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Health officers across the Bay Area are starting to prepare how distribution will work once the vaccine is authorized for emergency use.
"I'm nervous and a little sad," said Gregorio Ramirez, who lives in San Francisco's Mission District.
Ramirez is a delivery truck driver and constantly worries he will put his 5-year-old son at risk.
"I got to go to work every day talking to different people and some aren't vaccinated," he said.
WATCH: States lash out over vaccine mandates as pediatric COVID cases climb
States lash out over vaccine mandates as pediatric COVID cases climb
Susan Rojas works with San Francisco's COVID-19 taskforce. Her staff is already preparing to expand the Mission's 24th Street pop-up site to be able to vaccinate up to 500 children per day once Pfizer's vaccine is authorized.
"We have a lot of families coming in trying to figure out if they can put their names on a waitlist," she said.
Pfizer is expected to submit data for FDA review by late September. UCSF's Dr. Peter Chin-Hong predicts a decision on the EUA will happen before Halloween, but added we should be prepared for delays.
"Because I think there's a lot of pressure to divert resources within the FDA right now to ensure they really have all hands on deck," Chin-Hong said.
The American Academy of Pediatrics reports there's been a 240% increase in COVID cases among children since early July.
"Luckily not so much in the Bay Area," said Chin-Hong. "But, nevertheless, getting an infection would still lead to a very small proportion of children getting chronic symptoms, which is an issue."
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ABC7 confirmed health departments in all nine Bay Area counties are expanding vaccination clinics and working with pediatric offices to accommodate the heightened demand expected next month.
The city's COVID-19 Latino Taskforce is expecting additional resources to staff the Mission and Bayview vaccination sites once the vaccine is authorized. Rojas says the Mission's 24th Street site is hosting a youth vaccination and testing event every Sunday from 9 a.m. to 3:45 p.m. for teens ages 12 to 17.
VACCINE TRACKER: How California is doing, when you can get a coronavirus vaccine
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