1 00:00:00,606 --> 00:00:01,836 >> Welcome, all. 2 00:00:01,926 --> 00:00:06,746 And thank you for joining us for today's webinar, Protecting Our Children and Youth 3 00:00:06,746 --> 00:00:12,926 from COVID-19: Information for Parents, Caregivers and Community Partners. 4 00:00:13,516 --> 00:00:19,676 I am Roslyn Holliday Moore, Deputy Director for Programs with the Office of Minority Health 5 00:00:19,676 --> 00:00:24,236 at the US Department of Health and Human Services, and your webinar moderator. 6 00:00:24,296 --> 00:00:32,356 Before we begin, please be advised that the findings, opinions and conclusions 7 00:00:32,356 --> 00:00:35,636 from this webinar are those of the speakers and presenters 8 00:00:35,776 --> 00:00:40,466 and do not necessarily represent the official position of the US Department of Health 9 00:00:40,466 --> 00:00:43,506 and Human Services also referred to as HHS, 10 00:00:43,936 --> 00:00:47,686 or the US Centers for Disease Control and Prevention, or CDC. 11 00:00:47,686 --> 00:00:53,596 CDC does not endorse any one organization, service or product, 12 00:00:53,596 --> 00:00:55,676 and no such endorsements should be implied. 13 00:00:58,046 --> 00:01:00,856 Now for a few points about today's webinar. 14 00:01:02,156 --> 00:01:07,896 Reasonable accommodation is provided through closed captioning in English and Spanish. 15 00:01:08,376 --> 00:01:13,096 If you need these services, please click the link in the chat box. 16 00:01:13,096 --> 00:01:16,376 We will also post the link in the chat throughout the webinar. 17 00:01:17,376 --> 00:01:21,916 Spanish and Khmer interpretation will be accessed 18 00:01:22,426 --> 00:01:27,676 by clicking the interpretation button located at the bottom right of your screen. 19 00:01:28,866 --> 00:01:33,826 Make sure to select listen in Spanish or listen in Khmer, 20 00:01:33,826 --> 00:01:35,816 which connects you with an interpreter. 21 00:01:36,106 --> 00:01:40,466 Our panelists will now repeat these translation instructions 22 00:01:40,466 --> 00:01:44,006 in Spanish and Khmer for our guests. 23 00:01:44,006 --> 00:01:44,696 Lisa? 24 00:02:48,046 --> 00:02:53,416 Zoom features available during the webinar include the Q&A, which stands for questions 25 00:02:53,416 --> 00:02:57,596 and answers, box located at the bottom of your Zoom screen. 26 00:02:58,266 --> 00:03:02,736 You can type in submit your questions throughout the webinar in the Q&A box. 27 00:03:03,346 --> 00:03:06,466 If you have a specific question for any presenter, 28 00:03:06,466 --> 00:03:10,396 please include that speaker's first name before your questions. 29 00:03:10,666 --> 00:03:15,266 Please note that we will not be able to answer all questions today. 30 00:03:15,546 --> 00:03:20,416 We will however post answers to questions not answered during the webinar 31 00:03:20,416 --> 00:03:22,346 on the webinar web page. 32 00:03:22,666 --> 00:03:26,776 Please check this page regularly over the coming week. 33 00:03:26,776 --> 00:03:32,706 A link to the webinar webpage is now in the chat box. 34 00:03:32,706 --> 00:03:36,796 Zoom poll questions will also be launched throughout today's webinar. 35 00:03:37,136 --> 00:03:41,076 Four questions will be asked to help us learn more about you. 36 00:03:41,686 --> 00:03:46,476 Participation is voluntary, and we welcome your feedback. 37 00:03:46,966 --> 00:03:50,646 Today's webinar is being recorded and the recording will be posted 38 00:03:50,646 --> 00:03:53,706 on the webinar webpage in the coming weeks. 39 00:03:53,706 --> 00:03:55,436 Please check back regularly. 40 00:03:56,666 --> 00:04:04,586 Today's agenda includes opening remarks, two panels -- panel one will be a superhero learn 41 00:04:04,586 --> 00:04:08,456 and act on COVID-19 vaccination for children and youth. 42 00:04:08,456 --> 00:04:14,806 Panel two, community superheroes working to protect children and youth from COVID-19. 43 00:04:15,416 --> 00:04:17,596 Then closing remarks. 44 00:04:19,056 --> 00:04:23,906 We're now moving to opening remarks from Rear Admiral Felicia Collins, 45 00:04:23,906 --> 00:04:28,926 Deputy Assistant Secretary for Minority Health and the Director of the HHS Office 46 00:04:28,926 --> 00:04:33,466 of Minority Health where she leads the office in its mission of improving the health 47 00:04:33,676 --> 00:04:36,756 of racial and ethnic minority populations. 48 00:04:36,986 --> 00:04:40,436 Although Rear Admiral Collins could not join us in person today, 49 00:04:40,436 --> 00:04:42,636 she recorded this video to share with you. 50 00:04:48,046 --> 00:04:51,426 >> Hello, everyone, and thank you for joining today's event. 51 00:04:51,686 --> 00:04:57,116 It is my pleasure to join colleagues from across the Department of Health and Human Services, 52 00:04:57,226 --> 00:05:01,266 including our cohosts, the Centers for Disease Control and Prevention, 53 00:05:01,266 --> 00:05:06,436 and esteemed community partners and pediatric experts. 54 00:05:06,436 --> 00:05:11,936 I am Dr. Felicia Collins and I have the honor of serving as the Deputy Assistant Secretary 55 00:05:11,936 --> 00:05:16,226 for Minority Health within the Department of Health and Human Services, 56 00:05:16,226 --> 00:05:19,756 and the Director of the Department's Office of Minority Health. 57 00:05:19,756 --> 00:05:25,106 The Office of Minority Health is focused on helping to reduce differences 58 00:05:25,106 --> 00:05:30,356 in health outcomes, or health disparities, for racial and ethnic minority 59 00:05:30,496 --> 00:05:33,596 and American Indian and Alaska Native communities. 60 00:05:34,056 --> 00:05:38,796 On a more personal level, I describe myself as a pediatrician by training 61 00:05:38,956 --> 00:05:40,986 and a public health practitioner at heart. 62 00:05:41,406 --> 00:05:46,846 I have focused my career on addressing health disparities experienced by racial 63 00:05:46,846 --> 00:05:52,646 and ethnic minorities, children, and other underserved and vulnerable populations. 64 00:05:53,056 --> 00:05:58,326 Thus, I really appreciate this opportunity to help spread the message of the importance 65 00:05:58,326 --> 00:06:03,566 of COVID-19 vaccination for all children, including our youngest. 66 00:06:04,666 --> 00:06:12,606 Today's webinar is part of the efforts that stem from the Biden-Harris executive order 13995, 67 00:06:12,786 --> 00:06:19,096 in which federal agencies are working together to address the uneven and severe impact 68 00:06:19,576 --> 00:06:23,336 of COVID-19 in the nation's underserved populations. 69 00:06:23,646 --> 00:06:30,836 Today, you'll hear accurate information about how to protect all children from COVID-19. 70 00:06:31,256 --> 00:06:37,726 I am so pleased that everyone ages six months and older can now get vaccinated 71 00:06:37,726 --> 00:06:44,476 against COVID-19, and everyone ages five years and older can get a booster if eligible. 72 00:06:45,556 --> 00:06:51,786 Getting vaccinated against COVID-19 is a key step in protecting our children and youth 73 00:06:51,786 --> 00:06:55,776 from getting very sick or dying from COVID-19. 74 00:06:57,306 --> 00:07:02,096 During today's webinar, you will hear from speakers that include pediatric 75 00:07:02,096 --> 00:07:08,336 and vaccine experts and community partners leading vaccine efforts for children and youth. 76 00:07:08,526 --> 00:07:13,976 They will share with you the CDC's recommendations for COVID-19 vaccination 77 00:07:13,976 --> 00:07:20,026 for everyone ages six months and older, including where to find resources 78 00:07:20,196 --> 00:07:23,076 and credible information on vaccine safety. 79 00:07:23,496 --> 00:07:29,956 They will also share information on the risks, benefits and myths associated 80 00:07:29,956 --> 00:07:34,386 with COVID-19 vaccinations for children and youth. 81 00:07:34,446 --> 00:07:38,056 They will have recommendations on what to ask a health provider 82 00:07:38,176 --> 00:07:42,236 about COVID-19 vaccination if your child has a disability. 83 00:07:42,616 --> 00:07:48,346 And you will hear how community partners are working to protect youth and children 84 00:07:48,346 --> 00:07:55,186 with disabilities, and Black, Latino, American Indian/Alaskan native, Asian American 85 00:07:55,376 --> 00:07:59,196 and Native Hawaiian and Pacific Islander children and youth who live 86 00:07:59,196 --> 00:08:03,216 in communities disproportionately impacted by COVID-19. 87 00:08:03,566 --> 00:08:09,426 I want to encourage each of you to share the information shared today in your communities. 88 00:08:09,656 --> 00:08:16,846 Getting the free COVID-19 vaccination will help our children and everyone in our circle. 89 00:08:16,846 --> 00:08:20,976 Thanks again to each of you for joining us, and enjoy the webinar. 90 00:08:21,716 --> 00:08:23,856 >> Thank you, Rear Admiral Collins. 91 00:08:24,126 --> 00:08:26,906 Now for our first poll of today. 92 00:08:28,536 --> 00:08:35,356 Please use your computer, cell phone or other device to tell us what region 93 00:08:35,356 --> 00:08:38,326 in the US best describes where you live. 94 00:08:42,046 --> 00:08:43,776 Those are rapid responses coming in. 95 00:08:43,776 --> 00:08:45,976 We have 30 seconds for this time. 96 00:08:45,976 --> 00:08:51,656 So please take a moment, let us know. 97 00:08:54,046 --> 00:08:58,456 It's almost like a race, seeing which region has the most representation. 98 00:08:58,456 --> 00:09:00,736 But I can tell you it's very impressive. 