San Francisco Chronicle - (Sunday)

Wide disparity in vaccinatio­n rates

- By Susie Neilson Susie Neilson is a San Francisco Chronicle staff writer. Follow her on Twitter: @susieneils­on

After a rocky start, California has now vaccinated slightly more of its population than the U.S. has overall. But vaccinatio­n rates vary widely by region, county and city.

The Chronicle compiled data from four Bay Area counties that release informatio­n on the percentage of residents 16 and over vaccinated by city: Alameda, Contra Costa, San Mateo and San Francisco. According to our analysis of cities with 5,000 residents or more, Atherton has the highest vaccinatio­n rate, with 3 in 4 of its residents having received at least one dose of vaccine. Walnut Creek is second with 66% of its residents vaccinated.

East Palo Alto and Bay Point had the lowest rates of vaccinated residents, at 24% and 25% respective­ly.

In doing this analysis, we were also interested in determinin­g how a city’s overall vaccinatio­n rate compared to its population makeup — that is, whether the top cities had greater vaccinatio­n rates because more of their residents had been eligible for longer.

The Chronicle used U.S. census data to estimate the number of each city’s residents deemed highpriori­ty for a COVID vaccine. We included people 65 and older as well as education and health care workers, but not food and agricultur­e workers or people made eligible by specific health conditions due to the lack of data for these groups.

We then compared each city’s percentage of highpriori­ty residents to its overall vaccinatio­n rate. The line between the red dot (priority percentage) and blue dot (vaccinatio­n rate) represents the difference­s between each city’s rates. A larger gap between the red and blue points, which reflect the overall rate of adults with at least one vaccine dose, indicates that a city is farther ahead on vaccinatin­g its nonpriorit­y population.

Looking at this difference, Atherton once again is in the lead. The city’s population is about 33% priority eligible, but 75% of residents are vaccinated.

The state has struggled to vaccinate its residents in an equitable way. Last week, a report by the Centers for Disease Control and Prevention found that California ranked among the five worst states in getting its poorest and most vulnerable residents vaccinated. The state has fallen behind on vaccinatin­g its Black and Hispanic residents in particular.

Atherton’s high vaccinatio­n rate appears to fit the trend. The small town is almost 70% white and less than 6% Black and Hispanic combined. Its median home price of $6.35 million is one of the highest in the nation.

Walnut Creek, though less wealthy than Atherton, is also nearly 70% white with a median household income of about $106,000, above California’s overall median income of $80,440.

And whether considerin­g overall vaccinatio­n rates or the gap between vaccinatio­n rate and priority population, the Bay Area cities that are lagging reflect California’s struggle to get its more vulnerable residents vaccinated. In Fairview, only 37% of adult residents are vaccinated despite 39% of them being priority eligible. The censusdesi­gnated place in Alameda County is also only about 35% white, and nearly 20% Black and 23.6% Hispanic.

The city with the lowest vaccinatio­n rate overall, East Palo Alto, has a median household income of just $67,000 and is 66% Hispanic and just 10% white, according to the latest census estimates. The city has vaccinated just 24% of its population.

 ?? Carlos Avila Gonzalez / The Chronicle 2020 ?? Dr. Kishore Nath of John Muir Medical Center prepares to inject Mez ChafePowle­s, 92, with the Pfizer vaccine at Viamonte, a retirement community in Walnut Creek, on Dec. 30. Walnut Creek has the secondhigh­est vaccinatio­n rate of any city among four Bay Area counties.
Carlos Avila Gonzalez / The Chronicle 2020 Dr. Kishore Nath of John Muir Medical Center prepares to inject Mez ChafePowle­s, 92, with the Pfizer vaccine at Viamonte, a retirement community in Walnut Creek, on Dec. 30. Walnut Creek has the secondhigh­est vaccinatio­n rate of any city among four Bay Area counties.
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