Building COVID-19 Vaccine Confidence: Helping People Make Informed Choices - Vaccine Influencer Training - The Center at Sierra ...
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Building COVID-19
Vaccine Confidence:
Helping People Make Informed
Choices
Vaccine Influencer Training Moderators: Kim Rhodes
Monica Nelson
African American Communities Guest Speakers: Dr. Mikah Owen
Dr. Kristin Gates
Housekeeping
Attendee lines are automatically muted, and video is off.
The webinar is being recorded and the slides and recording will be
posted on the SacCounty website and the Sac Collab website.
Please use the "Q & A” feature to ask a question.
For webinar troubleshooting, email ljackson@sierrahealth.org
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Purpose
01 02 03 04
Learn about Gain knowledge Provide you with Change the
COVID-19 and and skills to communication conversation
the latest provide key tools to have around vaccine
updates on the messages effective to one of choice.
vaccine. addressing conversations.
concerns about
the vaccine in
the African
American
community.
Why You Matter You can have a significant influence on vaccine acceptance or hesitancy. If we all become influencers, we can achieve community immunity. Let’s take care of each other, our families and our community. Thank you for being here!
Agenda Welcome! COVID-19: Cases, Deaths and Vaccine Rates with Dr. Owen Vaccine Updates with Dr. Gates How to Effectively Communicate about COVID-19 Vaccines Next Steps
Why you are here
• As a Vaccine Influencer you can help our
communities gain confidence in their vaccine
choices.
Welcome! • Learn COVID -19 vaccine facts and take back talking
tools.
Why we are here
• To equip trusted community leaders (YOU) with the
necessary resources to provide clear, accurate and
consistent information about the vaccine.
• To build trust and vaccine confidence, dispel vaccine
misinformation and encourage vaccine uptake.
• Change the conversation around vaccine to one of
choice.
Mikah Owen MD, MPH Assistant Clinical Professor of Pediatrics, UC Davis Sacramento County Public Health, Consulting Physician
COVID-19 Data
Cases, deaths,
vaccination
rates
Source: https://www.baltimoresun.com/opinion/columnists/zurawik/bs-ed-zontv-0319-death-new-orleans-
20210319-bgb2b5jsu5gefh4roayfp3nmhm-story.html (AP Photo/Gerald Herbert, File)
COVID-19 Cases and deaths:
U.S. and Sacramento County (as of 8/13/21)
U.S. deaths : 617,787
Sacramento County deaths to date: 1,812
U.S. cases to date: 36,410,213
Sacramento County cases to date: 122,403
Sources:
https://covid.cdc.gov/covid-data-tracker/#cases_casesper100klast7days
https://sac-epidemiology.maps.arcgis.com/apps/MapSeries/index.html?appid=e11bc926165742ab99f834079f618dad
Sacramento County COVID-19 case and death rates by Race/Ethnicity Sacramento County COVID – 19 Dashboard. https://sac- epidemiology.maps.arcgis.com/apps/MapSeries/index.html?appid=e11bc926165742ab99f834079f618dad
In the U.S.: 141,397 newly
reported COVID-19 cases
and 691 newly reported
Snapshot for COVID-19 deaths
August 13, 2021
In Sacramento County: 606
newly reported COVID-19
cases and 3 newly reported
COVID-19 deaths
Sources:
https://covid.cdc.gov/covid-data-tracker/#cases_casesper100klast7days
https://sac-epidemiology.maps.arcgis.com/apps/MapSeries/index.html?appid=e11bc926165742ab99f834079f618dadSources: https://sac-epidemiology.maps.arcgis.com/apps/MapSeries/index.html?appid=e11bc926165742ab99f834079f618dad
Vaccine Effectiveness
▪ For the week ending August 7th the average daily
COVID-19 case rate among unvaccinated
Californians was 51 per 100,000. The average daily
COVID-19 case rate among fully vaccinated
Californians was 8.2 per 100,000.
▪ Case rates among unvaccinated Californians are
600% higher than vaccinated Californians.
▪ Of those infected with COVID-19, unvaccinated
Californians are 142 times more likely to need
hospitalization and 462 times more likely to die
once hospitalized.
▪ 1 in 22,405 vaccinated Californians required
hospitalization, compared to 1 in 157
unvaccinated Californians.
