LTC 039-2021 UPDATE ON CITY OF MIAMI BEACH COVID-19 VACCINATION EFFORTSDocuSign Envelope ID: 81F2F334-371E-47CE-8CD7-BD07E9131BD9
OFFICE OF THE CITY MANAGER
LTC# 039-2021 LETTER TO COMMISSION
TO: Mayor Dan Gelber and Members of the City Commission
FROM: Raul J. Aguila, Interim City Manager
DATE: January 27, 2021
SUBJECT: UPDATE ON CITY OF MIAMI BEACH COVID-19 VACCINATION EFFORTS
The purpose of this Letter to Commission is to provide the Mayor and Commission with
an update regarding the coordinated actions the City of Miami Beach (“City”) has taken
to administer the limited number of doses of COVID-19 vaccines received thus far. These
vaccines are being distributed in accordance with federal and state actions and guidance,
with an emphasis on facilitating the inoculation of eligible seniors in our senior affordable
housing buildings and at the North Beach Senior Center (Unidad), as well as eligible
homebound residents.
The attached chart summarizes the cumulative number of doses delivered to the City,
number of doses administered, and number of doses remaining (Exhibit “A”).
SUMMARY OF CITY VACCINATION DATA (as of January 27, 2021)
• Cumulative number of doses delivered to the City. The following doses have
been delivered to the City to date:
o First distribution of the Moderna mRNA vaccine – 600 doses
o Second distribution of the Moderna mRNA vaccine – 500 doses
o Third distribution of Moderna mRNA vaccine – 500 doses
o Fourth distribution of Moderna mRNA vaccine – 600 doses1
o First distribution of Pfizer-BioNTech mRNA vaccine – 500 doses
• Cumulative number of doses administered. The City has administered the first
dose of the COVID-19 vaccine to 1,228 eligible individuals. Second doses will be
administered beginning on February 3rd.
• Cumulative number of eligible seniors transported to Mount Sinai Medical
Center (“MSMC”) for vaccination. The Office of Housing & Community Services
and Transportation & Mobility Department have supported MSMC’s vaccination
efforts by providing free transportation for City residents with appointments to and
from the inoculation site at MSMC. Due to supply constraints, MSMC has since
canceled all first-dose appointments. Since vaccinations began, staff has
registered and transported 235 eligible seniors to MSMC for vaccination between
December 29th and January 8th. Free transportation will be provided for these
individuals to receive their second doses at MSMC between January 26th and
February 2nd, once they are eligible.
1 This distribution is allocated for second doses.
DocuSign Envelope ID: 81F2F334-371E-47CE-8CD7-BD07E9131BD9
COVID-19 Vaccination Update
January 27, 2021
Page 2 of 3
STATE AND COUNTY EMERGENCY GUIDANCE
On December 23, 2020, Governor Ron DeSantis issued Executive Order (“EO”) 20-315
regarding vaccine administration. This EO directs all COVID-19 vaccine providers to
vaccinate three identified populations: (a) long-term care facility residents and staff; (b)
persons 65 years of age or older; and (c) healthcare personnel with direct contact with
COVID-19 patients. Hospital providers in receipt of COVID-19 vaccines are authorized to
administer vaccines to those individuals they deem to be at risk of exposure, which is why
the City’s first responders have been offered doses in Phase 1 of the rollout.
On January 21, 2021, the State Surgeon General issued a public health advisory,
providing that every vaccine provider in Florida should ensure the recipient of the vaccine
is either a Florida resident, or an individual present in Florida “for the purpose of providing
health care services involving direct contact with patients.”
On January 22, 2021, Miami-Dade County Mayor Daniella Levine Cava issued
Emergency Order 32-20 which, in pertinent part, creates reporting requirements for
vaccine providers (including the City), and provides that vaccine providers should not offer
vaccination appointments unless enough vaccine doses have been received, and a
reasonably accurate forecast can be made of the number of persons who can be
vaccinated with such supply.
LIMITED AVAILABILITY OF VACCINE DOSES
The ability of the City and other vaccine providers to ramp up vaccinations has been
greatly limited by supply constraints. Last week, for instance, MSMC suspended all first-
dose appointments effective Saturday, January 23rd, including vaccination appointments
coordinated by the City’s Housing & Community Services staff. (Note: individuals
scheduled for second-dose appointments were not affected, and MSMC has advised that
it would proactively communicate alternative vaccination options to those whose
appointments were canceled.)
