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04.22.21 | Sage Advice

Chicago COVID-19 Vaccination: Where We’re At Now

As part of Sage Collective’s ongoing campaign to provide vital information regarding the COVID-19 virus, variants and vaccine to our community, we’re taking a closer look COVID-19 vaccination in Chicago, and where things stand today.

Open Eligibility

After a presidential decree stating that all U.S. adults should be eligible to receive the COVID-19 vaccine on April 19th, Chicago made it happen. This past Monday, Chicago joined the rest of Illinois (and the nation), opening vaccination appointments to all residents 16+ years of age. 

This move came just a week after Governor Pritzker announced that all Chicagoans were welcome to travel out to the suburbs to receive a vaccination dose, starting on Monday, April 12th, if they weren’t yet eligible in the city. 

Finding Your Shot

Now, Chicagoans are in a position where they can turn to local city vaccination sites to receive their shot — or they have the option to travel out to a nearby suburb if appointments in the city are hard to come by. 

To find a vaccine appointment in Chicago, you can use the city’s vaccine finder here. For those that are less inclined to use online technology, you also have the option of calling the city’s COVID-19 Help Line at 312-746-4835. Vaccine appointments can also be made at Costco Pharmacies, CVS, Jewel Osco, Mariano’s, and Walgreens. 

To find a vaccine appointment in Illinois, you can use the state’s vaccine finder here. You can also call the Illinois Department of Health Hotline at 833-621-1284 for assistance booking your appointment.

A Quick Word on Johnson & Johnson

With distrust of the vaccine already widespread, many were alarmed when distribution of the Johnson & Johnson vaccine was temporarily halted by the CDC and FDA. However, the number of those that experience side effects is slim, and the CDC and FDA continue to closely monitor the situation out of an abundance of caution. The City of Chicago’s official statement reads: 

“As of April 12, more than 6.8 million doses of the Johnson & Johnson (J&J) vaccine have been administered in the U.S. CDC and FDA are reviewing 6 cases of a rare and severe type of blood clot in individuals after receiving the J&J vaccine. We are monitoring the situation and in communication with federal partners. As we wait to learn more, we are not administering or scheduling the J&J appointments. We will continue to update as more information is available.” 

Where We’re At Now

Nearly 40% of Chicago residents 18 and older have received at least one dose. Meanwhile, that statistic falls to just 25% of all Black Chicagoans. As COVID-19 cases continue to spike in Chicago, the dangerous and disproportionate impact of COVID-19 on the Black community persists — while the city’s test positivity rate sat at 5.5% as of Tuesday, that number rises to 7.9% among Black Chicagoans.

As city and state officials continue to urge all residents to receive their vaccine, it becomes necessary for those officials to make a concerted effort to provide information and resources to communities of color, and to remain cognizant of the justifiable mistrust our nation’s history of public health inequity has sowed. 

At Sage Collective, we remain committed to keeping our community up-to-date with the latest information and insights. Stay tuned for more.

Orange traffic cones line a curb, with signs tied to them reading "Covid vaccine clinic parking only."
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04.15.21 | Sage Advice

Chicago Commons COVID-19 Live Q&A, Part 2

Sage Collective is thrilled to have recently partnered with Chicago Commons to bring a live, virtual Q&A event to their community of older adults. The purpose of the event was to address both facts and myths regarding the COVID-19 virus and vaccination. 

The live Q&A session, which was part of Chicago Commons’ Adult Day Service (ADS) Program, featured questions from the audience, answered by Rear Admiral (Ret.) James M. Galloway, MD, FACP, FACC, with Monique Caradine serving as moderator.

You can read Part 1 of the Event Roundup here. In Part 2, Dr. Galloway tackles skepticism about the vaccine head on. With respect to the history of medical inequity in Black and Brown communities, and the distrust it has sowed, Dr. Galloway explains the safety of the vaccine and why it remains a critical solution to the ongoing pandemic.

 

MC: What would you say to those that are nervous about how quickly this vaccine was able to be developed? Usually, vaccine development takes several years, and this occurred over the course of just one year.

JG: Both Moderna and Pfizer are mRNA protein vaccines, and we’ve been working with this type of vaccine structure for decades. We already had a foundation in place before the need for this vaccination, so those developing the vaccine were able to rapidly ramp up the studies and production in a safe way with that knowledge already in place. 

 

MC: Another question that came in from an attendee: what if I decide not to get vaccinated? Some people are considering this option based on what they’ve heard about the potential severity of side effects from the vaccination. Can you speak to that?

