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Expand vaccines to community health centers
WASHINGTON — The federal government is expanding COVID-19 vaccine access to all federally qualified community health centers.
White House COVID-19 adviser Andy Slavitt announced the development Wednesday, which expands opportunities for underserved communities to find vaccines in their communities.
There are roughly than 1,400 of the health centers nationwide, which serve communities both hardest hit by the coronavirus and the most difficult to reach for vaccination.
The White House says the health center program is essential to ensuring equity in vaccine distribution. A majority of doses distributed by the community health centers have gone to racial and ethnic minorities, the White House says.
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THE VIRUS OUTBREAK:
— EU agency: No restrictions on AstraZeneca vaccine for those over 18
— Even as many U.S. states and schools reopen, many students still learn remotely
— Nearly half of new US virus infections in just five states
— North Korea tells WHO it’s still virus-free in latest report
— Follow AP’s pandemic coverage at https://apnews.com/hub/coronavirus-pandemic and https://apnews.com/hub/coronavirus-vaccine
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HERE’S WHAT ELSE IS HAPPENING:
WASHINGTON — A variant of the coronavirus first identified in Britain is now the most common strain circulating in the United States.
The director of the Centers for Disease Control and Prevention, Dr. Rochelle Walensky, says the strain, formally known as B.1.1.7, is “now the most common lineage circulating in United States.”
The strain has been shown to be more transmissible and infectious among younger Americans, which Walensky says contributed to rising case counts in recent weeks.
Walensky says new outbreaks have been tied to youth sports and day care centers. She particularly encouraged states with rising caseloads to curtail or suspend youth sport activities to slow the spread of the virus.
The U.S. leads the world with 30.8 million confirmed cases and more than 556,000 confirmed deaths.
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LONDON — The European Union’s drug regulator says it has found a “possible link” between the AstraZeneca coronavirus vaccine and a rare clotting disorder but says the benefits of the shot still outweigh risks.
In a statement released Wednesday, the European Medicines Agency placed no new restrictions on using the vaccine in people 18 and over.
The EMA says most of the cases reported have occurred in women under 60 within two weeks of vaccination. The agency says based on the currently available evidence, it was not able to identify specific risk factors.
Experts reviewed several dozen cases that came mainly from Europe and the United Kingdom, where around 25 million people have received the AstraZeneca vaccine.
The EMA, the World Health Organization and numerous other health authorities have repeatedly stated the AstraZeneca vaccine is safe and effective and the protection it offers against COVID-19 outweighs the small risks of rare blood clots.
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TEHRAN, Iran — Iran shattered its daily record for new coronavirus infections for the second consecutive day, with 20,954 cases reported.
The record Wednesday comes as the country is in one of the most severe surges of the coronavirus to date. It follows a two-week public holiday for Nowruz, the Persian New Year, when millions traveled to vacation spots across the country and congregated in homes in defiance of government health guidelines.
For months, Iran has struggled to curb the worst outbreak of the coronavirus in the Middle East. The case count Wednesday brought the total number of infected to 1.98 million, according to official figures. Iran Health Ministry spokeswoman Sima Sadat Lari says another 193 people had died in the past 24 hours, raising the confirmed death toll to 63,699.
The country’s vaccine rollout lags, with only some 200,000 vaccine doses administered in the nation of 84 million, according to the World Health Organization. COVAX delivered its vaccine first shipment to Iran on Monday from the Netherlands, containing 700,000 AstraZeneca vaccine doses.
Tehran, the capital, and 250 cities and towns are declared “red zones,” which have the most severe restrictions in place and the highest virus positivity rate. Over 85% of the country now has the “red” or “orange” infection status, authorities say.
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PARIS — The switch to online learning for all France’s 12 million pupils hasn’t been smooth.
Many children couldn’t connect Wednesday and teachers scrambled to find solutions after more than seven months of in-person classes.
