At the moment, it looks like the H1N1 vaccination program is a mess. Let's lay aside a discussion of the vaccine supply. After all, the Federal government has purchased enough doses for everyone and the delivery schedule is a factor of the manufacturing process.
So let's concentrate on the factors that we do have some control over. First, there is effective communication as to who gets priority. I've heard different messages from different levels of government, including the municipal, the medical officer of health and the province.
Part of the confusion is how people are treated when they show up for the vaccine. The local news is running stories that the target population is under 5 years of age, but that no child is being turned away. That sends a message that we have no target population, and that it's A-OK to just show up. Federal politician Hedy Fry didn't help when she suggested that Parliament Hill should have its own immunization clinic.
Then there is how the actual implementation is organized. Some people stand in lines for hours. Some are given a ticket with a number. Some pick up extra tickets for family members. Some are told to come back at a certain time.
And by the way, it seems to be a problem that cuts across political divisions. In Ottawa we have a left leaning municipal government, a Liberal provincial government and a Conservative federal government.
There needs to be a single source of information, and a single plan. The plan needs to be clear on how the clinics will be run and who will and will not get the first doses of vaccine (with no exceptions).
By the way, H1N1 is a trial case and we've clearly blown it. The fatality rate of H1N1 is low (I saw 0.5%). If the fatality rate was 5%, we'd be seeing massive social disorder. People can live with a message that they must wait, but they can't live with a message that sometimes line jumpers will be accommodated.