President-elect Joe Biden says he’ll distribute more of the available doses of coronavirus vaccines, reversing the Trump administration’s practice of holding back second doses to ensure they’re available for people who’ve already had their first shot.

The move, announced by Biden’s office Friday and supported by a group of Democratic governors, is a response to the sluggish vaccine rollout. Coronavirus cases and deaths have been surging in the U.S. for months.

“He supports releasing available doses immediately, and believes the government should stop holding back vaccine supply so we can get more shots in Americans’ arms now,” Biden spokesman TJ Ducklo said in a written statement.

The Trump administration has so far withheld about half of allocated doses of vaccines made by Pfizer Inc.-BioNTech SE and Moderna Inc., each of which are a two-dose regimen. The current administration has said it wants to make sure doses are available when people return for their second shot, to ensure efficacy and ease concern among Americans that they might not be able to complete the regimen.

Distributing vaccines without being absolutely sure a second dose is available is contrary to Food and Drug Administration recommendations, according to a spokesman for the Department of Health and Human Services.

‘Ensuring Supply’
“Second-dose management was always about ensuring supply chain availability,” HHS spokesman Michael Pratt said. “Operation Warp Speed monitors manufacturing closely, with the intent to transition from reserving as many second doses as manufacturing further stabilizes with a consistent flow of vaccines.”

Biden’s statement did not make clear how many shots he would still withhold. Biden will release additional details next week, Ducklo said.

The move risks that a hiccup in delivery of vaccines could leave the administration without enough when people’s second doses are due.

Biden’s transition team is confident that manufacturers can meet the demand, a transition official said, asking not to be identified. They will use the Defense Production Act to force production of materials if necessary, the official said.

Dosing Risk
Trump administration officials previously said they made the decision to withhold doses because without a second shot, there is a risk the first shot may not provide as strong or lasting protection against the virus.

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