Paris prosecutors opened an investigation into possible hacking into key systems. Education Minister Jean-Michel Blanquer announced a cyberattack on a state distance-learning network and blamed overwhelmed private networks and servers for other glitches. But frustrated parents are blaming bad planning.
“There were too many people connected at the same time,” Esther Baumad of Open Digital Education, a leading online teaching platform, told broadcaster France-Info.
President Emmanuel Macron’s government sent all children back to school full-time in September to reduce learning gaps and allow parents to return to work. But amid a new virus surge fueled by a more contagious variant first identified in Britain, Macron last week ordered schools closed nationwide and imposed new travel restrictions.
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KYIV, Ukraine — Coronavirus hospitalizations and deaths in Ukraine hit a new record on Wednesday. According to health authorities, 481 people died over the past 24 hours and 5,587 were hospitalized.
Infections and deaths have been spiking in Ukraine for several months, putting a severe strain on the country’s teetering health care system.
“The situation, without overstating it, can be called critical,” says Kyiv Mayor Vitali Klitschko, who added hospitals there will soon reach at capacity.
On Monday, the Kyiv authorities have imposed tighter lockdown restrictions in the city, shutting down schools and kindergartens and restricting the use of public transport.
So far only 320,000 people have received their first vaccinations due to widespread reluctance. On Tuesday, President Volodymyr Zelenskyy announced a deal to buy 10 million doses of the Pfizer vaccine, which are expected to be delivered by the end of the year.
A nation of 41 million, Ukraine has reported more than 1.7 million confirmed coronavirus cases and 35,498 deaths.
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BERLIN — A spokeswoman for German Chancellor Angela Merkel is supporting calls for a “short, uniform lockdown” as the country grapples with a rise in coronavirus cases.
German state governors, who are responsible for imposing and lifting restrictions, have taken differing approaches. Some back limited reopening steps and others advocate a stricter shutdown. Armin Laschet, a governor who also leads Merkel’s party, is calling for a 2-3 week “bridge lockdown” to control infections while vaccinations are ramped up.
Merkel spokeswoman Ulrike Demmer says, “every call for a short, uniform lockdown is right.” She says numbers of new cases aren’t particularly good, and a rise in the number of occupied intensive care beds “speaks a very clear language.”
Laschet also called for the next meeting between Merkel and governors to coordinate restrictions to be moved up from next Monday but has hit resistance from his colleagues.
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TOKYO — The Tokyo Olympic torch relay will not run through the streets of Osaka prefecture next week because of rising coronavirus cases.
The move is a setback for the Tokyo organizers who began the relay two weeks ago from northeastern Fukushima prefecture with 10,000 runners planning to crisscross Japan over the course of four months. Organizers say runners and the torch will be involved in some event in an Osaka city park on April 13-14, the days the relay was to cross the entire prefecture.
Osaka reported 719 new coronavirus cases Tuesday. About 70% of hospital beds available in Osaka have already been occupied, officials say.
The postponed Tokyo Olympics is scheduled to begin July 23.
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SEOUL, South Korea — South Korea is temporarily suspending administrating AstraZeneca’s coronavirus vaccine to medical workers and people in long-term care settings who are 60 or younger as health authorities in Europe investigate a possible link between the shots and rare blood clots in adults.
The Korea Disease Control and Prevention Agency said Wednesday it will pause a vaccine rollout to school nurses and teachers, which was to begin on Thursday, while awaiting the outcome of the European Medicine Agency’s review.
South Korea has administered the first doses of coronavirus vaccines to about 1 million people after beginning its mass immunization program in late February. It has relied mainly on AstraZeneca shots produced by local firm SK Bioscience.
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LONDON — The European Medicines Agency will announce the conclusions of its investigation into the possible connection between AstraZeneca’s coronavirus vaccine and rare blood clots later Wednesday.
