South Florida Sun-Sentinel (Sunday)

Youth, Hispanics lead in new vaccinatio­ns

Florida saw many getting shots during delta wave, but the state is now trending downward

- By Cindy Krischer Goodman, Spencer Norris and David Schutz

With nearly 2,500 people a week in Florida dying during the peak of the delta wave, the groups most devastated saw the largest increase in COVID vaccinatio­ns.

Two of the groups most hesitant to be vaccinated — 25-to-44-yearolds and the Hispanic population — led the state in new vaccinatio­ns while the delta wave took its toll on the state.

The trend became especially apparent in South Florida, where younger people and minorities flocked to vaccinatio­n sites in August at even higher rates than the state as a whole, according to newly released data analyzed by the South Florida Sun Sentinel.

The data — obtained by the Sun Sentinel and other news media as a result of a lawsuit against the Florida Department of Health — offers the most comprehens­ive account yet of how segments of the population in individual Florida counties reacted to the delta wave.

Where do we stand today? Although Florida saw a crush of people getting vaccinated during the delta wave, the state is now trending downward in vaccinatio­ns. It has renewed frustratio­n that complacenc­y will again set in ahead of a potential next wave.

Overall, 49.7% of all Floridians (including children) are vaccinated for COVID, compared with 58.5% of the country’s total population.

Children 5 to 11 began getting their first shots this week.

Many vaccine holdouts were convinced to get their shots when they saw the toll of the delta wave — with deaths mounting and intensive care units growing crowded.

At one point in August, the situation became so serious that Broward County led the nation in COVID hospital admissions. The

motivation for vaccinatio­n also could have been the pleas to get vaccinated from healthcare workers and dying family members.

“When you see a loved one die of COVID, now it hits home,” said Miramar Mayor Wayne Messam, whose city has a largely black and Hispanic population. “The consistent message from dying victims in these communitie­s was, ‘I wish I would have gotten vaccinated.’ Family members who had hesitation listened and were compelled to get the vaccine.”

Reacting to the deaths

It took about a month of devastatio­n before more people chose to get their first dose.

As the daily death count began climbing to its eventual peak of more than

380 people in a single day, a push began in mid-July that would end about four months later with more than

2.8 people getting vaccinated during the delta wave.

“Florida caught up on vaccinatio­ns only because of how hard it was hit,” said Howard Forman, a Yale University professor in the School of Public Health. “The alarm was there for people who wanted to listen.

“People wanted to believe there was something special about Florida,” Forman said of some Floridians’ hope the state wouldn’t be hit as hard as other states. “I don’t think that turned out to be true.”

Kelly Saks, a Miami Latina entreprene­ur and influencer, took to Instagram and MSNBC to encourage the South Florida Hispanic community in late July to get vaccinated.

Saks’ Cuban-American father was a healthy 71-yearold man with no underlying conditions.

He spent the last month of his life in a hospital, alone, attached to a ventilator while fighting for his life.

“Please, I urge you, if you’re able to — get vaccinated. For you, for your family, for the people you love, and for everyone else who cannot get vaccinated. It could save your life. It could have saved my dad’s life,” Saks wrote at the time.

“I have never received such a response on anything I have shared,” Saks told the Sun Sentinel on Friday. “People sent me selfies of them with their band-aids after getting vaccinated. There was a lot of misinforma­tion out there, especially in our older Hispanic community. But some who were super-hesitant got their vaccine.”

While Florida releases statewide vaccinatio­n demographi­cs in its weekly report, the newly released informatio­n shows the significan­t jumps in vaccinatio­ns on a county level during the delta wave. In all three South Florida counties, Hispanics and 25 to 44-year-olds were the groups getting the most first shots.

In Broward County, the increase in COVID vaccinatio­ns began on July 11, about six weeks into the delta wave. And by Aug. 2, the height of the uptake in vaccines, Hispanics were getting their first shots at more than twice the levels as whites; 25-year-olds to

44-year-olds were getting first doses at four times the levels of those 65 and older.

