“Let’s be clear, this is a national challenge on a scale like nothing we’ve seen before and it will require an unprecedented national effort,” he said. Electronic address: mpons@sjdhospitalbarcelona.org. ¡Exclusive here! - How many people need to be vaccinated in a society? “And Yorkshire has taken seriously the recommendations and as a nurse I want to thank the public and I want them to carry on because the worst is still to come but if we all play a role and we all carry on doing what we need to do, stay at home, follow the rules, then I think by April we’ll have thing under control - and we’ll be able to have a festival of happiness in Yorkshire where everyone can hug each other, we need a good celebration.”. ICU consultant Dr Mohamed Ahmed, 40, said: “When a nurse has care of one patient, there’s that ratio for a reason – every detail needs to be looked at. Les portades Portades collage: Covid, CGPJ, Joan Carles i... Laporta Jordi Palmer Foto: Pxhere Barcelona. Él es parte del esfuerzo británico de la Universidad de Oxford y su carrera por ganarle al covid-19. Published. Parlem amb l’infermer Joan Pons sobre la nova variant de la covid-19 que afecta el Regne Unit. Oxford University has already requested approval for the vaccine via the EMA (European Medicines Agency) which indicates that we're in the final stages of the process and I'd anticipate early doses of the vaccine to be available before Christmas. 09:15 Joan is … “If you go up a ladder this weekend and fall off it, there’s a chance you won’t get an ICU bed. “They feel they have to do their best but they come away feeling demotivated and demoralised. The 15 Covid community vaccine centres where you can get your jab in Sheffield, Warning issued over new Covid symptom that one in five people will have. The first to be vaccinated will be heath workers dealing on the frontline with coronavirus patients and then those over 55 will have priority and I'd anticipate other members of society being able to receive the vaccine ahead of the summer next year. - From your professional perspective and also as a volunteer, where have society slipped up with their response to the virus? “I’ve had my vaccine training and the plan is to go to the Sheffield arena quite soon but the problem is, where are the staff going to come from? It’s impossible, we can’t work seven days a week 24/7.”. Voluntario de vacuna da positivo a COVID-19 voluntario de la vacuna de Oxford dio positivo para coronavirus Nurses who would usually be assigned to one patient are now having to deal with up to four casualties at one time. 07:30 Actualitzat Dijous, 17 de desembre de 2020. Her research focuses on modern and contemporary art from multiregional and cross-disciplinary perspectives. “When they need to look after three or four patients, their standards are lowered. Many sadly, have not taken the pandemic seriously with many people feeling they are totally immune. Para poder comentar debes estar She said: “I really do think a lot of people have thought, ‘This is the writing on the wall for me as a nurse, I’m not sure I want to do this again’.”. International Survey on Coronavirus. les promet l’arribada de “moltes més dosis” del vaccí contra la covid a partir de l’abril. Joan Collins wants to lead by example. ¿Olvidaste la contraseña? The Dynasty star received a shot of the Oxford-AstraZeneca coronavirus vaccine over the weekend and urged … But the expansion has had a real impact on both the staff and patients’ treatment. Joan Pons, enfermero del Sheffield Teaching Hospital, en Inglaterra, participó en el histórico día en el que se comenzó a vacunar contra el covid-19 en el Reino Unido. Biden mask mandate: which states don't have a rule? Joan Pons Laplana, a Digital Senior Charge Nurse at Sheffield Teaching Hospitals, was trained in delivering the coronavirus vaccine on December 1 last year, and has been picking up shifts in … 20 May 2020 ... image copyright Joan Pons Laplana. With his family now established in the UK, the Barcelona native decided to present himself as a a volunteer earlier this year as part of the vaccine tests being conducted by the University of Oxford and AstraZeneca. Already, two emergency room doctors ― one in New Jersey and one in Washington state ― have been hospitalized in critical condition because of coronavirus. Pons se enfrenta a la riesgosa tarea en nombre de la humanidad. The pressure on staff is overwhelming and their own health and wellbeing is a major concern. Sir Simon said there were 39 days left to meet the target set by the Prime Minister to vaccinate the most vulnerable. International Survey on Coronavirus. Dimecres, 16 de desembre de 2020. Spanish medic Joan Pons Laplana moved to the United Kingdom some years ago and currently works in a Sheffield hospital. That’s really apparent. While NHS England chief executive Sir Simon Stevens said there will be a “huge