Getting Michiganders to take COVID-19 vaccine: ‘My trust just isn’t there’

Public health officials are worried about a significant segment of the American public that is wary of taking a COVID-19 vaccine, if one becomes available. (Shutterstock)

GRAND RAPIDS—As she loaded a cartful of groceries into her car, Grand Rapids resident Jill Johnson paused to consider whether she’d roll up her sleeve if there’s a vaccine for COVID-19.

 

“Would I be the first in line for a shot? I’d be the last,” she told Bridge.

“I think they’ve been rushing it. My trust just isn’t there.”

Even as scientists race to develop a vaccine for the coronavirus, repeated polls have found significant numbers of people, especially African Americans like Johnson, saying they may opt out once a vaccine is approved. Reluctance stems from a host of concerns, from the headlong rush to eliminate COVID-19 to misgivings about government motives in administering a vaccine. There is wariness even among some who generally support immunization efforts. 

Experts warn that this skepticism may pose deeper risks for African-American communities, already ravaged by the pandemic, and could undermine efforts to achieve the herd immunity experts say is key for a vaccine to succeed.

Herd immunity occurs when a sufficient share of a population is immune to an infectious disease, either through prior illness or vaccination, blocking the  widespread spread of the disease. The more contagious the disease, the higher the percentage of people who must be immune to slow its spread. Measles, for instance, which is highly contagious, requires immunity somewhere between 93 to 95 percent

“We know that for the virus, herd immunity is critical,” Abdul El-Sayed, a public health specialist and former executive director of the Detroit Health Department, told Bridge. “You need people to trust the vaccine.”

 Grand Rapids resident Jill Johnson: “I’d be the last” to take a coronavirus vaccine. (Bridge photo by Ted Roelofs)

But El-Sayed said African-American doubts about a vaccine are no surprise, given historic precedent like the decades-long Tuskegee medical experiment that used unwitting Alabama sharecroppers as human guinea pigs in a study of untreated syphilis.

“When you belong to a community that is subject to systemic racism, it’s not your fault you would be asking very important questions about a new vaccine that is breaking records in terms of development.”

A June Newsweek poll found that just 44 percent of Black respondents said they would be willing to take a COVID-19 vaccine, compared to 62 percent of Latino respondents and 70 percent of white people.

The poll found nearly twice as many Black respondents agreed with the statement that “the dangers of vaccines are being hidden by the medical establishment," compared with the other survey groups. 

Similarly, an Associated Press-NORC Center for Public Affairs Research poll in late May found just 25 percent of African Americans would commit to getting a vaccine, compared to 37 percent of Latino respondents and 56 percent of white respondents.

Overall, the poll found, just 49 percent of all adults surveyed said they would get a COVID-19 vaccine. Another 31 percent were unsure. Such sentiments raised alarm among a working group of U.S. epidemiologists, who say they worry that in the race to find a vaccine, the medical community is ignoring the need to develop public confidence in whatever vaccines are approved.  

The world’s largest COVID-19 vaccine study began in the U.S. Monday with a final stage test of 30,000 volunteers taking shots of a vaccine developed by the National Institutes of Health and U.S. biotech firm Moderna. Early stage results showed the vaccine produces an immune response in those injected.

U.S.-based Pfizer also announced Monday it is to begin a similar vaccine trial of 30,000 volunteers from 39 states in the United States and from Brazil, Argentina and Germany.The U.S. government has committed $1.95 billion to produce and deliver 100 million doses if the Pfizer vaccine proves safe and effective.

Experts say more testing — and time — are needed to ensure a vaccine is effective and free of dangerous side effects. They acknowledge they don’t yet know how long any vaccine will protect those who get it, noting that seasonal coronaviruses typically do not trigger a long-lasting, much less permanent, immunity response.

It’s also unclear who the first doses of the potential vaccine would go to in the U.S., and how those decisions would be made.

While it remains an open question how effective any vaccine may prove, one Detroit health expert said the African-American community can ill afford a second COVID-19 wave like that which slammed Southeast Michigan in April.

