Study Takes Look at Decision Making in Getting a COVID-19 Vaccine

Published in the Pawtucket Times on January 25, 2021

Last month, the first shipment of COVID-19 vaccines came to Rhode Island. With limited stockpiles, debate in the state is heating up as to who gets priority in getting vaccinated. While many Rhode Islanders are waiting for the opportunity to be vaccinated, it has been reported that others, including health care workers, are declining to be inoculated. They turned down the chance to get the COVID-19 vaccine because of their concerns it may not be safe or effective.  Now research studies are being reported as how to increase a person’s likelihood to be vaccinated.

Last week, the COVID-19 Vaccine Education and Equity Project Survey, a group whose mission is to increase public dialogue on vaccine education, released survey findings that ranked preferred locations to receive COVID-19 vaccines, as well as leading information sources that would influence a person’s decision to get vaccinated. 

The CARAVAN survey was conducted live on December 18-20, 2020 by ENGINE INSIGHTS, among a sample of 1,002 adults over the age of 18 who had previously volunteered to participate in online surveys and polls. The data was weighted to reflect the demographic composition of the population. 

The researchers found that nearly two-thirds of the public (63 percent) say they will “definitely” or “probably” get vaccinated against COVID-19. The numbers of those indicating they would “definitely” or “probably” get vaccinated varied widely by race. While 67 percent of white respondents indicated they would get a vaccine, the numbers fell to 58 percent among Hispanic respondents and only 42 percent among Black respondents. 

Influencing a Person’s Decision to Get a COVID-19 Vaccine 

This study, commissioned by the Washington, DC-based Alliance for Aging Research, one of the three nonprofit organizations leading the project, found the majority (51 percent) of respondents ranked their healthcare provider or pharmacist as one of the sources most likely to influence their decision to get a COVID-19 vaccine. Almost two-thirds (64 percent) of respondents said they would prefer to receive a COVID-19 vaccine in their healthcare provider’s office. 

After healthcare providers and pharmacists, when asked to provide the top two additional sources of information about COVID-19 vaccines that would most influence their decision to get vaccinated, 32 percent of respondents cited nationally recognized health experts, and 30 percent named family and friends. However, older respondents were increasingly more likely (75 percent ages 65 and older) to trust their healthcare provider or pharmacist, followed by 43 percent (ages 65 and older) trusting nationally recognized health experts. 

“While we’re encouraged to see the majority of respondents planning to get vaccinated, we need to continue to educate about the safety of receiving COVID-19 vaccines from various healthcare professionals, including pharmacists in drug stores, supermarkets, and vaccine clinics,” said Susan Peschin, President and CEO of the Alliance for Aging Research, in a Jan. 14 statement released announcing the study’s findings.  “It is critical to our pursuit of health equity that all Americans have confidence in and access to COVID-19 vaccines,” she said. 

Overall, the researchers say that survey responses provided important information about the factors influencing the likelihood to get vaccinated and where respondents prefer to receive COVID-19 vaccinations. As to the likelihood to be vaccinated, the study’s findings reveal that about a quarter (24 percent) of respondents said they would “probably not” or “definitely not” get a vaccine, with Black respondents more likely to say they would not receive the vaccine (25 percent), compared to Hispanic (15 percent) and white (13 percent) respondents. Respondents that said they will “probably not” get a vaccine also tend to be younger (13 percent ages 18-34, 14 percent ages 35-44). 

Identifying Preferred Locations to be Vaccinated 

Researchers looked into what is the preferred location to be vaccinated. The survey asked respondents to select one or multiple locations where they would prefer to receive a COVID-19 vaccine. The majority (64 percent) of respondents indicated they would prefer COVID-19 vaccination in their healthcare provider’s office, while 29 percent prefer a pharmacy, 20 percent a drive-thru vaccine clinic, and only 13 percent would like to receive the vaccine at a grocery store pharmacy. 

Researchers found a generational split among these options (health care providers office, pharmacy, drive-thru clinic and grocery store-based pharmacy). When asked about their top two considerations, older respondents were much more likely (72 percent ages 65 and older) to cite preference for receiving COVID-19 vaccines in their healthcare provider’s office, compared to over half (56 percent) of respondents ages 18-34.

