Too many Americans still mistrust the Covid-19 vaccines. Here's why

‘According to a December survey undertaken by the Pew Research Center, nearly 40% of Americans say they will definitely not or probably not get the COVID-19 vaccine when it becomes available to them. Gallup polls put the number at 37%. That’s bad news not just for the vaccine refusers themselves but for the public as a whole. Experts including Dr. Anthony Fauci, head of the National Institute for Allergy and Infectious Diseases, had previously concluded that achieving herd immunity—the point at which a population is sufficiently vaccinated that a spreading virus can’t find enough new hosts—would require anywhere from 60% to 70% of Americans to take the vaccines. But lately, he and others have been inching that number upward, now estimating that herd immunity could require as much as 85% vaccine coverage...

‘But most people in the COVID-19 vaccine hesitancy camp are more rational, more measured—informed enough not to believe the crazy talk, but worried enough not to want to be at the head of the line for a new vaccine. “For first responders and for older people with underlying conditions it’s a godsend,” says Padgett. “But I do believe this was rushed. I’m reasonably healthy. Six months to a year just to get more data on it is what I’d need to be vaccinated.”

Read here (Time, Jan 5, 2021)

Covid-19 is dangerous, not vaccines — 20 scientists, doctors, and concerned individuals

‘Statements propagating fear-mongering and pseudoscience that attack Covid-19 vaccines’ mRNA (messenger RNA) technologies – which have now been approved by the US’ Food and Drug Administration, the UK’s Medicines and Healthcare Products Regulatory Agency, the European Medicines Agency, and the regulatory bodies of at least seven other countries – risk turning Malaysians off all Covid-19 vaccines entirely, as some may not differentiate between one type of Covid-19 vaccine with another. mRNA and vector-based therapies have actually been used for nearly a decade to treat people with cancer, inherited immunodeficiencies, and metabolic, eye, and neuro-muscular diseases.’

Read here (Code Blue, Jan 4, 2021)

The influence of the anti-vaccine movement

‘To try to understand why anti-vaccine sentiment is so prevalent in the United States, I recently spoke by phone with Dr. Peter Hotez, a professor of pediatrics and molecular virology at Baylor College of Medicine, and the co-director of the Texas Children’s Center for Vaccine Development. In March, he will publish a book called “Preventing the Next Pandemic: Vaccine Diplomacy in a Time of Anti-Science.” During our conversation, which has been edited for length and clarity, we discussed the historical reasons for vaccine skepticism among many Black Americans, how doctors can speak the truth without appearing political, and how the fight over vaccines became so similar to the fight over every political issue in America.’

Read here (The New Yorker, Dec 18, 2020)

Hang on for 3 more months

‘Some simple advice for anyone contemplating a holiday gathering: Wait until March...The fight against the coronavirus has been called a “national marshmallow test” [for the United States] that we’re failing. In a famous study, children were left alone with a marshmallow for 15 minutes, and promised a second if they didn’t eat the first. Kids who were better at delaying gratification were found to be more successful later in life. At first, this correlation was explained as demonstrating the importance of willpower and executive function.

‘Later, a team of researchers set out to replicate this study and uncovered something profound. Once they adjusted for factors such as household income, mother’s education, and home environment at age 3, the effect disappeared...

‘If we failed our national marshmallow test this summer and fall, perhaps that says something about how little reason the public was given for optimism. Hope can’t just be a slogan or a pep talk; it must be justified by facts, experiences, and trustworthy promises. And in fairness, until last month, it was less clear when and how this would all end... But hope is justified today.’

Read here (The Atlantic, Dec 17, 2020)

Covid-19 vaccine: Will you take it? 8 in 10 say yes in ST poll

‘A recent survey commissioned by The Straits Times of 1,000 people aged 16 and above here found that about eight in 10 would say "yes" to getting a Covid-19 vaccination, with more than half in this group willing to get it the moment it is available. About 18 per cent of respondents, however, would not want to receive a Covid-19 vaccine, regardless of whether one was available today or in six to 12 months, although about half were willing to consider having one eventually.’

Read here (Straits Times, Dec 12, 2020)

How a history of ‘medical racism’ may fuel mistrust in Covid-19 vaccines

‘A history of neglect and deception has been cited for the skepticism many Black Americans feel about COVID-19 vaccines. A similar dynamic has affected ethnic groups in other countries. That may pose a challenge to health officials trying to save lives and vaccinate sufficient portions of the population.’

Read here (World Economic Forum, Dec 9, 2020)

The vaccines are coming. It’s time to call your mom

‘The next, crucial step in beating the pandemic? Having conversations with our vaccine-shy loved ones...

‘Uncomfortable relatives are my specialty. As a doctor, I’ve been trying for years to get my family and friends to follow prudent medical advice. It hasn’t gone so well. A decade ago, they’d say, “You’re just in medical school.” Then I was “just in residency.” Now, unfortunately, I’m a pathologist, which doesn’t exactly scream “people person.” I have had some successes, though. Last year, after a hundred gentle conversations, I finally convinced my parents to get the flu vaccine. (Verdict: “It wasn’t so bad.”) A couple months later, Covid-19 struck. I try not to feel completely responsible for this irony...’

Read here (Wired, Dec 7, 2020)

What message will persuade people to take a vaccine?

‘Scientists are charging ahead to make a COVID-19 vaccine available, working out the challenging logistics of wide-scale production and distribution. Milkman is hopeful that the work of the BCFG team will, in turn, help more people take the vaccine. “Even if we get the supply chain issues right, even if we get every corner drugstore to someday be supplying these, we have to get them into arms in order for them to change the course of the pandemic,” she said. “And the messaging is going to be key to that.”