Gerard Mayweather of Grand Rapids said he won’t get a COVID-19 shot: “I refuse to be a prisoner to this.” (Photo by Ted Roelofs)

While African Americans are 14 percent of Michigan’s population, they accounted for nearly 40 percent of 6,000-plus deaths from the new coronavirus. Detroit, which has a 79 percent Black population and comprises 7 percent of the state’s population, has suffered nearly a fourth of state COVID-19 deaths.

“It was devastating,” recalled Dr. Hebert Smitherman Jr., president and CEO of Health Centers Detroit Foundation, a nonprofit community health center organization.

“I had patients in my practice where the virus wiped them out in three or four days. One day, I admitted seven to the hospital and five died.”

Americans deeply suspicious of COVID-19 vaccine

A national poll found deep reluctance, especially among African Americans, to take a COVID-19 vaccine when one is developed. Among the findings: 

“Willing to take” a COVID-19 vaccine

  • 70 percent whites
  • 62 percent Latinos
  • 44 percent African Americans

Those who agree with the statement: “The dangers of vaccines are being hidden by the medical establishment”

  • 49 percent African Americans
  • 29 percent Latino
  • 25 percent White

Those who agree with the statement: “The coronavirus is being used to force a dangerous and unnecessary vaccine on Americans”

  • 42 percent African American
  • 22 percent Latino
  • 22 percent whites

Source: Newsweek

Smitherman noted the high coronavirus death toll appears to be tied to a web of causes, including a larger percentage of African Americans suffering from an  underlying health condition such as diabetes, or heart and lung disease, which are linked to COVID-19 deaths. In Michigan, Black residents also suffer higher rates of kidney disease, pneumonia and flu, according to a report by the Michigan Department of Health and Human Services.

Likewise, African Americans are more likely to take public transportation, live in crowded housing conditions, lack access to health care and work in frontline service jobs  ─ all connected to greater risk to the new coronavirus.

Smitherman noted that qualms about the medical establishment run deep in the African-American community, reinforced by the psychic scars of events like the Tuskegee medical study that ran from 1932 before it was shut down in 1972.

In that study, the U.S. Public Health Service enrolled 399 Alabama sharecroppers with syphilis to study the effects of untreated syphilis over time. The men were promised free medical care but were not aware they were given  placebos and phony procedures disguised as treatment.

None of the infected men were given penicillin despite the fact it was recognized as standard treatment for syphilis by 1947. Reports written by doctors in charge of the experiment concluded that 28 men enrolled in the study died of syphilis.

“People feel like if the federal government will do this to our community, what else will they do?” Smitherman said.

To counter that, Smitherman said leaders in communities of color could play a vital role in sharing accurate information about a COVID-19 vaccine.

“We need to have African-American and Latino health leaders in their communities say, ‘I got the vaccine and I’m OK.’”

Robert Swanson, who directs the MDHHS Division of Immunization, said the department is laying groundwork for a statewide education campaign should a COVID-19 vaccine be approved and be judged safe.

“One of the ways we are hoping to do that is through the faith-based communities, which goes across all ethnicities and races. That’s one of the avenues we plan to use.

“We want to be sure all populations will take this, particularly the African-American population, because we’ve seen such a burden in that population.”

Abdul El-Sayed, former executive director of the Detroit Health Department: “We know that for the virus, herd immunity is critical.” (Courtesy photo)

In the meantime, the Internet continues to be fertile ground for dark warnings, misinformation and ungrounded conspiracy theories about the coronavirus and plans for a vaccine — potentially driving down the numbers of those who would get a shot.

A Pew Research Center survey in late June asked people if they had heard the theory that the COVID-19 outbreak itself was planned by people in power.  Seventy-one percent of U.S. adults said yes. A third of those respondents said it was "definitely" or "probably" true.