JG: Yes, I can. We’ve heard rumors about side effects of the vaccination. To be clear: the side effects of this vaccine are quite mild. You may experience soreness, swelling or redness in/on your arm where the vaccine was injected. Other mild side effects include headache, fever, muscle pain or nausea. But, it’s important to note that these side effects only last a few hours, if they even occur at all. 

And despite the hype, serious side effects are very rare. The number of people who do have severe side effects is infinitesimally small, and those effects have been treated when they occur. Meanwhile, if you decide not to get vaccinated because of these concerns, let’s compare the risk of severe side effects to the risk of a severe COVID-19 infection: COVID-19 is causing severe infections and hospitalizations, and in the US alone, one death every 28 seconds! 

The side effects of the vaccine are uncommon — and mild if they occur — compared to the severity of the impact of COVID-19 infection. Personally, I think that makes the value of the vaccine abundantly clear.

 

MC: There are many in the community that think, I’m young and I maintain a healthy lifestyle. Do I really need the vaccine?

DG: The lack of the vaccine, no matter how healthy you are, makes you much more susceptible to the virus. We’ve also seen that the virus can cause long term complications, even in young people, and we’ve seen the death toll. We also know that if you get it, you endanger all those around you — your family members, the folks who live in the home with you and any folks you come into contact with regularly. So there is, in both my mind and from the CDC’s perspective, no alternative that comes close to the protection of a vaccine.

 

MC: Another question from an audience member — a controversial one, which speaks to the distrust in the African American community around vaccines: How can I be sure that they are giving people in Black and Brown communities the actual COVID-19 vaccination? 

JG: It’s a reasonable question, and one that underscores the longstanding issues of trust bred by historically racist and dangerous health policies, and clinical experiments in vulnerable Black and Brown communities. That history, combined with the current political perspectives swirling around, and some of the more chaotic messaging from multiple social media platforms and media outlets about the vaccine — of course there is distrust. It’s clear there is not a lot of trust in the medical profession or in healthcare in general.

I’d like to give you my perspective of the development and distribution of this vaccine. First and foremost, the vaccine is produced in large quantities and these manufacturing plants are under close supervision and control, without knowledge of where in which communities the vaccine is going to be distributed. So large lots of the vaccine are developed, and the vaccine is placed in small bottles which are sealed and shipped in bulk to states and cities, and these bottles are only opened when ready for use at the local level.

I myself have worked at a vaccine delivery site. When shipments are received, there are multiple individuals in a group overseeing the administration of the vaccine — from the pharmacist who oversees the opening of the containers, the calculation and measuring the dosages, the filling of the syringes and the actual administration of the vaccine. Many, many parties are in the area for safety concerns and traffic concerns.

I say this all to reassure you that it would be difficult for anyone to infiltrate the system and preferentially administer an ineffective or incorrect vaccine to any particular community or persons. 

However, I will say, ensuring that the vaccine is distributed equitably between communities of color and white communities is a serious and real issue. With the data in place to backup these inequities, it is more important than ever for us to be outspoken and to work diligently with our local leaders in the arena of social justice and health equity in order to improve the fairness of distribution and ensure there is transparency around the process. 

 

MC: In closing, where can people turn to for credible information and facts about the vaccine?

JG: CDC.gov is my number one, go-to place. Many public health directors at the state and local level go to the CDC for guidance and redistribute that information on their own websites as well. Certainly, your doctor or healthcare professional is also a good resource. Those would be my top three: the CDC, local governments and medical professionals.

 

And if you’re eager for more Q&A sessions on COVID-19 fact and fiction, Sage Collective is planning another event with Dr. Galloway, this time in conversation with Joseph West, PhD. Click here for more details and to RSVP. 

Text on graphic reads: Talking COVID-19. Dr. James M. Galloway talks COVID-19 Facts & Fiction Part 2. Graphic includes the Sage Collective logo, the Chicago Commons logo, and a headshot of James Galloway
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04.13.21 | Sage Advice

COVID-19 Vaccine Testimonial: James M. Galloway

As part of our ongoing campaign to encourage and ramp up vaccination in Black communities across America, Sage Collective is creating testimonials that showcase why people have chosen to receive the coronavirus vaccine, and what the experience was like. To start, we’re engaging our own Board of Directors and Leadership Team to share their stories. 

After sharing the experience of Sage Collective’s own Donna Gaines and Dwain Kyles, this week we interviewed Rear Admiral (Ret.) James M. Galloway, MD, FACP, FACC, a United States medical doctor and Public Health physician, and member of the Sage Collective Leadership Team.

