US coalition of Black and Latino churches hope to reduce the 3X COVID-19 disparity
Partnering With the Faith-Based Community to Address Disparities in COVID-19 Vaccination Rates and Outcomes Among US Black and Latino Populations
Leveraging a network of 150 000 churches to advance the public’s health could prove to be a potent national model for eliminating Black and Latino racial and ethnic disparities in health and health care across the US.
JAMA August 17, 2021 Volume 326, Number 7
Anthony Evans, MDiv National Black Church Initiative, Washington, DC.
Joseph Webster, MD. National Black Church Initiative, Washington, DC.
Glenn Flores, MD. Department of Pediatrics, University of Miami Miller School of Medicine, Miami, Florida; and Holtz Children's Hospital, Jackson Health System, Miami, Florida. Department of Pediatrics, University of Miami Miller School of Medicine, 1601 NW 12th Ave, 9th Floor, Miami, FL33136 glennflores@miami.edu
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The latest data from the Centers for Disease Control and Prevention (CDC) document that Black and Latino individuals in the US are 3 times more likely than White individuals to be hospitalized for COVID-19 and twice as likely to die from the disease .1 Of the US population of approximately 330 million individuals, more than 100 million are Black or Latino individuals, who comprise 32%.2 Nevertheless, Black and Latino individuals account for only 25% of the 184 million people in the US who have received at least 1 dose of the COVID-19 vaccine, whereas White individuals account for 59% of those who have received the vaccine.3 Similarly, Black and Latino individuals comprise only 24% of the 159 million persons in the US who are fully vaccinated against COVID-19, whereas White individuals account for 60% of those fully vaccinated.3
The proportion of White individuals who have received a COVID-19 vaccine (47%) is about 1.4 times higher than the proportion of Black individuals (34%) and 1.2 times the proportion of Latino individuals (39%) who have received a COVID-19 vaccine.4 A consistent pattern continues with communities of these racial and ethnic minority groups having substantially lower vaccination rates in relation to their share of the population and their overrepresentation among COVID-19 infections and deaths.
In California, Latino individuals have received only
29% of COVID-19 vaccinations, although they account for
63% of those with COVID-19, 48% of deaths related to COVID-19, and
40% of the state's total population.4
In the District of Columbia, Black individuals have received
43% of vaccinations, but comprise
56% of those with COVID-19,
71% of deaths related to COVID-19, and
46% of the total population.4
Several factors appear to be driving these concerning and unacceptable disparities in COVID-19 vaccination. Decades of published research has documented that Black and Latino individuals have substantially worse access to primary care and specialty care and are much more likely to lack health insurance than White individuals. As the medical literature and recent events, such as the George Floyd killing, have underscored, systemic racism continues to be a major challenge for the US health care system and for US society. In addition, Black and Latino individuals have understandably low levels of trust in the federal government and medical care due to egregious past events involving ethically unacceptable studies and programs such as the US Public Health Service and CDC 40-year Tuskegee Study of Black men with untreated syphilis, unethical development of the HeLa cell line from Henrietta Lacks without her permission, and decades of forced sterilization of Latina women in Puerto Rico and California. It is not surprising, therefore, that myth-based concerns exist among these communities that deter their willingness to receive COVID-19 vaccination, such as beliefs that these vaccines contain microchips to track Black individuals or that the vaccine registration process will be used to deport Latino individuals.
How is it possible to overcome the triple burdens of impaired access to care,
systemic racism, and
distrust of the federal government
and health care systems
to eliminate COVID-19 vaccine disparities among Black and Latino communities? A promising and powerful strategy is to partner with the faith-based community, a highly trusted resource and frequent central gathering place for communities that are composed of racial and ethnic minority populations. The National Black Church Initiative (NBCI) is a coalition of 150 000 Black and Latino churches aiming to eradicate racial and ethnic disparities in
health care,
technology,
education,
housing, and the
environment.5
The mission of the NBCI is to provide critical wellness information to all members, congregants, churches, and the public.
In 2021, NBCI announced a 5-year plan that offers the CDC its 150 000 Black and Latino churches across the US as vaccination centers. The plan will include a national advisory committee of 9 prominent Black and Latino physicians who have evaluated the effectiveness of each COVID-19 vaccine; will leverage approximately 1000 Black and Latino US medical professionals to administer vaccines; and will mobilize several million volunteers to raise awareness among and communicate to underserved communities, provide transportation to vaccination centers, and ensure that communities of racial and ethnic minority populations obtain their second vaccinations (when indicated). The NBCI plan has been designed to seamlessly integrate with the efforts of local and state governments and health
REFERENCES
Centers for Disease Control and Prevention. Risk for COVID-19 infection, hospitalization, and death by race/ethnicity. Updated July 16, 2021. Accessed July 12, 2021. https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html#print
US Census Bureau. Characteristics of the group quarters population in the United States: American Community Survey: 2019: ACS 1-year estimates subject tables. Accessed July 12, 2021. https://data.census.gov/cedsci/table?q=S2601A&tid;=ACSST1Y2019.S2601A
Centers for Disease Control and Prevention. Demographic characteristics of people receiving COVID-19 vaccinations in the United States. Accessed July 11, 2021. https://covid.cdc.gov/covid-data-tracker/#vaccination-demographic
Ndugga N, PhamO, Hill L, Artiga S, Alam R, Parker N. Latest data on COVID-19 vaccinations by race/ethnicity. Kaiser Family Foundation. Accessed July 8, 2021. https://www.kff.org/coronavirus-covid-19/issue-brief/latest-data-on-covid-19-vaccinations-race-ethnicity/#
National Black Church Initiative. Accessed July 14, 2021. https://www.naltblackchurch.com/

2011 book at their website by Emily Allison-Francis
Correcting the Vitamin D Deficiency Epidemic: Strategies to Fight Diseases and Prolong Life for Black People