On Tuesday, a senior EMA official said there was a causal link between the AstraZeneca vaccine and the rare blood clots that have been seen in dozens of people worldwide, among the tens of millions who have received at least one dose.
In comments to Rome’s Il Messaggero newspaper, Marco Cavaleri, head of health threats and vaccine strategy at the Amsterdam-based agency, said “it is becoming more and more difficult to affirm that there isn’t a cause-and-effect relationship between AstraZeneca vaccines and the very rare cases of blood clots associated with a low level of platelets.”
But Cavaleri acknowledged the agency had not yet figured out how exactly the vaccine might be causing these rare side effects.
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LONDON — The U.K. is administering the first doses of the Moderna vaccine, the third authorized in the country against the coronavirus.
Patients at the West Wales General Hospital were receiving the jab on Wednesday. Britain has ordered 17 million doses of the Moderna vaccine, enough for 8.5 million people.
The rollout comes as the U.K. medical regulator investigates another vaccine, made by Oxford University and AstraZeneca, which has been given to more than 18 million people in Britain.
Several countries have restricted the AstraZeneca jab’s use in younger people while scientists investigate a small number of cases of rare blood clots in people who have received the vaccine.
Britain, which has ordered 100 million doses of the AstraZeneca shot, has not restricted its use, but its medical regulator is reviewing the evidence.
Oxford University said late Tuesday it had stopped giving the shot to children involved in a clinical trial until it had received more information from the regulator about reports of rare blood clots in adults.
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BERLIN — A Brazilian activist dressed as the grim reaper is taking to the streets of Berlin every night in a one-man protest against what he calls the “deadly health policies” pursued by his homeland’s president in the pandemic.
Multimedia artist Rafael Puetter, who has been in Berlin for five years and originally comes from Rio de Janeiro, made his nightly excursion early Wednesday as Brazil for the first time reported a 24-hour tally of COVID-19 deaths exceeding 4,000.
That made Brazil the third nation to cross the threshold. Brazilian President Jair Bolsonaro has long downplayed the risks of the coronavirus and remains fully against lockdowns as too damaging to the economy.
“My performance starts at the Brazilian embassy in Berlin at midnight every night,” said Puetter. “I think the president is promoting deadly health policies and I think death’s the symbol of this government in many ways.”
He then walks to the Brandenburg Gate and the nearby German parliament, in front of which he counts out one sunflower seed to represent each of the people who have died in Brazil over the previous 24 hours and puts them into a glass. He aims eventually to plant the seeds as a memorial.
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WASHINGTON — Large numbers of U.S. students are not returning to the classroom even as more schools reopen for full-time, in-person learning, according to a survey released Wednesday by the Biden administration.
The findings reflect a nation that has been locked in debate over the safety of reopening schools during the coronavirus pandemic. Even as national COVID-19 rates continued to ebb, key measures around reopening schools barely budged.
Nearly 46% of public schools offered five days a week of in-person to all students in February, according to the survey, but just 34% of students were learning full-time in the classroom. The gap was most pronounced among older K-12 students, with just 29% of eighth graders getting five days a week of learning at school.
There were early signs of a shift, however, with more eighth grade students moving from fully remote to hybrid learning.
With the new findings, President Joe Biden came no closer to meeting his goal of having most elementary schools open five days a week in his first 100 days.
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PRAGUE — Czech Prime Minster Andrej Babis fired his health minister, the third who has lost the job in the pandemic in one of the hardest-hit European countries.
Jan Blatny was expected to be replaced by Petr Arenberger, the director of Prague’s University Hospital Vinohrady, who will be sworn in later Wednesday.
Babis has recently repeatedly criticized Blatny over his handling of the pandemic, including imposing strict conditions for use of experimental drugs to treat COVID-19 patients.
Blatny was also under fire from pro-Russian President Milos Zeman, an ally of Babis, who demanded Blatny’s dismissal over his refusal to allow the use of Russia’s Sputnik V vaccine because it has not been approved by the European Union drug regulator.
