Hartford Courant (Sunday)

Vaccine demand slows

As clamor for shots drops, some places passing on doses

- By Leah Willingham, Heather Hollingswo­rth and Michelle R. Smith

Coronaviru­s vaccine supply in the U.S. is exceeding demand.

JACKSON, Miss. — Louisiana has stopped asking the federal government for its full allotment of COVID-19 vaccine. About three-quarters of Kansas counties have turned down new shipments of the vaccine at least once over the past month. And in Mississipp­i, officials asked the federal government to ship vials in smaller packages so they don’t go to waste.

As the supply of coronaviru­s vaccine doses in the U.S. outpaces demand, some places are finding there’s such little interest in the shots, they need to turn down shipments.

“It is kind of stalling. Some people just don’t want it,” said Stacey Hileman, a nurse with the health department in rural Kansas’ Decatur County, where less than a third of the county’s 2,900 residents have received at least one vaccine dose.

The dwindling demand for vaccines illustrate­s the challenge the U.S. faces in trying to conquer the pandemic while dealing with the optics of tens of thousands of doses sitting on shelves when countries like India and Brazil are in the midst of full-blown medical emergencie­s.

More than half of American adults have received at least one vaccine dose, and President Joe Biden last week celebrated eclipsing 200 million doses administer­ed in his first 100 days in office. He also acknowledg­ed entering a new phase to bolster outreach and overcome hesitancy.

Across the country, pharmacist­s and public health officials are seeing the demand wane and supplies build up. About half of Iowa’s counties have stopped asking for new doses from the state, and Louisiana didn’t seek shipment of some vaccine doses over the past week.

Some are urging federal officials to send more vaccine to places where there’s demand — rather than allocate them based on population — including Massachuse­tts Republican Gov. Charlie Baker, who said on Thursday they could administer two to three times more doses per day if they had more supply.

In Mississipp­i, smalltown pharmacist Robin Jackson has been practicall­y begging anyone in the community to show up and get shots after she received her first shipment of vaccine earlier this month and demand was weak, despite placing yard signs outside her storefront celebratin­g the shipment’s arrival. She was wasting more vaccine than she was giving out and started coaxing family members into the pharmacy for shots.

“Nobody was coming,” she said.

In Barber County, Kansas, which has turned down vaccine doses from the state for two of the past four weeks, Danielle Farr said she has no plans to be vaccinated. The 32-year-old said she got COVID-19 last year, along with her 5- and 12-year-old sons and her husband.

Blood tests detected antibodies for the virus in all four of them, so she figures they’re already protected.

“I believe in vaccines that have eradicated terrible diseases for the past 60, 70 years. I totally and fully believe in that,” said Farr, who works at an accounting firm. “Now a vaccine that was rushed in six, seven months, I’m just going to be a little bit more cautious about what I choose to put into my body.”

Barbara Gennaro, a stayat-home mother of two small children in Yazoo City, Mississipp­i, said everybody in her homeschool­ing community is against getting the vaccine. Gennaro said she generally avoids vaccinatio­ns for her family in general, and the coronaviru­s vaccine is no different.

“All of the strong Christians that I associate with are against it,” she said. “Fear is what drives people to get the vaccine — plain and simple.”

Another challenge for vaccinatio­ns in a rural state like Mississipp­i is that in many cases, doses are being shipped in large packages with one vial containing at least 10 doses.

During a news conference in early April, Republican Gov. Tate Reeves said Mississipp­i officials have requested that the federal government send the vaccines in smaller packaging so it’s not going to waste.

“If you’re in New York City, and you’re sending a package to one of the large pharmacies in downtown Manhattan, there are literally millions and millions of people within walking distance most likely of that particular pharmacy,” Reeves said. “If you’re in rural Itta Bena, Mississipp­i, that’s just not the case.”

To combat the hesitancy, Louisiana continues to increase its outreach work with community organizati­ons and faith-based leaders, set up a hotline to help people schedule appointmen­ts, and work to find free transporta­tion to a vaccinatio­n center. The health department is sending out more than 100,000 mailers on Monday to encourage people to get vaccinated, and robocalls from regional medical directors are going out to landline phones around the state.

In New Mexico, state officials are exploring the recruitmen­t of “community champions” — trusted residents of regions with vaccine hesitancy who can address concerns about safety and efficacy. Question-and-answer style town halls are also a possibilit­y. And video testimonia­ls about coronaviru­s vaccines already have been recorded.

Nirav Shah, director of the Maine Center for Disease Control and Prevention and the president of the Associatio­n of State and Territoria­l Health Officials, said now that everyone qualifies to get vaccinated, public health officials are encounteri­ng three groups: “not able,” “not now” and “not ever.”

The first group, he said, isn’t able to get their shots because there’s some kind of barrier. The “not nows” have earnest questions about vaccine safety, efficacy and whether they need the shot.

He said they’re not prepared to write off “not evers,” but instead are “working to find trusted messengers like doctors, family members, community members” to give them good informatio­n.

In Corinth, Mississipp­i, pharmacist Austin Bullard said a lot of people were waiting to become vaccinated until a one-dose shot became available. The news about the Johnson & Johnson vaccine and the risk for blood-clotting — however slim — has scared people about getting any type of vaccinatio­n.

 ?? ORLIN WAGNER/AP ?? Nurses fill syringes with a COVID-19 vaccine last month in Kansas City, Missouri. Demand for the vaccine has fallen off in some places around the country to the point where some counties are turning down new shipments of doses.
ORLIN WAGNER/AP Nurses fill syringes with a COVID-19 vaccine last month in Kansas City, Missouri. Demand for the vaccine has fallen off in some places around the country to the point where some counties are turning down new shipments of doses.

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