Source: https://deadline.com/2021/07/california-unvaccinated-six-hundred-percent-more-covid-1234801794/
https://www.latimes.com/california/story/2021-08-12/how-vaccines-are-affecting-california-covid-19-case-rates
https://www.nbcnews.com/specials/data-shows-how-rare-severe-breakthrough-covid-infections-are/index.htmlWho’s vaccinated?
45,127,521 vaccines
California administered
COVID-19 64.1 % fully vaccinated
Vaccination
Rates
76,088 doses per day
Data as of 8/13/21
Source: https://covid19.ca.gov/vaccination-progress-data/#overview1,613,876 vaccines
Sacramento administered
County
COVID-19
49.8 % fully vaccinated
Vaccination
Rates 2,872 average doses per
day
Data as of 8/13/21 Sacramento County COVID – 19 Dashboard.
https://sac-epidemiology.maps.arcgis.com/apps/MapSeries/index.html?appid=e11bc926165742ab99f834079f618dad155,983 African Americans live in
Sacramento Sacramento County (10.5% of our
total population)
County
Of the African American population
COVID-19 living in Sacramento County, 28.69 % is
Vaccination fully vaccinated.
Rates-African
44,747 is the total number of African
Americans Americans that are fully vaccinated
in Sacramento County.
Data as of 8/13/21 Sacramento County COVID – 19 Dashboard.
https://sac-epidemiology.maps.arcgis.com/apps/MapSeries/index.html?appid=e11bc926165742ab99f834079f618dadKristin Gates, MD Kaiser Permanente, Elk Grove Co-Lead African American Disparities Strategy Team
COVID-19 is at least 10 times more deadly than the flu
As of 8/13/21
1.86% of the African
Americans in Sacramento
County who have
contracted COVID-19 have
died of the disease
Source:
https://www.vox.com/science-and-
health/2020/3/18/21184992/coronavirus-covid-19-flu-comparison-chartWhy This Conversation Matters
According to the US Census Bureau data of
2019
10.9% of Sacramento County’s population
is African American
Yet we make up 13% of all
COVID-19 Cases in Sacramento County
but only 7.1% of its COVID-19
Vaccinations
Source: https://covid19.ca.gov/vaccination-progress-data/#progress-by-group• COVID 19 is a contagious respiratory illness.
• Coronaviruses are a large family of viruses
that cause colds and other respiratory
illnesses.
• Experts believe it mostly spreads from
person to person through droplets in the air
when an infected person coughs, sneezes or
talks.
• Most transmission of COVID-19 is likely from
people who show no symptoms
(asymptomatic) and pre-symptomatic
individuals.
• COVID-19 affects different people in
different ways.
What is COVID-19? • Symptoms range from mild to severe illness.Delta Variant
Five things you should know about the Delta Variant: 1. Delta is more contagious than the other virus strains. 2. Unvaccinated people are at risk. 3. Delta could lead to 'hyperlocal outbreaks.’ 4. There is still more to learn about Delta. 5. Vaccination is the best protection against Delta.
COVID-19 Symptoms • Fever or chills • Diarrhea • Cough • Headache • New loss of taste or smell • Congestion or runny nose • Sore throat • Nausea or vomiting • Muscle or body aches • Shortness of breath or difficulty • Fatigue breathing
You can be infected with COVID-19 without having any symptoms
COVID-19: Preventing Infection
Available Vaccines and Their Effectiveness
Approved Vaccines Pfizer (2 dose): 12 years+ Moderna (2 dose): 18 years+ Johnson & Johnson (J&J; Janssen) (1 dose): 18 years+ Other vaccines in process: Astra Zeneca and Novavax
All vaccines are tested, safe and effective. The CDC and FDA continue to monitor the safety of all COVID-19 vaccines.
Spike Protein Pfizer and Moderna Vaccines
Johnson & Johnson (Janssen) Vaccine
Like the mRNA vaccines, the mDNA
vaccine provides a blueprint to the
cells for making the spike protein,
using DNA instead of RNA, and
induces an immune response to
block entry of the virus; contains
no coronavirusPfizer, Moderna and J&J Clinical Vaccine Trial Data
Pfizer: 2 doses Moderna: 2 doses Johnson & Johnson (Janssen): 1 dose
Participants >43,000 participants >28,000 participants >40,000 participants (International including South Africa
(US); prior to (US); prior to variants and Brazil) where variants exist
variants
Vaccine ▪ 95% ▪ 94.1% ▪ 66.3% from infection
efficacy ▪ 100% effective ▪ 100% effective ▪ 85% effective against severe/critical COVID-19 illness
protection from protection from ▪ 100% effective protection from death
death death
Vaccine efficacy observed across age, sex, race, and ethnicity categories and among persons
with underlying medical conditions https://www.modernatx.com/covid19vaccine-eua/providers/clinical-trial-data
https://www.cdc.gov/mmwr/volumes/69/wr/mm6950e2.htm?s_cid=mm6950e2_w
https://www.fda.gov/media/146217/downloadBenefits of getting vaccinated
In Review
Currently three approved vaccines in the U.S. (Pfizer, Moderna, J&J) and others in
process of being approved.