Blatny took office on Oct. 29 to replace epidemiologist Roman Prymula who was dismissed after he was photographed as he visited a restaurant that should have been closed as part of restrictive measures to slow down the pandemic.
The nation of 10.7 million has 1.65 million confirmed cases with 27,329 deaths.
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BUDAPEST — Hungary began loosening its lockdown restrictions on Wednesday even as another daily record in COVID-19 deaths was broken and a surge in the pandemic gripped the country’s hospitals.
A slow downward trend in the number of deaths was interrupted as authorities announced 311 new deaths, coming only hours after Prime Minister Viktor Orban said that certain lockdown restrictions would be lifted on Wednesday. Hungary’s government earlier decided that the lockdown could be loosened once 2.5 million Hungarians had received at least a first dose of a vaccine, a milestone reached on Tuesday.
While daily new infections continue to decrease in the hard-hit Central European country, the number of those being treated in hospitals remains over 12,000. Some medical experts have expressed reservations about the plans to lift the lockdown as the current pandemic surge continues to peak.
As of Wednesday, most businesses and services may reopen if they enforce maximum indoor capacity limits and observe social distancing. The start of an overnight curfew in effect since November will be extended by two hours, and the opening hours of businesses will also be extended.
Hungary has the third-worst COVID-19 death rate per 1 million inhabitants in the world, according to Johns Hopkins University.
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WARSAW, Poland — Poland is extending its lockdown by another week until April 18, as over 34,500 COVID-19 hospital beds are taken or almost 80% of those available, a level that the health authorities describe as “dangerously” high.
Health Minister Adam Niedzielski also said Wednesday that the Brazilian, South African and Nigerian virus variants have been found in Poland, but the predominant variant is the one first found in Britain, which scientists say is both more transmissible and more deadly.
Amid a sudden spike in cases, Poland registered about 35,000 new daily infections last week and 600 deaths a day on average.
Under the extended lockdown, schools, hotels, shopping malls, restaurants and clubs, theaters and sports facilities remain closed.
Almost 6.8 million vaccine doses have been administered and 55,000 COVID-19 related deaths have been registered in this nation of 38 million.
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MADRID — Spain’s northwestern region of Castile and León region is temporarily halting use of AstraZeneca’s COVID-19 vaccine while European authorities evaluate links between the jab and rare blood clots.
Health services in the Spanish region of 2.4 million people said Wednesday the suspension would affect its mass vaccination rollout. No other Spanish regions announced a suspension.
Spain’s government recommends giving the jab to people between 18 and 65. It was one of the European countries that briefly halted use of the AstraZeneca vaccine last month over concerns about the rare blood clots.
Castile and León’s health chief Verónica Casado said that “the principle of prudence” drove her to put a temporary hold on the vaccine.
“We are not causing a panic. Everyone is watching to see what the EMA will say,” Casado told Spanish public radio.
The European Medicines Agency is holding a press conference on its investigation into the blood clot issue later Wednesday.
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NEW DELHI — India has hit another new peak with 115,736 coronavirus cases reported in the past 24 hours. New Delhi, Mumbai and dozens of other cities are imposing curfews to try to slow the soaring infections.
The latest rise reported Wednesday overtook Sunday’s record of 103,844 infections. Fatalities rose by 630 in the past 24 hours, the highest since November, raising the total death toll in the country to 166,177 since the pandemic began.
Experts say the surge is blamed in part on growing disregard for social distancing and mask-wearing in public spaces. The latest surge in infections is worse than last year’s peak of more than 97,000 a day in mid-September.
India now has a seven-day rolling average of more than 78,000 cases per day and has reported 12.8 million virus cases since the pandemic began, the highest after the United States and Brazil.
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In mid-December, a Vermont Health Connect user was logging in when the names of two strangers popped up in the newly created account.
The individual, who was trying to sign up for health insurance, deleted the information that had suddenly appeared.