99 00:09:02,716 --> 00:09:05,426 Well, we're about at time. 100 00:09:05,426 --> 00:09:07,226 And so let's see. 101 00:09:08,316 --> 00:09:10,006 What have we learned about you? 102 00:09:10,006 --> 00:09:19,966 We have 25% of the audience from the Midwest, 26% of the audience from the Northeast, 103 00:09:20,226 --> 00:09:29,916 29% of the audience from the southeast, 8% from the southwest and 12% from the west. 104 00:09:30,986 --> 00:09:37,606 Thank you so much for your time and sharing that information. 105 00:09:37,806 --> 00:09:42,846 And now we move to the next slide as we begin discussion for our first panel. 106 00:09:42,846 --> 00:09:48,206 It will be moderated by Captain Anitra Johnson, an expert at the national level 107 00:09:48,206 --> 00:09:52,906 for policy planning at the Administration for Children and Families. 108 00:09:58,046 --> 00:10:00,066 >> Thank you, Miss Moore. 109 00:10:00,066 --> 00:10:06,196 Our first panel, Be A Superhero: Learn and Act on COVID-19 Vaccinations for Children and Youth, 110 00:10:06,196 --> 00:10:10,256 will cover the impact of COVID-19 on children and youth, 111 00:10:10,466 --> 00:10:16,816 including vaccination recommendations, how you can access COVID-19 vaccines in your community, 112 00:10:16,816 --> 00:10:25,076 and how you use Vsafe.cdc.gov, a smartphone-based tool that checks in on you 113 00:10:25,076 --> 00:10:28,376 and your child after receiving a COVID-19 vaccination. 114 00:10:28,966 --> 00:10:34,246 The second portion of the panel will explore COVID-19 risk implications 115 00:10:34,606 --> 00:10:37,326 by race, ethnicity and disability. 116 00:10:38,306 --> 00:10:43,226 Parents and caregivers will also learn strategies for vaccinating children and youth 117 00:10:43,496 --> 00:10:46,906 with disabilities and resources for all children, 118 00:10:47,056 --> 00:10:49,976 youth and young adults impacted by COVID-19. 119 00:10:53,066 --> 00:10:53,666 Next slide. 120 00:10:53,796 --> 00:10:58,856 Our first presentation comes from Commander Kevin Chatham-Stephens. 121 00:10:59,426 --> 00:11:05,726 Dr. Chatham-Stephens is a medical epidemiologist and pediatric preparedness expert at CDC 122 00:11:06,076 --> 00:11:09,366 and currently serves on CDC's COVID-19 response 123 00:11:09,806 --> 00:11:14,336 as the pediatric vaccine planning and implementation lead. 124 00:11:14,676 --> 00:11:17,556 Dr. Chatham-Stephens, I will hand it over to you. 125 00:11:21,216 --> 00:11:25,256 >> Great. Good afternoon, and thanks so much for the opportunity to chat with you all today. 126 00:11:25,256 --> 00:11:29,766 As mentioned, I'm a pediatrician at CDC, but I'm also a father of two kiddos, 127 00:11:29,766 --> 00:11:33,906 both of whom have received their COVID-19 vaccines and boosters. 128 00:11:33,906 --> 00:11:34,926 Next slide, please. 129 00:11:38,046 --> 00:11:42,116 So I'll start off by describing the tragic toll that COVID has had on children. 130 00:11:42,116 --> 00:11:46,236 It's really important to understand this toll to help reinforce the importance 131 00:11:46,236 --> 00:11:48,406 of protecting children through these vaccines. 132 00:11:49,076 --> 00:11:53,906 Some of the direct impacts of COVID on children include that children can get COVID-19, 133 00:11:54,156 --> 00:11:56,666 spread it to others and become seriously ill. 134 00:11:56,876 --> 00:11:59,176 And unfortunately, there's no way to tell in advance 135 00:11:59,176 --> 00:12:02,476 if a child will get a mild case or a severe case. 136 00:12:02,886 --> 00:12:07,956 Since the pandemic began, more than 13 million children have been diagnosed with COVID, 137 00:12:08,256 --> 00:12:11,086 2.5 million of them under five years of age. 138 00:12:12,076 --> 00:12:15,436 In addition, there have been over 65,000 hospitalizations, 139 00:12:15,436 --> 00:12:17,916 and tragically over 800 deaths in children. 140 00:12:17,916 --> 00:12:23,756 And future surges will continue to impact children with unvaccinated children remaining 141 00:12:23,756 --> 00:12:25,596 at higher risk of severe outcomes. 142 00:12:26,456 --> 00:12:30,936 And some of the indirect impacts of COVID on children include missed opportunities 143 00:12:30,936 --> 00:12:35,736 for sports, playdates or other activities that can further contribute to worsening of mental 144 00:12:35,736 --> 00:12:40,376 or emotional health, decreased school or daycare attendance, which can lead to widening 145 00:12:40,376 --> 00:12:45,546 of these existing educational gaps, and decreases in routine childhood vaccinations. 146 00:12:45,546 --> 00:12:46,916 Next slide, please. 147 00:12:50,046 --> 00:12:53,806 Fortunately, we now have a safe and effective COVID-19 vaccine available 148 00:12:53,806 --> 00:12:57,006 for all children ages six months of age and older. 149 00:12:57,636 --> 00:13:01,246 These vaccines provide a critical opportunity to prevent severe illness, 150 00:13:01,556 --> 00:13:04,396 especially among those disproportionately impacted by COVID, 151 00:13:04,396 --> 00:13:08,496 including those from certain racial and ethnic minority groups and children 152 00:13:08,496 --> 00:13:12,456 with underlying medical conditions, disabilities or special healthcare needs. 153 00:13:13,506 --> 00:13:17,486 Children get an age-appropriate smaller dose with each of these vaccines compared 154 00:13:17,486 --> 00:13:18,886 to doses given to older children. 155 00:13:19,556 --> 00:13:23,556 And the dose is based on the age of the child on the day of vaccination. 156 00:13:23,556 --> 00:13:28,166 For our younger children, the Moderna vaccine is for children six months 157 00:13:28,166 --> 00:13:30,726 to five years old, and is a two-dose series. 158 00:13:30,936 --> 00:13:33,196 And the Pfizer vaccine is for children six months 159 00:13:33,196 --> 00:13:35,436 to four years old and is a three-dose series. 160 00:13:36,526 --> 00:13:41,746 We have a variety of vaccine resources on the CDC webpage, including information for children 161 00:13:41,746 --> 00:13:42,986 who have a weakened immune system. 162 00:13:42,986 --> 00:13:44,976 Next slide, please. 163 00:13:47,516 --> 00:13:51,186 Our goal was to ensure that all children have access to the vaccines. 164 00:13:51,336 --> 00:13:56,356 Similar to the vaccine program for children five to 11 years old, we're working to ensure vaccine 165 00:13:56,356 --> 00:13:58,856 for children under five years old is widely available 166 00:13:58,856 --> 00:14:03,196 in different locations throughout communities, really trying to meet children and families 167 00:14:03,196 --> 00:14:04,686 where they are as much as possible. 168 00:14:05,326 --> 00:14:09,016 However, there will be some key differences between this vaccine program 169 00:14:09,016 --> 00:14:11,756 and the vaccine program for children five to 11 years old. 170 00:14:11,756 --> 00:14:16,286 For example, about 1/3 of 5- to 11-year-olds were vaccinated in pharmacies. 171 00:14:17,176 --> 00:14:21,496 We anticipate most children under five years old will be vaccinated in their primary care clinic. 172 00:14:21,496 --> 00:14:26,676 So pediatricians, family practice doctors and nurses and local health departments, 173 00:14:26,676 --> 00:14:31,016 especially in rural areas, Indian Health Service and tribal health clinics, 174 00:14:31,016 --> 00:14:34,586 and federally qualified health centers and rural health clinics will continue 175 00:14:34,586 --> 00:14:37,386 to serve critical roles in contributing to vaccine equity. 176 00:14:38,116 --> 00:14:42,046 We do still anticipate that pharmacies will play a critical role, for example, 177 00:14:42,046 --> 00:14:44,446 in having vaccine available at nights, on weekends 178 00:14:44,446 --> 00:14:46,656 and on holidays when clinics may be closed. 179 00:14:47,586 --> 00:14:51,516 We encourage parents and caregivers to reach out to their child's pediatrician 180 00:14:51,706 --> 00:14:55,696 or family practice doctor, their local health department and local pharmacy to ask 181 00:14:55,836 --> 00:14:57,666 if they have the COVID-19 vaccines. 182 00:14:58,836 --> 00:15:03,326 Parents can also check vaccines.gov to search for nearby providers offering the vaccine. 183 00:15:03,646 --> 00:15:08,566 In addition to the doctors, nurses, pharmacists and others who will be vaccinating children, 184 00:15:08,566 --> 00:15:12,986 we anticipate that settings such as childcare programs like Head Start 185 00:15:12,986 --> 00:15:16,096 and other support programs like WIC will be critical partners 186 00:15:16,096 --> 00:15:18,406 in helping disseminate messaging on the vaccine, 187 00:15:18,406 --> 00:15:21,306 given their roles as trusted messengers to families. 188 00:15:21,616 --> 00:15:24,806 They can also help link children to vaccine providers, 189 00:15:24,806 --> 00:15:27,486 which many already do for routine childhood vaccines. 190 00:15:27,486 --> 00:15:28,976 Next slide, please. 191 00:15:31,506 --> 00:15:33,926 One reason we anticipate most children will be vaccinated 192 00:15:33,926 --> 00:15:36,496 by their regular healthcare providers is that this is 193 00:15:36,496 --> 00:15:38,716 where children typically receive other vaccines. 194 00:15:38,996 --> 00:15:45,256 As an example, for the 2020 to 2021 flu season, approximately 80% of children six months 195 00:15:45,256 --> 00:15:49,796 through four years old received their flu vaccination in their doctor's office. 196 00:15:50,006 --> 00:15:52,626 This is compared to very low percentages of children this age 197 00:15:52,626 --> 00:15:54,176 who were vaccinated at a pharmacy. 198 00:15:54,766 --> 00:15:57,806 And we know that pediatricians, family practice doctors 199 00:15:57,806 --> 00:16:01,386 and nurses are often the most trusted sources of information for families, 200 00:16:01,386 --> 00:16:05,096 and can help answer any questions family have regarding the vaccines. 