More than a third (36 percent) of those ages 18-34 prefer to be vaccinated at a pharmacy. In evaluating location preferences, nearly two-thirds (61 percent) of respondents said they would prefer to get vaccinated from a healthcare provider they know. This percentage was higher when looking at respondents over the age of 65 (74 percent). Additional factors driving the location where respondents would like to receive the vaccine included the ability to get the vaccine quickly or not have to wait in line (45 percent) and a location close to home (41 percent), the study found. 

Debunking Some Myths and Misconceptions 

RIDOH has compiled a listing of frequency asked questions about COVID-19.  Here is a sampling: Some believe that vaccines are ineffective due to the vaccine’s fast track development, fearing corners have been cut during the clinical trials. The Rhode Island Department of Health (RIDOH) stresses that “the vaccines are 95% effective in preventing symptomatic laboratory-confirmed COVID-19 and in preventing severe disease.” 

It’s been reported that some people may choose to not get vaccinated because that believe that the vaccine contain a microchip.  That’s not true, says RIDOH. “There is no vaccine microchip, and the vaccine will not track people or gather personal information into a database. This myth started after comments made by Bill Gates from the Bill & Melinda Gates Foundation about a digital certificate of vaccine records. The technology he was referencing is not a microchip, has not been implemented in any manner, and is not tied to the development, testing, or distribution of COVID-19 vaccines,” says RIDOH.  

Others express concerns that MRNA vaccines can alter your DNA.  “The COVID-19 vaccines currently available, which are messenger RNA (mRNA) vaccines, will not alter your DNA. Messenger RNA vaccines work by instructing cells in the body how to make a protein that triggers an immune response, according to the Centers for Disease Control and Prevention. Messenger RNA injected into your body does not enter the cell nucleus where DNA is located and will not interact with or do anything to the DNA of your cells. Human cells break down and get rid of the messenger RNA soon after they have finished using the instructions,” states RIDOH.  

A vaccine will not give you COVID-19.  RIDOH says: “None of the COVID-19 vaccines currently in development or in use in the US contain the live virus that causes COVID-19. The goal for each of the vaccines is to teach our immune system how to recognize and fight the virus that causes COVID-19. Sometimes this process can cause symptoms, such as fever. These symptoms are normal and are a sign that the body is building immunity. It typically takes a few weeks for the body to build immunity after vaccination. That means it’s possible a person could be infected with the virus that causes COVID-19 just before or just after vaccination and get sick, but this is not because they got the vaccine. This is because the vaccine has not had enough time to provide protection.” 

For more resources on the impact of COVID-19 vaccination uptake in protecting individuals, families and communities, and for details on how organizations can partner with the COVID-19 Vaccine Education and Equity Project, visit https://covidvaccineproject.org. Want to know more about COVID-19 Vaccinations?  Go to https://health.ri.gov/publications/frequentlyaskedquestions/COVID19-Vaccine.pdf

Rotary Gears Up to Eradicate Polio

Published in the Woonsocket Call on October 16, 2016

Just days ago, Louis A. Marciano came to St. Paul’s Church on a mission to get his fellow Pawtucket Rotarians more involved in Rotary International’s efforts to create a polio-free world. Marciano, a former Mount Pleasant High School football player, a coach, a World War 11 veteran who fought in the Pacific Theater and a Rotarian for over 44 years, came to publicize the upcoming World Polio Day on October 24 and give an update on the international service organization’s efforts to eradicate Polimyelitis (polio).

Polio is a paralyzing and potentially fatal infectious disease that still threatens children in some parts of the world. The poliovirus invades the nervous system and can cause total paralysis in a matter of hours. It can strike at any age but mainly affects children under five. Polio is incurable, but completely vaccine-preventable. The infectious disease is found mostly in lower-income countries where poor sanitation and limited access to clean water facilitate the spread of the virus.

A Call for Action at
the Pawtucket Rotary Club

Marciano’s calls for assistance in raising funds to pay for polio inoculations for children and ratcheting up the awareness for Rotary’s efforts is not new. For over four decades, the former Rotary club president District 7950 Governor, has taken his fund raising campaign to end polio to 66 clubs in Rhode Island and southern Massachusetts. His efforts has received attention from his national headquarters, too. The North Providence Rotarian cherishes the Soccer Ball award “Kick Polio out of Africa” presented to him in 1998 for his efforts to eradicate Poliomyelitis

Some say that it may well “Takes a Village” to marshal the resources needed to make a world-wide impact. Over 1.2 million Rotary members belonging to 34,000 clubs world-wide work together to raise funds, advocate for government support, serve as volunteers to help immunize children, and raise awareness in their communities, said Marciano to his audience of Pawtucket Rotarians.