 

Why did you personally take the COVID-19 vaccine? Did you have any reservations or questions? Do you feel you had all the information you needed to take the decision to be vaccinated? What /who were your sources of information and guidance?   

As a physician and a public health professional, as well as a pandemic preparation lead under President Obama, I felt comfortable with vaccine safety in general but, of course, I had to do my diligent research into these COVID vaccines and the science behind them before being satisfied that they were safe and effective. I researched and reviewed the studies themselves as well as looked to the CDC and FDA for their evaluations and data. After these reviews, I felt very comfortable with receiving the vaccine. 

 

When did you receive your COVID-19 vaccine and from what company (Moderna, Pfizer, etc.)? What was the experience of signing up/scheduling? Have you received both shots? Where did you have to go to get your vaccinations? What was the experience like of getting into the chair and actually receiving the shot? (If you’ve received both shots, you can break this down by each experience).

As a vaccination center volunteer, I received my first Moderna vaccine in late February and the second in early March. At our vaccination center, in Arizona, sign up was on a website and obtaining the vaccine shot was simple and straightforward, with no untoward effects.

 

How did you feel after receiving the vaccine, physically or otherwise? Did you experience any side effects?  

I had no side effects from either shot. My wife, a nurse who worked at the center as well, had some mild fatigue that evening and went to bed early – and felt fine the next day.

 

What is your doctor saying about how COVID-19 vaccination fits into your long term health plan? Are you taking any aftercare measures — if so, what?  

The risk of COVID for me was much greater than the risk of the vaccine and provides me with a sense of relief I have not felt in a year. It remains critically important, even after vaccination, to wear a mask and maintain social distancing in public and around those who have not been vaccinated as well as continuing to avoid large gatherings. However, within our household and among our close relatives, all have been vaccinated now – and you cannot believe the wonder of hugging my 5 year old granddaughter again after a year! 

 

Are you serving as a guide to others who are seeking information and reassurance about being vaccinated?  

Absolutely. I have spoken with a great number of people who were hesitant about getting the vaccine due to concerns about its safety. After I had the chance to share with them the results of my research and study, many of these individuals proceeded to get their vaccinations. 

 

Overall, what do you believe makes COVID-19 vaccination so important to society writ large, and in your specific community?  

It is imperative that we protect our families and community members by getting OUR vaccine! It is also important for us as a nation and a community to get back towards normal, to open our schools, our businesses, our communities and our homes. 

Text overlay reads: "The risk of COVID for me was much greater than the risk of the vaccine and provides me with a sense of relief I have not felt in a year."
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04.08.21 | Sage Advice

Join a Roundtable Discussion About COVID-19 Vaccination

With Biden recently announcing all adult Americans will be eligible to receive the COVID-19 vaccine by April 19th, many are preparing their arms for the shot. But access aside — what if you still don’t want the vaccine or are questioning whether to receive your dose? 

We’re here to listen to your concerns. Tell us how you feel about these issues at our live, virtual roundtable discussion:

Tuesday, April 20, 2021 at 1:00 p.m. CST

During the roundtable, we invite our community members to discuss their decision to receive (or not receive) the COVID-19 vaccine. What makes you hesitant to receive the shot? What are the questions you want answered? Whether you have questions, or you know someone who could benefit from this discussion, all are welcome! 

We’ll be joined by our Leadership Team members Rear Admiral (Ret.) James M. Galloway, MD, FACP, FACC and Dr. Joseph West, experts in the fields of medicine and epidemiology, who will share their sage advice. 

Interested in attending? Please RSVP here

 

This live roundtable discussion is part of Sage Collective’s robust campaign to begin conversations about COVID-19 vaccination within our community, paying particular attention to older African Americans. 

As we seek to increase awareness of how the COVID-19 vaccine works and why it is important, we recognize that historic and systemic medical inequities in Black communities have bred justifiable mistrust. That’s why we must have meaningful conversations about our communities’ viewpoints on, and relationship to, the COVID-19 vaccination — so that we may find a solution that promotes health, safety and comfort for everyone moving forward.

Image text reads: I can get the COVID-19 vaccine, but I don't want it. Now what? Join us for a live virtual roundtable discussion Tuesday April 20, 2021, 1:00 PM CST. Image includes a photo of a vaccine vial and the Sage Collective logo
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04.06.21 | Sage Advice

COVID-19 Vaccine Testimonial: Marc Lane

As part of our ongoing campaign to encourage and ramp up vaccination in Black communities across America, Sage Collective is creating testimonials that showcase why people have chosen to receive the coronavirus vaccine, and what the experience was like. To start, we’re engaging our own Board of Directors and Leadership Team to share their stories. 