201 00:16:06,226 --> 00:16:11,036 And giving COVID-19 vaccines in doctor's offices is optimal, since it also enables children 202 00:16:11,036 --> 00:16:15,076 to receive routine childhood vaccines, screenings for a variety of issues, 203 00:16:15,076 --> 00:16:19,026 including developmental and vision screening, and families and children to get counseling 204 00:16:19,026 --> 00:16:22,106 on a variety of topics such as nutrition and injury prevention 205 00:16:22,106 --> 00:16:24,496 that help children thrive in a safe environment. 206 00:16:24,496 --> 00:16:25,976 Next slide, please. 207 00:16:29,046 --> 00:16:32,846 Here we wanted to show some of the resources available for parents and caregivers. 208 00:16:32,846 --> 00:16:37,326 We have updated various web pages, including an FAQ page, and the Six Things to Know 209 00:16:37,326 --> 00:16:39,716 about COVID-19 Vaccination for Children page. 210 00:16:39,916 --> 00:16:43,336 These pages discuss some common questions from parents, including, 211 00:16:43,336 --> 00:16:46,126 is COVID-19 vaccination for children safe? 212 00:16:46,436 --> 00:16:50,296 We also posted a page aimed at parents on vaccinating children with disabilities. 213 00:16:50,946 --> 00:16:54,086 In addition, we have fact sheets available in a variety of languages. 214 00:16:54,306 --> 00:16:57,276 These and other resources are available at the link at the bottom of the slide. 215 00:16:57,276 --> 00:16:59,396 Next slide, please. 216 00:17:02,166 --> 00:17:05,546 And finally, parents and caregivers can enroll children in the Vsafe 217 00:17:05,546 --> 00:17:08,626 after vaccination health checker, which provides personalized 218 00:17:08,626 --> 00:17:12,496 and confidential health check-ins after COVID-19 vaccination. 219 00:17:12,496 --> 00:17:17,246 Vsafe is accessible to all COVID-19 vaccine recipients, uses text messages 220 00:17:17,246 --> 00:17:19,416 and is available in multiple languages. 221 00:17:19,826 --> 00:17:23,146 Parents can register at vsafe.cdc.gov. 222 00:17:23,146 --> 00:17:24,976 Next slide, please. 223 00:17:27,046 --> 00:17:30,286 So once again COVID-19 can cause severe disease and death among children 224 00:17:30,286 --> 00:17:35,136 and COVID-19 vaccination is a critical opportunity to prevent severe illness and death. 225 00:17:35,386 --> 00:17:36,976 Thank you for the opportunity to present. 226 00:17:40,046 --> 00:17:41,446 >> Thank you, Dr. Chatham-Stephens. 227 00:17:41,976 --> 00:17:44,766 The resources shared by Dr. Chatham-Stephens have been placed 228 00:17:44,766 --> 00:17:46,696 in the chat box for your convenience. 229 00:17:46,696 --> 00:17:52,936 Next, we'll move on to our next presenter, Dr. Marshalyn Yeargin-Allsopp, 230 00:17:53,036 --> 00:17:57,306 a developmental pediatrician and senior medical officer at CDC, 231 00:17:57,466 --> 00:18:00,106 where she currently leads the COVID disability team. 232 00:18:00,666 --> 00:18:05,096 Dr. Yeargin-Allsopp will address COVID-19 in children with disabilities. 233 00:18:05,986 --> 00:18:06,976 Dr. Yeargin-Allsopp. 234 00:18:13,046 --> 00:18:13,896 >> Hello, everyone. 235 00:18:13,956 --> 00:18:19,936 I like to thank the organizers for inviting me to speak about Protecting our Children and Youth 236 00:18:20,016 --> 00:18:23,966 from COVID-19: Impact and Implications for Children 237 00:18:23,966 --> 00:18:27,036 and Youth with Developmental Disabilities. 238 00:18:27,036 --> 00:18:31,326 I'm speaking to you from the perspective of a developmental pediatrician, 239 00:18:31,686 --> 00:18:39,566 but also as a mother, grandmother, auntie, cousin, girlfriend, and a member of a community 240 00:18:39,566 --> 00:18:43,236 that has been disproportionately affected by COVID-19. 241 00:18:43,236 --> 00:18:44,226 Next slide. 242 00:18:47,046 --> 00:18:47,766 This is not news. 243 00:18:47,826 --> 00:18:53,826 This table shows the risk of COVID-19 cases, hospitalizations 244 00:18:54,156 --> 00:18:56,356 and deaths by race and ethnicity. 245 00:18:56,356 --> 00:19:02,046 The comparison is other races and ethnicities to whites. 246 00:19:02,046 --> 00:19:08,466 As you see, the risk in the Asian population is low, lower than for whites. 247 00:19:08,466 --> 00:19:15,866 But the risk for COVID-19 in American Indian, or Alaska Native, Black or African American 248 00:19:15,866 --> 00:19:21,106 and Hispanic or Latino individuals is high in all these groups, 249 00:19:21,476 --> 00:19:25,776 with a risk of hospitalizations and deaths being two to three times higher. 250 00:19:26,046 --> 00:19:27,176 Next slide. 251 00:19:28,426 --> 00:19:30,046 What about our children? 252 00:19:30,046 --> 00:19:37,096 These graphs are for cases and we know that the number of cases reported is an undercount. 253 00:19:37,286 --> 00:19:43,146 For children birth to four years of age, the percentage of cases for Hispanic, 254 00:19:43,146 --> 00:19:49,296 American Indian, Alaska Native, Black and multiple race children is higher 255 00:19:49,696 --> 00:19:52,916 than their various percentages in the US population. 256 00:19:52,916 --> 00:20:00,186 The same is true for the number of COVID-19 cases in children five to 11 years old, 257 00:20:00,326 --> 00:20:04,866 with perhaps the exception of Black children, but the lines are very close. 258 00:20:04,866 --> 00:20:05,976 Next slide. 259 00:20:08,056 --> 00:20:10,576 Here we're looking at the percentage of children 260 00:20:10,576 --> 00:20:13,946 with developmental disabilities by race and ethnicity. 261 00:20:13,946 --> 00:20:22,206 4.3% of children were white, and 4.3% of children were Hispanic. 262 00:20:22,536 --> 00:20:30,256 However, 5.1% were Black children, and 5.9% were American Indian, Alaska Native. 263 00:20:31,786 --> 00:20:38,256 Therefore, we see that the prevalence was higher for Black 264 00:20:38,346 --> 00:20:41,496 and American Indian, Alaska Native children. 265 00:20:41,526 --> 00:20:42,746 Next slide. 266 00:20:45,046 --> 00:20:50,826 You may wonder why children with disabilities may be more likely to get COVID-19. 267 00:20:50,826 --> 00:20:52,056 There are several reasons. 268 00:20:52,256 --> 00:21:00,216 First of all, because of the need to be in close contact with others who may have COVID-19. 269 00:21:00,216 --> 00:21:05,936 For example, a family member or caregiver may be sick. 270 00:21:05,936 --> 00:21:11,536 Other reasons include that it may be hard for a child to understand information about how 271 00:21:11,536 --> 00:21:16,556 to stay safe from COVID-19, such as wearing a mask and socially distancing. 272 00:21:16,556 --> 00:21:22,466 And it may also be hard for the child to explain when he or she feels sick. 273 00:21:22,466 --> 00:21:23,976 Next slide. 274 00:21:26,486 --> 00:21:32,096 As we heard, COVID-19 vaccine is safe and effective. 275 00:21:32,096 --> 00:21:36,146 For children with disabilities, getting vaccinated can be challenging. 276 00:21:36,146 --> 00:21:41,866 However, we have some tips to provide vaccination in ways that are easier 277 00:21:41,866 --> 00:21:45,296 for children with developmental disabilities. 278 00:21:45,296 --> 00:21:52,416 Some options include being vaccinated in their parent or caregiver's vehicle or quiet areas. 279 00:21:52,966 --> 00:21:57,736 Longer appointments for children who may need more time, 280 00:21:57,736 --> 00:22:01,546 and sensory modifications during vaccination appointments. 281 00:22:01,846 --> 00:22:06,416 Trusted care providers can work with parents to learn 282 00:22:06,606 --> 00:22:09,686 and address specific concerns with vaccination. 283 00:22:09,686 --> 00:22:11,596 Next slide. 284 00:22:12,536 --> 00:22:18,066 We also know that COVID-19 has impacted all of us in many ways. 285 00:22:18,556 --> 00:22:23,206 This slide shows ways that parents can help their children cope with being 286 00:22:23,206 --> 00:22:25,976 in the COVID-19 environment we now live in. 287 00:22:26,506 --> 00:22:33,736 You can strengthen relationships by spending outside time together and getting active. 288 00:22:34,686 --> 00:22:38,416 Help with routines by creating a chart or calendar, 289 00:22:38,416 --> 00:22:41,316 and include family nights in your routine. 290 00:22:41,936 --> 00:22:47,396 Help manage stress and anxiety by practicing deep breathing 291 00:22:47,396 --> 00:22:51,056 and other techniques to help with relaxation. 292 00:22:51,266 --> 00:22:56,216 A vision or dream board can be helpful to think about goals for the future. 293 00:22:56,286 --> 00:22:57,976 Next slide. 294 00:23:00,046 --> 00:23:04,006 In addition to helping parents and caregivers understand these challenges, 295 00:23:04,006 --> 00:23:10,966 the COVID-19 parental resources kit also includes recommendations and resources 296 00:23:11,176 --> 00:23:16,456 to help parents, children, adolescents and young adults during the pandemic. 297 00:23:16,456 --> 00:23:17,826 Next slide. 298 00:23:20,076 --> 00:23:23,576 Additional CDC resources are included on this slide. 299 00:23:25,056 --> 00:23:26,146 Next slide. 300 00:23:27,126 --> 00:23:30,896 I encourage all of you to go on the CDC website 301 00:23:30,896 --> 00:23:35,196 and visit the many different resources we have on children and COVID-19. 302 00:23:35,196 --> 00:23:40,976 I think parents will find a lot of helpful information on our website. 303 00:23:40,976 --> 00:23:42,946 Next slide. 304 00:23:43,126 --> 00:23:48,946 Thank you for the opportunity to share with you today and for your attention. 305 00:23:53,056 --> 00:23:55,826 >> Thank you, Dr. Yeargin-Allsopp. 306 00:23:55,906 --> 00:24:00,186 To learn more about our panel speakers or to access the resources shared 307 00:24:00,396 --> 00:24:14,476 in today's presentations, visit www.cy118119.com/ protect-children under the Resources section. 