All have been through rigorous FDA safety processes.
All are highly effective at preventing COVID-19 disease and spread. There were no
serious safety concerns in the clinical trials with any vaccine.
All three vaccines produce antibody responses as well as memory T Cell responses
that provide lasting protection.
Numerous studies looking at effectiveness of all three vaccines against the existing
variants show they offer high levels of protection.
For the two-dose vaccines, it is very important to get both doses to ensure this high
level.
Public Health England: “Effectiveness of COVID-19 vaccines against the B.1.617.2 variant.”
BBC: “Covid: Pfizer and AstraZeneca jabs work against Indian variant -- study.”All vaccines are free.
Vaccines are available for 12 years+ for Pfizer; 18 years+ for Moderna and J&J.
More than a billion people in the world have been vaccinated.
The hope is vaccines will bring an end to the pandemic.
Being vaccinated is a personal choice.
Public Health England: “Effectiveness of COVID-19 vaccines against the B.1.617.2 variant.”
BBC: “Covid: Pfizer and AstraZeneca jabs work against Indian variant -- study.”How to
effectively
communicate
about COVID-19
VaccinesLet’s first review some of
the top reasons people are
not getting vaccinated in
our community.1. Belief that the vaccines are not tested
enough/ were created too quickly
2. Worried about potential side effects.
Top 5
Reasons for 3. Afraid of getting COVID-19 from the
vaccine.
Not Getting
Vaccinated 4. Concerned about infertility, pregnancy
and breastfeeding.
5. Worried there are harmful ingredients
in the vaccine.Unique History
Creates
Unique Concerns
Source:
https://time.com/5925074/black-americans-covid-19-vaccine-distrustCONCERN #1: FACT: The COVID-19 vaccine was made
The Vaccine Was based on many years of work. While
Created too steps were done quickly, no safety steps
were skipped.
Quickly to be SafeExample:
Have you ever seen a home
makeover TV show, where
they build a beautiful home
CONCERN #1: in a week?
The Vaccine Was
Created too Quickly
• If you have the money
to be Safe and the resources, you
can speed up a timeline
and still create a very
high-quality product!FACT: You might have some side effects
that last only a short period of time
CONCERN #2: (usually 48-72 hours) This means your
body is building protection.
Worried about
potential side
effects.FACT: You CAN take steps to help your immune
system and decrease side effects
Sleep at least 7 hours
the night before and the night of getting the vaccine
Stay away from Sweets
CONCERN #2: Sugar weakens the immune system
Worried about Take Vitamin D
or increase outdoor sun exposure by 15-20 min a day–there are
potential side a few studies that found having adequate vitamin D seems to
be beneficial for the immune system
effects.
Take Vitamin C
It is beneficial for not only increasing immunity but also
reducing inflammation
Take Zinc and Echinacea
There have been studies that suggest they can help your body
fight a cold when taken earlyFACT:
CONCERN #3: • None of the COVID-19 vaccines contain
Afraid of Getting the live virus that causes COVID-19, so it
cannot make you sick with COVID-19.
COVID-19 from • The vaccine will help to protect you
the vaccine from getting COVID-19 by teaching your
body how to make an antibody to fight
COVID-19.Social media messaging has been spreading that vaccine
causes infertility
FACT:
• These claims have been reviewed by experts on fertility and
CONCERN #4: there is NO data to support that these vaccines impact
fertility.
COVID-19 Vaccine • The vaccine trials tried to exclude pregnant women but some
and Fertility of the women in the vaccine trials got pregnant while apart
of the study
• People undergoing fertility treatment and/or attempting to
get pregnant are encouraged to consider getting the
vaccination when their priority group is open.
• Getting COVID-19 during pregnancy has led to stillbirths and
pregnancy complicationsBreastfeeding
FACT
• None of the currently approved vaccines are
thought to be a risk to the breastfeeding infant.
