Half of the US states want black and Hispanic people to be a priority when introducing vaccines

Alabama: The health department has announced that it will monitor vaccinations administered to understand current saturation by county based on the information available about the vaccine being distributed and by race.

The communicators will consult with local authorities to ensure fair access to the vaccination centers from this date.

Alaska: The state has yet to announce who will receive the vaccine after the first two stages, which include frontline hospital workers at the highest risk for COVID-19 infection. Residents and employees of long-term care facilities; Rescue service / firefighters who offer rescue services; Community Health Aide / Practitioners (CHA / Ps); and people who need to have vaccinations.

However, the state has received 11,700 doses of vaccine for the Alaska Tribal Health System directly for the state's native tribes.

Arizona: The state has proposed staying one step ahead of those 65 and over to get a vaccine, but everyone can get a shot in Stage 1.

"These criteria were provided as a proposed framework to ensure that all population groups have fair access to COVID-19 vaccination," it said

Arkansas: Elementary workers will receive the vaccine prior to 65 year olds in Arkansas, according to CDC guidelines.

California: California is committed to giving black and brown people better access to the vaccine.

It is planned to give priority to minorities by removing barriers to accessibility such as transportation and waiting times. Governor Gavin Newsom said experts "are making black and brown communities disproportionately benefit from the effects they have disproportionately felt from COVID-19".

Colorado: People at higher risk aged 65 and over and key employees will both be included in the second phase of the rollout in the spring.

Connecticut: Elementary workers and adults over 65 are vaccinated in the spring.

The state said: "Public health messages and products are tailored to each audience and developed with health equity in mind."

Delaware: People over 65 and key employees will be included in the second phase of the rollout.

Florida: Individuals 65 and older and those with pre-existing medical conditions will be vaccinated in front of key Florida workers.

People from racial and ethnic minorities still belong to the critical population groups of the state.

"The ministry's Minority Health and Health Justice Bureau has been working on vaccination planning and existing networks and data are being used to inform those efforts," it said.

Georgia: Georgia does not refer to races or minorities in its original plan, but does say that over 65s and key workers will be included in the first phase.

Hawaii: Racial and ethnic minority people are among the most critical populations in Hawaii.

"Recent evidence has shown how COVID-19 2 disproportionately affects certain racial and ethnic minority groups, including Black, Hispanic or Latin American, American 3 Indians and Native Alaska, and native Hawaiian and Pacific islanders," it said.

The most vulnerable are classified according to 15 social factors, including unemployment, minority status and 31 disabilities.

Idaho: People from racial and ethnic minorities as well as tribal communities are named under critical communities

"In Idaho, 13% of the population are Hispanic, but 33% of COVID-19 cases are Hispanic," it said.

Illinois: Higher risk populations such as races and ethnic groups will be among the first to be vaccinated.

The plan does not contain any further details on prioritization.

Indiana: People from racial and ethnic minorities, as well as people from tribal communities, are at increased risk of acquiring or transmitting COVID-19.

"Targeted contact with rural areas and other specific communities such as the Indian Amish or Potowatomi population will also be required to reach directly those who may not have access to information or fewer health resources in less populated areas of the state." Plan says.

Iowa: In Iowa, lists and maps containing several demographic databases have been provided to determine the number of people aged 65 and over, people from racial and ethnic minorities, people with disabilities, and people in rural communities.

They will all be considered in the next stage of vaccinations.

The state said it would "implement vaccine allocation communication strategies to minimize perceptions of a lack of justice."

Kansas: According to 41 Action News, health officials have announced they will keep an eye on the color communities as they make further decisions about the vaccine.

"We have broad representation through tribal, ethnic and racial minorities," said Dr. Lee Norman, Secretary of the Kansas Department of Health and Environment.

"Different socioeconomic groups, and beyond that, religious leaders, medical bioethicists, to look at it with many kinds of optics."

Kansas will also focus on accessibility issues by targeting transportation hubs to spread information about the vaccine and sending mobile vaccine units to communities where many people may not have a car.

Kentucky: The state plans to conduct a survey of African American and Hispanic Kentuckians to find the best way to achieve communication with them as a critical community.

Louisiana: Louisiana will target racial and ethnic minorities as a high priority in the first phase of a digital communication campaign about the vaccine.

"In addition to major newspapers across the state, the plan will also advertise in ethnic and minority publications, particularly publications serving the Vietnamese, Hispanic and African-American communities," he added.

This also applies to radio stations.

