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 Illustration: Sarah Grillo/Axios

Local health officials are turning to online services like Eventbrite to improvise distribution schemes for the COVID-19 vaccine in the absence of federal support or a national plan.

Why it matters: Millions of lives, along with the country's economic recovery, depend on a speedy and successful rollout of the vaccine. But as people hunt for scarce information about vaccine availability and delivery processes, the lack of coordinated communication risks opening an information vacuum — into which misinformation could easily pour.

Driving the news: In Florida, a number of counties are using events platform Eventbrite, a platform known for selling concert tickets and coordinating happy hours, to schedule COVID-19 vaccine appointments.

Be smart: Local governments, already stretched by the crisis and reeling from Congress's delays passing the latest COVID-19 relief bill, often lack the resources necessary to manage vaccine communication and coordination.

  • Many have looked for help from both online providers and pharmacies, which tend to have better access to consumer data and are able to deploy information in a quick, personalized manner.
  • Once people have gotten the first dose of Pfizer's two-dose vaccine, for example, pharmacies will be key players in helping make sure they take the second dose three weeks later.
  • "It is kind of falling on pharmacies," says Chris Haynes, a political science professor at the University of New Haven. "There hasn't been an app developed for federal or state governments to make sure the vaccine rollout was tracked. All of this stuff should've been planned months ago."

The big picture: Historically, the federal government has established systems to help local governments deploy emergency information, like tornado and hurricane warnings that are broadcast on local television, as well as localized text alerts.

  • But the government hasn't set up emergency communication systems to convey localized information about the vaccine, forcing citizens to turn to less reliable sources of information online.
  • "We're going to have to think through systems that will reach people when they need information that's highly specific — and in this case, time sensitive," says Kathleen Hall Jamieson, director of the Annenberg Public Policy Center at the University of Pennsylvania. "We'll need to institutionalize that structure and keep track of it."
  • "The fact that we don't already have it is a real indictment," she told Axios. "We should've thought this through before."

What to watch: A lack of coordinated messaging around the vaccine rollout has left millions of people to search for answers online and via social media, opening space for confusion and misinformation.

  • Experts worry that big tech platforms, already reeling from election misinformation problems, are not equipped to help vet and verify vaccine rollout information.

Of note: Almost all of the experts Axios spoke to said that the best way to tackle this problem would be through a massive, federal government-backed awareness campaign educating consumers about the importance of getting a vaccine and directing them to some sort of a federal directory with links to verified local resources.

  • Since the U.S. has no centralized database with citizens' addresses and health records, that's likely the fastest thing the federal government can do to support local governments with the rollout at this point.

Our thought bubble: Developing a vaccine was a hard problem, but distributing it shouldn't have been in the same league, and the U.S. had months to prepare a plan.

What's next: The incoming Biden administration is promising a "whole of government response" after Jan. 20, per the Washington Post.

Go deeper

Updated 8 hours ago - Politics & Policy

Omicron dashboard

Illustration: Shoshana Gordon/Axios

  1. Health: Contact tracing fizzles across America — New clues emerge on long COVID — Omicron is finally burning out — It's very difficult to get access to antiviral COVID treatments — Axios-Ipsos poll: Omicron's big numbersAnother wave of death — FDA limits use of Regeneron and Lilly antibody treatments.
  2. Vaccines: Pfizer begins clinical trial for Omicron-specific vaccine — The shifting definition of fully vaccinated.
  3. Politics: Virginia AG says public colleges can't mandate COVID vaccines —Alaska governor joins Texas lawsuit over National Guard vaccine mandate — Navy discharges 45 sailors for refusing vaccine — Spotify to remove Neil Young's music after his Joe Rogan ultimatum.
  4. World: U.K. to lift travel testing requirement for fully vaccinated — Beijing Olympic Committee lowers testing threshold ahead of Games.
  5. Variant tracker

The mad dash for COVID vaccines among Minnesota seniors

Data: Minnesota Department of Health; Chart: Michelle McGhee/Axios

Minnesota's system for scheduling COVID-19 vaccination appointments for citizens 65 and older again saw extraordinary demand this week.

By the numbers: More than 226,000 seniors entered the lottery for one of just 9,425 doses available at state pilot sites this week, MDH told Axios.

Jan 29, 2021 - Health

WHO says most pregnant women can now receive coronavirus vaccine

A doctor administering Moderna's coronavirus vaccine at a university hospital in Essen, Germany, on Jan. 18. Photo: Lukas Schulze/Getty Images

The World Health Organization has altered its guidance for pregnant women who wish to receive the coronavirus vaccine, saying now that those at high risk of exposure to the COVID-19 or who have comorbidities that increase their risk of severe disease, may be vaccinated.

Why it matters: The WHO drew backlash for its previous guidance that did not recommend pregnant women be inoculated with vaccines made by Pfizer-BioNTech or Moderna, even though data indicated that pregnancy increased the risk of developing severe illness from the virus.