After sharing the experience of Sage Collective’s own Donna Gaines and Dwain Kyles, this week we interviewed Marc J. Lane, a nationally recognized business and tax attorney, pioneer behind the Advocacy Investing® approach to socially responsible and mission-related investing, and member of the Sage Collective Leadership Team

 

Why did you personally take the COVID-19 vaccine? Did you have any reservations or questions? Do you feel you had all the information you needed to take the decision to be vaccinated? What /who were your sources of information and guidance?   

I closely followed – and continue to follow — the publicly available medical information about COVID-19 and the vaccine, and felt fully informed to move ahead with confidence.

 

When did you receive your COVID-19 vaccine and from what company (Moderna, Pfizer, etc.)? What was the experience of signing up/scheduling? Have you received both shots? Where did you have to go to get your vaccinations? What was the experience like of getting into the chair and actually receiving the shot? 

I’ve been fully vaccinated since late February. The signup at Rush-Presbyterian-St. Luke’s Medical Center was easy and so was each experience. The team was efficient, helpful and friendly, answering any questions anyone might have had.  My wife and I were in and out within a half hour.

 

How did you feel after receiving the vaccine, physically or otherwise? Did you experience any side effects?   

I felt relieved and gratified to be moving back to a normal life. The side effects were a small price to pay for my own protection and the protection of family, friends and others with whom I can now interact.

 

What is your doctor saying about how COVID-19 vaccination fits into your long term health plan? Are you taking any aftercare measures — if so, what?  

My doctor was always reassuring, endorsing my own view that the vaccine is our best way to mitigate COVID risk, for ourselves and others.

 

Are you serving as a guide to others who are seeking information and reassurance about being vaccinated?  

Absolutely! I enthusiastically encourage anyone who raises the question to get vaccinated as soon as they can.

 

Overall, what do you believe makes COVID-19 vaccination so important to society writ large, and in your specific community?  

The vaccine is our ticket back to normal … for all of us. There’s simply no valid argument to the contrary.

Text reads: "I felt relieved and gratified to be moving back to a normal life. The side effects were a small price to pay for my own protection and the protection of my family, friends and others with whom I can now interact." Marc Lane on getting the COVID-19 vaccine
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04.01.21 | Sage Advice

Chicago Commons COVID-19 Live Q&A, Part 1

Sage Collective is thrilled to have recently partnered with Chicago Commons to bring a live, virtual Q&A event to their community of older adults. The purpose of the event was to address both facts and myths regarding the COVID-19 virus and vaccination. 

The live Q&A session, which was part of Chicago Commons’ Adult Day Service (ADS) Program, featured questions from the audience, answered by Rear Admiral (Ret) James M. Galloway, MD, FACP, FACC, with Monique Caradine serving as moderator.

Rear Admiral (Ret) James M. Galloway, MD, FACP, FACC is a former Assistant Surgeon General for the United States and a public health physician, as well as a member of the Sage Collective Leadership Team. You can find his full bio here. Monique Carradine is a professional broadcaster, author, podcastor, and certified money coach for women leaders and entrepreneurs with over two decades of experience.

In Part 1 of the Event Roundup, we review questions (and answers) related to deciding to receive the vaccine, and how the process works. For the sake of this recap, questions and answers have been edited for clarity and brevity. 

 

MC: Let’s start with this question from an audience member — should I consult with my doctor first, before I get the vaccine?

JG: Generally, it’s not necessary to check with your physician unless you have a severe allergy to the vaccine or its components. However, if you’re hesitant or worried about getting the vaccine, and the vaccine’s relationship to your health and safety, it’s a great idea to talk to a trusted physician. 

Groups who should absolutely consult with a physician to determine if vaccination is right for them include those with multiple sclerosis, those who are immunocompromised, those who are on blood thinners or who have a bleeding disorder, as well as pregnant or breastfeeding women.

 

MC: Another question we received — which of the vaccinations is “the best”? We know there are two pharmaceutical companies manufacturing vaccines (Moderna and Pfizer). Is there one that’s better than the other?

JG: Pfizer has been shown to be 95% effective in blocking symptomatic COVID-19. Moderna on the other hand has been proven to be 94% effective in the same area. So within the range of error described there, they’re equal, and no, one isn’t better than the other.

