Marin Independent Journal

Summoning seniors: Big push to vaccinate older Americans

- By Zeke Miller and Leah Willingham

The first hurdle was getting on the bus. Seventy-four year old Linda Busby hesitated outside a community center where older people were loading up to go get the coronaviru­s vaccine.

“I was scared, I’m not afraid to say that ,” she said Wednesday after getting her shot of the Johnson & Johnson vaccine after encouragem­ent from a staff member and her brother .“I thought I wasn’t going to get it at first. Nobody likes getting shots.”

Busby’s hesitance is just what the Biden administra­tion and its allies in the states are combating, one person at a time, as the White House steps up appeals to seniors to get inoculated. The vaccinatio­n rate for this top-priority group is reaching a plateau even as supplies have expanded.

About 76% of Americans aged 65 and older have received at least one shot of the COVID-19 vaccines since authorizat­ion in December, according to the Centers for Disease Control and Prevention. But the rate of new vaccinatio­ns among the group most vulnerable to adverse virus outcomes has dramatical­ly slowed.

It’s a growing source of concern, not only because of the potential for preventabl­e death sand serious illness among seniors incoming months but also for what it could portend for America’s broader population.

“I want to make a direct appeal to our seniors and everyone who cares about them,” President Joe Biden said Tuesday, citing “incredible progress” but declaring it’s still not enough.

“It’s simple: Seniors, it’s time for you to get vaccinated now. Get vaccinated now.”

By government estimates, about 12.9 million American seniors have yet to receive their first shot. Even though they were the first age group prioritize­d for shots, more than 23% of those 75 and older have yet to be vaccinated. Supply constraint­s initially slowed the pace of senior vaccinatio­ns, but not for months for those in high-priority age groups. Instead, officials say, the slowdown is caused by a mix of issues, from people having difficulty finding and getting to inoculatio­n sites to vaccine hesitancy.

Closing the gap will require taking into account all the obstacles for seniors, be they technologi­cal, transporta­tion or personal hesitance, said Sandy Markwood, CEO of the National Associatio­n of Area Agencies on Aging, who acknowledg­ed the vaccinatio­n rates “for older adults has somewhat plateaued.”

It’s a potential harbinger of the challenges to come with other demographi­c groups. All adult Americans will become eligible for vaccinatio­n in the next two weeks, although the process of administer­ing enough shots to begin returning to “normal” will take months longer. Many states, even as they throw open the doors on eligibilit­y, are still maintainin­g priority vaccinatio­n systems, or dedicated distributi­on channels, to keep seniors who want the vaccine at the front of the line.

Dr. Anthony Fauci, the nation’s top infectious disease expert, has predicted that between 75% and 85% of the population may need to be vaccinated to reach “herd immunity” and bring an end to the outbreak in the U.S.

That’s one reason the White House and states have moved to step up assistance programs for seniors and public education campaigns.

Markwood credited the administra­tion’s $1.9 trillion rescue plan for providing funding necessary “to go out there and do that more intensive, sometimes one-onone outreach” with seniors, saying, “It’s that last mile, the last group who need the extra support, that’s going to take that extra outreach and time.”

Even more help is on the way.

Beginning next week, the administra­tion is launching a $100 million effort to fund community organizati­ons providing “high-intensity” support to at-risk seniors and those with disabiliti­es through the Department of Health and Human Services. That includes assistance with booking appointmen­ts, traveling to vaccinatio­n sites and other support through the vaccinatio­n process.

Similar programs are already underway at the state level.

In Clarksdale, Mississipp­i, the state hosted its firstever mobile vaccinatio­ns for homebound older adults on Wednesday. That’s where a bus picked up Busby outside a senior daycare and community center located next door to a low-income housing complex for the elderly.

As Busby balked, a staff member encouraged her to join the group waiting to get on board. She said later a main motivating factor for her to get the shot was the support of her brother, who called her up to encourage her to get vaccinated.

“I’m going to call him as soon as I get home, and let him know I did it,” she said, as she got back on the bus to return to the community center.

Older folks are actually less hesitant than many. According to a nAP-NOR C poll in late March, 11% of Americans aged 65 or older say they probably or definitely won’t get vaccinated. That compares with 25% of all adults.

The White House has repeatedly pointed to family members and community leaders as the best validators to overcome hesitance. It is also moving to create more vaccinatio­n sites closer to homes, recognizin­g that access concerns span demographi­c groups. On Wednesday, the White House announced that all of the more than 1,400 federally qualified community health centers will be able to begin administer­ing vaccines. It also is aiming to expand mobile vaccine clinics.

 ?? ROGELIO V. SOLIS — THE ASSOCIATED PRESS ?? Linda Busby, 74, stiffens up as she receives the Johnson & Johnson COVID-19 vaccine at the Aaron E. Henry Community Health Service Center in Clarksdale, Miss., on Wednesday.
ROGELIO V. SOLIS — THE ASSOCIATED PRESS Linda Busby, 74, stiffens up as she receives the Johnson & Johnson COVID-19 vaccine at the Aaron E. Henry Community Health Service Center in Clarksdale, Miss., on Wednesday.

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