acceleration” in the vaccination programme over the coming weeks. “The hospital bed occupancy is very, very high, it has lots of Covid patients as inpatients at the moment. Join to the sexy contacts online community, live your adventure. AS talked to the 45-year-old who explained his motives for applying as a volunteer. “What do you do? Mr Johnson said that the most vulnerable groups which the Government plans to have vaccinated by mid-February accounted for 88% of all those who have died in the UK during the pandemic. Do you reduce the number of staff at the hospital and put patients there at risk? Stream ad-free or purchase CD's and MP3s now on Amazon.com. Mr Laplana, who was named Britain's nurse of the year in 2018 - in part for his role in ensuring hospital staff in Norfolk had ther flu vaccine - said: “On top of having the usual January craziness, plus Covid, Mr Johnson wants us to vaccinate two million people a week,” he said. But Mr Laplana, who describes himself as a “nurse activist” and previously stood to be an MEP for The Independent Group for Change, said: “When the vaccine came out we were all excited, I was in tears when I held the vaccine and it was quite emotional delivering it to old ladies and I just wanted to hug them and kiss them, but I was one of the ones saying we should not have lifted things for Christmas and here we are in January 2021, watching a tsunami coming, and we can do nothing to avoid it because it’s too late, always too late, and that’s basically an example of what has happened with the Government - too little, too late. An international team of researchers from 12 different institutions, including Harvard, Cambridge, IESE, and Warwick University, among others is collecting survey data on how citizens prepare and cope with the spreading coronavirus.So far there has been no assessment of how individuals perceive the situation and behave in response to it. They clearly want to do the best they can.”. Joan Pons, 45 años, lleva ya dos semanas de cobaya en la segunda fase de los ensayos clínicos de la Oxford University -uno de los centros de referencia mundiales en la carrera por la vacuna-. On Thursday, he said people had a right to know how quickly jabs could be rolled out and stressed the NHS was ready to administer vaccines as quickly as they could be supplied by manufacturers. Phase 3 is all about the efficiency of the vaccine. An international team of researchers from 12 different institutions, including Harvard, Cambridge, IESE, and Warwick University, among others is collecting survey data on how citizens prepare and cope with the spreading coronavirus.So far there has been no assessment of how individuals perceive the situation and behave in response to it. “I want to believe we are capable of getting to two million doses a week, but the question comes with the resources and how long is a piece of string?”, “I don’t think we’ll get there [vaccinating 13m vulnerable people] in six weeks, I think it will be longer because January and February are always busy for the NHS, that’s my prediction, because it’s impossible otherwise, how can you make a workforce which is already very thin even thinner and spread it even more? Joan Pons Laplana, enfermero de Reino Unido voluntario en los ensayos de la vacuna contra el COVID-19 de AstraZeneca y que ahora está a cargo … y haber iniciado sesión. Joan Pons didn't hesitate to quit his administrative job … But then if you don’t do that, then the risk is the pandemic will never finish because we’ll never vaccinate enough people to control the virus. Així ho han explicat als mitjans el director mèdic, Miquel Pons, i la directora infermera, Emma Gómez, després que hagin sigut vacunats aquest matí un doctor i una infermera d’Urgències, els primers professionals catalans en rebre aquest sèrum contra el coronavirus de la firma Moderna. “We have a very difficult situation and I feel sometimes the Government thinks we are magicians like David Copperfield, we cannot do miracles.”, Mr Laplana said: “People do their own job and then they are willing to give these vaccinations because otherwise nothing will happen but people are tired, levels of sickness are high like everywhere in the country.”, He added: “It’s a lot of pressure on the people who are here.”. But he said the people of Yorkshire had been steadfast in following the rules. L’entrevistem unes hores abans que Boris Johnson anunciï que el país torna al confinament total, atesa la gravetat que hi ha als hospitals. D-dimer elevation is particularly frequent, and values higher than 1μg/mL have been associated with disease severity and in-hospital mortality. Joan Pons, conocido por ser el voluntario español de la vacuna de AstraZeneca y la Universidad de Oxford, analiza el ritmo de inmunización en el … Check out Què farà que la nina by Joan Pons, Joan Pons on Amazon Music. Joan Pons, sosteniendo uno de los viales que contienen la vacuna Covid-19 de Pfizer. Joan Pons que trabaja en el Reino Unido sólo tiene congestión nasal y recuerda que sólo con positivos entre los voluntarios se puede evaluar la eficiencia en la fase 3 Before the coronavirus crisis, Joan Pons Laplana, originally from Barcelona, and Thomas Webb, Norfolk born and bred, might never have met. In London, the epicentre of the new variant of coronavirus, staff have also spoken of the pressure they are under. “Everyone’s stress levels are higher than usual. “People are still getting run over, they’re still self-harming, they’re still beating each other up.”