But I’d like to explain a little bit more about what that effectiveness means. You know, 95% effective — what does that mean? You can think about it as being that you are 95% protected from getting symptomatic COVID-19. But even more importantly, if you’re in the small 5% of vaccinated people who do get the disease, it’ll be mild, and present more like a cold or common flu. So essentially, this vaccine is 100% effective in preventing serious illness or death from COVID-19. 

So if you go to a vaccination location, and they offer you a choice between these two vaccine companies, you can receive either vaccine with confidence, knowing that you will have an appropriate level of protection from both.

 

MC: Here’s another good question, which is about the fact that there are two shots required. Can you talk about why that is? And what happens if a person gets the first shot and perhaps waits longer than recommended to get the second one? 

JG: Many of our immunizations, particularly childhood immunizations, require two or three shots. The reasoning behind that is when you get the first shot, it’s the first time the body is encountering or is exposed to what’s called an “antigen”, or that particular virus piece that we’re trying to immunize against. So there’s a mobilization, where the body’s immune system begins to work to develop a response to the newly introduced antigen. And the body will begin to develop a number of mechanisms to fight off that virus — however, because just one dose was administered, those mechanisms aren’t as strong as they could be. 

So when you receive a second dose of the vaccine, you want to land in the ideal follow-up window in order to re-stimulate the immune system and to have the  most effective, full-blown, full-body response. 

But if somebody were to get one shot and not the other, for whatever reason, there is still effectiveness in just that one shot. The first shot for the COVID-19 vaccine alone produces somewhere between 50-60% coverage against serious COVID-19 symptoms. This coverage is obviously better than not having any protection — and it does provide significant coverage, just not as much as having that second shot and reaching the 94-95% coverage level.

It’s also important to note that you should receive both shots from the same vaccine company, whether that’s Moderna or Pfizer. 

 

MC: The next question is: when are you fully vaccinated against COVID-19? The key word there is “fully” vaccinated — is there such a thing as being fully vaccinated?

JG: Right now, it’s too early to say. This is a new disease, and there’s a chance that it may become a routine seasonal infection, meaning that it will recur every year. That would mean that, much like the flu, we would need to get a shot every year. 

 

MC: Once someone is vaccinated, do they still have to wear a mask?

JG: I’ll refer you to current CDC guidelines here. Currently, the CDC recommends maintaining mask wearing for the foreseeable future, unless you are in a private space where everyone around you is also fully vaccinated. This is in part because of new, more contagious variants of COVID-19 becoming widespread globally, and also because while you’re immunized against the virus, there’s still a chance you can spread it to those around you who are not. So yes, it’s important to continue wearing a mask and washing your hands and following social distancing guidelines.

 

Stay tuned for Part 2 of the Q&A recap next week, where we’ll address the distrust of the COVID-19 in Black communities, and share more reasons why vaccination is of the utmost importance to your health and safety.

Image reads "Talking COVID-19. Dr James. M. Galloway talks COVID-19 facts and fiction, part 1." Graphic includes a headshot of Dr. Galloway and the logos for both Chicago Commons and Sage Collective
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03.30.21 | Sage Advice

COVID-19 Vaccine Testimonial: Dwain Kyles

As part of our ongoing campaign to encourage and ramp up vaccination in Black communities across America, Sage Collective is creating testimonials that showcase why people have chosen to receive the coronavirus vaccine, and what the experience was like. To start, we’re engaging our own Board of Directors and Leadership Team to share their stories.

After sharing the experience of Sage Collective President Donna Gaines last week, this week we interviewed Dwain Kyles, an attorney and entrepreneur. He also serves as the Vice President Legal and Development of Sage Collective and a member of our Board of Directors. 

 

Why did you personally take the COVID-19 vaccine? Did you have any reservations or questions? Do you feel you had all the information you needed to make the decision to be vaccinated? What /who were your sources of information and guidance? 

I got the vaccine because I have chronic health conditions that make me a person that might not survive a COVID infection. I’m not ready to die.

I was skeptical at first because the politicization of the whole issue, as well as the historical timeframe required for developing and testing new vaccines, left me doubtful that a vaccine could be developed in such a short time. I am an avid news junkie, and as I saw more and more news reports and interviews with African American doctors and scientists who participated in the development and testing of the vaccine, I learned that the underlying technology involved in the vaccine has been around for more than a decade, they simply didn’t have the concentrated resources and demand to bring the vaccine to fruition.