Read here (Knowledge@Wharton, Nov 24, 2020)

Qantas CEO Alan Joyce says proof of Covid-19 vaccination will be a condition of international air travel

‘Proof of COVID-19 vaccination will be a non-negotiable condition of international air travel, according to the Qantas CEO Alan Joyce. Anti-vaxxers will be grounded in the brave new world, with Mr Joyce confirming vaccination will be a requirement to fly internationally.

‘Mr Joyce has repeatedly warned that international air travel won’t resume until there’s a vaccine available for staff and travellers, but on Monday night he went a step further, telling A Current Affair host Tracy Grimshaw that as soon as a vaccine becomes available it will be a condition of travel. “For international travellers, we will ask people to have a vaccination before they get on the aircraft,’’ he said.’

Read here (News.com, Nov 23, 2020)

Is emergency use authorisation the best way to get a Covid-19 vaccine to the public?

‘While an emergency use authorization may be the speediest way for public health officials to begin a vaccination campaign, it may not end up shaving that much time off of a more traditional route to government approval. Using a different expedited process, the FDA cleared a novel Ebola vaccine in just six months. Polls have shown that many Americans are wary of getting a COVID-19 vaccine. Other paths toward granting official approval to COVID-19 vaccines may get vaccines to the public almost as quickly as emergency use authorization can—while providing the public with greater reassurance that those vaccines are safe and effective.’

Read here (Bulletin of the Atomic Scientists, Nov 23, 2020)

Coronavirus vaccine hesitancy in Black and Latino communities

‘COVID Collaborative, Langer Research, UnidosUS and the NAACP conducted a poll on attitudes and impacts of COVID-19 vaccine hesitancy and resistance in the Black and Latinx communities. The report summarizes these findings and highlights key areas of focus for policy makers, health care professionals, and others working to increase vaccine uptake.’

Read here (Covid Collaborative, Nov 23, 2020)

Coronavirus vaccines face trust gap in Black and Latino communities, study finds

‘If offered a coronavirus vaccine free of charge, fewer than half of Black people and 66 percent of Latino people said they would definitely or probably take it, according to a survey-based study that underscores the challenge of getting vaccines to communities hit hard by the pandemic... Perhaps its most sobering findings: 14 percent of Black people trust that a vaccine will be safe, and 18 percent trust that it will be effective in shielding them from the coronavirus. Among Latinos, 34 percent trust its safety, and 40 percent trust its effectiveness.’

Read here (Washington Post, Nov 23, 2020)

India tops global survey on Covid-19 vaccination intent; rising hesitancy in many other countries

‘Indians are the keenest on getting vaccinated whenever a Covid-19 vaccine is available, even as people in 10 out of 15 countries showed a growing reluctance about getting vaccinated, according to a global survey. 

‘In the World Economic Forum/Ipsos survey of 18,526 adults from 15 countries, 73 per cent said they would get a Covid-19 vaccine if available, down from 77 per cent in August. While vaccination intent has remained unchanged at 87 per cent in India since August, it has declined in 10 of the 15 countries surveyed, most of all in China, Australia, Spain, and Brazil.

‘Globally, the two main reasons for not wanting to get a Covid-19 vaccine are concerns about side effects (cited by 34 per cent) and concerns about clinical trials moving too fast (cited by another 33 per cent). In India also, 34 per cent respondents.’

Read here (Deccan Herald, Nov 6, 2020)

Winning trust for a vaccine means confronting medical racism

‘Just about every minority group residing in the United States can point to what feels like a reasonable basis for suspicion. For African Americans, there is not only the notorious Tuskegee study, which withheld syphilis treatment from rural Black men, but also experiments that used enslaved women to perfect surgical techniques and studies that tested new drugs in poor neighbourhoods without adequate consent. The Latino community can point to a syphilis study in Guatemala that was even more unethical than the Tuskegee one, and to pharma companies basing tests of the first versions of birth control pills, which caused significant side effects, in Puerto Rico (and also in Haiti). Attempting to pass smallpox to Native Americans via contaminated blankets is an infamous episode in Colonial-era history, and the US government has underfunded the Indian Health Service since its 1955 founding, depriving reservation dwellers of what should have been guaranteed medical care.’

Read here (Wired, Nov 2, 2020)

Covid-19: A global survey shows worrying signs of vaccine hesitancy

‘We [a group of prominent scientists] recently surveyed 13,426 people in 19 countries. We included two of Africa’s most populous and visible nations, Nigeria and South Africa, which are among the most affected by COVID-19 on the continent. Overall, we found that 71.5% of participants said they would take a “proven safe and effective vaccine” while 14% would refuse it outright. An additional 14% said they would hesitate to take the vaccine.

‘But that average figure is deceptive. It was raised by favourable responses from two Asian countries that also recorded very high trust in government health recommendations. More than 80% of Chinese respondents and 75% of South Koreans said they would accept a vaccine. South Africans came closer than any other country to the 70% standard, at almost 65%. But only 46.3% of Nigerians said they would do so. This is slightly higher than the results we found in Spain, Sweden, Poland, Brazil and Ecuador.’

Read here (IPS News, Nov 1, 2020)

‘Only 30% would want to receive a new vaccine’ in the US

‘Recent surveys, that included 493 and 2200 individuals, suggest only 3 in 4 people would get vaccinated if a COVID-19 vaccine were available, and only 30% would want to receive the vaccine soon after it becomes available. Confidence in vaccines lies along a spectrum, and individuals who have hesitation about routine childhood vaccines have expressed various concerns. In their report on vaccine hesitancy, Edwards and Hackell identified 3 broad categories of parents’ concerns regarding childhood vaccines: (1) the necessity of vaccines, (2) vaccine safety, and (3) freedom of choice.’

Read here (JamaNetwork, May 18, 2020)