“It was super unsettling to think that someone is filing in my account with my information,” the person, whose name is redacted in records, wrote in a complaint to the Department of Vermont Health Access. “Just seems like the whole thing needs a big overhaul.”
It was one of 10 instances between November and February when Vermont Health Connect users reported logging to find someone else’s information on their account.
The data breaches included names of other applicants and, in some cases, their children’s names, birth dates, citizenship information, annual income, health care plans, and once, the last four digits of a Social Security number, according to nearly 900 pages of public records obtained by VTDigger. On Dec. 22, the department’s staff shut down the site to try to diagnose the problem.
While officials say the glitches have been resolved, it’s the most recent mishap for a system that has historically been plagued by security and technical issues. The breaches could be even more widespread: Administrators of Vermont Health Connect can’t tell if other, similar breaches went unreported.
“We don’t know what we don’t know,” said Jon Rajewski, a managing director at the cybersecurity response company Stroz Friedberg. Regardless of whether there are legal ramifications for the incidents, they should be taken “very seriously,” he said.
“If my data was being stored on a website that was personal, — maybe it contains names or my Social Security number, like my status of insurance… — I would expect that website to secure it and keep it safe,” he said.
“I wouldn’t want someone else to access my personal information.”
Andrea De La Bruere, executive director of the Agency of Human Services, called the data breaches “unfortunate.” But she downplayed the severity of the issues. Between November and December, 75,000 people visited the Vermont Health Connect website for a total of 330,000 page views, she said. The 10 incidents? “It’s a very uncommon thing to have happen,” she said.
De La Bruere said the issue was fixed on Feb. 17, and users had reported no similar problems since. The information that was shared was not protected health information, she added, and the breaches didn’t violate the Health Insurance Portability and Accountability Act, or HIPAA.
“No matter what the law says technically, whether it’s HIPAA-related or just one’s personal information, it’s really concerning,” said Health Care Advocate Mike Fisher.
The timing of the issue is less than ideal, he added. Thousands of Vermonters will be logging into Vermont Health Connect in the coming weeks to take advantage of discounts granted by the American Rescue Plan. “It’s super important that people can access the system, and that it’s safe and secure,” Fisher said.
A ‘major issue‘
The issues first arose on Nov, 12, when at least two Vermonters logged in and found information about another user, according to records obtained by VTDigger.
Department of Vermont Health Access workers flagged it as a “major issue” for their boss, Kristine Fortier, a business application support specialist for the department.
Similar incidents also occurred on Nov. 17 and 18, and later on multiple days in December.
Department of Vermont Health Access staff members appeared alarmed at the issues, and IT staff escalated the tickets to “URGENT.”
“YIKES,” wrote a staff member Brittney Richardson. While the people affected were notified, the data breaches were never made public.
State workers pressed OptumInsights, a national health care tech company that hosts and manages Vermont Health Connect, for answers. The state has contracted with the company since 2014. It has paid about $11 million a year for the past four years for maintenance and operations, with more added in “discretionary funds.”
Optum appeared unable to figure out the glitch. “It is hard to find root cause of issue,” wrote Yogi Singh, service delivery manager for Optum on Dec. 10. Optum representatives referred comments on the issues to the state.
By Dec. 14, Grant Steffens, IT manager for the department, raised the alarm. “I’m concerned on the growing number of these reports,” he wrote in an email to Optum.
The company halted the creation of new accounts on Dec, 14, and shut down the site entirely on Dec, 22 to install a temporary fix. “It’s a very complex interplay of many many pieces of software on the back end,” said Darin Prail, agency director of digital services. The complexity made it challenging to identify the problem, and to fix it without introducing any new issues, he said.
In spite of the fixes, a caller reported a similar incident on Jan. 13.
On Feb. 8, a mother logged in to find that she could see her daughter’s information. When she logged into her daughter’s account, the insurance information had been replaced by her own.