I was also persuaded by the high profile public officials in healthcare, science and government that were getting the vaccine in front of the whole world.  They wouldn’t do that if they were afraid that they would have adverse reactions or if they thought the shots wouldn’t work.

 

When did you receive your COVID-19 vaccine and from what company (Moderna, Pfizer, etc.)? What was the experience of signing up/scheduling? Have you received both shots? Where did you have to go to get your vaccinations? What was the experience like of getting into the chair and actually receiving the shot? 

I got the Moderna vaccine last week. That was the soonest we could get it. It was my first shot. We were fortunate to have been signed up by a friend who is a public official. We were called about a week after he signed us up. We were in line in our car for about an hour and a half in the parking lots of a church that was not too far from where we live here in Florida. I simply rolled up my sleeve, after filling out my data sheet and handing it to the healthcare worker who gave me the shot. The shot itself was quick and pretty painless.  

 

How did you feel after receiving the vaccine, physically or otherwise? Did you experience any side effects?

I did have soreness at the injection site for a few days afterward, but other than that, I have had no side effects at all.

 

What is your doctor saying about how COVID-19 vaccination fits into your long term health plan? Are you taking any aftercare measures — if so, what?

Frankly, my doctor doesn’t know enough to speculate about how long the vaccine will last or when I might need to get another shot. We have agreed to continue to talk about it, so that as he learns more, he can share more.

 

Are you serving as a guide to others who are seeking information and reassurance about being vaccinated?

I’m sure that anyone who knows me knows that I am an advocate for getting this shot as soon as you can. If you want to get back to some semblance of a normal life, then this vaccine is essential.  Remember, it won’t necessarily keep you from catching COVID, but it significantly enhances your chances of surviving an infection without serious illness, or death, being a likely outcome.

 

Overall, what do you believe makes COVID-19 vaccination so important to society writ large, and in your specific community?

My community is disproportionately impacted by the most serious negative outcomes from COVID, as well as most other chronic diseases. Accordingly, if we are to survive this pandemic and reclaim anything like the lives we had, it simply cannot happen if we don’t vaccinate as many of our people as we possibly can, as soon as we can … period.

Image reads "If we are to survive this pandemic and reclaim anything like the lives we had, it simply cannot happen if we don't vaccinate as many of our people as we possibly can, as soon as we can, period." -Dwain Kyles on why he got the COVId-19 vaccine
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03.25.21 | Sage Advice

Talking COVID-19 with an Epidemiologist: Dr. Joseph West

As we continue our ongoing campaign to encourage and ramp up COVID-19 vaccination, an important part of the conversation includes addressing the disproportionate impact of COVID-19 on Black communities, as well as the impact of centuries of medical inequity in America on Black Americans’ psyche and trust.

We engaged Dr. Joseph West, an epidemiologist, population health and data analytics leader with over 15 years of experience in healthcare, research, and enterprise consulting and a member of the Sage Collective Leadership Team, to discuss these topics and more. 

 

According to CDC data, COVID-19 disproportionately impacts Black or African American, Non-Hispanic persons at a rate of 1.4x times more than the impact on White, Non-Hispanic persons. What long standing health and social inequities are at play here to put such groups at increased risk of getting sick and dying from the virus?

JW: Several long standing factors, including behavioral, clinical, pharmacological, and socioeconomic, are associated with an increased risk of illness and mortality. Diet, lifestyle, discriminatory medical treatment and access, and environmental hazards such as neighborhood segregation and social isolation are key determinants of risk.

Severe acute respiratory syndrome coronavirus 2 (SARS-2-CoV-2) (COVID-19) causes a significant inflammatory immune response in infected individuals. COVID-19 has magnified the increased risk for this response among persons with pre-existing medical conditions such as obesity, diabetes, heart disease, COPD and asthma.

Seniors, for example, over the age of 70 and mostly male, are particularly vulnerable to infections due to a declined immune system, comorbidities, frailty, and potentially inappropriate polypharmacy.

 

Especially when thinking about readiness in public health emergencies overall, how do we begin to tackle these challenges and create better equity in our health systems? What might it look like to create better-prepared (equipped, informed) systems and a better-resourced population?

JW: Seniors have been especially vulnerable to public health emergencies like COVID-19, accounting for more than 70% of all COVID-related deaths in many states. 39% of Covid-19 deaths have occurred in nursing homes, and another 20% of deaths have occurred in long-term care and assisted living facilities.

