Why is Israel the first in the world in terms of vaccination coverage?

Author: Z_ Recently, new news has been coming from Israel, which has the highest vaccination rate in the world

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According to ourworldindata data, so far, 87.06 doses of the vaccine have been distributed to every 100 people in Israel

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Israel’s health minister previously said that at present, about 4.3 million Israelites have been vaccinated with the new vaccine, of which nearly 3 million have completed the second dose

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Source of vaccine distribution data in different countries: ourworldin data there is no doubt that Israel is still the most likely country to obtain mass immunization through vaccines

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Real world: vaccine effectiveness meets expectations

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On February 24, NEJM published a paper to analyze the real-world protective data of Pfizer mRNA vaccine bnt162b2 based on the vaccination situation in Israel

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The study counted 596618 vaccinators from December 20, 2020 to February 1, 2021, and analyzed the protection of the vaccine 14 to 20 days after the first vaccination and 7 days after the second vaccination

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The novel coronavirus pneumonia novel coronavirus pneumonia proved to be novel coronavirus pneumonia

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The protective strength of the novel coronavirus pneumonia was 46% after 14 to 20 days after the first vaccination, and 92% after seventh days and second days after vaccination

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The protective power was 57% and 94% for preventing the symptoms of the novel coronavirus pneumonia respectively, and the protection rate was 74% and 87% for decreasing the hospitalization rate

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From 14 to 20 days, the effective rate of preventing novel coronavirus death was 72%

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Source: novel coronavirus pneumonia 1 novel coronavirus pneumonia vaccine mRNA vaccine can effectively prevent novel coronavirus pneumonia infection and significantly improve the outcome of various diseases of novel coronavirus pneumonia, which is consistent with the results of III phase clinical trial of the vaccine

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The Ministry of health of Israel released the vaccine effectiveness data on February 20

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Novel coronavirus pneumonia with novel coronavirus pneumonia with novel coronavirus pneumonia and respiratory symptoms was effective after 98% days of inoculation of second doses of vaccine

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The effective rate was 98%

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The novel coronavirus pneumonia was needed to prevent hospitalization, the effective rate was 98.9%, the effective rate of preventing severe novel coronavirus pneumonia was 99.2%, the novel coronavirus death rate was 95.8%, and the effective rate was 98.9%

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The effective rate was 95.8%

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The first column from the left is the effective rate after 14 days of vaccination, and the second column from the left is the effective rate after 7 days of vaccination (source: reference 2)

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A total of 9109 medical workers were selected for the study, of whom 7214 received the first dose and 6037 received the second dose

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The incidence rate of novel coronavirus pneumonia decreased by 30% and 75% respectively on the 1~14 and 15~28 days after the first vaccination, and the incidence of new onset pneumonia decreased by 47% and 85% respectively

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Photo source: reference 3

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Why can Israel lead the world in vaccine coverage? First of all, it can be seen from the purchase of vaccines that the government has indeed spent a lot of money

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In June 2020, Israel became one of the first countries to sign a vaccine supply agreement with Moderna

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In November 2020, when Pfizer announced that the new vaccine was effective, Israel also quickly paid a huge deposit

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According to Deutsche Welle, the Israeli government spent $315 million (about 2 billion yuan) to buy the vaccine from Pfizer and Moderna at a price of 23 euros (about 180 yuan) per dose

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Israeli Prime Minister welcomes the first Pfizer vaccine

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In contrast, the price of Pfizer vaccine in the United States is 19.5 US dollars (about 125 yuan) per dose, while the European Union pays 12 euros (about 95 yuan) for each dose of Pfizer vaccine

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The price war is also in Israel’s plan

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In an interview, Israel’s finance minister said that in order to compete with big countries for vaccines, the purchase price must be increased

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In addition to “early and expensive”, the Israeli government has also reached an agreement with Pfizer to trade data for vaccines

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“We have convinced pharmaceutical companies that as long as they provide vaccines to Israel, we can promote vaccination in the shortest time,” Israeli health minister Edelstein said in an interview

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“We have made preparations very early and signed agreements very quickly

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Pharmaceutical companies can see the results of vaccination in Israel as soon as possible

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This is a win-win situation

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According to some of the terms of the deal disclosed by the government, Israel will share data with Pfizer, including the number of new confirmed cases, severe cases, deaths and vaccinations, as well as the age and gender of each person

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Although the government will anonymize the patient’s personal information, there are still many people who think it may infringe on the patient’s privacy

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Tehilla, a senior researcher at the Israel Institute for democracy, believes that the shared data may also include the patient’s complete medical history

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“This way of directly attributing personal data to the government is neither ethical nor legal.”

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In any case, Israel’s positive attitude has received a good response

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According to local media reports, Pfizer has privately promised to deliver about 10 million doses of vaccine to Israel by the end of March, and Israel’s goal is to complete the vaccination of 5 million people by the end of March

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Universal health care is a painstaking effort for vaccination

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Another advantage of Israel’s vaccine promotion lies in the highly digital universal health care system

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In 1948, Israel began to implement the medical insurance system, including public medical insurance and private medical insurance, just like other developed countries

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In 1995, the government of Israel promulgated the national health insurance law, which requires all citizens of Israel to participate in a medical insurance scheme, which is provided by the medical institutions of Clalit, Maccabi, meuhedet and leumit

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Source of Clalit health service organization: in addition to medical insurance, these four medical institutions have cooperative relationship with hospitals and clinics at the same time

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Take Clalit, the largest hospital in Israel, as an example

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The Meir hospital directly built by Clalit is one of the largest hospitals in Israel

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It also has 8 community medical service centers, 26 large clinics and 152 primary health care clinics, forming a huge medical consortium

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At the same time, Israel also has a set of digital system to collect the national health care information, which records the medical data of all insured persons from birth to the present, which can be accessed in different hospitals and clinics

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The novel coronavirus vaccination service is also provided by the four medical institutions to the insured people free of charge

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In addition, the Israeli government has established a covid-19 command center to coordinate different agencies that may be involved in vaccine distribution

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On the issue of cold chain transportation of vaccines, the Ministry of health contacted all pharmaceutical manufacturers with freezing warehouses and transportation capacity across the country, and “broke up” Pfizer’s original large packaging, so as to ensure the quality of vaccines and facilitate delivery to more remote locations in smaller units

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At present, 350 vaccination sites have been set up in Israel, most of which are built in places with large population flow

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Some vaccination sites even offer free coffee and pizza.

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