308 00:24:18,156 --> 00:24:21,276 Now let us ask our presenters a few questions that we have received. 309 00:24:21,976 --> 00:24:27,356 As a reminder, submit your questions using the Q&A box located at the bottom of your screen. 310 00:24:27,696 --> 00:24:31,906 We will do our best to respond to as many questions as time allows. 311 00:24:32,296 --> 00:24:37,056 We will also post answers to questions not answered during today's webinar 312 00:24:37,056 --> 00:24:38,656 on the webinar webpage. 313 00:24:39,486 --> 00:24:40,906 Please check this box. 314 00:24:41,246 --> 00:24:44,576 Please check this page regularly over the coming weeks. 315 00:24:44,646 --> 00:24:47,806 A link to the webinar webpage is now in the chat box. 316 00:24:52,056 --> 00:24:53,696 First question is for you, Dr. Chatham-Stephens. 317 00:24:54,586 --> 00:24:58,786 Why is it important for children to get a COVID-19 vaccine 318 00:25:01,046 --> 00:25:05,296 >> So just like adults, children and teens can get very sick from COVID, have both short- 319 00:25:05,296 --> 00:25:09,236 and long-term health problems, and can also spread COVID to others. 320 00:25:09,236 --> 00:25:12,266 And as I mentioned before, unfortunately, there's no way to tell 321 00:25:12,266 --> 00:25:15,056 in advance how COVID will affect certain children. 322 00:25:15,496 --> 00:25:18,366 And although children with underlying medical conditions are more likely 323 00:25:18,366 --> 00:25:21,476 to become severely ill from COVID, even healthy children 324 00:25:21,476 --> 00:25:24,506 without underlying medical conditions can have severe illness. 325 00:25:24,506 --> 00:25:29,136 And after getting COVID, children can experience a wide range of ongoing health problems, 326 00:25:29,136 --> 00:25:34,126 also known as long COVID, that can include both physical and mental health complications 327 00:25:34,126 --> 00:25:35,866 that can affect their quality of life. 328 00:25:36,186 --> 00:25:40,276 So once again, vaccinating children six months of age and older provides the best defense 329 00:25:40,276 --> 00:25:42,706 against serious outcomes related to COVID-19. 330 00:25:45,046 --> 00:25:46,966 >> Thank you for that response, sir. 331 00:25:46,966 --> 00:25:51,996 Now, Dr. Yeargin-Allsopp, let's follow up with why have different races 332 00:25:51,996 --> 00:25:55,976 and ethnicities been disproportionately affected by COVID-19? 333 00:25:59,046 --> 00:26:01,336 >> Thank you for that question. 334 00:26:01,336 --> 00:26:07,056 The answer to the question involves understanding the social determinants of health. 335 00:26:07,056 --> 00:26:09,706 And what do we mean by the social determinants of health? 336 00:26:10,326 --> 00:26:19,516 Those are the conditions in the environments where people are born, live, learn, work, play, 337 00:26:20,066 --> 00:26:25,436 worship, and age, that affect a wide range of health, functioning 338 00:26:25,436 --> 00:26:28,856 and quality of life outcomes and risk. 339 00:26:28,856 --> 00:26:34,006 Racial disparities in health existed before the pandemic. 340 00:26:34,006 --> 00:26:38,166 The pandemic just exposed these disparities. 341 00:26:38,166 --> 00:26:42,556 Racial and ethnic minorities have more underlying health conditions, 342 00:26:42,886 --> 00:26:50,226 less access to quality healthcare, live in more crowded conditions, are more on the front lines 343 00:26:50,226 --> 00:26:55,866 as essential workers, have less access to nutritious foods, and in general, 344 00:26:55,866 --> 00:27:01,846 have more opportunities for exposure to COVID-19 and less opportunities 345 00:27:01,846 --> 00:27:04,976 for prevention, mitigation and treatment. 346 00:27:08,046 --> 00:27:09,186 >> Thank you for that response. 347 00:27:10,776 --> 00:27:12,566 Dr. Chatham-Stevens, I have one for you. 348 00:27:13,016 --> 00:27:14,886 Are these vaccines safe for children? 349 00:27:15,106 --> 00:27:18,836 >> Yes, the COVID-19 vaccines are safe. 350 00:27:19,006 --> 00:27:21,846 These vaccines are being monitored under the most comprehensive 351 00:27:21,846 --> 00:27:26,016 and intense Vaccine Safety Monitoring Program in US history. 352 00:27:26,016 --> 00:27:31,636 And hundreds of millions of children, teens and adults have already received a COVID-19 vaccine. 353 00:27:31,636 --> 00:27:36,146 In addition, before recommending the vaccines to children, scientists conducted clinical trials 354 00:27:36,146 --> 00:27:40,116 with thousands of children to make sure that the vaccines are safe and effective. 355 00:27:40,666 --> 00:27:44,886 In terms of side effects, some of the reported side effects tend to be mild, temporary, 356 00:27:44,886 --> 00:27:48,566 and similar to other side effects experienced after routine vaccination. 357 00:27:48,626 --> 00:27:50,856 And some children have no side effects at all. 358 00:27:51,136 --> 00:27:55,976 Some of the serious health events after COVID-19 vaccination in children are fortunately rare, 359 00:27:55,976 --> 00:28:00,526 and when they are reported occur most frequently within a few days after vaccination. 360 00:28:00,526 --> 00:28:05,216 So just to keep in mind, children cannot get COVID-19 from getting vaccinated. 361 00:28:05,316 --> 00:28:08,166 COVID-19 vaccines don't alter DNA in any way. 362 00:28:08,166 --> 00:28:12,266 And there's no evidence that COVID-19 vaccines cause any problems with fertility 363 00:28:12,266 --> 00:28:13,766 or becoming pregnant in the future. 364 00:28:13,766 --> 00:28:18,146 So the known risks of getting COVID and the possible severe complications, 365 00:28:18,346 --> 00:28:20,806 such as long-term health problems, hospitalization 366 00:28:20,806 --> 00:28:25,946 and even death outweigh the potential risks of having a rare serious reaction to vaccination. 367 00:28:28,116 --> 00:28:29,186 >> Thank you so much. 368 00:28:30,676 --> 00:28:33,516 Dr. Yeargin-Allsopp, are people from racial 369 00:28:33,516 --> 00:28:37,966 and ethnic minority groups dying from COVID-19 at younger ages. 370 00:28:40,066 --> 00:28:45,856 >> Yes, studies have shown, unfortunately, people from racial 371 00:28:45,856 --> 00:28:50,336 and ethnic minority groups are dying from COVID-19 at younger ages. 372 00:28:51,146 --> 00:28:55,606 In addition to the social determinants of health, which I mentioned previously, 373 00:28:56,176 --> 00:29:02,956 they're often younger when they develop chronic medical conditions, such as asthma, obesity, 374 00:29:02,956 --> 00:29:05,576 sickle cell disease and diabetes. 375 00:29:05,576 --> 00:29:10,516 And they're also more likely to have more than one medical condition. 376 00:29:13,176 --> 00:29:13,786 >> Thank you for that. 377 00:29:13,786 --> 00:29:15,676 I think I have time for one more question. 378 00:29:15,676 --> 00:29:18,546 Dr. Chatham-Stephens, I'll have one for you. 379 00:29:19,086 --> 00:29:23,756 Can children get the COVID-19 vaccine at the same time as they get other vaccines? 380 00:29:24,906 --> 00:29:27,486 >> Yes, children can get COVID-19 vaccine 381 00:29:27,486 --> 00:29:31,306 and other vaccines including a flu vaccine at the same time. 382 00:29:31,306 --> 00:29:33,356 We know that some children have fallen behind 383 00:29:33,356 --> 00:29:37,546 on their routine childhood vaccines during the COVID-19 pandemic, so we're really trying 384 00:29:37,546 --> 00:29:40,226 to encourage pediatricians and families to work together 385 00:29:40,226 --> 00:29:43,846 to make sure children get their COVID-19 vaccines and get caught 386 00:29:43,846 --> 00:29:46,936 up on their routine vaccines, especially ahead of the back to school season. 387 00:29:50,066 --> 00:29:50,336 >> Thank you. 388 00:29:50,336 --> 00:29:52,876 Perfect timing with kids going back to school. 389 00:29:53,326 --> 00:29:56,386 Thank you, Dr. Chatham-Stephens and Dr. Yeargin-Allsopp 390 00:29:56,386 --> 00:29:58,166 for sharing such great information. 391 00:29:58,166 --> 00:30:00,966 Miss Moore, back to you. 392 00:30:04,076 --> 00:30:06,056 >> Thank you, Captain Johnson. 393 00:30:06,056 --> 00:30:08,456 And that was great information. 394 00:30:08,636 --> 00:30:14,886 We're also at a point, so please turn on your computer, cell phone or other device. 395 00:30:15,246 --> 00:30:19,606 Be ready for our poll question number two. 396 00:30:19,606 --> 00:30:25,366 In relation to this webinar, what role best describes you? 397 00:30:25,366 --> 00:30:30,096 We have 30 seconds for collecting all our answers. 398 00:30:34,046 --> 00:30:40,796 Make sure you scroll down using the bar at the right to capture any extra areas 399 00:30:40,796 --> 00:30:43,076 that you might want to include under other. 400 00:30:43,296 --> 00:30:50,156 We have caregivers, parents, siblings, spouse, partner, teen youth, young adult, and other. 401 00:30:50,926 --> 00:30:53,046 And let's look. 402 00:30:53,576 --> 00:31:00,046 We have 19% of the audience representing caregivers, 39% parents, 403 00:31:00,046 --> 00:31:06,286 9% identifying as siblings, 16% spouses or partner. 404 00:31:06,616 --> 00:31:12,126 Don't have any teen or youth, so we'll make sure to reach out differently next time. 405 00:31:12,126 --> 00:31:20,576 And 11% identify as young adult, and 46% of you identifying as other. 406 00:31:21,186 --> 00:31:27,976 So with that, we're going to move to the next slide. 407 00:31:34,046 --> 00:31:38,576 And our next panel will be moderated by Miss Shayla Anderson, 408 00:31:38,576 --> 00:31:43,436 who is a senior police Public Health Advisor in the Office of Behavioral Health Equity 409 00:31:43,436 --> 00:31:46,786 at the Substance Abuse and Mental Health Services Administration. 410 00:31:52,076 --> 00:31:53,946 >> Thank you, Miss Moore. 