Special clinics aim to get COVID vaccine to developmentally disabled

Hundreds of thousands of indigenous people in remote regions of the Amazon have been vaccinated for COVID-19 in part thanks to programs that send indigenous vaccinators with non-mRNA vaccines to remote villages. There, they meet with community leaders and work to gain the community’s trust before vaccinating those who are willing. Non-mRNA vaccines are used due to the refrigeration needed for mRNA doses, but they also make it easier to address misconceptions associated with the new and unfamiliar mRNA technology.

One rural hospital in Indiana vaccinated hundreds of immigrants from Central America by working with trusted community leaders and setting up a Hispanic Health Task Force. Health officials held vaccine clinics alongside trusted community members at locations that were familiar to residents, like a local Catholic church that offers Spanish-language services. The hospital and task force initially established community connections to distribute information about COVID-19, so they were able to utilize the connections to increase vaccination rates once the vaccine rolled out.

Political cooperation and an infrastructure of existing relationships and trust built by NGOs and community leaders during Hurricane Maria and a devastating 2019 earthquake allowed for a quick public health response to COVID-19 focused on prevention and vaccination. All trusted public figures, across political backgrounds, advocated wearing masks and getting vaccinated. As a result, Puerto Rico achieved the highest COVID-19 vaccination rate among all other U.S. state or territory. It also had among the lowest Covid-19 death rates since the start of the pandemic.

A centralized communication and record keeping system, along with ensuring convenience for the largely rural population, led Vermont to the highest COVID-19 vaccination rate nationwide. The centralized system keeps track of data and provides consistent guidance. Trusted messengers, like first responders, local pharmacists, and nonprofits like the Association of Africans Living in Vermont, provide culturally competent information that eases hesitancy. Along with mass-vaccination events, house calls and pop-up clinics at small businesses and local events made getting vaccinated convenient and comfortable.

The city of Baltimore escaped the worst of COVID-19 with high vaccination rates, high rates of health coverage, and strong support from political leaders who cooperated across ideological lines. Medicaid expansion helped achieve relatively high health insurance rates. Officials were also a bit more and cautious in reopening businesses and schools and relaxing mask requirements. The city didn’t escape the death and illness seen during the pandemic, but for these reasons it fared better than comparable areas.

IPSI Palaima is working to vaccinate Indigenous families who live in hard-to-reach areas of La Guajira, where there are no paved roads, electricity, or running water and staff must use cars, boats, and motorbikes to reach them. A team of nursing assistants and a doctor spend 15 days at a time at a local outpost and travel by motorbike to surrounding communities, carrying vaccines in cooler bags. The organization was founded by an Indigenous woman who grew up in the area. Many of the staff members speak the local language, which can ease the communities’ vaccine hesitation and mistrust of authorities.

Though police have removed barricades from the protest zone around George Floyd Square, it remains a popular gathering place for people. The church across from the spot where George Floyd was murdered in May 2020 has partnered with the Cultural Wellness Center to offer COVID-19 vaccines at the square in order to raise the vaccination rate of the surrounding community. The shots are free and recipients receive a $50 gift card for each dose of the two-dose series. While many people have come to get the vaccine begrudgingly, largely due to workplace and travel mandates, organizers are happy for any gains.

Wayanad is the first district in Kerala to have vaccinated the entire adult population with at least one COVID-19 vaccine. Rather than waiting for people to make appointments, officials went door-to-door providing all adults with appointment times. The district’s efforts started early, setting up vaccine infrastructure and assigning people appointment dates by where they live. Rapid Response Teams conducted outreach and education efforts, particularly among tribal populations, and made sure people showed up at their appointment. Getting vaccinated with their neighbors also decreased vaccine hesitancy.

Dare County, a relatively isolated and rural coastal county in North Carolina, has the highest vaccination rate in the southern U.S. The successful vaccination campaign is due in part to an existing communication infrastructure that local governments and healthcare systems use to coordinate during hurricane emergencies. Existing communication channels and relationships made it easier to publicize mass vaccination sites and get people to register online. Officials also went to great lengths to get more vaccines, petitioning the state for extra doses and even driving to other counties to pick up surpluses.

Griffin hospital used innovative strategies to test, vaccinate, and care for patients during the coronavirus pandemic. The hospital stocked up early, including with donated ventilators, and repurposed unused spaces and object to help care for COVID-19 patients. They offered large-scale testing, at the height administering 35,000 weekly tests at five drive-through locations. They also provided testing at 124 nursing homes to stem high infection rates. Once vaccinations were ready, Griffin set up clinics where people were, vaccinating thousands in nursing homes, local shops, schools, parks, and at churches.