In Palm Beach County, the increase in COVID vaccinatio­ns also began on July 11. And by Aug. 2, Hispanics were getting their first shots at more than 3 times the levels of whites; 25-yearolds to 44-year-olds were getting first doses at five times the levels of those 65 and older.

In Miami Dade County, only two age groups saw an increase in vaccinatio­ns beginning July 1: the 44- to

64-year-olds, and the 25to 44-year-olds. However, on Aug. 2, Hispanics were getting their first shots at nearly three times the levels of whites.

Taking a different approach

Leading up to the summer surge, Florida’s vaccine rollout had been different from many other states.

After an initial frenzy for vaccines in January and February — and a priority on vulnerable seniors — the governor’s push to get residents vaccinated almost completely eased by the time younger groups became eligible.

By June, Gov. Ron DeSantis stopped holding events promoting the vaccines. When DeSantis allowed his

COVID-19 state of emergency to expire on June 26, only about 57% of the state’s eligible population had been fully vaccinated, with Hispanics and Black Americans underrepre­sented.

During the first week of July, Florida’s vaccinatio­n rate plunged to its lowest level since COVID vaccines became available, the new health data shows. Although the state lagged the nation in its vaccinatio­n rate, Floridians relaxed into complacenc­y, not anticipati­ng how devastatin­g the summer

COVID-19 surge would become.

Delta quickly found the pockets of unvaccinat­ed people, sending thousands of Floridians to hospitals.

Another decline in vaccinatio­ns

As of Nov. 4, with new COVID cases at their lowest level since early June, vaccinatio­ns have tapered off in all South Florida counties and statewide. Last week, less than 48,000 first doses were given out, compared with more than 216,00 in late August.

Overall, 49.7% of all Floridians (including children) are vaccinated for COVID, compared with

58.5% of the country’s total population. Children 5 to

11 began getting their first shots this week.

The most heavily vaccinated age group in Florida is 65 and older, which is 88% vaccinated, followed by the

60-to-64 age group, which is

85% vaccinated. The 20-to29 age group is 56% vaccinated. Florida’s teens 12 to 19 are 56% vaccinated as well.

Sama M. Fombu, a family nurse practition­er in Miramar, says she faces new challenges in her efforts to get minorities vaccinated in Broward County: Some of her minority patients are not getting the second dose, others who are vulnerable are not coming to get boosters.

“It requires continuous education,” Fombu said. “I talk to people at grocery stores and gas stations ... wherever I can educate. I reach out and plead with them. I tell them vaccinatio­n is important and will prevent you from hospitaliz­ation and death.”

What’s ahead

Dr. Michael Osterholm, an infectious disease expert with the University of Minnesota, warns Florida’s lull in new cases is temporary. He is seeing it happen elsewhere.

“We have to keep vaccinatin­g,” he said. “Until we achieve much higher vaccinatio­n rates, we will continue to see transmissi­on and flareups.”

European countries and many U.S. states are seeing new cases rising — even those with relatively high vaccine rates, he noted.

“The highly infectious delta is burning through gaps in protection wherever it can,” Osterholm said. “We are not sure what triggers these surges but no doubt vaccines are preventing the hospitaliz­ations and death we saw before their arrival.

“The biggest risk in Florida comes from other states,” he said. “More than ever, if you are not vaccinated, get vaccinated. If you had a previous infection, at least get one dose.”

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 ?? MARTA LAVANDIER/AP FILE ?? Natalia Dubom, of Honduras, gets the Johnson & Johnson COVID-19 vaccine at Miami Internatio­nal Airport in Miami.
MARTA LAVANDIER/AP FILE Natalia Dubom, of Honduras, gets the Johnson & Johnson COVID-19 vaccine at Miami Internatio­nal Airport in Miami.

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