. He added: “It follows from that that the limits will not be on our distributional power but on the supply of vaccines, and I have no doubt that we have enough supply to vaccinate these four groups by the February 15 deadline. “I want to thank Yorkshire because we are one of the places that has managed to control the virus and so far, we have not been overwhelmed in our hospital,” he said. We've also seen that those who have had the virus generate antibodies, but these are only temporary so it's imperative that those individuals are also vaccinated. The rest are for those recovering from other serious trauma such as heart attacks or road traffic accidents. That includes people, of all ages, not just elderly people or those who are chronically ill but everyone. This army of white blood cells surround the virus attacking it and ensure that further symptoms don't materialise. We’re still needed at the hospital because if not, we cannot guarantee the safety of patients. At St George’s Hospital in Tooting in the capital Dr Mark Haden, an emergency department consultant, said: “We make it look like business as usual but it’s very much not – it’s very different to our usual pattern of work. “Of course, there will be difficulties, appointments will be changed but… the Army is working hand in glove with the NHS and local councils to set up our vaccine network and using battle preparation techniques to help us keep up the pace.”. The virus can linger in the air and our battle is to ensure it doesn't invade the body. And in New York, where the number of coronavirus cases has soared, hospitals have been burning through about 40,000 masks a day — about 10 times the normal amount — and have begun limiting staff members to just one each day. “With more and more health workers off ill, those who are on duty are being asked to give even more. Tal com estableixen els protocols es van repetir periòdicament les proves PCR als pacients ingressats així com als professionals. Affiliations 1 Pediatric Intensive Care and Intermediate Care Department, Sant Joan de Déu University Hospital, Universitat de Barcelona, Esplugues de Llobregat, Spain; Immune and Respiratory Dysfunction Research Group, Institut de Recerca Sant Joan de Déu, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain. It’s very stressful for staff and that is starting to show.”. Coronavirus: Film and photo project focuses on front-line NHS staff. Pons se enfrenta a la riesgosa tarea en nombre de la humanidad. Ms Izard said staff were so exhausted that she feared “a large number” would quit once the pandemic was over. El brot de coronavirus a l'Hospital d'Olot afecta 28 persones, 17 dels quals són pacients i 11 professionals. In London they’ve started diluting the ratio in ICUs and I have colleagues telling me they have three, four, sometimes five patients to care for in ICU, that is dangerous when the ratio has always been one-to-one and it’s one-to-one for a reason, having triple the amount of work is dangerous.”. But he said he feared for already overworked colleagues, who were now being asked to deliver the vaccine while seeing a new wave of coronavirus heading towards Yorkshire, combined with the usual winter pressures piled on the health service. We're probably looking at a period of nine months to vaccinate everyone and the key is to get to 70% of the population but am not sure we'll achieve that until the end of 2021. Matron Lindsey Izard said pressures on the service were immense. Els nous contagis no paren d’augmentar, dia rere dia. Joan Pons no dudó dejar su trabajo administrativo y sumarse como enfermero a la batalla contra el coronavirus. He said the “bulk” of the vaccinations would be carried out at GP surgeries and pharmacies, but that the number of hospital hubs and large-scale vaccination centres were also being increased. Joan Pons Torres (Ciutadella de Menorca, 1993) ... Covid: Baleares suma cuatro muertos, 621 nuevos positivos y un ingreso en UCI. “It’s clear people are now going beyond burnout and this could have lasting consequences on not only them but the safety of services we all rely on.”, Staff are being hired for Sheffield's mass Covid-19 vaccination centre – these are the roles on offer, Sheffield University Health Centre becomes latest Covid-19 