• Unlikely vaccine would enter the bloodstream
CONCERN #4: and reach breast tissue – even less likely to
COVID-19 Vaccine transfer into milk and even less likely to have any
biologic impact on breastfeeding baby.
and Fertility • Antibodies may passively transfer into milk and
provide protection to infant that cannot get
vaccinated.
• Women who are nursing their babies can
consider getting vaccinated if they are eligible.FACT:
✓There is NO LIVE VIRUS in the vaccines.
CONCERN #5: ✓ The ingredient list for the vaccines does
not include any toxic ingredients. It
There are does not have latex, egg, or iodine
harmful ✓ The vaccine is safe for those with health
conditions including those who are
ingredients in the immunocompromised.
COVID-19 Vaccine ✓ Injectable microchips are being studied
at Columbia University to some day
replace implantable medical devices
(ex: pacemakers) This science is still in
the VERY early stages of development.
There are no microchips in the vaccineLet’s now talk about how to have those conversations.
Three Steps to Initiating Conversations
1. Ask and listen to the answer
• “What do you think about the vaccine?”
• “What concerns do you have about the vaccine?”
2. Find common ground
• “Who are you most worried about getting COVID-19?”
• “Is there anything you would normally do that you are avoiding
because of COVID-19?”
3. Empower rather than convince
• “I trust you to make the safest choice for you and your family.”Five Key Messages
The vaccine is safer than COVID-19. The evidence is overwhelming that vaccine can protect you from dying from COVID-19. 99% of all patients in the hospital with COVID right now are unvaccinated Side effects from the vaccine are common, but temporary. The side effects from the COVID-19 vaccine often last only a few days. The health impact from COVID-19 infection can last for months, even if you are never hospitalized. The risk of getting COVID-19 is greater in 2021 than it was in 2020. The virus has mutated into a strain that is more easily spread and lockdowns have ended.
This vaccine was NOT created in a year. Health experts took all the necessary steps to produce a safe vaccine, and it was built on over 10 years of research and science. Realize that there are only 2 choices: COVID-19 or the vaccine Even when the pandemic ends, we will still have COVID-19. Much like we still have the flu after the flu pandemic of 1918 ended. Ultimately, the choice is yours. If you have questions, talk with your doctor or healthcare provider soon. You can give them the resource information listed at the end of the presentation.
Post-conversation Acknowledge their personal choice. “I want you to get vaccinated today, but I respect your choice.” “I'm here as a resource to help you.“ Keep lines of communication open. Trust is a journey. Give folks a way to reach you that you are comfortable with as they consider their decision. Offer to find a vaccine. See Resource List at the end of this presentation to find vaccine clinics and events in Sacramento County.
It’s ok to say “I don’t know”
→ This builds trust
Not just that you personally don’t know,
but if the data isn’t available yet, say that.
Make sure to update your audience when
it does become available. Your audience
will trust you more if you can admit to not
knowing.In Conclusion
Vaccines offer hope.
The hope is vaccines will bring an end to the pandemic
▪ In countries with high vaccination rates, we’ve seen less hospitalizations and
deaths.
▪ Vaccination also helps to prevent transmission.
▪ We need a high percentage of people to get vaccinated in order to get to
community immunity and achieve benefit for the rest who cannot/choose
not to get vaccinated.
Being vaccinated is someone’s personal choice.
▪ Our job is to respect that choice and empower them to make an informed
decision.Thank you! Everyone please sign in. Link is in
the chat.
▪ We need an accurate count of who was here!
▪ We’d like to know how we can improve this
presentation for future trainings.
▪ We are looking for community Vaccine
Ambassadors! Let us know if you are
interested.
▪ If you’d like a Vaccine Influencer t-shirt,
please indicate this in the survey.Vaccination Information in Sacramento County ▪ Sacramento County https://www.saccounty.net/COVID-19 ▪ Vaccine Finder https://vaccinefinder.org/ ▪ My Turn https://myturn.ca.gov/ ▪ Vaccine.gov https://www.vaccines.gov/ ▪ Kaiser Permanente https://kp.org/covidvaccine
Thank You!
Thank you!
Sacramento County Public Health San Francisco Department of
Phu Tran - tranphu@saccounty.net Public Health
Mike Nguy - NguyM@saccounty.net
Vaccinate ALL 58
Kaiser Permanente
https://kp.org/covidvaccine
The Center at Sierra Health Foundation
Laura Jackson – ljackson@sierrahealth.orgYou can also read