411 00:31:54,066 --> 00:31:59,966 In this next panel, you will learn information, available resources and strategies from leaders 412 00:31:59,966 --> 00:32:05,756 of community-based organizations who are working daily to protect children and youth living 413 00:32:05,756 --> 00:32:10,406 in communities disproportionately impacted by COVID-19. 414 00:32:11,146 --> 00:32:21,876 To learn more about our speakers today, please visit www.cy118119.comt/ protect-children. 415 00:32:22,836 --> 00:32:25,926 Now let's meet our speakers for today's community panel. 416 00:32:26,896 --> 00:32:34,536 First up we have Julissa Soto who is the founder and executive director of Casa Inmigrante 417 00:32:34,576 --> 00:32:36,886 and a vaccine champion in the state of Colorado. 418 00:32:40,046 --> 00:32:40,756 >> Hello, everyone. 419 00:32:40,956 --> 00:32:46,116 >> Next we'll have Captain Holly van Lew, who is currently deputy lead 420 00:32:46,116 --> 00:32:50,986 of the Indian Health Services COVID-19 Vaccine Task Force. 421 00:32:55,086 --> 00:32:59,376 Followed by Dr. Amy Hatcher, who serves as Medical Director 422 00:32:59,426 --> 00:33:02,176 for the Valley Native Primary Care Center 423 00:33:02,176 --> 00:33:06,936 and several rural community health centers operated by South Central foundation. 424 00:33:10,086 --> 00:33:15,046 Next, we have Miss Beverly Watts-Davis, who is Chief Officer for the Resource Development 425 00:33:15,046 --> 00:33:19,966 and Program Support and Senior Vice President for Texas West Care Foundation 426 00:33:19,966 --> 00:33:26,296 at the Ella Austin Community Center, which operates in 18 states and three US territories 427 00:33:26,296 --> 00:33:29,976 to improve behavioral health and empower community residents. 428 00:33:33,046 --> 00:33:36,586 Next, we have Mr. Vattana Peong, Executive Director 429 00:33:36,586 --> 00:33:42,476 of the Cambodian Family Community Center that provides preventative health and other services 430 00:33:42,546 --> 00:33:47,076 to low-income children, immigrants and refugees in California. 431 00:33:48,416 --> 00:33:53,046 So with that, let's begin our first presentation in the order of introduction. 432 00:33:53,836 --> 00:33:55,976 Julissa Soto, I'll now turn it over to you. 433 00:33:58,246 --> 00:34:00,916 >> Hello, everyone, and thanks for the invite. 434 00:34:01,056 --> 00:34:02,536 Next slide, please. 435 00:34:03,916 --> 00:34:14,886 My name is Julissa Soto and I am an independent health equity consultant 436 00:34:14,956 --> 00:34:19,746 in the state of Colorado. 437 00:34:19,746 --> 00:34:26,936 Colorado Access is a local nonprofit healthcare company that has been caring 438 00:34:26,936 --> 00:34:28,826 for the health of Coloradans since 1995. 439 00:34:28,856 --> 00:34:30,716 Our mission is to partner with communities and empower people through access 440 00:34:30,746 --> 00:34:31,886 to quality, equitable and affordable care. 441 00:34:31,916 --> 00:34:34,136 We are a leader in the transformation and transcreation of Colorado's healthcare system 442 00:34:34,166 --> 00:34:36,596 by using our leadership and expertise in health plan operations, integrating healthcare delivery 443 00:34:36,626 --> 00:34:37,496 and population health management. 444 00:34:37,526 --> 00:34:37,976 Next slide, please. 445 00:34:38,236 --> 00:34:44,486 Our culture is inclusive, and our staff and contractors are diverse, 446 00:34:44,536 --> 00:34:47,636 with many people coming from a range of backgrounds. 447 00:34:47,636 --> 00:34:48,976 Next slide, please. 448 00:34:51,046 --> 00:34:54,556 In this picture, you see one of the kids that show up to our vaccine clinic. 449 00:34:54,556 --> 00:34:58,466 At the same time, this mariachi little boy was helping us 450 00:34:58,466 --> 00:35:01,956 to distribute COVID-19 tests and masks. 451 00:35:01,956 --> 00:35:04,746 This little boy will tell our story. 452 00:35:04,746 --> 00:35:09,096 Now this is the story and how we can protect our children from COVID-19. 453 00:35:09,096 --> 00:35:09,976 Next slide. 454 00:35:13,186 --> 00:35:15,016 It is important for the vaccine provider 455 00:35:15,016 --> 00:35:17,496 to represent the children and youth they're serving. 456 00:35:17,646 --> 00:35:21,806 When given the opportunity, you should consider choosing a provider that looks 457 00:35:21,806 --> 00:35:23,406 like the children they are serving. 458 00:35:23,406 --> 00:35:27,296 And studies show that when choosing a provider that looks like you, 459 00:35:27,296 --> 00:35:30,516 people are more satisfied with their overall service. 460 00:35:30,516 --> 00:35:33,476 When children arrive to the clinic, 461 00:35:33,476 --> 00:35:37,566 make sure they you make them feel that they are superheroes. 462 00:35:37,626 --> 00:35:40,906 Children consider superheroes the role models 463 00:35:40,906 --> 00:35:44,086 and assess their behaviors and actions to be right. 464 00:35:44,186 --> 00:35:51,246 So if vaccinators are superheroes, automatically the children will assume 465 00:35:51,246 --> 00:35:55,176 that they are doing the right thing by getting the vaccine. 466 00:35:55,176 --> 00:35:58,256 As you can see, our providers in here are superheroes. 467 00:35:58,256 --> 00:36:01,126 We have Superman, Flash, and Wonder Woman. 468 00:36:01,926 --> 00:36:07,266 Cultural responsiveness is the ability to recognize and understand the role culture plays 469 00:36:07,266 --> 00:36:12,406 in healthcare and adapt to care strategies -- 470 00:36:12,406 --> 00:36:16,966 and adapt care strategies to meet children and family needs. 471 00:36:17,016 --> 00:36:20,086 So cultural responsiveness is extremely important. 472 00:36:20,086 --> 00:36:24,786 For example, when you see a Latino family coming to the vaccine clinics, 473 00:36:24,786 --> 00:36:27,746 the example of, you know, we need privacy. 474 00:36:27,746 --> 00:36:30,846 The bubble doesn't exist in Latino communities. 475 00:36:30,846 --> 00:36:33,696 You might see one child getting vaccinated, 476 00:36:33,726 --> 00:36:37,686 but the whole family wanted to watch, see and support. 477 00:36:38,476 --> 00:36:41,116 Meeting the community where they're comfortable receiving care, 478 00:36:41,476 --> 00:36:45,246 building trust with community first, let's go to them. 479 00:36:45,246 --> 00:36:48,376 Build trust, then invite the community to come to us. 480 00:36:48,376 --> 00:36:51,636 A healthy community is a prepared community. 481 00:36:51,636 --> 00:36:56,056 If our communities are not healthy, we're not there yet. 482 00:36:56,286 --> 00:36:58,836 Eliminate fear and trust in providers. 483 00:36:58,906 --> 00:37:01,996 The same way we don't trust systems and providers, 484 00:37:02,126 --> 00:37:04,446 they might feel the same way about us. 485 00:37:04,446 --> 00:37:09,266 I have noticed that some providers are uncomfortable vaccinating on weekends, nights, 486 00:37:09,266 --> 00:37:11,566 or uncomfortable with the population they serve. 487 00:37:11,666 --> 00:37:12,526 This is real. 488 00:37:12,736 --> 00:37:14,016 Bias exists. 489 00:37:14,016 --> 00:37:18,836 Make sure that providers understand that they will be in the hood, in the barrios 490 00:37:18,926 --> 00:37:24,366 and not in Hollywood -- that providers need to be a person of the people and willing to be one 491 00:37:24,366 --> 00:37:28,816 of them, not above them, with the ability and passion to serve and lead. 492 00:37:28,816 --> 00:37:31,726 Next slide, please. 493 00:37:34,086 --> 00:37:34,616 Data inform. 494 00:37:34,616 --> 00:37:36,256 We understand the limitations of data. 495 00:37:36,896 --> 00:37:41,236 Since the collected data is only a snapshot of the reality, 496 00:37:41,236 --> 00:37:44,526 decision making shouldn't rely solely on the data. 497 00:37:45,296 --> 00:37:48,876 Working with community leaders, cultural brokers is important. 498 00:37:48,876 --> 00:37:52,256 A good leader has the integrity, the community trusts you. 499 00:37:52,256 --> 00:37:56,756 The community needs to know that you say what you believe and act accordingly. 500 00:37:56,856 --> 00:37:58,686 Eligible but not enrolled. 501 00:37:58,956 --> 00:38:04,286 We're talking about medical, culturally relevant approaches, working with mixed status families 502 00:38:04,286 --> 00:38:07,136 and new Americans is extremely important -- 503 00:38:07,136 --> 00:38:10,946 as important of having evenings and weekends, clinics. 504 00:38:10,946 --> 00:38:14,266 We must have evening and weekend clinics. 505 00:38:14,266 --> 00:38:15,846 The status quo needs to go. 506 00:38:16,006 --> 00:38:20,546 Monday through Friday 10:00 to 2:00, 9:00 to 2:00 is not working for working families, 507 00:38:20,686 --> 00:38:22,526 or working families can miss work. 508 00:38:22,526 --> 00:38:27,816 That will develop trust, and we will approach them with that respect and cultural. 509 00:38:27,996 --> 00:38:30,116 We will be sensitive to their needs. 510 00:38:30,116 --> 00:38:33,476 Faith-based outreach also is extremely important. 511 00:38:33,476 --> 00:38:37,446 In Colorado, more than 50% of Latinos are Catholics. 512 00:38:37,496 --> 00:38:42,616 The faith community has the opportunity to provide a moral frame for seeking solutions 513 00:38:42,616 --> 00:38:44,296 to important issues such as vaccine. 514 00:38:44,546 --> 00:38:48,226 One of my colleagues will speak more on this approach, language justice. 515 00:38:48,226 --> 00:38:52,266 When we refer to language justice, we mean the right everyone has to communicate 516 00:38:52,266 --> 00:38:54,696 in the language and we will feel most comfortable. 517 00:38:54,696 --> 00:38:54,966 Next slide. 518 00:38:58,096 --> 00:39:00,266 Community Center efforts. 