Medical community says hesitancy about COVID-19 vaccine means end of the pandemic is nowhere in sight – Florida Today
July 28, 2021
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Concern is building in Florida's medical community that resistance by many people to getting a COVID-19 vaccine means the end of the pandemic is nowhere in sight.
New case counts soared 60.6% last week in Florida, with 73,199 new cases for the seven-day period ended Thursday, up from 45,584 a week earlier. The most recent weekly case count was more than triple what it was two weeks ago, when the figure was 23,554.
"These numbers don't lie," said Dr. Frederick Southwick, an infectious disease specialist in Gainesville who has cared for more than 150 COVID-19 patients.
Southwick said, with the current dominance of the faster-spreading COVID-19delta variant, the state needs toget to 80% to 85% of the population vaccinated to get the virus under control.
More: Public not yet changing attitudes with COVID-19 case counts rising
More: COVID-19 case counts continue spiking in Brevard County, with 2,166 new cases last week
"These new variants have been spreading like wildfire," Southwick said during a conference call with reporters that was organized by the Committee to Protect Health Care.
"Herd immunity is quickly slipping out of our reach," with many Americans refusing to get the vaccine, said Dr. Mona Mangat, an immunologist in St. Petersburg and board member for the Committee to Protect Health Care.
Dr. Bernard Ashby, a cardiologist in Miami and Florida state lead for the Committee to Protect Health Care, said the pandemic "is not going anywhere any time soon. It's going to be around for a long time."
Ashby said doctors are "feeling like we're back atsquare one again" in the pandemic, and that not enough is being done by Gov. Ron DeSantis and his administration to proactively combat the pandemic.
During a news conference and ceremonial bill-signing Thursday in Fort Pierce, DeSantis emphasized the importance of vaccination, saying: "It really prevents against severe outcomes, particularly death or serious hospitalization."
DeSantis added that, in recent months, he has"crisscrossed every corner of this state," promoting the vaccine's availability, but that it is a personal choice for the state's residents.
"I showed up in nursing homes. I showed up at hospitals. I showed up at senior communities. I showed up at pharmacies," DeSantis said. "We have a situation where we have three vaccines that have been widely available for months and months now, and people need to make decisions what's best for them."
Although he supports vaccinations, DeSantis emphasized that he will oppose mandatory masking policies or other restrictions in efforts to combat the spread of the virus.
Currently, 52% of the overall population in Florida and 60% of the population ages 12 and up have received at least one dose of a COVID-19 vaccine. The numbers are even lower in Brevard County, with 50% of the overall population and 57% of the population ages 12 and up getting at least one dose of the vaccine.
"Having a large population that's unvaccinated is endangering all those that did get the vaccine," Southwick said. "So it's really an absolute nightmare."
Brevard did experience a small uptick in vaccinations, with 3,470 administered in the week of July 16-22. That's up from 3,198 in the previous week.
The two-dose Moderna vaccine and the one-dose Johnson & Johnson vaccine are available for those ages 18 and up. The two-dose Pfizer vaccine is available for those ages 12 and up.
"It's all about trust," Southwick said. "Do I trust the message? Do I trust the vaccine? Do I trust what the experts are saying about how safe it is?"
Vaccine hesitancy also is apparent within the health care community itself.
Mangatnoted that, although an estimated 96% of physicians nationwide are vaccinated, the figure drops down to about 50% for other health care workers.
Locally, 592Brevard County Fire Rescue employees including those who are emergency medical technicians or paramedics were offered an opportunity to get COVID-19 vaccines and receive a special stipend from the county for doing so.
Under the measure introduced by Brevard County Commissioner Bryan Lober, BCFR first responders were eligible to get$75 for each dose of a two-dose COVID-19 vaccine they received or $100 for getting the one-dose J&J vaccine, in a program funded by money Brevard County received through the federal Coronavirus Aid, Relief and Economic Security Act.
But only about 27% of eligible BCFR employees took advantage of that option.
Lober said it is unfortunate that so few BCFR employees decided to be vaccinated.
"I would have likedto have seen more people get vaccinated than did," Lober said.
BCFR Chief Mark Schollmeyer said he is "a little disappointed at the low numbers" of his employees who were vaccinated, noting that he also provided extra flexibility in staff schedules so they could have a convenient time to be vaccinated.
But, Schollmeyer added, for BCFR employees, "it's a personal choice. It is what it is."
Separately, Lober on Monday suggested to County Manager Frank Abbate that the county consider a policy that would allowcounty employees who are vaccinated, but then become ill with COVID-19, to use time off that is not counted against their available sick leave or annual leave. He sees that as an incentive for county employees to get vaccinated.
But Lober added that he does not believe there is much local government officials can do to encourage more people in the general public to be vaccinated.
Lober said many of the same people who have qualms about getting the vaccine also distrust the government in general.
A government push for unvaccinated people to be vaccinated "may make them less likely to get vaccinated. It has to come from a physician or folks in thecommunity" that those who are unvaccinated trust, Lober said.
Florida Rep. Thad Altman, R-Indialantic,said the vaccine is"an amazing medical feat, and we need to take advantage of it. It shouldn't be a political issue. I think maybe we need to do more in getting the word out. I think we need to encourage everyone to get their vaccine."
Altman said he has been vaccinated, but that he understands why some might be reluctant.
"It's still experimental," Altman said. "I talk to a lot of people, and, for whatever reason, (they) aren't comfortable" with getting vaccinated.