POSSIBLE EXPANSION OF CITY’S VACCINATION PROGRAM
The Administration has relied on existing personnel to coordinate the vaccination of
eligible seniors and to schedule and transport eligible seniors to MSMC for vaccination.
However, assuming additional doses become available, any expansion of the City’s
vaccination program would require additional resources, including temporary staff.
Additionally, any expanded effort would need to occur concurrently with coordination of
second doses for individuals who were vaccinated by the City or transported to MSMC
for vaccination.
A significant fiscal impact would be associated with any expansion of the City’s direct
vaccination efforts, currently estimated at $202,000 per month (including overtime and
DocuSign Envelope ID: 81F2F334-371E-47CE-8CD7-BD07E9131BD9
COVID-19 Vaccination Update
January 27, 2021
Page 3 of 3
additional staffing costs).2 We intend to apply for reimbursement from FEMA for all eligible
expenses; however, the likelihood of reimbursement to the City is uncertain.
CONCLUSION
This availability and distribution of COVID-19 vaccines continues to be fluid and evolves
every day. Staff is working diligently to serve the most vulnerable members of community
and will continue to do so.
The Administration has also continued outreach to hospitals and other vaccine providers
to identify potential partnership opportunities. The biggest challenge, at this point, is the
limited availability of COVID-19 vaccines. However, as supplies increase and as
distribution accelerates, we anticipate that more vaccine doses will become available.
2 Staff’s monthly cost estimate, assuming the City administers first doses and second doses
concurrently (i.e. on a parallel track), includes the following: approximately $156,000 in overtime
costs for two Fire crews, $36,000 in temporary staff support, and $10,000 in miscellaneous
expenses (freezers, supplies, etc.) This estimate does NOT include the support of management
staff or departmental staff, which would be required to supervise the program.
DocuSign Envelope ID: 81F2F334-371E-47CE-8CD7-BD07E9131BD9
Shipment # Delivery Date Manufacturer Received Doses Remaining Doses
1 01/06/21 Moderna 600 0
2 01/15/21 Moderna 500 0
3 01/21/21 Moderna 500 490
4 01/25/21 Moderna 600 600
5 01/26/21 Pfizer 500 500
Grand Total 2,700.00 1,590.00
* Shipment #4 is for 2nd Vaccination Dose
Vaccine Shipments Report
DocuSign Envelope ID: 81F2F334-371E-47CE-8CD7-BD07E9131BD9
Reporting Date: 1/26/2021
01/11/21 100 109 250 9%
Vaccine Statistics
Date Provided Projected Doses Doses Given Doses Remaining Overfilled
01/06/21 90 105 510 17%
01/07/21 80 90 430 13%
01/08/21 80 90 350 13%
01/12/21 50 55 200 10%
01/14/21 40 43 40 8%
01/15/21 40 51 0 28%
Total 600 680 0 13%
01/13/21 120 137 80 14%
Daily Vaccination Report Shipment #1
600
510
500
430
400
350
300
250
200 200
137
105
100 90 100 109 120
80 90 80 90 80
50 55 40 43 40 40 51
0 0
1/6/2021 1/7/2021 1/8/2021 1/11/2021 1/12/2021 1/13/2021 1/14/2021 1/15/2021
Projected Doses Doses Given Doses Remaining
DocuSign Envelope ID: 81F2F334-371E-47CE-8CD7-BD07E9131BD9
Reporting Date: 1/26/2021
Vaccine Statistics
Date Provided Projected Doses Doses Given Doses Remaining Overfilled
01/20/21 260 274 240 5%
01/21/21 120 131 120 9%
01/22/21 60 67 60 12%
01/25/21 40 44 20 10%
01/26/21 20 22 0 10%
Total 500 538 0 8%
Daily Vaccination Report Shipment #2
300
274
260
250 240
200
150 131 120 120
100
60 67 60
50 40 44
20 20 22
0 0
1/20/2021 1/21/2021 1/22/2021 1/25/2021 1/26/2021
Projected Doses Doses Given Doses Remaining
DocuSign Envelope ID: 81F2F334-371E-47CE-8CD7-BD07E9131BD9
Reporting Date: 1/26/2021
Vaccine Statistics
Date Provided Projected Doses Doses Given Doses Remaining Overfilled
01/26/21 10 10 490 0%
Total 10 10 0 0%
Daily Vaccination Report Shipment #3
600
500
400
300
200
100
0
1/26/2021
Projected Doses Doses Given Doses Remaining
10 10
490