Weekly Roundup
COVID-19 Vaccine Development, Policy, and Public Perception in the United States
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CommuniVax Corner
Local team efforts this week continue running strong!
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In Baltimore, team members are leading a local pop-up vaccination site, coordinating food distribution, and recording a podcast episode addressing back-to-school safety.
- The team in Idaho recently had its CommuniVax efforts profiled by Idaho State University. Read more here!
- In Prince George's County, Maryland, team members are actively conducting vaccine outreach via Zoom webinars, local radio, the HAIR network, its local Community Research Advisory Board, and other groups. Dr. Stephen Thomas also participated in a Radio One broadcast, "Colors of COVID-19 Barbershop & Salon Talk," now available on YouTube.
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People, Perceptions, and Polls
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OP-ED
This Is What Life Looks Like After Vaccination. Public-health officials underplayed this optimism for too long, apparently out of fear that vaccinated people would throw all caution to the wind as soon as we were jabbed. The CDC now says that vaccinated people can gather indoors with a handful of other people, either those who are also vaccinated or those who—and this was the most transformative part for me—are from the same household and unvaccinated but at low risk of serious illness from COVID-19 . (The Atlantic, 3/29/31)
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FUNDING OPPORTUNITY
Advancing Health Literacy to Enhance Equitable Community Responses to COVID-19. This notice solicits applications for projects to demonstrate the effectiveness of local government implementation of evidence-based health literacy strategies that are culturally appropriate to enhance COVID-19 testing, contact tracing and/or other mitigation measures (e.g., public health prevention practices and vaccination) in racial and ethnic minority populations and
other socially vulnerable populations, including racial and ethnic minority rural communities . (Grants.gov, 3/16/21)
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OP-ED
A vaccine for my shame. Vaccines and medicines not only provide a clinical benefit by preventing illness and death, but they also help break the cycle of fear that stymies public health. They give people hope, a reason to come forward and learn their HIV status, and a way to protect themselves and their communities . (STAT, 3/26/21)
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NEWS
Far-Right Extremists Move From ‘Stop the Steal’ to Stop the Vaccine. If the so-called Stop the Steal movement appeared to be chasing a lost cause once President Biden was inaugurated, its supporters among extremist organizations are now adopting a new agenda from the anti-vaccination campaign to try to undermine the government. Bashing of the safety and efficacy of vaccines is occurring in chatrooms frequented by all manner of right-wing groups including the Proud Boys; the Boogaloo movement, a loose affiliation known for wanting to spark a second Civil War; and various paramilitary organizations. . (New York Times, 3/26/21)
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GUIDANCE
A user’s guide: How to talk to those hesitant about the Covid-19 vaccine. Experts say the best way to tackle vaccine hesitancy is for people to have conversations with those they trust, whether a doctor, pastor, family member, or friend. So STAT spoke with a number of experts on the frontlines — global vaccine scholars, physicians tackling low vaccination rates in Black communities, and multilingual doctors who are taking matters in their own hands to get out the word — to create this guide on how best to handle these sometimes difficult conversations. Their suggestions may surprise you . (STAT, 3/26/21)
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NEWS
Months into Federal Vaccine Program, Many Long-Term Care Workers Still Refusing Shots. Though they represent a tiny fraction of the American population, long-term-care residents made up 34% of the nation’s COVID-19 deaths as of March 4, according to the Covid Tracking Project. Low vaccination rates among staff at these facilities mean that workers continue to have greater risk of contracting COVID-19 themselves or passing the virus to their patients, including residents who can’t be inoculated for medical reasons. Low staff uptake can also complicate nursing homes’ attempt to reopen their doors to visitors like Caldwell, who are striving for some sense of normalcy . (Center for Public Integrity, 3/31/21)
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PODCAST
Social Science Perspectives on COVID-19 Vaccine Equity. In the rush to rapidly build a vaccine production facility as part of Operation Warp Speed, lax safety protocols led to a coronavirus outbreak among workers . In this Epicast featuring Drs. Emily Brunson, Salla Sariola, and Megan Schmidt-Sane, we explore social science perspectives on COVID-19 vaccine equity, from policy and social science questions around vaccine nationalism and COVAX, to issues of social justice . (Sonar Global, 3/21)
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Research, Development, and Clinical Practice