“A notable percentage of nursing home workers is black (27.8 percent), as are home nurses (black: 29.7 percent and Latinx: 17.5 percent). A significant proportion of these workers are also over 65 years old (Black: 9.1 percent and Latinx: 11.3 percent), ”says the plan.

Health equity is built into every planning step, the report says.

Maine: Maine has developed a special "COVID-19 Immunization Schedule For Racial / Ethnic Minorities".

“COVID-19 has not affected all groups in Maine equally. Some groups – such as racial and ethnic minorities – have seen disease rates well above their representation in the general population, ”it said.

Maine's approach to ensuring timely access to COVID-19 vaccines for members of racial / ethnic minority groups will evolve after consultation with members and leaders of those groups.

“The ECOVID-19 rates for racial and ethnic people in Maine are disproportionately high. Although this population makes up roughly 5% of the population (see table below), this group makes up 25% of COVID-19 cases in Maine, ”the report continues.

“Maine places special emphasis on ensuring that all Mainers, especially those of different racial and ethnic backgrounds, have accurate information about the COVID-19 vaccine and can access it when it becomes available. Members of the Maine COVID-19 planning team have consulted with tribal leaders, the Maine Migrant Health Program, and District Liaisons, and we recognize that more needs to be done to reach these populations. "

Maryland: “The COVID-19 pandemic has had a disproportionate impact on people of certain races, ethnicities, age groups, health conditions and socio-economic conditions. It is important that equity is involved in the implementation of a COVID-19 vaccination schedule, ”Maryland says of its distribution.

According to census data, of Maryland's estimated six million residents, 31 percent are Black or African American, 11 percent are Hispanic, and 0.6 percent are Native American / Alaskan. In addition, around 9 percent live in poverty. Those 65 and older make up 15 percent of the population, while those with heart disease, kidney disease, diabetes, or respiratory disease (e.g., asthma, COPD, etc.) make up approximately 25 percent of the population. Communication will be important to ensure that these populations are reached as part of the vaccination program.

"Messaging should be tailored and developed for each audience to ensure that communication is effective," says the contact with these communities.

Massachusetts: The state says it will provide fair access to COVID-19 vaccination for all critical populations such as ethnic minorities in order to achieve high COVID-19 vaccination rates in that population in the jurisdiction in phase two

They plan to do this through their messages.

Michigan: Michigan will vaccinate key workers over 65 years ago who are more likely to be white.

Minority status and the language spoken are taken into account when deciding the order in which to receive a vaccine.

Minnesota: The state has announced that it will strive for fairness and protect against systematic injustice and inequality as a key principle in distribution.

"Other attributes that must be taken into account when prioritizing are: people with certain illnesses, people with disabilities and people from certain racial and ethnic minorities who are disproportionately affected by COVID-19," the report says.

Mississippi: The states identified their 1,666,665 racial and ethnic minority people as 11,000 from tribal communities as critical populations.

Missouri: Individuals at high risk for adverse health effects, including minorities, will be vaccinated by late winter.

Montana: "Government-to-government relations and communication with tribal nations and health partners are important and critical during this process," the Montana Plan states.

Racial and ethnic minority groups as well as tribal communities are considered to be endangered and are being targeted with a communication campaign.

Nebraska: Organizations that work with the African American, Hispanic, and Latin American communities, as well as other community-based organizations, have been included as partners in their vaccination schedule.

Nevada: Nevada has a specific plan for its tribal communities.

"The under- and uninsured populations, as well as the underserved racial and ethnic minorities in Nevada, need special consideration to ensure they are given equitable access to vaccines during the COVID-19 vaccine response," it said.

"Community outreach processes are built into the planning structure for pandemic influenza and will be adapted to the COVID-19 vaccine response in Nevada."

New Hampshire: Racial minorities are listed among vulnerable groups and justice is promised.

New Jersey: "During the pandemic, the state of New Jersey was concerned about the disproportionate impact of COVID-19 on vulnerable populations such as communities and color communities," the state's plan said.

To address this inequality gap, NJDOH has developed partnerships with state and regional correctional facilities, expanded testing in LTCFs, correctional facilities and state psychiatric hospitals, and piloted senior high-rise buildings and among the homeless and seasonal workers.

"While these efforts cannot completely reverse centuries of systemic, structural, socio-economic and health inequalities, we recognize the need to continue shedding light on increasing equity in public health policies, particularly in developing an ongoing response and planning for COVID. "

New Mexico: The Ministry of Health will be liaising with racial and ethnic minority leaders to identify the best models of vaccination clinics and specific ways to establish effective vaccination

The Indian Affairs Department has also developed a plan for tribal partners.