“Very weird,” the mother wrote in an emailed complaint.
Optum completed a permanent fix on Feb. 17, according to Prail. Vermont Health Connect has not had a problem since, he said.
Prail said the state had reported the issues to the Centers for Medicaid and Medicare Services as required, and had undergone a regular audit in February that had no findings. The state “persistently pressured Optum to determine the root cause and correct the issue expeditiously but at the same time, cautiously, so as to not introduce additional issues/problems,” he wrote in an email to VTDigger.
“We take reported issues like this very seriously,” he said.
A history of glitches
The state’s health exchange has been replete with problems, including significant security issues and privacy violations, since it was built in 2012 at a cost of $200 million.
The state fired its first contractor, CGI Technology Systems, in 2014. A subcontractor, Exeter, went out of business in 2015. Optum took over for CGI, and continued to provide maintenance and tech support for the system.
In 2018, when Vermont Health Connect was less than 6 years old, a report dubbed the exchange outdated and “obsolete.”
Officials reported similar privacy breaches in 2013, when Vermonters saw other people’s information.
An auditor’s report in 2016 found a slew of cybersecurity flaws, and officials raised concerns again during a 2018 email breach.
It wasn’t the first time that Vermont Health Connect users had been able to view other people’s personal information. Three times since October 2019, individuals had logged in to see another individual’s insurance documents. Prail attributed those incidents to human error, not to system glitch; a staff member uploaded documents to the wrong site, he said.
In spite of the issues, Prail said he and other state officials have been happy with Optum. After years of technical challenges with Vermont Health Connect, “Optum has really picked up the ball and improved it and been running it pretty well,” he said.
Glitches are inevitable, he added, and Optum has addressed them quickly. “They took a really difficult-to-manage site and made it work pretty well,” he said. “Optum is generally quite responsive to any issues we have.”
“I find any privacy breach to be concerning,” said Scott Carbee, chief information security officer for the state. He noted that the state uses “hundreds of software systems.” “While the scope of the breaches can be mitigated, true prevention is a difficult task,” he wrote in an email to VTDigger.
Optum spokesperson Gwen Moore Holliday referred comments to the state, but said the company was “honored” to work with Vermont Health Connect “to support the health care needs of Vermont residents.”
Prail said the Agency of Human Services had no plans to halt its contract with the company. “I don’t have a complaint about Optum,” he said. “They took a really difficult-to-manage site and made it work pretty well.”
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Deciphering the Gaps: Health Officer, Latinx Providers Talk COVID Disparities | Lost Coast Outpost
A Paso a Paso vehicle loaded with produce and ready to make the delivery rounds to its local Latinx and Hispanic clients. Submitted photo.
###
In
an effort to address persistent disparities in COVID-19’s impacts
on the local Latinx community, Humboldt County Public Health Officer
Ian Hoffman recently met with LatinoNet, a network of service
providers like Open Door Community Health Clinics, Paso a Paso,
Promotores, the Humboldt County Office of Education and Public Health
that are dedicated to advocating for a healthier Latinx community in
Humboldt County.
The
meeting, Hoffman’s first public discussion with the providers,
focused on what can be done to address the disparities — which
exist both in COVID-19 case rates and vaccination efforts and mirror
statewide and national trends — in the county’s Latinx
population.
In
July, Humboldt County’s COVID-19 dashboard highlighted the
disproportionate COVID-19 case rates in the local Latinx and Hispanic
communities, noting they accounted for 22 percent of COVID-19 cases
while only making up 12 percent of the population. The disparity has
only grown since and as of April 9, Humboldt County Latinx residents
made up 25 percent of positive COVID-19 cases to date.
County
vaccine data, meanwhile, has seen a similar trend, with Latinx county
residents falling behind on receiving their COVID-19 shots. According
to the Public Health dashboard, only about 10 percent of Humboldt’s
Latinx and Hispanic population are fully vaccinated, compared to 19
percent of the general population.