Altman said he's not for mandating vaccinations, and respects people's constitutional right to say "no" and make their own medical choices.
"I think we have to respect that," Altman said. "I think there are some legal issues on mandating."
But he said he has heard tragic stories of those who fell sick and wanted to get the vaccine, but it was too late.
"I hear heartbreaking stories," he said. "Most people are not negatively affected by the coronavirus, especially if they're young. A lot of people have that feeling that 'it can't be me.' but it can. I have friends in their 40s in the hospital. Ithink a lot of people are beginning to realize that this is not going to go away as easily as we all thought."
Florida Rep. Tyler Sirois, R-Merritt Island, said he doesn't know of any local campaign by state legislators to boost vaccinations in Brevard.
Sirois said it's an individual decision and responsibility, so he's against any government mandates, lockdowns or other further business and/or school closings to contain COVID.
"When I'm asked, I encourage people to talk to their physician," Sirois said. "I think it comes down to individual responsibility.What I don't support, though, is more shutdowns. I am absolutely opposed to that 100%. People need to make a decision that's best for their situation. I'm opposed to any more government mandates."
"There's plenty of access to the vaccine. There's plenty of inventory," Sirois said. "I encourage people to have a conversation with their physician."
Ashby said there is a particular hesitancy to be vaccinated among African American, Hispanic and Native American people, partly the result of a historic distrustof the government and of the medical community.
Latest Florida Department of Healthdata, for example, indicates that, in Florida, the percentage of the Black population vaccinated is 20 percentage points lower than the percentage of the white population, in instances where a vaccinated person's race was recorded.
"We are dealing with a lot of social issues, a lot ofpolitical issues that have actually fed into vaccine hesitancy," Ashby said.
Southwick said an advertising campaign promoting the vaccine is no longer likely to be effective because people who are unvaccinated are not likely to be swayed by that anymore.
Rather, Southwick said, an effective approach could be a one-on-one conversation with a member of the clergy.
"Individuals trust their pastors," Southwick said. "And it's all about trust. And it's all about telling the right things and encouraging the right behaviors."
DeSantis said he is proud of Florida's "seniors-first" approach of offering the vaccines first to residents ages 65 and older.
Currently, 84% of Floridians in that 65-plus age group are vaccinated. But that figure drops in the younger age groups, to 35% of those ages 12 through 19; 39% in ages 20 thought 29; and 47% in ages 30 through 39.
Dr. Jeffrey Stalnaker, chief clinical officer for Health First, said vaccines are "the best weapons we have to stop the virus from spreading. Unfortunately, misinformation about the vaccines is spreading just as fast as the virus, generating fear and causing vaccine hesitancy."
He encourages members of the public to "look at reputable, proven sources of information," such as official health authorities, as well asleading research centers and universities that specialize in vaccines and infectious diseases.
"We have long cautioned that COVID-19 would not go away easily, and it will take everyone to do his or her part to ensure we defeat this pandemic once and for all," Stalnaker said in a column published Monday in FLORIDA TODAY.
Health First, Brevard County's largest health care provider, on Monday announced that it has two new locations forCOVID-19 vaccinations. They are at:
Hours are9 a.m. to 4 p.m. Monday through Friday.
Individuals with scheduled appointments will be prioritized. However, walk-ins are welcomed for first-dose vaccinations during the clinic hours, and will be accommodated when vaccine availability allows.
People with questions or needingto reschedule an appointment can email vaccine@HF.org or call 321-434-7355, thenpress 7.
Hospitals throughout Florida are reporting increasing COVID-19 patient counts.
Health First announced Monday that it is limiting elective surgical procedures at its four Brevard County hospitals, effective Thursday and continuing through Aug. 15, in reaction to a surge in COVID-19 patients.
Brevard's three major hospital companies Health First, Steward Health Care and Parrish Healthcare all have reported increases in their COVID-19 patient counts in recent weeks.
At Health First, for example, the COVID-19 patient count had risen to a total of 150 at its four hospitals by Monday, up from about 100 a week ago and less than 20 a month ago.
"The situationin hospitals across the state is becoming dire," Mangat said. "And we don't talk enough about how COVID-19 strains our emergency rooms and hospitals and urgent cares, making the care of non-COVID diseases even more difficult. So we're talking about strokes and heart attacks and car accidents, appendicitis, things like that."
Mangat said that,in addition to vaccinations, masking, social distancing and hand-washing are critical to prevent the spread of the virus.
But DeSantis said he will oppose any mandates.
"If anyone is calling for lockdowns, you're not getting that done in Florida," DeSantis said. "I'm going to protect people's livelihoods. I'm going to protect kids' right to go to school. I'm going to protect people's right to run their small businesses.To have the government come in and lock anyone down or restrict anybody is totally unacceptable. We're going to lift people up. We're not locking people down. And we're going to make sure that folks are able to exercise their decision-making on what's best for them. We've never had any mandates in the state of Florida, and we will not have any mandates in the state of Florida."
Dave Berman is business editor at FLORIDA TODAY.Contact Berman at dberman@floridatoday.com. Twitter: @bydaveberman.
If stories like this are important to you, please consider subscribing to FLORIDA TODAY. To subscribe: https://cm.floridatoday.com/specialoffer/
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Medical community says hesitancy about COVID-19 vaccine means end of the pandemic is nowhere in sight - Florida Today