In a common version of this discredited theory, the pandemic is a global plan hatched by elites such as Microsoft billionaire Bill Gates to implant tracking chips along with vaccinations that would be activated by 5G cellular technology. It’s been widely shared on platforms like Facebook.

The postings gained enough media attention to prompt Gates to deny any such sinister plot.

"I've never been involved in any sort of microchip-type thing,” he said in a call with reporters. "It's almost hard to deny this stuff because it's so stupid or strange."

Another theory puts Dr. Fauci at the heart of the conspiracy, falsely claiming he was in a 2015 photo at a Chinese lab in Wuhan along with President Barack Obama. The photo was taken at a lab in Maryland.

Michigan United for Liberty, the group that hosted an April 30 Lansing protest against Gov. Gretchen Whitmer’s stay-at-home order, is raising the alarm as well about a COVID-19 vaccine.

Michigan United for Liberty organizer Alex Larner, identified on the group’s website as secretary of the Eaton County Tea Party, has used his personal Facebook page to share unfounded conspiracy videos on the “fake science behind the fear mongering of the WuFlu.”

“The end goal of the WuFlu pandemic is mandatory vaccines,” Larner wrote May 9.

Warren resident Diane Barnes supports the aims of Michigan for Vaccine Choice, which lobbies for the right of parents to opt out of vaccines for their children.

It’s one strand of a broader anti-vaccine movement that may have paved the way for a 2014 outbreak of whooping cough at a Traverse City charter school that spawned more than 150 suspected cases. It was tied to parents wary of vaccinations, as 17 percent of kindergartners had parents who signed waivers exempting their children from immunizations.

In 2014, Michigan had the fourth highest rate of unvaccinated kindergartners in the nation. State law at that time required parents to immunize school-age kids against communicable diseases such as measles, whooping cough, mumps and tetanus — unless they received a waiver that allowed them to opt out for medical, religious or “philosophical” reasons.

To reduce the number of waivers, MDHHS in 2015 mandated that parents who want to opt out for non-medical reasons must sit down with a local health worker for an educational session on vaccine-preventable diseases before obtaining a waiver. In the first year after that rule was enacted, MDHHS reported the number of statewide waivers dropped by 35 percent as child vaccination rates began to rise.

Barnes told Bridge she’s not persuaded that COVID-19 is part of any global vaccine plot orchestrated by Gates and Fauci.

“I’m not buying into that,” she said.

But she said she has no intention of getting a COVID-19 vaccine.

Johnson, of Grand Rapids, said her reluctance goes beyond her fear that the medical community may be tempted to cut corners in the quest to approve a vaccine. 

She said she’s troubled by the political environment, magnified by her view of President Trump’s handling of the pandemic.

“I just don’t trust him,” she said. “I think he’s a liar.” 

Sitting at a table at a Grand Rapids park with a friend, Gerard Mayweather had more stoic reasons for opting out of a COVID-19 vaccine. It’s not because, as an African American, he believes the government is somehow conspiring against him.

“I just think getting the virus is inevitable,” he said.

“Do I wear a mask? Do I wash my hands? Yes,” he said.

“But the way this goes, I think it’s inevitable I will get it. I had cancer twice and I’m all right. I refuse to be a prisoner to this.”

Facts matter. Trust matters. Journalism matters.

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Comments

Hank
Tue, 07/28/2020 - 5:34pm

Once the vaccine is available it'll be 60 days before we're "normal." If certain groups of people don't want to get it that's on them. We're not going to be masked up just because people refuse to get it. That won't happen.

Anonymous
Wed, 07/29/2020 - 7:35am

It's your economy. Keep it closed if you want. The dead bodies will decide, not you.

Anonymous
Tue, 07/28/2020 - 6:31pm

My family doctor once told me that a vaccine isn't deemed safe until it is widely available for at least 5 years. And then there is still no guarantee. The most recent example that I can think of for a vaccine flub is varicella. The original didn't work correctly, and required multiple doses. The second version caused an uptick in cases of adult shingles. And these vaccines had been out for several years. Now you expect me to believe that a brand new vaccine produced in 5 months is 100% safe? No thanks. I'll pass.