519 00:39:00,266 --> 00:39:04,426 Okay, and here I'm telling the children, give me five. 520 00:39:04,426 --> 00:39:06,146 As you can see, we're having fun. 521 00:39:06,546 --> 00:39:09,886 The children -- you will approach the children, the children will approach you. 522 00:39:09,886 --> 00:39:14,016 Let's all unite and transform community through vaccines. 523 00:39:14,896 --> 00:39:15,776 Give me five, guys. 524 00:39:15,776 --> 00:39:15,976 I did it. 525 00:39:21,066 --> 00:39:21,806 >> Thank you, Julissa. 526 00:39:21,936 --> 00:39:25,486 I'll now turn it over to Captain Holly van Lew. 527 00:39:28,156 --> 00:39:29,016 >> Good afternoon, everyone. 528 00:39:29,016 --> 00:39:31,986 Thanks so much for joining us today and for allowing us to be part 529 00:39:31,986 --> 00:39:34,756 of this exciting opportunity to speak to you. 530 00:39:35,096 --> 00:39:40,076 I am Captain Holly van Lew, I'm a pharmacist, I work within the Indian Health Service. 531 00:39:40,076 --> 00:39:43,006 I'm an avid vaccine advocate. 532 00:39:43,006 --> 00:39:44,126 I'm a vaccinator. 533 00:39:44,386 --> 00:39:46,686 I'm a mother of two adolescent girls. 534 00:39:46,686 --> 00:39:50,126 I'm a wife and a daughter of two elderly parents who live with me. 535 00:39:50,126 --> 00:39:55,016 I'm so excited to tell you a little bit about IHS and some 536 00:39:55,016 --> 00:39:57,466 of the approaches to COVID-19 vaccine. 537 00:39:57,466 --> 00:39:58,926 Next slide, please. 538 00:40:01,046 --> 00:40:03,366 Overall, the Indian Health Service, we are a department 539 00:40:03,366 --> 00:40:06,156 within the Department of Health and Human Services. 540 00:40:06,316 --> 00:40:09,366 And we are a comprehensive healthcare delivery system. 541 00:40:09,636 --> 00:40:13,406 We are used to providing vaccine and the primary care, urgent care 542 00:40:13,406 --> 00:40:16,476 and other situations very frequently. 543 00:40:16,476 --> 00:40:18,396 This is our charge. 544 00:40:18,436 --> 00:40:22,446 We have a service population of about 2.6 million people. 545 00:40:22,576 --> 00:40:26,946 That would be anyone who may show up for services and be eligible 546 00:40:26,946 --> 00:40:28,996 as part of a federally recognized tribe. 547 00:40:28,996 --> 00:40:35,996 And we have federally operated sites, tribal health programs, and urban Indian organizations 548 00:40:35,996 --> 00:40:41,586 that we fulfill COVID-19 vaccine for across 37 different states. 549 00:40:41,586 --> 00:40:48,406 Our facility and locations, they vary from very remote and rural populations, 550 00:40:48,666 --> 00:40:50,906 all the way to urban populations. 551 00:40:51,066 --> 00:40:55,256 We even have one site at the bottom of the Grand Canyon, so we have a lot of diversity. 552 00:40:55,256 --> 00:40:55,926 Next slide, please. 553 00:41:01,066 --> 00:41:05,606 The IHS stood up a COVID vaccine task force when we were offered the opportunity to receive 554 00:41:05,606 --> 00:41:09,486 and distribute a specialty supply of COVID-19 vaccine. 555 00:41:10,086 --> 00:41:17,216 We have tribal and urban facilities, over 356 sites that have been able to receive vaccines 556 00:41:17,216 --> 00:41:18,556 through the Indian Health Service. 557 00:41:18,676 --> 00:41:22,596 We have delivered nearly 3.2 million and administered 558 00:41:22,596 --> 00:41:26,756 over 2.2 million doses to individuals of all ages. 559 00:41:26,756 --> 00:41:32,026 And we have been able to provide vaccines to our community members as well, 560 00:41:32,186 --> 00:41:37,826 maybe those individuals who live and work in our communities and may not be eligible for care 561 00:41:37,826 --> 00:41:43,976 for the Indian Health Service typically as a member of a federally recognized tribe. 562 00:41:44,586 --> 00:41:47,756 We know vaccines are widely available across Indian country, 563 00:41:47,756 --> 00:41:51,016 both COVID-19 vaccines and routine immunizations. 564 00:41:51,016 --> 00:41:54,926 And we are offering vaccines to everyone six months and older, 565 00:41:55,186 --> 00:41:59,936 and we're vaccinating individuals for their primary series, 566 00:42:00,106 --> 00:42:03,556 their booster doses or additional doses. 567 00:42:03,556 --> 00:42:08,366 Our tribes and especially our tribal leaders have been the strongest partners. 568 00:42:08,656 --> 00:42:11,976 We have engaged our tribal leaders, used them as trusted messengers. 569 00:42:12,316 --> 00:42:17,346 And we're very thankful for having the opportunity to amplify the messages 570 00:42:17,456 --> 00:42:19,776 of vaccination throughout our communities. 571 00:42:20,386 --> 00:42:22,726 This also is important that we've been able to partner 572 00:42:22,726 --> 00:42:27,446 with some critical groups including the CDC, the National Guard, FEMA, 573 00:42:27,526 --> 00:42:33,606 the Bureau of Indian Education, and other groups to ensure that we are reaching all levels 574 00:42:33,606 --> 00:42:36,346 of patients who may be eligible for vaccination. 575 00:42:36,346 --> 00:42:36,896 Next slide, please. 576 00:42:41,086 --> 00:42:49,196 As already discussed earlier today, there are disproportionate effects for COVID-19 disease, 577 00:42:49,606 --> 00:42:52,876 especially in the American Indian/Alaskan Native population. 578 00:42:52,876 --> 00:42:56,026 As you can see here, cases, hospitalizations, 579 00:42:56,286 --> 00:43:02,036 and death rates are higher among American Indian/Alaskan Native at nearly all ages, 580 00:43:02,036 --> 00:43:08,446 and their rates of death are much higher even in lower aged individuals or younger individuals. 581 00:43:08,796 --> 00:43:12,166 These findings have certainly highlighted the need for comprehensive 582 00:43:12,166 --> 00:43:17,746 and culturally appropriate messaging accessible to American Indian/Alaskan Native people. 583 00:43:18,466 --> 00:43:23,616 We've used those trusted messengers, including tribal healers, native language speakers, 584 00:43:23,616 --> 00:43:28,146 our community health representatives, and our community aids so that we can meet people 585 00:43:28,146 --> 00:43:31,936 where they are, not necessarily just at a medical facility. 586 00:43:32,656 --> 00:43:37,226 Also the messages of cultural preservation, including protection of our elders, 587 00:43:37,226 --> 00:43:42,116 and our focus on community has really resonated within the Indian Health Service. 588 00:43:42,116 --> 00:43:42,946 Next slide, please. 589 00:43:46,136 --> 00:43:50,596 There have been disproportionate effects evident in children aged zero to four 590 00:43:50,596 --> 00:43:53,226 with the elevated hospitalization rates as well. 591 00:43:53,666 --> 00:43:57,276 This has been the case -- you can see in the purple line highlighted here -- 592 00:43:57,916 --> 00:44:00,636 for a significant proportion of the months. 593 00:44:00,886 --> 00:44:05,136 American Indian/Alaskan Native children have been disproportionately affected 594 00:44:05,136 --> 00:44:06,556 by hospitalization. 595 00:44:06,556 --> 00:44:07,976 Next slide, please. 596 00:44:10,236 --> 00:44:12,076 So what are our implementation strategies? 597 00:44:12,076 --> 00:44:18,796 How do we get vaccine to where it needs to be in the arm of our treasured patients? 598 00:44:19,266 --> 00:44:24,886 Well, we use our primary care or healthcare delivery system to vaccinate children 599 00:44:24,886 --> 00:44:29,296 in well child visits, or pediatric or family practice visits. 600 00:44:29,296 --> 00:44:35,596 We also have a lot of specialist providers that provide behavioral health intervention. 601 00:44:35,756 --> 00:44:40,566 We may have individuals in the urgent care or emergency room providing vaccines. 602 00:44:40,566 --> 00:44:45,206 Now if someone were to twist their ankle, we certainly can still give a vaccine that day. 603 00:44:45,206 --> 00:44:50,576 So we attempt to use every visit as an opportunity for vaccination. 604 00:44:51,396 --> 00:44:54,466 We also partner our pandemic or seasonal vaccines 605 00:44:54,466 --> 00:44:57,586 with our routine immunization efforts as well. 606 00:44:57,586 --> 00:44:59,876 And right now is a great time with back to school. 607 00:45:00,046 --> 00:45:03,256 A lot of families, kids coming in for sports physicals, 608 00:45:03,496 --> 00:45:06,656 well child checks and Head Start evaluation. 609 00:45:07,106 --> 00:45:10,566 We've expanded our clinics to include nurses and pharmacists, 610 00:45:10,566 --> 00:45:13,536 and we even use our novel pharmacy technician vaccine 611 00:45:13,536 --> 00:45:16,406 for administration in children over three. 612 00:45:16,796 --> 00:45:21,546 And more importantly, we meet people where they are, which means going to the schools, 613 00:45:21,546 --> 00:45:24,956 going out to the Bureau of Indian Education facilities, 614 00:45:25,146 --> 00:45:27,976 coordinating with our public health nurses, 615 00:45:28,246 --> 00:45:31,396 community centers, and attending cultural events. 616 00:45:32,276 --> 00:45:35,646 Specifically, we expand a lot of our clinics on weekends 617 00:45:35,646 --> 00:45:38,576 and after school hours to accommodate family needs. 618 00:45:38,906 --> 00:45:43,736 Typically, if a family comes in and needs some support, we definitely have the opportunity 619 00:45:43,736 --> 00:45:46,336 to vaccinate everyone in the family. 620 00:45:46,336 --> 00:45:46,976 Next slide, please. 621 00:45:50,046 --> 00:45:52,286 We just want to highlight there are multiple resources available 622 00:45:52,286 --> 00:45:56,646 that are culturally appropriate for American Indian/Alaskan Native communities. 623 00:45:56,756 --> 00:46:01,606 We have the IHS vaccine website that has a number of different customizable flyers. 624 00:46:01,866 --> 00:46:04,676 We also have the We Can Do This national campaign. 