“We urge the CDC not to force every sovereign tribe to make a binary decision about how to source and distribute vaccines. We also urge the CDC to consider data not included in the submission so that tribal partners can determine the best way to effectively distribute and administer vaccines in their communities, ”the report said.

“Community health workers with pueblos, tribes, and nations from New Mexico and promoters in Hispanic communities are an integral part of health care and outreach. These key employees will be an integral part of spreading the COVID-19 vaccine message in their communities. "

New York: The New York State COVID-19 Vaccine Distribution Plan is based on standards that prioritize people at higher risk for exposure, illness, and / or poor outcome. Unrelated factors such as wealth or status do not affect the distribution.

North Carolina: The state says it will take care of minorities in phase two of the distribution.

"Although we don't list racial or ethnicity groups as the sole criteria for prioritization, prioritizing groups for range by exposure risk and chronic disease in phases 1 and 2 promotes equity," their plan says.

“Historically marginalized population groups are disproportionately represented among the high-risk populations, the frontline workers and with a high density in the workplace and in the residential communities. For example, nationally African American and Latin American make up more than 40% of long-term caregivers.

In North Carolina, 51% of the homeless and 52% of those in prison are African American. In addition, prioritizing key public relations employees promotes equity. A national survey by the Kaiser Family Foundation found that a higher proportion of the African American and Latin American populations are indispensable workers compared to white populations. "

North Dakota: They have developed maps by country to show minority groups and Native American communities to focus on.

Ohio: "The Ohio Department of Health Equity Specialists will work with the governor's Minority Health Strike Force to ensure equitable access to vaccines, especially for racial and ethnic minorities," the plan said.

Oklahoma: The Ministry of Health said it anticipates populations, including people from racial and ethnic minorities, tribal communities, people with underlying medical conditions and / or disabilities, and under- or uninsured people, likely to be present among all priority populations.

Oregon: "Although it is clear in Oregon that people of color are disproportionately affected by COVID-19, the data to accurately describe these inequalities are often not available," said his plan to focus on minority groups.

“Some of the most worrying differences occur with seasonal influenza vaccinations, where vaccination rates are 17 percentage points lower for Hispanics / Latinos and 6 percentage points lower than for whites for African Americans.

"As we approach a respiratory season when influenza and COVID-19 patients need the same limited pool of health resources, these differences represent critical needs that must be considered in COVID-19 vaccine planning."

Pennsylvania: The Commonwealth has announced that it will "address some of the socio-economic and racial inequalities caused by the pandemic that has disproportionately affected the Latin American and black or African American communities".

"While racial and ethnic minorities tend to be underrepresented as clinicians, they are overrepresented as other low-wage healthcare workers," his plan said.

“By including a comprehensive definition of health workers, those racial and ethnic minorities are included in forward-looking roles that would not otherwise be prioritized if the focus were only on clinicians.

"As people with certain pre-existing health conditions have priority in Phase 1A and racial and ethnic minorities tend to suffer from many of these conditions more often, this approach will further reduce inequalities."

Rhode Island: Minorities are identified as critical communities but no details are given.

South Carolina: The only mention of ethnic groups is that a minority outreach group will update the plan.

South Dakota: They have developed maps by country to show minority groups and Native American communities to focus on.

Tennessee: The only mention of ethnic groups is that minorities are reached.

Texas: The Texas plan names minority groups as critical populations, but does not address justice.

Utah: According to Utah, racial / ethnic groups will be vaccinated in the second phase in March or April.

Vermont: Racial and ethnic groups are listed in the CDC guidelines for vulnerable groups. There is no further mention of the plan.

Virginia: Virginia has not outlined a races or ethnic group plan.

It is said that the initial distribution will ensure 480,000 Health Workers (HCP) and Long Term Care Facility (LTCF) residents receive an initial dose of the vaccine

Then people at risk are given a dose.

Washington: The Ministry of Health, in consultation with public health and health care partners, is developing a prioritization and allocation framework to include first responders. critical and essential workforce; Corporate groups; Blacks, indigenous people, and people with color communities; Education systems; and other governments, including tribal nations, local governments, and local health courts.

West Virginia: There is no specific reference to minority vaccination in his plan.

Wisconsin: Ethnic and racial minorities are simply referred to as vulnerable populations.

Wyoming: & # 39; For the COVID-19 vaccination schedule, specific populations include people, groups or communities with physical, mental, emotional, cognitive, cultural, ethnic, socio-economic status, language or circumstance barriers to understanding or responding to similar problems general population, ”says the Wyoming Plan.

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