Over the past few years, there have been quite a few studies, including those conducted by the CDC, highlighting these facilities’ vulnerabilities to Legionnaires’ disease and bacteria in water and air systems. Yet, these risks went wholly ignored during the pandemic, especially in the early stages. Underfunding, poor oversight, discriminatory regulation, and ill-prepared workforce stifle public health emergency preparedness for racially and economically under-resourced communities overall.

Seniors prefer to age gracefully and vibrantly in their own homes and communities. An equitable and protective system invests in the equipment, social support, and infrastructure to make this a safer, more viable reality. 

 

Outside of continued social distancing measures and strict mask wearing, rollout of the COVID-19 vaccine is one of our strongest and most direct defenses against the pandemic. Staying cognizant of the mistrust bred by health and social inequities at play, how do we begin to position vaccination as a component of readiness, and control/agency/choice, especially for the older African American community, in order to help combat the disproportionate impact of COVID-19 on the community?

JW: Vaccination is an individual choice. When the coronavirus is no longer front-of-mind, other infectious diseases like the flu will continue to threaten seniors and their caregivers’ lives. Vaccination is the primary measure used to abate infectious disease risks during epidemics and pandemics.  Studies have demonstrated the efficacy of most vaccines like the influenza vaccine to reduce the chances for pneumonia, hospitalization, and death in elderly persons. 

However, to ease fears and mend distrust, public health officials must employ what I define as the Three-Cs approach.

 

Compassion. Vaccine hesitancy is rooted in medical mistrust among Black Americans. From the infamous U.S. Public Health Service Study at Tuskegee from 1932 to 1972 to the racial eugenics movement, to more recent evidence of discriminatory access to pain medicines and advanced treatments, Black Americans feel these are not “isolated events.” Public Health officials have to be prepared to face and address this distrust with a significant degree of competent compassion.

 

Clarity. Messaging regarding risks for COVID-19 and the potential side effects of the COVID-19 vaccines has been mismanaged in communications to the Black, Hispanic, and under-resourced communities. Delivering a more unmistakable message regarding access, patient experiences from the community, and vaccine efficacy stories may go a long way towards uptake.

 

Consistency. Healthcare providers remain incredibly inconsistent in delivering care and practices that close gaps in quality of care and access. Ability to pay, where one lives, language, structural racism, and age remain essential determinants of health outcomes.  Medical and public health officials have to continue to challenge our fragmented and unbalanced health care system to instill confidence in the vaccine, the delivery systems, and persons providing the jab. 

Image reads: Talking COVID-19 with Dr. Joseph West, Epidemiologist over an image of a doctor holding a vaccine vial
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03.23.21 | Sage Advice

COVID-19 Vaccine Testimonial: Donna Gaines

As part of our ongoing campaign to encourage and ramp up vaccination in Black communities across America, Sage Collective is creating testimonials that showcase why people have chosen to receive the coronavirus vaccine, and what the experience was like. To start, we’re engaging our own Board of Directors and Leadership Team to share their stories.

First up is Donna Gaines, President of Sage Collective and a member of our Board of Directors. 

 

Why did you personally take the COVID-19 vaccine? Did you have any reservations or questions? Do you feel you had all the information you needed to take the decision to be vaccinated? What /who were your sources of information and guidance?   

DG: I took the COVID-19 vaccine because I wanted to protect myself from getting the disease and to accelerate the timeframe for when I can resume some of the activities I enjoy like getting together with family and friends. 

I had a lot of reservations about getting the vaccine initially, because I felt that it hadn’t been tested enough among the general population. I have allergies, so I was a little concerned about possible side-effects from getting the shot. I also wanted the Pfizer vaccine because it was reported to have fewer side effects, and almost backed out at the last minute when I found out I was getting the Moderna vaccine.

I relied on information from the CDC, supplemented by articles from the Wall Street Journal, Washington Post and New York Times. I usually watch MSNBC, and local news stations for updates in my city. I also spoke with several people who had the 1st dose, so I felt comfortable making a decision with the information I had available.

 

When did you receive your COVID-19 vaccine and from what company (Moderna, Pfizer, etc.)? What was the experience of signing up/scheduling? Have you received both shots? Where did you have to go to get your vaccinations? What was the experience like of getting into the chair and actually receiving the shot? (If you’ve received both shots, you can break this down by each experience)   

DG: I have received one dose of the Moderna vaccine and it was administered a couple of weeks ago. I signed up on the state’s website, and was also on a list in the County where I live. The first notification I received that I was scheduled for the vaccine was about 4-5 days later, and it was a “reminder” via text, sent 3 hours before my scheduled appointment. I cancelled a previous appointment I had scheduled at that time to be available for my vaccination!

