HEALING TOGETHER
New wave of health advocacy that is multilingual, culturally sensitive, and personal fights vaccine disinformation
SAN DIEGO » A new wave of public-health advocacy that is multilingual, culturally sensitive, entertaining and personal is rapidly replacing mundane public-service announcements on TV, radio and online in the battle to stamp out vaccine disinformation circulating in communities of color and get more people vaccinated:
• In a Washington, D.C., suburb, Black and Latino barbers are busting myths about the coronavirus vaccine while clipping hair.
• A university researcher in Phoenix teamed up with a company behind comic books fighting Islamic extremism to produce danceinducing animated stories in Spanish that aim to smash conspiracy theories hindering Latinos from getting inoculated.
•In San Diego, former refugees, Latinos and Black activists initially hired by health officials as contact tracers are calling back the people they reached about COVID-19 exposure to talk about the shots.
“With the way disinformation is spreading over social media, a stale piece with information to counter that — that doesn’t work anymore,” said Mustafa Hasnain, who co-founded Creative Frontiers to make comic books fighting Islamic extremism.
The innovative messaging has grown out of urgency: The virus has hit Black and Latino people disproportionately hard, yet their vaccination rates are less than half that of white people.
The Biden administration this month launched its multimillion-dollar promotional campaign targeting communities where vaccine hesitancy is high and asked 275 organizations, from the NAACP to Ciencia Puerto Rico, to spread the word about vaccine safety and effectiveness. One ad is in Spanish and another aimed at Black Americans is narrated by the historian Henry Louis Gates Jr.
Rumors that the vaccines could cause infertility or the shots could inject a government tracking chip are commonly heard in the Black and Latino communities. They have a long history of facing racism in the health care system, eroding their trust.
“I see a lot of similarities in how violent radicalization takes place and the current bout of disinformation around the pandemic and vaccination,” Hasnain said. “Similar to how radicalization works, there is an echo chamber created where distrust of authority figures is inculcated.”
Adding to it is concerns about the safety of the single-dose Johnson & Johnson vaccine. The U.S. government paused the shots to investigate reports of rare but potentially dangerous blood clots.
Millions of doses of the J&J vaccine have been given in the U.S., the vast majority with no or mild side effects. But the questions stemming from six cases could complicate efforts to win over people who are already hesitant, and it was unclear how provaccine advocates would respond to the latest challenge.
Hasnain’s company is pressing forward with releasing Tuesday its latest Spanishlanguage animation targeting young Latinos. The animated stories are produced with Gilberto Lopez, researcher and associate professor at Arizona State University’s School of Transborder Studies. Lopez said young Latino men are especially reluctant to get vaccinated.
The latest animation is set to hip-hop rhythms and features a know-it-all Uncle Rigo who spouts unfounded claims that a cool female doctor dispels.
“The silver lining of the lessons from the pandemic is this is a chance to reimagine the delivery of health care to our communities,” said Dr. Stephen B. Thomas, who runs the Maryland Center for Health Equity at the University of Maryland School of Public Health.
He works with Black and Latino barbershops and beauty salons to talk about vaccine safety. The program recently licensed three barbers as community health advocates.
“Black barbershops and beauty salons can be places of conspiracy theories that grow and thrive, or places where evidence-based science and referrals are done,” said Thomas, who launched the Health Advocates In-Reach and Research initiative to educate people about chronic diseases like diabetes.
At the Shop Hair Spa in Hyattsville, Md., outside Washington, D.C., a colorful box asking, “What is your health question?” is posted next to the prices for cuts. COVID-19 vaccine information is displayed on a red wall behind a salon chair.
Barber Wallace Wilson said he understands people’s reservations about getting vaccinated.
“I’m still skeptical about it ... because of the simple fact that I’m an African American male, and when you look at history, we’ve been used as guinea pigs,” Wilson said.
He was referring to the 40-year study by the U.S. government that tracked Black men infected with syphilis without treating them, so scientists could observe the disease take its course.
Customer James McRae shared his skepticism. But Wilson told McRae that this time is different because it is not just the U.S. government vaccinating people, it is the world, and everyone needs to do their part.
“I want everybody to be safe,” Wilson said, carefully maneuvering a razor near the straps of McRae’s red polka-dot mask.
Experts say any trust will evaporate if people decide to get a shot, then can’t. Wilson has been on a waiting list for more than a month.
Dr. Fermin Leguen, head of the Southern Nevada Health District in Las Vegas, knows how much words matter.
With information about the virus rapidly changing, the agency resorted to an automated translator to keep up. One slogan, “Mask Up, Back Up, Wash Up,” was translated in Spanish to say, “To Mask, Support, to Wash Oneself.”
Leguen, who was born in Cuba, meets with Spanishlanguage media outlets after his weekly briefings as a way to get better information to people.
In San Diego, Ana Castro was among the ethnically and racially diverse contact tracers with no prior health training hired last summer to help immigrants, refugees and racial minorities who may have been exposed to COVID-19.
Castro knew the difficulties of the people she called. She was caring for her Mexican mother, who was bedridden with COVID-19.
Now, she and others are calling back 10,000 people to talk about the vaccine and line up appointments.
“It allows for a conversation, which is missing doing broad messaging,” said Corinne McDaniels-Davidson, director of the Institute for Public Health at San Diego State University, which formed the program with the county health department. “People need to feel they have reasonable and valid concerns that are addressed in their own language from people from their same culture.”
Among Castro’s first callbacks was to a man she found had died of COVID-19. Castro and his 81-year-old wife spoke for half an hour, as the woman shared memories about her husband.
“I’m not just calling to sign people up to get the vaccine,” she said. “I’m also making sure their emotional and physical well-being is being taken care of.”
Health experts hope credible messengers will get more shots in arms.
Bertha Morales was hesitant, even though she works for a health clinic in Phoenix. Her relatives insisted the vaccine would insert a tracking chip into her body or cause her to get sick and die.
Then her employer offered a Spanish-language online talk that knocked down those rumors. She is now fully vaccinated.
“I think the thing that really made me change was that I wanted to see my grandma but I didn’t want to cause her to get sick,” Morales said. “It had been so long.”