Federal authorities are trying to thwart shooting trials in state court

New York Times

The nation faces “hand-to-hand combat” to vaccinate disliked Americans

Washington — Now that President Joe Biden has achieved his goal of vaccinating all adults with the coronavirus vaccine, health officials across the country appear to have reached a soft cap. More than half of adults in the country have been vaccinated at least once, but persuading the rest requires some creative changes in hard work and strategy. State health officials, business leaders, policy makers, and politicians struggle to understand how to coordinate messages and tactics to persuade indifferent people as well as hesitate to vaccine. I will. The work is labor-intensive, many of which can be in private employers, and the risk is that it takes time for the country to become unable to reach group immunity (the point at which the spread of the virus slows down). To prevent new variants of interest from avoiding the vaccine. “If you think of this as a war, you’re about to enter the hand-to-hand combat stage of the war,” said Michael Kearney, senior vice president of new issues at the US Chamber of Commerce and Industry Foundation. Sign up for the Morning Newsletter from The New York Times, Louisiana. In Louisiana, 40% of the adult population has taken one shot since March, even though it covers all adults. Buddhist temple clinics, homeless shelters, truck stops. Citizen groups make visits in areas with low vaccination rates, similar to voting rights. In Alabama, less than 40% of adults have at least one shot. Dr. Scott Harris, a state health officer, is trying to reach out to white residents in rural areas where vaccine hesitation is high. Harris is asking doctors to record cell phone videos because they are distrustful of politicians and the press. “Email them to your patients, saying,’This is why you think you should be vaccinated,'” he pleaded. Some companies want to run their own vaccine clinics to educate workers about the benefits of being protected from the virus that has already killed more than 560,000 Americans. But as the economy gets into full swing, they hesitate to require employees to be vaccinated and too many are afraid to look for jobs elsewhere. White House officials say that nearly 51% of American adults consider it a good sign that the first dose was successful. This is a “major milestone,” said Dr. Bechara Schucare, White House Vaccination Coordinator. There are tens of millions of people who are still eager for vaccination. But he is well aware that the time will come when Americans are no longer fighting for vaccine slots, and the time will come when supply will exceed demand. In some parts of the country, that may be here. In Mississippi, which started vaccination of all adults a month ago, 21% of the population is fully vaccinated. In Alabama, this number is only 19%. In Georgia, home of the Centers for Disease Control and Prevention, only 20% of the population is fully vaccinated. “Some states feel they hit a wall,” said Mike Fraser, secretary-general of the State and Community Health Officials Association. “People who wanted it found it. People who didn’t want it haven’t had a hard time finding it.” Even if some regions are competing for widespread immunity. Other areas have coronavirus infections, which can turn into more dangerous and contagious mutants that can break through existing vaccinations. Fraser said the soft ceilings in some states don’t mean “OK, everyone, give up.” It is:’What do I need to change? For example, the CDC is working with the state to identify nearby primary care physicians with a high “social vulnerability index” for vaccination. “It really will be all ground games,” Choucair said. “It’s about planning at the local level. It’s about microplanning. It’s by county, zip code, and census district to see effective strategies.” Needed to reach herd immunity. Estimates vary, but most experts value 70% to 90% of the population. This figure includes children who are not yet eligible for vaccination. And judging from past vaccination rates, it will be difficult to reach herd immunity, especially in the Red States and the South. Vaccine hesitage is on the decline, as polls show that more and more people are seeing their friends and relatives successfully vaccinated. John Bridgeland, founder and chief executive officer of COVID Collaborative, a group of bipartisan political and scientific leaders working on vaccine education, said the challenge was not dogmatic in public awareness campaigns. He said he treats everyone’s concerns as unique and valid. But he added, “The last mile here will be the toughest.” “People have very legitimate concerns, and they need good answers from people they can trust,” Bridgeland said. Such reassurance after the government decided to “suspend” the Johnson & Johnson single-dose vaccine while regulators were investigating reports of rare blood clots in six female recipients. Is complicated. The CDC Advisory Committee will meet on Friday to decide whether to limit the use of vaccines that public health authorities expected to use in hard-to-reach communities such as homeless shelters. Meanwhile, Fraser said the state and local “more retail public health” from mass vaccination clinics, where his organization assumes that “everyone in the population is suffering a bit to get vaccinated.” He said he was looking for a way to move to. Health departments and healthcare providers contact non-vaccinated people directly, much like a door-to-door campaign. In some states, there were surprises. In Alabama, officials have extensively prepared to deal with African-American vaccine evasion and “spent a lot of time trying to build local relationships with a credible voice,” Harris said. Stated. However, authorities did not anticipate such strong resistance from local whites. The state polls to find ways to reach the group, and the technology used to reach blacks may not work for locals who are “generally distrustful of politicians, especially the state government.” I learned that there is. But Harris said they trust the doctor. However, having individual physicians administer the vaccine poses a logistical challenge for pharmaceutical companies and the Biden administration, which ships large doses to the state. One vaccine maker, Pfizer-BioNTech, ships 1,170 doses on a single pallet. Another Moderna ships 10 vial packets containing 100 doses. These amounts are unsuitable for clinics and small environments that are the focus of Alabama’s vaccination activities. Harris said the vaccine package was “disastrous for us.” The next pressure point may be a private employer. The private sector is eager to dive into employee education and even help deliver vaccines, said Catherine Wilde, president of the New York City partnership, the city’s leading business organization. .. However, at this time, it seems that there is no requirement for employees to be vaccinated at the table. “Employers feel that COVID has caused such stress on their people and they are hesitant to put more pressure on them,” Wylde said. NTCA CEO Shirley Bloomfield — The Rural Broadband Association, which represents a small local telecommunications company, is working with the White House to encourage members to vaccinate. “One of my CEOs pays everyone $ 100 to get the vaccine,” she said. “But we’re seeing that saturation, so I think we all have to be a little more creative,” Bloomfield said in a wide range of incentives, TV commercials, cash payments and personal. Even with incentives such as vacations, the vaccination rate for staff of member companies is said to be the highest at about 50% to 60%. What’s more, Bloomfield said her members reported to her that 15% of the people in the small town did not appear on the second shot. She attributed some of it to social media posts about side effects. “It doesn’t help us,” she said. Nor does it help that vaccination remains a topic of political debate in highly polarized countries. For example, in Tennessee, Republican Governor Bill Lee emphasized that vaccination is a personal choice. Dr. William Schaffner, an infectious disease expert at Vanderbilt University, is a pandemic that threatens society as a whole. When Ivanka Trump, the daughter of former President Donald Trump, posted a photo of her vaccinated on Instagram and urged others to do the same, the reaction went from “no” to “no”. It was in the range up to “No”. In a recent interview with Fox News’ Sean Hanity, her father suggested that Biden officials “want to commercialize me” to promote vaccination. But Mr. Trump said he didn’t tend to do so because Johnson & Johnson said it was “the worst possible thing.” This article was originally published in The New York Times. © 2021 The New York Times Company