Demand for Covid-19 vaccine is declining in parts of the US. Start an uphill battle now to get more shots in the arms

Officials struggled nearly three months later to fill appointments, with ample supply of vaccines and available to all residents aged 16 and older, said Kristy Fryman, the emergency response coordinator and public information officer for the Mercer County Health District. About 264 people received their first dose at the district’s clinic earlier this month – about half the number who signed up at the start of the launch.

“People in rural areas tend to be self-sufficient, especially among the younger population,” Fryman said. “We also heard that people are waiting to get the vaccine because they want to know the side effects of it. And then another remark would be that the vaccine is just too new.”

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In nearby Paulding County, a rural community that includes ‘all towns’ and is home to less than 19,000 people, the Emergency Department’s emergency response has seen a similar trajectory. Just a few weeks ago, the department would report several hundred people on the waiting lists of the Covid-19 vaccine. Now, “we do not have a waiting list,” Bill Edwards said. About 29% of the country’s population has started vaccinating against Covid-19, state data show.
And it’s not just in Ohio. Pharmacies in one part of Louisiana say the demand for vaccine for Covid-19 has ‘dropped completely’. Georgia officials recently announced they would close a mass vaccination site due to low demand. Tennessee leaders said late last month that they were eligible for the low vaccinations in rural areas. Parts of Texas also saw declining demand.
Driving through clinic in Mercer County, Ohio

“We’re getting to the point where we’re getting to the hard of hearing,” said Lori Tremmel Freeman, chief executive of the National Association of County and City Health Officials (NACCHO). “Those who are unsure whether on the fence about the vaccine do not have enough information, or simply … for other reasons are not interested in the vaccine.”

Experts, including dr. Anthony Fauci, estimates that between 70-85% of the country must be immune to the virus – either through vaccination or through previous infection – to suppress its spread. But the US is not yet close to these levels, and the slowdown in demand – especially now that suitability is open – means there could be a bigger task than some local officials expected.

A problem of question

The slowdown in vaccine uptake is not surprising, says specialist and epidemiologist Infectious Diseases Dr. Céline Gounder.

She told the Joint Economic Committee of the United States on Wednesday that a major challenge for Covid-19 vaccinations in the coming months is the question: enough people need to get involved to take the chance. And there are several reasons why.

Many Americans, even among color communities, still face challenges with access, Gounder told CNN. Civil rights leaders have said that while the reluctance in those communities is diminishing, many people of color do not have vaccines in their area. They may also need help with transportation, internet access or help with the registration process. The Biden administration announced last month that it would devote nearly $ 10 billion to expanding access to hard-hit and high-risk communities and raising confidence in vaccines across the country.
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“The work we do on the stocks needs to be done deeper and done in the communities where people live and work,” NACCHO’s Freeman said. “We need to be very creative in finding unique ways to reach people, including making sure they have the easiest access to vaccination.”

In Mercer County, Fryman said officials are making efforts to make the vaccines more accessible, including events targeting the Spanish population and initiatives to get more information about the Amish and Marshallese populations.

Other groups are reluctant, Gounder said, including younger Americans, as well as what she calls the ‘movable drug’ – those who are on the fence, but who may be fed more information about the Covid-19 vaccine.

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“Then you have another group that is much more resilient, more entrenched in their views, that’s about 20% of Americans,” Gounder said. It is more rural, conservative Americans who do not have confidence in the health care system and the government, she said.

“The group is more challenging because it is not necessarily a group that will respond to education as the kind of more mobile means will do,” Gounder said. “And that’s what we’re worried about.”

One in five rural residents still say they will definitely not be vaccinated, according to a recent analysis by the Kaiser Family Foundation. About 73% of respondents leaned Republican and 41% were identified as white evangelical Christians. Experts believe that anti-vaccine sentiment among the Evangelicals is fueled by several factors, including misinformation and political identity. And the consequences can be significant.
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“That means you probably have geographically certain populations – not just by rural versus not rural, but also by reference to politics,” Gounder said. “And so … you’ll probably see more transfer within those subgroups.” And these populations, she added, could potentially spread seeds in other communities.

Some experts are also concerned about the recent vaccination of Johnson & Johnson which may increase the vaccine. U.S. officials are recommending the outbreak of an “abundance of caution” after six cases – including more than 6.8 million Americans who had the chance – of a rare and serious blood clot.

“I think it has a cold effect,” said Dr. Paul Offit, director of the Center for Vaccine Education at Philadelphia Children’s Hospital, recently told CNN. “I think people may be mistaken in thinking, ‘Well, if this is true with this J&J vaccine, it might be true with all vaccines.'”

Now an ‘uphill battle’ for local officials

Officials in Lubbock, Texas, began noticing a slowing demand last month. The city, a small urban center where Texas Tech University is home, is the seat of a rural province.

“We’re what people think Texas looks like,” said Katherine Wells, the city’s director of public health. “Tumbleweed and dry.”

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When Covid-19 vaccine appointments opened for the first time, demand was so high that callers crashed the city’s telephone system, Wells said. By March, demand began to decline.

“We have a giant vaccination clinic that ran out four days a week in the civic center. We can do about 2,500 vaccines a day,” she said. “About three weeks ago, we could not fill all the appointments.”

The J&J News, she said, “slowed us down even more.” The clinic, which can accommodate several hundred vaccinations per hour, had an average of about 125 people a day the day after the break was announced, although officials offered the Moderna shot to those who had J&J appointments, Wells said. .

The shift in demand highlights the challenge facing health officials, experts say.

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‘That initial question with the high-priority groups and not being able to keep up with the general population means that we really have a lot of work to do, and we need to do it now sooner than we might have thought. would have to do that, ‘Freeman said.

About 40% of Lubbock’s residents, 16 years and older, received at least one dose, according to state data. Wells said she wants to reach at least the 50% mark of vaccinations, but it will likely be an “uphill battle”. And, Wells added, she’s heard from other state health departments dealing with the same drop in demand.

“I think we did the easy part and I think it’s really going to be necessary to be in the community or to find people who need to be vaccinated and offer the vaccine with as few hoops as possible,” Wells said. said.

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Local officials have drawn up a program aimed at minorities and the population “which is usually rejected by health care,” Wells said. They also started pop-up clinics for all the major events in the area, including university sporting events, parades and other celebrations.

The director of public health in Victoria County, Texas, has also dropped quite a bit of demand over the past few weeks. About 32% of residents 16 and older received at least one shot of Covid-19, state data shows.

“I definitely want to get it higher,” David Gonzales said. “But again, there’s just so much we can do. We can promote it, we can ask people, offer it, it’s free. We try to offer a lot of people to come to a clinic. We try to make it as easy as possible. but we can actually do just as much. ‘

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