625 00:46:04,846 --> 00:46:05,886 Next slide, please. 626 00:46:08,526 --> 00:46:10,086 Thank you so much for the opportunity today. 627 00:46:14,046 --> 00:46:15,226 >> Thank you, Captain van Lew. 628 00:46:15,226 --> 00:46:17,596 Next we have Dr. Amy Hatcher. 629 00:46:21,046 --> 00:46:23,286 >> Hi there, Amy Hatcher here. 630 00:46:23,286 --> 00:46:29,346 I'm a pediatrician as well as the mom to two incredible boys ages six to nine. 631 00:46:29,626 --> 00:46:33,756 And I'm also medical director for the Valley Native Primary Care clinic 632 00:46:33,756 --> 00:46:35,136 in West Silla, Alaska. 633 00:46:35,136 --> 00:46:37,036 So it's still morning here for me. 634 00:46:37,036 --> 00:46:38,946 Next slide, please. 635 00:46:41,046 --> 00:46:44,506 So South Central foundation is an Alaska Native owned, 636 00:46:44,566 --> 00:46:47,856 clinically vertically integrated healthcare system. 637 00:46:47,916 --> 00:46:53,746 We are really customer focused and see ourselves more as a service industry. 638 00:46:53,946 --> 00:46:59,176 We have operational principles that guide us in our decision making and our strategic planning. 639 00:46:59,346 --> 00:47:04,006 And as you can see, they're all related to relationships. 640 00:47:04,006 --> 00:47:07,516 Our vision speaks to our multidimensional wellness -- 641 00:47:07,516 --> 00:47:10,346 physical, mental, emotional and spiritual wellness. 642 00:47:10,706 --> 00:47:13,736 And our mission speaks toward involving the community 643 00:47:13,736 --> 00:47:15,626 and really working with the Native community. 644 00:47:15,626 --> 00:47:16,976 Next slide, please. 645 00:47:19,046 --> 00:47:22,626 So this is a map that shows the area that we serve. 646 00:47:22,806 --> 00:47:27,106 We serve 65,000 customer owners or patients, 647 00:47:27,106 --> 00:47:31,986 and the geographical region is approximately 126,000 square miles, 648 00:47:31,986 --> 00:47:33,916 which is roughly the size of Colorado. 649 00:47:33,916 --> 00:47:38,386 You can see the stars on the map are also where we have clinics that we operate. 650 00:47:38,386 --> 00:47:39,976 Next slide, please. 651 00:47:42,046 --> 00:47:43,726 So this slide shows some of our community health centers. 652 00:47:43,726 --> 00:47:45,576 We operate 13 in total. 653 00:47:46,026 --> 00:47:52,106 And all but one of these on the slide here are accessible by small aircraft only. 654 00:47:52,266 --> 00:47:56,256 So as mentioned earlier, we definitely have some very remote locations that we serve. 655 00:47:56,256 --> 00:47:57,976 Next slide, please. 656 00:48:01,046 --> 00:48:05,926 So the Nuka system of care is what we call our care delivery system. 657 00:48:05,926 --> 00:48:10,936 And instead of focusing on just the needs of the individual patient or customer owner, 658 00:48:11,216 --> 00:48:15,466 we put a lot of emphasis on the community and treating them in the context 659 00:48:15,466 --> 00:48:17,166 of their family and their community. 660 00:48:17,836 --> 00:48:21,246 We have incredible integrated care teams that you can see 661 00:48:21,246 --> 00:48:25,226 on the slide here have various professionals, and they're all located 662 00:48:25,226 --> 00:48:30,356 in the same family medicine space clinical space. 663 00:48:30,356 --> 00:48:31,316 Next slide, please. 664 00:48:33,046 --> 00:48:36,976 So when COVID hit, we were fortunate enough to have the Nuka system 665 00:48:36,976 --> 00:48:42,296 of care as our sort of background. 666 00:48:42,296 --> 00:48:46,876 So we were able to kind of quickly pivot to make some adjustments. 667 00:48:46,876 --> 00:48:52,146 And we started with lots and lots of meetings with tribal leaders, city/state planning. 668 00:48:52,326 --> 00:48:58,986 We got creative with things like a respiratory clinic, we got super creative with virtual care. 669 00:48:58,986 --> 00:49:03,186 We were doing a lot of this before COVID, but really, really ramped it up when COVID hit. 670 00:49:03,626 --> 00:49:05,376 Got super creative with parking lots. 671 00:49:05,376 --> 00:49:11,586 So we were doing vaccines and COVID testing, flu shots out of trailers out of parking lots, 672 00:49:11,586 --> 00:49:15,236 did lots of mailout medications, ports drop offs, 673 00:49:15,316 --> 00:49:17,416 lots of things that you could see here on the slide. 674 00:49:17,416 --> 00:49:17,946 Next slide. 675 00:49:21,046 --> 00:49:24,966 We put a lot of emphasis on communication -- communication, not only with our staff, 676 00:49:24,966 --> 00:49:27,976 but also with our customer owners and patient community. 677 00:49:28,136 --> 00:49:31,276 We did four Anchorage Native News special editions. 678 00:49:31,536 --> 00:49:38,396 Our president and CEO has been very intentional during this time to communicate with staff, 679 00:49:38,396 --> 00:49:40,376 as well as the people that we serve. 680 00:49:40,566 --> 00:49:45,826 She has been doing weekly emails with lots of data, transparent information. 681 00:49:45,826 --> 00:49:50,146 Our executive leadership has been doing like Zoom chats with our staff, 682 00:49:50,146 --> 00:49:53,926 and we are able to ask questions and get answers from her. 683 00:49:54,046 --> 00:49:54,956 Next slide. 684 00:49:57,196 --> 00:49:59,526 Here you can see some of our PR materials. 685 00:49:59,526 --> 00:50:02,206 We have lots of it, but I just chose a few to share with you today. 686 00:50:02,416 --> 00:50:07,036 So this is the Anchorage Native News, what everyone should know about COVID-19. 687 00:50:07,316 --> 00:50:14,356 Here's a couple of our Facebook posts really geared toward pregnancy and childhood vaccine. 688 00:50:14,716 --> 00:50:19,046 The bottom photo shows something that you may see if you walk into one of our lobbies. 689 00:50:19,046 --> 00:50:20,756 It says, "Keep cultures thriving. 690 00:50:20,756 --> 00:50:22,246 Get a COVID vaccine. 691 00:50:22,646 --> 00:50:25,216 Keep heritage strong, vaccinate your children." 692 00:50:25,216 --> 00:50:26,886 Next slide. 693 00:50:29,266 --> 00:50:31,386 This is one of our more recent photos. 694 00:50:31,386 --> 00:50:32,576 I really love this one. 695 00:50:32,576 --> 00:50:35,276 It says, "Don't weave COVID-19 into our culture." 696 00:50:35,556 --> 00:50:40,236 And this just recently came out for the approval for ages six months and up. 697 00:50:40,236 --> 00:50:41,976 Next slide. 698 00:50:45,046 --> 00:50:48,206 This is just a screenshot from our website southcentralfoundation.com. 699 00:50:48,286 --> 00:50:50,556 Lots of good information if you want to learn more about us. 700 00:50:50,556 --> 00:50:56,326 But also I just wanted to point out that we have links to various CDC information. 701 00:50:56,326 --> 00:51:00,356 This self-checker is something for staff to be able to go and check and see if they need 702 00:51:00,356 --> 00:51:03,056 to quarantine or what they need to do if they test positive. 703 00:51:03,126 --> 00:51:05,256 So lots of great information there. 704 00:51:05,256 --> 00:51:05,976 Next slide. 705 00:51:08,156 --> 00:51:11,456 Lastly, I just wanted to end with a little bit of data. 706 00:51:11,456 --> 00:51:15,686 So this is some of our vaccine information from some of our really rural sites that I mentioned. 707 00:51:15,686 --> 00:51:19,316 And you can see there's a wide range of vaccination rates. 708 00:51:19,316 --> 00:51:25,486 But some of these communities -- Kokhanok, for example, or St. Paul, you can see for the first 709 00:51:25,486 --> 00:51:29,796 and second doses are close to 100% of the community are vaccinated, 710 00:51:29,796 --> 00:51:33,826 which is absolutely incredible, considering how small these communities are 711 00:51:33,826 --> 00:51:34,986 and how remote they are. 712 00:51:34,986 --> 00:51:35,976 Next slide. 713 00:51:39,046 --> 00:51:42,366 This here shows the -- so this is one of our supervisors 714 00:51:42,366 --> 00:51:45,666 and managers receiving the first shipment of COVID vaccine 715 00:51:45,846 --> 00:51:47,476 out in one of those rural communities. 716 00:51:47,476 --> 00:51:51,116 And here's one of our community health aides getting vaccinated. 717 00:51:51,116 --> 00:51:55,236 And it's just incredible to see how these communities have come together to really, 718 00:51:55,236 --> 00:51:57,996 really advocate for vaccination for everybody. 719 00:51:57,996 --> 00:51:58,946 Next slide. 720 00:52:01,086 --> 00:52:02,416 I think with that I'm all done. 721 00:52:02,416 --> 00:52:02,976 Thank you very much. 722 00:52:10,386 --> 00:52:12,636 >> Thank you, Dr. Hatcher. 723 00:52:12,636 --> 00:52:15,876 We'll now hear from Miss Beverly Watts-Davis. 724 00:52:18,086 --> 00:52:21,956 >> Well, good afternoon, everyone. 725 00:52:21,956 --> 00:52:25,936 It is a pleasure to in fact, be here with you. 726 00:52:25,936 --> 00:52:35,176 I just want to tell you, I'm with WestCare Foundation, and we were founded in 1973. 727 00:52:35,176 --> 00:52:44,016 And we're a health and human service provider, we're in 19 states, 13 territories. 728 00:52:44,206 --> 00:52:52,686 We serve approximately 60,000 people annually, and we employ approximately 1,600 people. 729 00:52:52,686 --> 00:52:59,136 But I want to move to the next slide, which is really what we're here today for. 730 00:52:59,136 --> 00:53:08,326 So we want to just talk about releasing community-based strategies. 731 00:53:08,326 --> 00:53:15,346 And I want to just emphasize that these are our best practices 732 00:53:15,346 --> 00:53:22,006 that we have seen being really effective across our states, but also in San Antonio, Texas, 733 00:53:22,006 --> 00:53:28,276 where we have a number of different product programs going on with vaccinations. 