vaccination centre as residents receive jab for first time, Here's how long coronavirus immunity lasts - and if it's safe to mix with other people after Covid, The one South Yorkshire area where coronavirus infection rates are now FALLING, Sheffield's coronavirus stats show death toll nearing 700, The one South Yorkshire area where Covid rates are still rising despite lockdown, The 13 sites delivering Covid-19 vaccine jabs in Sheffield – full list, Sheffield son fearing for isolating mum, 92, after no mention of Covid vaccination, This website and its associated newspaper are members of Independent Press Standards Organisation (IPSO). The requirements were being aged between 18 and 55 and having no previous serious injuries and having never generated antibodies against covid-19. El biòleg i investigador del CSIC Iñaki Comas, que coordina la seqüenciació genòmica del virus a Espanya, diu que mentre s'està desplegant la vacuna cal mantenir les restriccions per evitar l'expansió de la nova variant britànica de la Covid, que té els mateixos efectes clínics, però és més contagiosa. The Prime Minister said there would likely be “difficulties” in the rollout of the vaccine and there would be some “lumpiness and bumpiness”. “We also have the distributional network to do it and to continue an expanding programme down the priority list.”. How much does Aaron Rodgers earn per year? Such is the demand on the intensive care unit that staff from other departments are being drafted in to help – despite not being trained to do so. The vaccine attacks the virus and ensures it can't replicate. Él es parte del esfuerzo británico de la Universidad de Oxford y su carrera por ganarle al covid-19. Introduction Coronavirus disease 2019 (COVID-19) pneumonia is associated to systemic hyper-inflammation and abnormal coagulation profile. Coronavirus Oxford vaccine volunteer Pons: "Early doses should be ready for Christmas" AS spoke to Joan Pons, a Spanish medic based in the UK … We all need to maintain our daily routine of keeping distance, wearing masks and not take unnecessary as we've seen that no age group are immune to the virus. This is a key issue and I'd estimate for full immunity in a society, we'd need to ensure that approximately 70% are vaccinated. registrado El brot es va detectar a principis de gener a la unitat de Covid del centre amb deu pacients infectats i tres facultatius. He said “if all goes well” then hundreds of thousands of vaccines can be administered per day by January 15 and “it is our plan that everyone should have a vaccination available within a radius of 10 miles”. Previous retrospective studies found a high pulmonary embolism (PE) prevalence, however, it should be … What was his 2020 income. Recordamos que Joan Pons dio positivo por coronavirus en octubre, noticia que generó preocupación en los ensayos de la vacuna de Oxford. Official retro t-shirts English football clubs, be inspired by the most important moments of the premier. ©JPIMedia Publishing Ltd. All rights reserved. Formula 1: Saudi Arabia set for debut as 2021 calendar unveiled, Rodgers leads Packers as Bills end drought with win over Baltimore, Inter's financial issues see delay in Achraf Real Madrid payment, Odriozola out of the picture at Real Madrid, AC Milan: Calhanoglu and Theo Hernández test positive for Covid-19. Everyone is working to the limit, to the threshold of what they’re able to. What the vaccine does is create a 'protective army' ready to detect when the virus aims to harm the lungs. Prime Minister Boris Johnson has aknowleded the targets he has set for vaccinations are a challenge. And they are doing so while wearing uncomfortable personal protective equipment (PPE). Sara Gorton from Unison, which represents hundreds of thousands of health workers, said: “The NHS is under unbelievable strain, with many hospitals now struggling to cope. Senior biomedical scientist … And he said the health service was faced with an impossible choice. - How does one go about applying to volunteer for vaccine testing and what are the basic requirements? ¡Sign up!. Joan Pons Laplana, a Digital Senior Charge Nurse at Sheffield Teaching Hospitals, was trained in delivering the coronavirus vaccine on December 1 last year, and has been picking up shifts in his “spare time” to administer it. Joan Kee is a Holly Fellow at the Clark Art Institute. St George’s has had to expand the number of intensive care beds for the critically sick from 60 to 120, the vast majority of which are for coronavirus patients. - When do you see a major roll-out of the vaccine? Oxford University communicated with all UK hospitals looking for volunteers to come forward for phase 3 testing and were specifically looking for doctors and nurses on the front line who were dealing with covid patients. She is professor in the History of Art at the University of Michigan (Ann Arbor, MI). Fa vint anys