With months before the first shots could become available, there's worry that communities of color could be left behind.
The United States is mounting the largest vaccination effort in its history — without a plan on how to reach racial and ethnic groups that have not only been devastated by the virus but are often skeptical about government outreach in their communities.
But that’s a far cry from a sustained national effort that brings together federal agencies, local officials and communities that have often been excluded from such conversations. Trump administration health officials say they’re dedicated to addressing disparities, but some have already expressed concern there’s little time to work through challenging cultural and socioeconomic issues before the first coronavirus vaccines may be approved by the end of the year.
But the country’s deep-seated history of unethical experimentation and unjust treatment of minorities, like Black and Native American communities, has left a distrust of clinical research that could make those groups wary of a new vaccine. While Black Americans have been hospitalized for Covid-19 nearly five times more than white people and are about twice as likely to die from it, just over half of Black adults say they would definitely or probably get a coronavirus vaccine.
Already, though, vaccine makers have faced scrutiny over their struggles to enroll a diverse population into their late-stage clinical trials. Moderna, the first company to begin a 30,000-person phase III trial testing vaccine safety and efficacy, during a congressional hearing last month was criticized for poor representation of minorities in earlier trials. Data showed 89 percent of patients were white.
Ensuring equal representation in clinical trials is important to gaining trust among minority communities, Puckrein said. Otherwise, he cautioned, that could make those communities suspicious of getting vaccinated immediately after the shots become available. Public health experts said vaccination efforts during the H1N1 pandemic from a decade ago hold important lessons for the coronavirus.
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