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PRESS RELEASE
NIH clinical trial evaluating Moderna COVID-19 variant vaccine begins. The variant vaccine candidate developed by Moderna, mRNA-1273.351, differs from the currently-authorized Moderna vaccine in that it delivers instructions for making the SARS-CoV-2 spike that incorporates key mutations in the B.1.351 virus variant. In addition to the Phase 1 clinical trial, investigators at NIAID’s Vaccine Research Center are collaborating with Moderna to evaluate mRNA-1273.351 in animal models . (NIH, 3/31/21)
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NEWS
The Urgent Need to Better Monitor Vaccine Safety in the Real World. Even as policymakers and experts communicate the benefits of the vaccines to win over the hesitant, we must monitor for unwelcome side effects. If these adverse events are not documented and publicly addressed, they can further undermine public confidence in the vaccines, and scientific medicine more generally. And right now, there are big blind spots in our global ability to do this . (Think Global Health, 3/24/21)
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NEWS
Getting One Vaccine Is Good. How About Mix-and-Match? As growing numbers of vaccines are being authorized, researchers are testing other combinations. A few are in clinical trials, while others are being tested in animals for now. Mixing vaccines might do more than just help overcome supply bottlenecks. Some researchers suspect that a pair of different vaccines might work better than two doses of the same one . (New York Times, 3/30/21)
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Law, Policy, and Politics
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NEWS
We Need to Talk About the AstraZeneca Vaccine. The risk of a dangerous vaccine reaction could be very real, if also very rare—and major European vaccine authorities have not, in fact, been overcautious, political, or innumerate in responding to this possibility. Rather, they’ve been faced with something of a nightmare scenario for vaccine communication . (The Atlantic, 3/30/21)
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WEBINAR
Webinar Series: COVID-19 Vaccination and Reaching People with Disabilities. AUCD, ASTHO and NACCHO invite you to attend a series of webinars: COVID-19 Vaccination and Reaching People with Disabilities (PWD) on March 30, March 31, April 7, and April 8 from 1:00 to 2:00pm ET. Join our organizations, state-level jurisdictions, and CDC guests to hear about promising practices on how states are reaching people with disabilities. All sessions will take place from 1:00 to 2:00 pm ET . (NACCHO, 3/21)
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NEWS
How One State’s Public Health Defunding Led to Vaccination Chaos. Missouri’s rocky vaccine rollout places it among the bottom states nationwide, with 23.7% of the population vaccinated with at least one dose as of Thursday, compared with the national average of 26.3%. State officials largely outsourced the work to hospitals, consultants and federal programs. Meanwhile, local health departments and federally qualified health centers, which typically reach the most vulnerable populations not connected to traditional health systems, were each initially left to divvy up about 8% of the state’s vaccine supply . (Kaiser Health News, 3/26/21)
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NEWS
What’s Behind the Hispanic Vaccination Gap? Barriers to vaccine access faced in many Hispanic communities — alongside the structural limitations communities of color generally face — stand in the way of higher vaccination rates, even as the vaccine becomes more widely available, according to public health experts and community health organizers . (New York Times, 3/29/21)
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OP-ED
OPINION: 5 Ways To Make The Vaccine Rollout More Equitable. Over the past year, the two of us — a public health ethicist (Faith E. Fletcher) and a physician trained in public health (Dr. Aletha Maybank) have regularly been asked by leaders in health care, politics, faith-based institutions and health advocacy groups to help guide discussions of social equity as it relates to COVID-19 testing, treatment and the vaccine rollout. Based on our experience, we have a few ideas about how this rollout process can be made more equitable throughout the country. In every case, it starts with respecting and deeply listening to the people most affected . (NPR, 3/25/21)
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NEWS
How embassies are tackling COVID-19 vaccinations. Countries are taking different approaches as to whether or not to supply their employees abroad with vaccines and whether to prioritize high-risk groups or blanketly vaccinate. Some countries are shipping vaccines to their embassies, while others are working with host countries to integrate their citizens into national vaccination plans . (Devex, 3/31/21)
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This newsletter supports CommuniVax, a research coalition convened by the
Johns Hopkins Center for Health Security and the Texas State University Department of Anthropology,
with support from the Chan Zuckerberg Initiative and The Rockefeller Foundation.
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