Marin Independent Journal

Acceptance of vaccine becoming contagious

- By Jan Hoffman

As the vaccine went from a hypothetic­al to a reality attitudes surroundin­g it began to shift.

Ever since the race to develop a coronaviru­s vaccine began last spring, upbeat announceme­nts were stalked by ominous polls: No matter how encouragin­g the news, growing numbers of people said they would refuse to get the shot.

The time frame was dangerousl­y accelerate­d, many people warned. The vaccine was a scam from Big Pharma, others said. A political ploy by the Trump administra­tion, many Democrats charged. The internet pulsed with apocalypti­c prediction­s from longtime vaccine opponents, who decried the new shot as the epitome of every concern they’d ever put forth.

But over the past few weeks, as the vaccine went from a hypothetic­al to a reality, something happened. Fresh surveys show attitudes shifting and a clear majority of Americans now eager to get vaccinated.

Polling

In polls by Gallup, the Kaiser Family Foundation and the Pew Research Center, the portion of people saying they are now likely or certain to take the vaccine has grown from about 50% this summer to more than 60%, and in one poll 73% — a figure that approaches what some public health experts say would be sufficient for herd immunity.

Resistance to the vaccine is certainly not vanishing. Misinforma­tion and dire warnings are gathering force across social media. At a meeting on December 20, members of an advisory panel to the Centers for Disease Control and Prevention cited strong indication­s that vaccine denounceme­nts as well as acceptance are growing, so they could not predict whether the public would gobble up limited supplies or take a pass.

But the attitude improvemen­t is striking. A similar shift on another heated pandemic issue was reflected in a different Kaiser poll this month. It found that nearly 75% of Americans are now wearing masks when they leave their homes.

The change reflects a constellat­ion of recent events: the uncoupling of the vaccine from Election Day; clinical trial results showing about 95% efficacy and relatively modest side effects for the vaccines made by Pfizer-BioNTech and Moderna; and the alarming surge in new coronaviru­s infections and deaths.

“As soon as it is my turn to get the vaccine, I will be there front and center! I am very excited and hopeful,” said Joanne Barnes, 68, a retired elementary school teacher from Fairbanks, Alaska, who told The New York Times last summer that she would not get it.

What changed her mind? “The Biden administra­tion, returning to listening to science and the fantastic stats associated with the vaccines,” she replied.

The lure of the vaccines’ modest quantities also can’t be underestim­ated as a driver of desire, somewhat like the must-have frenzy generated by a limited-edition Christmas gift, according to public opinion experts.

Who gets it first?

That sentiment can also be seen in the shifting nature of some of the skepticism. Rather than just targeting the vaccine itself, eyebrows are being raised across the political spectrum over who will get it first — which rich individual­s and celebritie­s, demographi­c groups or industries?

But the grim reality of the pandemic — with more than 200,000 new cases and some 3,000 deaths daily — and the wanness of this holiday season are perhaps among the biggest factors.

“More people have either been affected or infected by COVID,” said Rupali Limaye, an expert on vaccine behavior at the Johns Hopkins Bloomberg School of Public Health. “They know someone who had a severe case or died.”

Limaye concluded: “They are fatigued and want to get back to their normal lives.”

A barrage of feel- good media coverage, including rapt attention given to leading scientists and politician­s when they get jabbed and joyous scrums surroundin­g local health care workers who become the first to be vaccinated, has amplified the excitement, public opinion experts say.

There remain notable discrepanc­ies among demographi­c groups. The divide between women and men has become pronounced, with women being more hesitant. Black people remain the most skeptical racial group, although their acceptance is inching up: In September, a Pew Research poll said that only 32% of Black people were willing to get the vaccine, while the latest poll shows a rise to 42%. And though people of all political persuasion­s are warming to the vaccine, more Republican­s than Democrats view the shot suspicious­ly.

The associatio­n between vaccine attitudes and political affiliatio­n is worrisome to many behavioral experts, who fear that vaccine uptake will become tied to partisan views, impeding the achievemen­t of a broad immunity.

“We’ve seen a growth among both Democrats and Republican­s about their intent to vaccinate,” said Matthew Motta, a political scientist at Oklahoma State University who studies political opinions and vaccine views. “But it’s twice the size in Democrats,” who, he added, had been souring on the vaccine following President Donald Trump’s avowal that it would arrive by Election Day.

A brighter indication, he said, is that two-thirds of the public say they are at least somewhat confident that a coronaviru­s vaccine will be distribute­d in a way that is fair, up from 52% in September.

Resistance

The most pronounced pockets of resistance include rural residents and people between the ages of 30 and 49.

Timothy Callaghan, a scholar at the Southwest Rural Health Research Center at Texas A&M School of Public Health, said that rural residents tend to be conservati­ve and Republican, characteri­stics that also show up among the vaccinehes­itant. They also include immigrants and day laborers, many of whom do not have college degrees or even high school diplomas and so may be more wary of vaccine science.

“They appear less likely to wear masks, less likely to work from home and there is an opposition to evidenceba­sed practices,” Callaghan said.

The resistance also springs from their hampered access to health care in remote areas. In addition, the need to take off several hours of work from the inflexible demands of farming for travel and recovery from vaccine side effects makes the shots seem even less compelling, he added.

About 35% of adults between 30 and 49 overall expressed skepticism about the vaccine, according to the Kaiser poll. Dr. Scott Ratzan, whose vaccine surveys in New York with the City University of New York Graduate School of Public Health echo findings similar to the national polls, noted that this group doesn’t keep up on flu shots either. They are well out of the age range for routine vaccines.

“There is no normalizin­g or habit for this age group to get vaccinated,” he said.

Black people have remained the most resistant to taking a coronaviru­s vaccine, largely because of the history of abusive research on them by white doctors. But their willingnes­s to consider it is ticking up. In the Kaiser poll, the share of Black respondent­s who believe the vaccine will be distribute­d fairly has nearly doubled, to 62% from 32%.

Mike Brown, who is Black, manages the Shop Spa, a large barbershop with a Black and Latino clientele in Hyattsvill­e, Maryland. This summer he told The Times that he was happy to sit back and watch others get the vaccine, while he bided his time.

That was then.

“The news that it was 95% effective sold me,” Brown said. “The side effects sound like what you get after a bad night of drinking and you hurt the next day. Well, I’ve had many of those and I can deal with that to get rid of the face masks.”

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 ?? MICHAEL A. MCCOY — THE NEW YORK TIMES, FILE ?? Mike Brown, manager of The Shop Spa, cuts the hair of a patron in Hyattsvill­e, Md., in July. As the vaccine went from a hypothetic­al to a reality, something happened as fresh surveys show attitudes shifting and a clear majority of Americans now eager to get vaccinated.
MICHAEL A. MCCOY — THE NEW YORK TIMES, FILE Mike Brown, manager of The Shop Spa, cuts the hair of a patron in Hyattsvill­e, Md., in July. As the vaccine went from a hypothetic­al to a reality, something happened as fresh surveys show attitudes shifting and a clear majority of Americans now eager to get vaccinated.

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