At the podium, the Cranston resident rattled off specifics as to why this global effort is important and is succeeding. Ending polio will save lives, is a very good investment, and most important is achievable, says Marciano.

Marciano notes, India is a prime example of one of the greatest Rotary International’s achievements in wiping out polio. “There were zero cases of polio in 2010 in India and they have been polio-free for nearly six years,” he says, noting that the World Health Organization has officially certified India polio-free in 2014. [According to Devin Thorpe in his March 15, 2014 article published in Forbes, in the 1980s there were approximately 150,000 cases of polio every year in India]

Marciano also announced the upcoming fourth annual world Polio Day event, co-hosted with the U.S. Centers for Disease Control and Prevention, to be held on Oct. 24. The event streaming live from CDC headquarters in Atlanta, Georgia, is expected to bring together more than 50,000 viewers around the world to learn from celebrities and experts about the progress to eradicate polio. For information about World Polio, go to http://www.endpolio.org.

While winding down his talk, Marciano acknowledges that there is still work to do but Rotary is moving closer to its goal of finally wiping polio from the face of the earth.

Carol Pandak, Director of Rotary’s PolioPlus program, agrees with Marciano’s assessment. “For more than 30 thirty years, Rotary has harnessed the dedication of community leaders around the world in support of polio eradication. When we started this effort, nearly 1,000 children a day were paralyzed by this disease. Today, there have been only 27 cases [Afghanistan (8); Nigeria (4); Pakistan (15)] in the whole world. Rotary remains fully committed to this important effort until every child is protected from this disease.”

From the Beginning

Rotary’s effort to eradicate polio began in 1979, with a multi-year project to immunize six million children in the Philippines. The international service organizations, “PolioPlus program, was established in 1985.

As indicated by the “plus” in PolioPlus, Rotarians also provide support for related health services, such as distributing Vitamin A and zinc tablets, providing bed nets to prevent malaria, assisting with preventative inoculations for other diseases, including measles, rubella, mumps, tuberculous, and other childhood diseases. The “plus” also means a system of advocacy and fundraising, and infrastructure and partnerships that will support the fight against infectious disease long after polio is gone.

Rotary also works closely with partners in the Global Polio Eradication Initiative (GPEI), including the World Health Organization (WHO), the US Centers for Disease Control (CDC), UNICEF, the Bill & Melinda Gates Foundation, and the governments of the world in this public health initiative.

Today, Rotary has given more than $1.6 billion to immunize more than two billion children against polio in 125 countries to wipe the infectious disease from the face of the earth. It is estimated that Rotary’s advocacy efforts have played a role in decisions by countries to contribute more than $7.2 billion to the effort.

Rotary’s polio initiative has also caught the attention of others. As far back as 2008, one of America’s biggest philanthropists came to the table to fight the war against polio. The Bill & Melinda Gates Foundation announced that every dollar Rotary committed to polio eradication would be matched two-to-one by the Foundation up to $35 million a year through 2018. Since this Foundation began its partnership with Rotary more than $2 billion has been contributed to Rotary’s polio eradication effort.

These funds help to provide much-needed operational support, medical personnel, laboratory equipment.

Public figures and celebrities have also joined Bill & Melinda Gates as ambassadors to help educate the public about polio through public service announcements, social media and public appearances. They include: Kristen Bell and Archie Panjabi; WWE superstar John Cena; supermodel Isabeli Fontana; Nobel Peace Prize laureate Archbishop Emeritus Desmond Tutu; action movie star Jackie Chan; boxing great Manny Pacquiao; pop star Psy; golf legend Jack Nicklaus; conservationist Jane Goodall; premier violinist Itzhak Perlman; Grammy Award winners A.R. Rahman; Angelique Kidjo and Ziggy Marley; and peace advocate Queen Noor of Jordan. These ambassadors help educate the public about polio through public service announcements, social media and public appearances.

Until polio is eradicated, all countries remain at risk of outbreaks, says Marciano.

Experts say that $1.5 billion is urgently needed to sustain the polio eradication initiative. Without full funding and political will power, polio could return to previously polio-free countries, putting children at risk contracting this paralyzing disease. From every corner of the globe Rotarians are gearing up on October 24 to garner support to wipe polio out, once and for all.