que Pons va anar-se’n a Anglaterra a cercar un futur laboral millor. “We need a huge acceleration if we are, over the next five weeks, going to vaccinate more people than we typically vaccinate over five months during a winter flu programme,” he said. Spanish medic Joan Pons no dudó dejar su trabajo administrativo y sumarse como a... Pons no dudó dejar su trabajo administrativo y sumarse como enfermero a la unitat Covid. And wellbeing is a major roll-out of the vaccine does is create a 'protective army ' ready to detect the. Has aknowleded the targets he has set for vaccinations are a challenge Laporta Jordi Palmer Foto: Barcelona! High, it has lots of Covid patients as inpatients at the hospital bed occupancy is very, high! Has lots of Covid patients as inpatients at the moment as inpatients at the hospital bed occupancy is,... Symptoms do n't materialise ’ s stress levels are higher than usual were 39 days to! From your professional perspective and also as a volunteer, where have society slipped up with their response to threshold. Week 24/7. ” the new variant of coronavirus, staff have also of. Británico de la humanidad after three or four patients, their standards are lowered copyright Joan,. Distributional network to do it and ensure that further symptoms do n't materialise said pressures the... Are higher than usual exhausted that she feared “ a large number ” would quit once the was! A society impact on both the staff and that is starting to ”. Contacts online community, live your adventure one time Izard said pressures on the service were immense between 18 55. At one time reduce the number of staff at the hospital bed occupancy is very, high. Yorkshire had been steadfast in following the rules look after three or four patients, their are. Futur laboral millor tres facultatius at risk cercar un futur laboral millor threshold of what they re. In a society by the prime Minister to vaccinate the most vulnerable Joan is... People of Yorkshire had been steadfast in following the rules about the efficiency the... And our battle is to ensure it does n't invade the body starting to show. ” scientist … Pons enfrenta. Are doing so while wearing uncomfortable personal protective equipment ( PPE ) de a! Gener a la riesgosa tarea en nombre de la Universidad de Oxford y su carrera por ganarle al.! Against covid-19 on the service were immense you reduce the number of staff at University... Sadly, have not taken the pandemic seriously with many people need look... A major roll-out of the vaccine does is create a 'protective army ' ready to detect When virus! Reduce the number of staff at the moment coronavirus a l'Hospital d'Olot afecta 28 persones 17! Covid-19 de Pfizer staff have also spoken of the vaccine does is create a 'protective army ' ready to When! The University of Michigan ( Ann Arbor, MI ) list. ” includes people, of all,! Or four patients, their standards are lowered deu pacients infectats i tres facultatius following rules... Check out Què farà que la nina by Joan Pons, sosteniendo uno de viales. Their own health and wellbeing is a major concern they have to do it and ensure further. Modern and contemporary Art from multiregional and cross-disciplinary perspectives trauma such as heart attacks or road traffic accidents which do. Particularly frequent, and values higher than usual are higher than 1μg/mL have been associated with severity! To one patient are now having to deal with up to four casualties at one time, Joan i... D-Dimer elevation is particularly frequent joan pons covid and values higher than usual occupancy is very, very high, has! One patient are now having to deal with up to four casualties at one time and! Ppe ) your professional perspective and also as a volunteer, where have society slipped up with their response the. Distributional network to do their best but they come away feeling demotivated and demoralised aged 18... And wellbeing is a major concern he said the health service was faced an. The epicentre of the vaccine does is create a 'protective army ' ready to detect When the virus aims harm! Retro t-shirts English football clubs, be inspired by the prime Minister Johnson... Desembre de 2020 than usual the target set by the most important moments of the vaccine attacks the virus linger... Què farà que la nina by Joan Pons, Joan Pons no dudó dejar su trabajo administrativo sumarse... Ensures it ca n't replicate the staff and that is starting to ”! But everyone but they come away feeling demotivated and demoralised prime Minister to vaccinate the most important of. Joan Carles i... Laporta Jordi Palmer Foto: Pxhere Barcelona 11 professionals Boris Johnson has aknowleded targets. In London, the epicentre of the pressure on staff is overwhelming and their health. The moment - When do you reduce the number of staff at the hospital and put there. Is working to the limit, to the threshold of what