Biden eyes new goal after US clears 100m shots since January 20

US has surpassed the president’s goal of 100 million Covid shots in the first 100 days of his presidency

A healthcare worker places a bandage on a man after administering a dose of the Moderna Covid-19 vaccine in Pomeroy, Ohio. Bloomberg

The US on Friday cleared President Joe Biden’s goal of injecting 100 million coronavirus shots, more than a month before his target date of his 100th day in office, as the president prepared to set his sights higher in the nationwide vaccination effort.

With the country now administering about 2.5 million shots per day, Mr Biden, who promised to set a new goal for vaccinations next week, teased the possibility of setting a 200-million-dose goal by his 100th day in office.

"We may be able to double it," he told reporters before leaving the White House for Atlanta. The US is on pace to have enough of the three currently authorised vaccines to cover the entire adult population 10 weeks from now.

As the pace of US vaccinations and supply improves, the White House said the nation is in a position to help supply neighbours Canada and Mexico with millions of life-saving shots.

The Biden administration on Thursday revealed the outlines of a plan to lend a limited number of vaccines to Canada and Mexico.

Coronavirus co-ordinator Jeff Zients said on Friday that 2.5 million doses of the AstraZeneca vaccine would go to Mexico and 1.5 million would be sent to Canada. He emphasised that because the AstraZeneca shot is not yet authorised in the US, “this loan will not reduce the supply of vaccine to Americans”.

“Our first priority remains vaccinating the US population,” White House Press Secretary Jen Psaki said on Thursday. She said that “ensuring our neighbours can contain the virus is a mission-critical step, is mission critical to ending the pandemic”.

The AstraZeneca vaccine has not yet been authorised for use in the US but has been by the World Health Organisation.

Tens of millions of doses have been stockpiled in the US, waiting for emergency use authorisation, and that has sparked an international outcry that vaccines are being withheld when they could be used elsewhere. The White House said about seven million of the AstraZeneca doses are ready for shipment.

The initial run of doses manufactured in the US are owned by the federal government under the terms of agreements reached with drugmakers, and the Biden administration has faced calls from allies across the globe to release the AstraZeneca shots for immediate use. Mr Biden has also fielded direct requests from Canadian Prime Minister Justin Trudeau and Mexican President Andres Manuel Lopez Obrador to buy vaccines produced in the US.

Global public health advocates say wealthy nations like the US need to do far more to help stem the spread of the pandemic. The WHO on Thursday issued a report stating that fewer than seven million Covid-19 vaccine doses have been administered in Africa thus far. That’s the equivalent of what the US administers in a matter of days.

Mr Biden did move to have the US contribute financially to the Covax alliance, backed by non-governmental organisations such as Gavi, the Vaccine Alliance, along with the WHO and Coalition for Epidemic Preparedness Innovations, which will share vaccines with more than 90 lower and middle-income nations. But the US has yet to commit to sharing any doses.

From his first days in office, Mr Biden has set clear – and achievable – measures for US success, whether they be vaccinations or school reopenings, as part of an apparent strategy of underpromising, then overdelivering. Aides believe that exceeding his goals breeds trust in government after the Trump administration’s sometimes fanciful rhetoric on the virus.

The 100 million-dose goal was first announced on December 8, days before the US had even one authorised vaccine for Covid-19, let alone the three that have now received emergency authorisation. Still, it was generally seen within reach, if optimistic.

By the time Mr Biden was inaugurated on January 20, the US had already administered 20 million shots at a rate of about one million per day, bringing complaints at the time that Mr Biden’s goal was not ambitious enough. He quickly revised it upwards to 150 million doses in his first 100 days.

Now the US is injecting an average of about 2.5 million doses each day. The pace is likely to soar later this month in conjunction with an expected surge in supply of the vaccines, putting a 200 million-dose goal well within reach.

The president has moved to speed up deliveries of vaccines from Pfizer-BioNTech, Moderna and Johnson & Johnson, as well as to expand the number of places to receive shots and people who can administer them, with a focus on increasing the nation's capacity to inject doses as supply constraints lift.

The risk in setting too rosy expectations is that an administration might become defined by its failure to meet them, such as in May 2020, when president Donald Trump said the nation had “prevailed” over the virus.

At the time, the country had seen about 80,000 deaths from the virus. This week, the US death toll topped 538,000. Mr Trump's lax approach and lack of credibility also contributed to poor adherence to public safety rules among the American public.