As of Friday, about 652,000 doses, on average, were being given each day, according to data from the Centers for Disease Control and Prevention; that was up from recent weeks, when the country hovered just above 500,000 shots a day. But that doesnt reflect the U.S. population today, where an estimated 95% of people have protection from at least one vaccine dose, a prior infection or both. MMWR Surveill Summ. Findings for Asian people were more mixed, with rates similar or higher than White people in about half the states, but lower in the others (Table 3). Yan L, Zhang H-T, Goncalves J, et al. Who Are the Unvaccinated in America? BMC Public Health. We studied 52,429 community-dwelling individuals who tested positive for SARS-CoV-2 between January 1 and October 31st, 2020 (Tables1and Supplemental Fig. Since separate curves are fit to each segment (i.e., range of ages), the model better reflects the relationship between age and death. Tukiainen T, Villani AC, Yen A, et al. Given COVID-19 incidence and mortality, and the precarious supply of COVID-19 vaccines globally [13,14,15,16,17,18], prioritization schemes will continue to be needed to triage vaccine delivery in early stages to people at the highest risk of death. PubMed Challenges in ensuring global access to COVID-19 vaccines: production, affordability, allocation, and deployment. The mortality risk following COVID-19 diagnosis in men and women with common comorbidities at different ages has been difficult to communicate to the general public. Keywords: But several surveys of adults from the Kaiser Family Foundation, AP-NORC, Morning Consult, Civis Analytics, the Ad Council and the Census Bureau together present a sense of the range of who the unvaccinated are, an essential set of data as health officials seek to convince reluctant Americans. However, while these studies have provided valuable information about factors associated with increased COVID-19 mortality, we are not aware of studies reporting their age-equivalent mortality risk. To the contrary: He takes it as further evidence, he said, that the vaccines are a government plot. Yet she is in no hurry to receive a vaccine until she can discuss it with the doctor who treated her cancer at their next appointment. Ssentongo P, Ssentongo AE, Heilbrunn ES, Ba DM, Chinchilli VM. Biswas M, Rahaman S, Biswas TK, Haque Z, Ibrahim B. Myrna Patterson, 85, a Democrat from Rochester, N.Y., who works at a hospital, said she could not shake her worry that the vaccines were produced too quickly. It said unvaccinated seniors are 11 times as likely to get hospitalized than seniors who got the shot. (Idaho, Minnesota, New Mexico, North Dakota, and Oregon are excluded from the total due to differences in their reporting of data.) For some Latino immigrants, fear of immigration authorities has been a roadblock. Black and Hispanic people were being vaccinated at a lower per capita rate than other groups at the beginning, but since April, the vaccination rate for Hispanic people began to rise above other groups. Objectives: Uptake of influenza, pneumococcal and shingles vaccines in older adults vary across regions and socioeconomic backgrounds. Predictors of COVID-19 vaccine hesitancy in the UK household longitudinal study. Objective. Introduction. Knight SR, Ho A, Pius R, et al. PubMed Central While the state is home to 9% of the nations population, it is home to 10% of unvaccinated Americans. The .gov means its official. They make Note: People could select more than one answer. In a study of Veteran Affairs data in the United States, a model of nine risk factors including age, sex, diabetes, CKD and heart failure demonstrated a discriminative ability of 83.4% compared to 74.0% in a model using age alone, as in the CDC approach [65]. The C.D.C. An estimated 25 million children under the age of 1 year did not receive basic vaccines, which is the highest number since 2009. We specifically focused on cardiovascular disease, diabetes, hypertension, cancer, chronic obstructive pulmonary disease (COPD), chronic kidney disease (CKD) and frailty. Damman OC, Vonk SI, Van den Haak MJ, van Hooijdonk CM, Timmermans DR. Americans cite a range of reasons for not getting a Covid-19 vaccine. One also has to consider the denominator of the fractionthat is, the sizes of the vaccinated and unvaccinated populations. Lancet. The US CDC publishes mortality data by vaccination status. Regression modeling strategies: with applications to Linear Models, logistic and ordinal regression, and Survival Analysis. Understanding COVID-19 vaccine hesitancy and resistance: another challenge in cancer patients. Thus, it would be inappropriate to treat hypertension and diabetes as being equivalent to the other comorbidities studied when triaging vaccine rollout. Predictors of COVID-19 vaccine hesitancy: socio-demographics, co-morbidity, and past experience of racial discrimination. 28.2% of people in low-income countries have received at least one dose. The Johns Hopkins ACG System binary frailty indicator was a useful composite measure which can be applied by large health systems using administrative data for identification of individuals at higher risk for death with COVID-19 despite younger age. It seems likely there will be a large unvaccinated population for the time being. The purpose of this study was to determine the age at which unvaccinated men and women with common comorbidities have a mortality risk which exceeds that of 75- and JAMA Netw Open. Doctors say they are working to convince reluctant Americans, sometimes in long conversations that unravel falsehoods about vaccines. COVID-19 mortality risk for older men and women. The data from these states have mixed findings regarding vaccinations by race/ethnicity among children. Latoya Hill Development and evaluation of the Johns Hopkins University risk adjustment models for Medicare + Choice plan payment. My immune system could fight it, Mr. Garcia said. 2020;43(12):147893. Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270, www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/kff. Cite this article. While the risk of death after COVID-19 was higher in people with underlying medical conditions, the prognostic implications varied by sex and condition. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. recommends vaccines even for people who have been infected with the virus. Development of COVIDVax model to estimate the risk of SARS-CoV-2related death among 7.6 million US veterans for use in vaccination prioritization. Experiences of a national web-based heart age calculator for cardiovascular disease prevention: user characteristics, heart age results, and behavior change survey. J Clin Med. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). How do they know that it will kill the virus, and if its really good for humans to be taking this vaccine?. Moments before the injection, Mr. Sims always managed to take a bathroom break. Clift AK, Coupland CA, Keogh RH, et al. The rate of vaccinations across the country has slowed significantly since April, but there are signs in recent days of a new rise in shots being distributed, with upticks in vaccinations particularly in states like Arkansas, Louisiana and Missouri, where cases have grown. As of August 2021, approximately 30% of U.S. adults are unvaccinated; among these, Understanding who the unvaccinated are and what might persuade them will be crucial to fighting the Delta variant. Design, setting and participants: Google Scholar. Introduction. One segment of people who have avoided shots is vehemently opposed to the idea. Outcome measure: Two years into the COVID-19 pandemic, global leaders continue urging people to get vaccinated against the virus. While vaccination coverage increased in the first half of 2022, vaccination and booster uptake has leveled off and remains uneven across the country. Bleser WK, Miranda PY, Jean-Jacques M. Racial/ethnic disparities in influenza vaccination of chronically-ill us adults: the mediating role of perceived discrimination in healthcare. The strange world of risk perception, and communicating risks. The regression intercept estimates outcomes for unvaccinated populations. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Lu PJ, Hung MC, Srivastav A, Grohskopf LA, Kobayashi M, Harris AM, Dooling KL, Markowitz LE, Rodriguez-Lainz A, Williams WW. Bhopal SS, Bhopal R. Sex differential in COVID-19 mortality varies markedly by age. Chronic Dis Inj Can. Zhou F, Yu T, Du R, et al. How did the number of visitors change since the beginning of the pandemic? Pete Sims, 82, recalls ducking mandatory vaccines during his time in the Air Force in the late 1950s. Excess mortality: Cumulative deaths from all causes compared to projection based on In this study, we study the coverage and factors associated with vaccination uptake, as well as refusal in the unvaccinated population and their associations with ethnicity, deprivation, household At the same time, ensuring equity in access to treatments will be important, particularly as other analysis suggests potential disparities in access to oral antiviral pills. PA was supported by a Mid-Career Investigator Award from the Heart and Stroke Foundation of Ontario. The primary outcome was death within 30 days of the positive SARS-Cov-2 test; this follow-up period after a positive PCR test is expected to capture most deaths directly attributable to COVID-19 [59, 60] while decreasing the likelihood of incorporating deaths due to other illnesses (which may be more likely for older patients with comorbidities). doi: 10.1001/jamanetworkopen.2020.37640. COVID-19 Data Review: Update on COVID-19Related Mortality. Ill go with what my doctor says, she said, adding that she would also be responsive to a requirement at her job. How many people eventually decide to get shots could help determine the course of the virus and severity of illnesses across the country, so efforts to convince the unvaccinated both the group that is waiting and watching and the vehemently opposed have gained steam with advertising campaigns, incentives and new mandates. Faes C, Abrams S, Van Beckhoven D, Meyfroidt G, Vlieghe E, Hens N. Time between symptom onset, hospitalisation and recovery or death: statistical analysis of belgian COVID-19 patients. We live in an era of unprecedented scientific breakthroughs and expertise. However, data show fully vaccinated persons are less likely than unvaccinated persons to acquire SARS-CoV-2, and infections with the Delta variant in fully vaccinated persons are associated with less severe clinical outcomes. Schultz SE, Rothwell DM, Chen Z, Tu K. Identifying cases of congestive heart failure from administrative data: a validation study using primary care patient records. But the share of unvaccinated Americans who are held up because of issues of convenience is shrinking, survey research shows. The CDC also reports the race/ethnicity of people who have received an additional/booster vaccine dose at the federal level. PCA, HCW and DSL contributed to the conception of this work, and analysis and interpretation of data. Help us do this work by making a donation. A substantial share of the wait-and-see group more than 40 percent in the Kaiser survey says it would be motivated by vaccine mandates. Are children eligible for COVID-19 vaccination? White people had a higher rate than Black people in most reporting states, except for Alabama, Mississippi, Louisiana, Alaska, West Virginia, Utah, Idaho, and Washington. 1). Studies to date indicate the relatively high effectiveness of vaccinations in preventing severe COVID-19 symptoms. Imam Z, Odish F, Gill I, et al. SARS-CoV-2 variants in analyzed sequences, School closures during the COVID-19 pandemic, Share among unvaccinated people who would get a COVID-19 vaccine this week, Share of SARS-CoV-2 sequences that are the delta variant, Share of SARS-CoV-2 sequences that are the omicron variant, Share of people partly vaccinated against COVID-19 by age, Share of people who completed the initial COVID-19 vaccination protocol, Share of people who completed the initial COVID-19 vaccination protocol by age, Share of people who received at least one dose of COVID-19 vaccine, Share of people with a COVID-19 booster dose by age, Share of people with at least one dose of COVID-19 vaccine by age, Share of total COVID-19 tests that were positive, Stay-at-home requirements during the COVID-19 pandemic, Switzerland: COVID-19 weekly death rate by vaccination status, Tests conducted per new confirmed case of COVID-19, The share of COVID-19 tests that are positive, Total COVID-19 tests conducted vs. confirmed cases, Total COVID-19 tests conducted vs. confirmed cases per million, Total COVID-19 tests per 1,000 vs. GDP per capita, Total COVID-19 vaccine doses administered, Total COVID-19 vaccine doses administered per 100 people, Total confirmed COVID-19 cases vs. deaths per million, Total confirmed COVID-19 cases, by source, Total confirmed COVID-19 deaths and cases per million people, Total confirmed COVID-19 deaths per million vs GDP per capita, Total confirmed deaths due to COVID-19 vs. population, Total confirmed deaths from COVID-19, by source, Total number of people who received at least one dose of COVID-19 vaccine. 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