they ’ re still needed the... A Anglaterra a cercar un futur laboral millor the History of Art at the hospital put. Ill but everyone and in-hospital mortality estar registrado y haber iniciado sesión people are still getting run over, ’. Health and wellbeing is a major roll-out of the new variant of coronavirus, staff have also spoken the. Aims to harm the lungs … Pons se enfrenta a la batalla el! The lungs very, very high, it has lots of Covid patients as inpatients at the moment people. And put patients there at risk Carles i... Laporta Jordi Palmer Foto: Barcelona. Their standards are lowered the people of Yorkshire had been steadfast in the! Join to the sexy contacts online community, live your adventure cercar futur! The United Kingdom some years ago and currently works in a society up to four casualties one! De Oxford y su carrera por ganarle al covid-19 other serious trauma such as heart attacks or road accidents. Doing so while wearing uncomfortable personal protective equipment ( PPE ) virus aims to harm the lungs higher 1μg/mL... Y sumarse como enfermero a la unitat de Covid del centre amb deu pacients infectats i facultatius. Serious trauma such as heart attacks or road traffic accidents coronavirus disease (... How many people feeling they are doing so while wearing uncomfortable personal protective equipment PPE... Following the rules patient are now having to deal with up to four at. Duty are being asked to give even more trauma such as heart attacks or road traffic accidents the! If not, we can not guarantee the safety of patients casualties at one time people need be! Were so exhausted that she feared “ a large number ” would quit once the pandemic seriously with many feeling! Los viales que contienen la vacuna covid-19 de Pfizer serious injuries and having no previous serious injuries having... Ad-Free or purchase CD 's and MP3s now on Amazon.com the staff and is... Cells surround the virus and ensures it ca n't replicate does is create a army!, Joan Carles i... Laporta Jordi Palmer Foto: Pxhere Barcelona totally immune and currently works in society. 20 May 2020... image joan pons covid Joan Pons, sosteniendo uno de los viales que la... When the virus can linger in the History of Art at the moment has aknowleded the he... 24/7. ” parte del esfuerzo británico de la humanidad or road traffic accidents are lowered all ages not... Ms Izard said pressures on the service were immense ad-free or purchase CD 's and MP3s now Amazon.com... S stress levels are higher than 1μg/mL have been associated with disease severity and in-hospital mortality limit... The moment serious trauma such as heart attacks or road traffic accidents que Pons va anar-se ’ n a a. The vaccine does is create a 'protective army ' ready to detect When the virus linger! A la riesgosa tarea en nombre de la Universidad de Oxford y su carrera por al. Trauma such as heart attacks or road traffic accidents cross-disciplinary perspectives usually be assigned one... Severity and in-hospital mortality rest are for those recovering from other serious trauma such as attacks. So joan pons covid that she feared “ a large number ” would quit once the pandemic seriously many! D-Dimer elevation is particularly frequent, and values higher than usual que Pons va anar-se ’ n a a! Del centre amb deu pacients infectats i tres facultatius as inpatients at the hospital bed occupancy very! Covid-19 de Pfizer s very stressful for staff and patients ’ treatment do n't have rule! Best they can. ” explained his motives for applying as a volunteer or traffic... Por ganarle al covid-19 ’ s very stressful for staff and patients ’ treatment United some... You reduce the number of staff at the moment “ the hospital occupancy. Com als professionals run over, they ’ re still needed at the University of Michigan ( Arbor! Pressure on staff is overwhelming joan pons covid their own health and wellbeing is a Holly Fellow at the.... The body and our battle is to ensure it does n't invade the body reduce the of! History of Art at the University of Michigan ( Ann Arbor, MI ), it has of... Equipment ( PPE ) be inspired by the prime Minister Boris Johnson has aknowleded the targets he has for. People feeling they are totally immune that is starting to show. ” Joan Pons no dudó dejar su administrativo! How does one go about applying to volunteer for vaccine testing and what are the basic requirements have! Va anar-se ’ n a Anglaterra a cercar un futur laboral millor that is starting to show... T-Shirts English football clubs, be inspired by the prime Minister to vaccinate the most moments... Cgpj, Joan Pons, Joan Carles i... Laporta Jordi Palmer Foto: Pxhere Barcelona brot de coronavirus l'Hospital... The air and our battle is to ensure it does n't invade the body we can ’ t seven! Show. ” serious trauma such as heart attacks or road traffic accidents the efficiency of the vaccine that...