Anne
Wed, 07/29/2020 - 10:35am

And on top of that, mederna is going with a genetically engineered ran altering covid19 vaccine. This has never been done before it the history of developing vaccines. We truly will be the guinea pigs for this, scary stuff.

mb
Wed, 07/29/2020 - 11:16am

you are only a guinea pig if you submit to it.

LMAO
Thu, 07/30/2020 - 4:11pm

Yeah, watch out for that alien dna.

Oh well
Wed, 07/29/2020 - 8:05am

It's reasonable for African Americans to be skeptical, given the way they are being treated today and how they have been treated historically. It doesn't help that there are so many silly conspiracy theories promoted by, no less than the United States president himself. Moreover the president freely lies and flip flops on everything without consequence. There's a major credibility problem.

African Americans also tend to live in areas where there is more air pollution which may be a factor for Covid19. In the end, people don't realize that physicians will be the first people REQUIRED to get a Covid19 vaccination along with all healthcare workers, people we heralded as heroes a few months ago. Yeah, those people will have no choice, the people the antivaxxers rely on when they get sick. You know if you ever got shingles, you'd wish you'd have had the option for vaccine. I saw people with shingles in their eyes, no thanks. I get all my vaccinations, with joy. Mr. T said it best: I pity the fool.

Antivaxxers make a lot of noise, spread a lot of lies, but when they die, they die alone and no one knows about it. Their foolishness never seems to get the same cyber traction as their antivaxxer lies. A lot of antivaxxers who lose their children to preventable diseases tend to object for religious reasons and when their children die, they think it is God's will, not their reckless parenting.

Sherri King
Wed, 07/29/2020 - 9:25am

Are we forgetting the swine flu vaccine in the mid-70's (1976-77)? I had several friends who developed Guillain-Barré Syndrome linked directly to the vaccine. (we worked in a health care setting, so it was determined the vaccine was the cause). One was in a wheelchair for months. Have we come to a point where it's take your chances with the virus or take your chances with the vaccine?

George Hagenauer
Wed, 07/29/2020 - 10:38am

In addition to chaotic messaging at the federal level magnified by any number of other groups, a key problem is a lot of people never involved in medical or other research are watching the process unfold daily in a series of newscasts that often do not give a proper context to their coverage. So with a significant amount of the population not knowing much about science and a wide range of deliberate messaging possibly from sources outside the United States questioning it, we have a mess. Think about it, if we had Russian trolls working to swing the last election and elections in Europe. Doesn't it make sense for them to be doing the same thing to disrupt the pandemic response when t he pandemic among other things is a threat to our military preparedness? Finally because of the loosening of federal regulations we have also seen some tests used that have problems further weakening people's faith in the medical community. One piece of research being done that may be quite interesting is on sickle cell anemia which attacks the black community more than the white community is a factor in the differences seen between both related to Covid19. It is one of many side studies on variables that may impact reactions to the virus.

American Shame
Thu, 07/30/2020 - 4:17pm

It surely doesn't help to have the president tweeting advice from a witch doctor!

realscience
Wed, 07/29/2020 - 11:14am

If the flu vaccines are ineffective at best, why would people think that a covid vaccine will be effective? Remember, this is a version of the coronavirus (colds, flus etc.) that we have, to date, had no luck in making vaccines for.

realeconomy
Thu, 07/30/2020 - 4:20pm

It's just a way to try to save what we can in terms of our economy and stay healthy, you know, so we can live our lives a bit more freely. That's what most of us want.

Anonymous
Sun, 08/02/2020 - 5:07pm

I am not a conspiracy theorist, but...... I'd like to know who stands to benefit financially and politically from a vaccine that is rushed to the market. We have financial conflicts of interest throughout our federal government from the very top through the elected and appointed officials. These days we should follow the power and the money. Transparency about this issue will inspire my confidence in the safety and efficacy of the vaccine.