“We
know that there is a disproportionate effect of COVID-19 in this
community and that’s why, from our standpoint in Public Health, and
also personally, as a physician taking care of this community for a
long time, it’s important that we address this,” Hoffman said.
Lara
Weiss, a Public Health deputy branch director who also attended
Friday’s meeting, said LatinoNet invited Hoffman to speak with the
group and offer an update on the pandemic and Public Health’s
efforts to provide equitable vaccine clinics. But Hoffman said the
meeting was also an opportunity for him to hear from the providers
about what barriers and gaps in care and outreach they were seeing.
Hoffman
began his presentation talking about his background working with
different Latinx communities in Santa Rosa and the Bay Area with
organizations like La Clinica de la Raza in Oakland and Kaiser
Permanente in San Francisco. He said he learned to give culturally
sensitive care to members of the Latinx, Spanish-speaking community,
which he said would transfer into a better understanding of how
Public Health approaches culturally competent health policies.
Hoffman
talked about Public Health’s rollout of COVID-19 vaccine clinics,
acknowledging the signup process has been confusing at times, with a
shortfall of vaccine doses, exceedingly high demand and eligibility
limitations. But Hoffman said Public Health’s goal is to ensure
vaccine equitability among those in the Latinx community and
guarantee that any Latinx resident seeking a COVID-19 vaccine feels
comfortable and confident before, during and after their appointment.
“We’ve
taken some steps at Public Health to make sure that when a
Spanish-speaking person needs a vaccine, that they feel comfortable
and confident that their needs will be met and, most importantly,
[provide] Spanish-language information,” Hoffman said.
Public
Health is working on a few new interventions, including sponsoring
California Department of Public Health’s “Let’s Get to
ImmUnity” integrated media campaign with both English and Spanish
ads on GFN channel 3, as well as planned mass vaccination
events in more rural areas of the county with the help from Open
Door.
And
now that eligibility is open to all residents age 16 and older,
Hoffman emphasized the importance of organizations serving the Latinx
community helping to spread information on the vaccine rollout and
the switch to the state’s My Turn website (www.myturn.ca.gov). But
the message Hoffman kept repeating was that the county’s Joint
Information Center (441-5000) is standing by and ready to take any
questions, including those in Spanish, about the vaccine and
vaccination clinics.
During
the meeting, however, it became clear there may be a disconnect
between county Public Health and service providers looking to direct
clients and patients to accurate information about COVID-19 and
vaccines in Spanish.
“I
continue to hear that there’s not clear and correct information in
Spanish that people know where to access,” LatinoNet board member
Michelle Postman said, alluding to a survey by Jorge Matias, another
LatinoNet board member, that found most Spanish-speaking local
residents didn’t know where to go for accurate COVID-19
information. “I feel like we try and we don’t think that we’re
doing that but we don’t know where the gap is, and I also know that
Public Health is really stretched, there’s only so much we can do,
and so I’m just curious if there’s one thing, one magical thing
that can happen. Would it be like showcasing Latin[x] leaders in the
community on commercials like, ‘Hey I’ve got my shot and this is
working,’ or would it be to have a website? What would be the
magical thing that you might spend time on to make things better if
we had the capacity?”
Postman’s
comments led to a discussion about the best way to get information to
the Spanish-speaking Latinx community, prompting Hoffman to stress
that the JIC is dedicated to putting out a clear, conscious message
in English and Spanish.
“All
of the materials on [the JIC website, social media pages] have been
vetted by Spanish speakers,” he said. “They’re scientifically
accurate. They try to meet the cultural sensitivity that we talked
about, as well. I would say that if we’re going to put anything out
there, that’s the central message.”
Hoffman
urged the groups at the meeting to use the resources on the Humboldt
Health alert website and promoted by the Joint Information Center and
push them out to the Spanish-speaking community. And if there’s one
phone number the groups get to their clients in the coming weeks, he
said it should be the JIC’s: 441-5000.