I went to a drive-through location at a church not too far from where I live. I went with my husband, and we waited in the car for an hour and 20 minutes to receive our shots — which took about 30 seconds to administer. We received our appointments for the 2nd dose at that time, and we waited in a holding area (parking space) for 30 minutes (instead of 15 minutes because of my allergies), so we could be monitored. By the way, while we waited for our shots, paramedics were attending to someone who was parked in the holding area, so THAT was a little disconcerting!

 

How did you feel after receiving the vaccine, physically or otherwise? Did you experience any side effects?   

DG: I had a lot of soreness at the injection site, and even though I have a high tolerance for pain, it was uncomfortable enough that I ended taking ibuprofen for a couple of days. I asked for the shot in my left arm so that I wouldn’t be too limited in my ability to do things. I’m glad I did!

The overwhelming emotion I had was a huge sense of relief, and I didn’t realize how anxious I’ve been about getting sick . . . and possibly dying!

 

What is your doctor saying about how COVID-19 vaccination fits into your long term health plan? Are you taking any aftercare measures — if so, what?  

DG: I have not discussed the vaccination with my physician, and don’t have any aftercare measures planned other than to clear my calendar after my 2nd dose.  I hear some people have a few more side effects after the second shot.

 

Are you serving as a guide to others who are seeking information and reassurance about being vaccinated?  

DG: Yes! I had an in-depth conversation with an extended family member the other day who was adamant about not taking the vaccine. At the end of the conversation, she told me she would take it, and I was happy to hear that!  Sage Collective also wants to be at the forefront of these discussions, and we’re committed to educating as many people as we can over the coming weeks and months!

 

Overall, what do you believe makes COVID-19 vaccination so important to society writ large, and in your specific community?  

DG: Recent research suggests that COVID-19 will eventually become an endemic disease, like its sister coronaviruses, the common cold or even a disease like the measles, which is largely under control in the United States.  For now, as many people as possible should be vaccinated and eventually, babies will no doubt be vaccinated at birth.   

Given the high incidence of illness from COVID-19 and deaths in the African American community, it is really important that all individuals — and particularly those at high risk — take the opportunity to protect themselves as more of the vaccine becomes available.  COVID has reduced the life span of Blacks and Latinos by 3-4 years, so this is literally a life or death matter! 

A quote on top of an image of a COVID-19 vaccine vial, with a green overlay and the Sage logo in the lower right corner. Text reads: "I took the COVID-19 vaccine because I wanted to hopefully protect myself from getting the disease and to accelerate the timeframe for when I can resume some of the activities I enjoy, like getting together with family and friends." Quote attribution below reads: "Donna Gaines, on getting the COVID-19 vaccine"
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03.18.21 | Sage Advice

Why We’re Getting the Coronavirus Vaccine & Why We Encourage You to Get Yours

The Sage Collective Board of Directors and Advisory Board are committed to your health, safety and well-being. We have decided individually and collectively to speak out about our own decision to receive the vaccine that prevents or reduces the likelihood of contracting the coronavirus and becoming a victim of the COVID-19 pandemic.

We know that Black people in America are reluctant about receiving the vaccine relative to other Americans even though we are dying from the disease at three times the rate as white and Asian Americans. The difference in mortality between races, that is the rate of death and dying, isn’t complicated to understand. We won’t yet go into detail on the history and reality of health care delivery in our nation, rather, what we want you to know is that you can do something about protecting yourself, your family and your friends from dying from COVID-19 today. Get your vaccine.

Being vaccinated against COVID-19 isn’t like getting a flu shot. Although the seasonal flu can be lethal, it is not in the same category as the coronavirus that has produced this pandemic.  Unless you have a helicopter in your front yard that can take you directly to a major, medically advanced hospital, where a staff of doctors trained in infectious diseases and equipped with known and unknown experimental drugs happens to be available, you don’t want to risk getting the coronavirus. Get your vaccine.

We, as a people and as a community, are not immune from catching it. It does not discriminate, it infiltrates. It relies on your not doing something, such as wearing a mask, keeping socially distant, and washing your hands, to strike. It also doesn’t care if you don’t believe in getting inoculations against it. It will strike. If you want to be scientific about what we’re saying, do this experiment: Have everyone else you can think of get the vaccine and you go without it. Wait a few months and see what happens. See if you are really the superhero you think you are. Please, get your vaccine.

Sincerely,

Sage Collective Board of Directors

Image reads: Why we're getting the coronavirus vaccine and why we encourage you to get yours
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