Vaccine Distribution Continues to Falter Without Public Confidence in Immunization Programs
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An investigation by NPR has revealed that the distribution pattern of the COVID-19 vaccine is complicating efforts for communities of color to receive protection from the virus. This is particularly evident in Chicago's Little Village, a predominantly immigrant community, where the neighborhood has received 20% fewer vaccinations than wealthier neighborhoods.
The unequal vaccine distribution is a matter of concern for Rachel Pearson, an assistant professor of pediatrics and medical humanities. She finds the failed rollout of the vaccine to be "intolerable." Pearson believes that the same systemic racism that puts Black, Latinx, Indigenous, and low-income communities at increased risk of air pollution is also responsible for the unequal vaccine distribution.
Historically, communities of color have had little reason to trust the medical community, which is a significant barrier to vaccine acceptance. This distrust in government deters many residents of Little Village from seeking the COVID-19 vaccine. Misinformation and lack of trust in the government and pharmaceutical companies are also contributing factors to vaccine refusal in Texas.
A study published last week from the University of Houston found that a third of Texans are likely to refuse the COVID-19 vaccine outright. More than half of people who say they are certain or likely to refuse the vaccine in Texas cited a lack of trust in the government or pharmaceutical companies as their reason.
To address these disparities, large-scale programs like the CDC’s Vaccine Equity and Access Program have been initiated. This programme funds community-based organizations led by and working with people of color to promote vaccine information, access, and confidence. These programs aim to overcome barriers to vaccination by leveraging trusted local partners.
However, the COVID-19 vaccine has not been distributed equally, with communities of color receiving fewer vaccinations. This is concerning given that Black, Native American, and Latinx people are dying at twice the rate of their white peers from the coronavirus in the U.S. The coronavirus has killed over 2 million people globally, and the U.S. death toll is approaching 464,000 as of Monday morning (February 8, 2021).
In New York City, a mass vaccination center was announced for the Bronx, which has the highest positivity rate in the city, but thousands of vaccine appointments remained unfilled by Friday. Without access to the COVID-19 vaccine, no one stands a chance.
Medical and health professionals need to listen to communities of color to build trust and prevent similar issues in the future. The COVID-19 vaccine is seen as a demonstration of society's commitment to the value of every person's life. Efforts to address these disparities are ongoing to improve equity in vaccination coverage.
[1] CDC's Vaccine Equity and Access Program: https://www.cdc.gov/vaccines/covid-19/info-by-product/clinical-considerations/community-distribution/index.html
[2] NPR's Investigation: https://www.npr.org/sections/health-shots/2021/02/05/965824640/covid-19-vaccine-inequality-race-ethnicity-and-systemic-barriers-to-access
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