In
an email sent to the Journal,
Matias, in his
capacity as a LatinoNet board member, said his survey found most
Latinx and Hispanic residents didn’t feel they had clear and
correct information in Spanish about who can and can’t obtain the
COVID-19 vaccine and that they felt they didn’t have a specified
place to call to find more information in their language. Many,
Matias said, didn’t feel had enough information about how effective
vaccines are.
Many
people, Matias added, are afraid of costs, side effects and needing
more medical interventions due to possible side effects, while others
worry they aren’t eligible to receive the vaccine because of their
documentation status. But Hoffman confirmed during the meeting that
the only documentation those seeking a vaccine will need is any type
of form with a name that matches the name on the appointment or a
parental consent form for those 16 and 17 years old.
These,
Hoffman added, are the types of questions that could be answered by
the JIC.
The
county JIC has been actively translating information into Spanish,
including uploading social media posts in Spanish, but it seems they
have yet to amplify those messages to community providers and
advocacy groups in an effort to get that information to community
members who may not follow county social media accounts or can’t
navigate the county’s website.
Matias
also told the Journalthat there’s a lot of information that spreads through social media
that confuses Latinx and Hispanic residents, including misinformation
and conspiracy theories, which was addressed during the meeting
between LatinoNet and Hoffman.
If
Public Health hears of any misinformation or any disinformation
spreading throughout the community, Hoffman said it would address it
and correct it immediately. But he also cautioned there’s a balance
between correcting and amplifying.
Hoffman
then asked attendees about the types of misinformation they were
hearing and someone mentioned a conspiracy theory about the COVID-19
vaccine causing future fertility issues.
“That’s
one of the biggest pieces of misinformation that’s got a stronghold
in a lot of communities,” Hoffman said. “There’s absolutely no
evidence that this vaccine has any effect on fertility.”
Nationwide,
there have been reports of vaccine hesitancy in communities of color
because of historical acts of genocide in healthcare settings, which
was also mentioned by attendee Maria Ortega.
“I
feel like all of these organizations and clinics and community
organizations have a responsibility to be sensitive about that
(fertility) issue and not dismiss anybody, because they’re valid
concerns, especially historically and worldwide there’s been actual
efforts to change communities of color and their population impacts,”
Ortega said. “Just be mindful about where they’re coming
from.”
Hoffman
agreed with Ortega about being mindful and understanding of where
those concerns take root, noting the importance of recognizing the
impact of historical events and communities’ lived experiences in
providing culturally sensitive care.
“These
are difficult things to navigate exactly, and I think if those are
the barriers that we’re really seeing out there, they need to be
addressed, obviously,” Hoffman said. “But I’m not sure at this
point exactly what all the barriers are … My hope is that, mostly,
that gap is because of eligibility and lack of vaccine and that, as
we open it up more broadly like we are doing right now, and we have
that language ability … that we get those messages out there.”
The
reasons for the gaps in vaccine administration and infection rates
may become more clear as the county moves into the expanded phase of
its vaccination rollout but, presently, Hoffman urged providers and
their clients and patients to look to the JIC for Spanish-language
information about the COVID-19 virus and vaccines.
“Thank
you so much for inviting me and talking with me,” Hoffman said in
Spanish, wrapping up the meeting. “I hope that we can do this again
soon.”
###
Iridian
Casarez (she/her) is a staff writer with the Journal.
Reach her at 442-1400, extension 317, or
iridian@northcoastjournal.com.
Follow her on Twitter @IridianCasarez.
The
Community Voices Coalition is a project funded by Humboldt Area
Foundation and Wild Rivers Community Foundation to support local
journalism. This story was produced by the North
Coast Journal
newsroom
with full editorial independence and control.
Vermont Health Connect had 10 data breaches last winter
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