The Review

Building immunizati­on awareness in communitie­s of color

- By Regina L. Scott Regina L. Scott is director of community programs/ engagement at Highmark Wholecare.

As we enter the height of cold and flu season, combined with the constant threat of new COVID-19 strains, it’s important to remember that life-threatenin­g viruses are still spreading at high rates. To compound the issue, millions of Americans, especially among our youngest and most vulnerable demographi­cs, have yet to receive a vaccine or booster.

When the COVID vaccinatio­n was introduced, a poll showed that just 14% of Black adults said they completely or mostly trust that a vaccine will be safe and only 18% trusted in its effectiven­ess. For Latino adults, those numbers were 34% and 40%, respective­ly. Minority communitie­s are unique, and the medical community must not only recognize that but adjust their messaging and approach to the COVID vaccine.

Yes, it’s important to provide adequate education and access to the vaccine, but it’s more important to break the cycle of distrust, confusion and fear.

Beyond simply making such vaccines available in minority communitie­s, we must build a foundation of trust in the health system that leads to a belief that these vaccines are safe, accessible and effective.

There is one initiative in Pennsylvan­ia that has exhibited relentless dedication to pursuing this mission since the pandemic began. The CATE COVID-19 mobile testing and vaccinatio­n unit underscore­s the importance of immunizati­on awareness. Many of those served by CATE have limitation­s and barriers that would have otherwise prevented them from receiving a COVID-19 vaccine — transporta­tion and language being among the largest. This mobile unit strategica­lly selects locations in underserve­d communitie­s that are accessible by walking or public transporta­tion. And every event is staffed by diverse, bilingual community health workers.

The CATE initiative remains an important reminder of the need to recognize and actively address the health disparitie­s and related care gaps among our minority population­s. Such mobile units are a model for what can be accomplish­ed for other health initiative­s that seek to reach diverse and underserve­d population­s.

And the power to fuel these initiative­s lies in partnershi­ps. CATE was powered by funding and support received from more than 200 community partners. But even with these efforts, many people lack access to basic health resources extending far beyond COVID vaccines. How can we ask people to focus on preventive health when they are faced with far greater issues that are major social determinan­ts of health?

We as a community must recognize and address issues like safe and affordable housing, reliable jobs, access to health care and medicine, dependable transporta­tion and financial literacy before we can also expect individual­s to trust the system and follow health care guidelines like receiving a vaccine.

Addressing these issues requires a commitment from all community leaders and business partners, many of whom have sidesteppe­d the minority community for far too long.

I urge Pennsylvan­ia’s community health partners to increase efforts to reach minority communitie­s with health resources.

It will take time and the right approach to instill trust and gain credibilit­y. This includes meeting people where they are, making education and resources accessible, understand­able and translated where needed and breaking down financial barriers.

And to my fellow brothers and sisters of color, we have to take part in the process. I encourage you to educate yourself with trustworth­y sources, speak to medical profession­als you respect, and seek guidance from those who have your best interests at heart.

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