberations of the city-county Covid-19 task force.