734 00:53:28,276 --> 00:53:37,376 But first of all, I want to just be able to say it is really important to be able to engage 735 00:53:37,376 --> 00:53:41,116 and enlist what's called credible messengers. 736 00:53:41,116 --> 00:53:47,716 And these are people who your community is actually going to listen to. 737 00:53:47,716 --> 00:53:50,116 Oftentimes we assume that just because we exist, that we will open and they will come. 738 00:53:50,146 --> 00:53:51,526 But in today's world, people are not necessarily going 739 00:53:51,556 --> 00:53:52,636 to come unless they actually believe in you. 740 00:53:52,666 --> 00:53:55,036 And I think that's incredibly important for us to remember that the credible messengers 741 00:53:55,066 --> 00:53:56,746 in the communities are in fact the community members themselves. 742 00:53:56,776 --> 00:53:59,206 And in fact, I want to just simply say that in terms of doing this, we employed a strategy -- 743 00:53:59,236 --> 00:54:00,256 and I'm just jumping out to bullet three. 744 00:54:00,286 --> 00:54:01,726 We worked with AmeriCorps members, community health workers, 745 00:54:01,756 --> 00:54:02,806 student interns, and neighborhood networkers. 746 00:54:02,836 --> 00:54:05,026 These were very, very instrumental in actually getting out, putting boots on the ground 747 00:54:05,056 --> 00:54:06,976 and actually walking in communities, going door to door talking with people. 748 00:54:07,006 --> 00:54:08,686 This actually began to have people opening their doors going, well, 749 00:54:08,716 --> 00:54:10,036 this is something really important in our community. 750 00:54:10,066 --> 00:54:11,686 If you've got people doing this, if they're willing to walk the blocks 751 00:54:11,716 --> 00:54:12,646 and let us know about what's going on. 752 00:54:12,676 --> 00:54:14,866 This was very, very important to actually helping us to get people vaccinated 753 00:54:14,896 --> 00:54:15,976 and then getting their children vaccinated. 754 00:54:18,046 --> 00:54:23,096 Another strategy we utilized is we actually -- we worked for faith-based organizations, 755 00:54:23,096 --> 00:54:27,056 but we didn't go to them and ask them, will you please do one more thing 756 00:54:27,056 --> 00:54:29,246 that somebody is asking you to do? 757 00:54:29,416 --> 00:54:31,666 We really kind of came in from a different way. 758 00:54:31,876 --> 00:54:36,486 We were already building capacity in faith-based organizations to understand mental health. 759 00:54:36,566 --> 00:54:39,026 And we were training on mental health first aid and helping 760 00:54:39,026 --> 00:54:41,786 to build mental health ministries in the churches. 761 00:54:41,916 --> 00:54:46,946 So because we had formed a relationship with them in terms of building their capacity 762 00:54:47,246 --> 00:54:52,836 to address family issues more, they were much more willing to listen to us in terms 763 00:54:52,836 --> 00:54:57,826 of actually beginning to focus in on vaccinations, especially when it came 764 00:54:57,826 --> 00:55:00,566 to our most precious treasures, our children. 765 00:55:00,886 --> 00:55:05,676 And so because we had built capacity with them, this was another strategy we added to them. 766 00:55:05,906 --> 00:55:09,976 So the church has gotten involved with really stepping up to do vaccinations, 767 00:55:10,166 --> 00:55:12,386 both for senior citizens and for children. 768 00:55:12,566 --> 00:55:14,506 And that was really, really very important. 769 00:55:15,076 --> 00:55:19,596 In addition, it's really important to realize that none of us are successful by ourselves. 770 00:55:19,866 --> 00:55:23,776 We really believe in what's called problem solving coalitions. 771 00:55:24,026 --> 00:55:27,186 And this is, this is where you're literally coming together and you forget 772 00:55:27,186 --> 00:55:31,306 about who gets the credit and we focus in on the goal. 773 00:55:31,306 --> 00:55:36,506 Right now we have a coalition, that's with the University of Texas Health Science Center, 774 00:55:36,506 --> 00:55:40,376 and that is really about engaging people to actually get vaccinations, 775 00:55:40,376 --> 00:55:44,976 particularly pediatric vaccinations and senior citizen vaccinations. 776 00:55:44,976 --> 00:55:50,506 We have an alliance that if you look at the screen in the bottom right corner, 777 00:55:50,506 --> 00:55:52,606 you will see that's one of our coalitions. 778 00:55:52,606 --> 00:55:57,016 You will see -- you can't tell, except for with the police department, we're sitting here 779 00:55:57,016 --> 00:56:02,426 with our police department, our fire department, our community health workers, health department, 780 00:56:02,426 --> 00:56:07,366 our schools, sitting around the table, figuring out what is the best way to be able to make sure 781 00:56:07,366 --> 00:56:08,916 that we're getting everybody vaccinated. 782 00:56:09,186 --> 00:56:13,446 We're working with our Spurs, our National Basketball Association team, 783 00:56:13,816 --> 00:56:15,986 in which we're going to be doing a backpack drive. 784 00:56:15,986 --> 00:56:20,336 And at that backpack drive for all those children who are coming into the arena, 785 00:56:20,546 --> 00:56:22,706 we're going to be also vaccinating them. 786 00:56:22,846 --> 00:56:28,376 And so again, these are not normally the partners that most people would partner with. 787 00:56:28,376 --> 00:56:31,426 You wouldn't think about them in terms of doing a health initiative. 788 00:56:31,426 --> 00:56:36,066 But in fact, they are the ones who actually make a difference in terms of getting 789 00:56:36,346 --> 00:56:39,096 to community members who would not necessarily come forward. 790 00:56:39,096 --> 00:56:42,986 Something that other people have constantly talked 791 00:56:42,986 --> 00:56:46,086 about through this presentation is creating vaccination sites 792 00:56:46,086 --> 00:56:47,946 that are accessible and available. 793 00:56:48,046 --> 00:56:52,296 And I really want to give my hats off to all my fellow panelists who continue to emphasize this. 794 00:56:52,546 --> 00:56:54,206 We have to meet people where they are. 795 00:56:54,976 --> 00:56:57,476 And I have been so pleased with our business. 796 00:56:57,476 --> 00:57:01,536 This was part of involving people in our coalition, our business communities 797 00:57:01,536 --> 00:57:06,826 who are willing to offer pizza sales and an extra McDonald's coffee 798 00:57:06,826 --> 00:57:12,026 or a McDonald's McMuffin, or whatever, that comes with getting vaccinated. 799 00:57:12,436 --> 00:57:17,606 That's when you really have your community all in and everybody doing a part 800 00:57:17,606 --> 00:57:22,166 of what they can do to really help raise the message about the importance 801 00:57:22,166 --> 00:57:24,716 of pediatric vaccinations and vaccinations period. 802 00:57:24,816 --> 00:57:30,926 I want to be able to say messaging can't be just, we're going to do a media campaign 803 00:57:30,926 --> 00:57:34,156 and we run it for two or three weeks and think that that's all we have to do. 804 00:57:34,256 --> 00:57:37,436 Messaging has to be everywhere, all the time. 805 00:57:37,776 --> 00:57:38,706 Let me repeat that. 806 00:57:38,896 --> 00:57:41,906 Messaging has to be everywhere, all the time. 807 00:57:42,186 --> 00:57:46,486 Because we want this to be -- getting your children vaccinated has 808 00:57:46,486 --> 00:57:49,546 to be a part of the community culture. 809 00:57:49,596 --> 00:57:52,036 It has to become a community norm. 810 00:57:52,086 --> 00:57:55,536 It is how we operate, it's what we do. 811 00:57:55,536 --> 00:58:01,496 In our community, we have an African proverb that many of you all are familiar with. 812 00:58:01,656 --> 00:58:03,686 And it is it takes a village to raise a child. 813 00:58:03,896 --> 00:58:05,086 That's absolutely true. 814 00:58:05,086 --> 00:58:09,786 But it also takes a village to save a child and to save our children. 815 00:58:10,136 --> 00:58:16,046 We all must come together and employ that village strategy so that we as the village 816 00:58:16,296 --> 00:58:21,176 in our communities are making sure that our children are vaccinated. 817 00:58:21,176 --> 00:58:22,466 It is for our future. 818 00:58:22,636 --> 00:58:24,026 It is for their health. 819 00:58:24,026 --> 00:58:26,836 It is to save them and that is our responsibility. 820 00:58:26,836 --> 00:58:28,976 Thank you so very, very much. 821 00:58:33,096 --> 00:58:33,886 >> Thank you, Miss Davis. 822 00:58:34,186 --> 00:58:36,216 I'll now turn it over to Vattana Peong. 823 00:58:40,046 --> 00:58:43,926 >> Good morning, everyone from Orange County, California. 824 00:58:43,926 --> 00:58:48,036 My name is Vattana Peong, executive director of the Cambodian Family Community Center. 825 00:58:48,036 --> 00:58:50,236 My pronouns are he, him, his. 826 00:58:50,236 --> 00:58:54,626 Thank you so much for allowing me to be in this community space with you all. 827 00:58:54,806 --> 00:58:55,976 Next slide, please. 828 00:58:58,046 --> 00:59:01,826 I would like to start by sharing with you about my organization, 829 00:59:01,826 --> 00:59:07,616 Cambodian Family Community Center, which is a community-based nonprofit organization founded 830 00:59:07,616 --> 00:59:10,726 in 1980 by a group of Cambodian refugees. 831 00:59:10,726 --> 00:59:17,416 As you can see photos on your left, those were our refugee children that we served in the '80s. 832 00:59:17,416 --> 00:59:22,416 Orange County is the sixth most populous county in the United States, 833 00:59:22,466 --> 00:59:29,926 with over 3.2 million residents and of which over 24% -- about 780,000 people -- 834 00:59:29,926 --> 00:59:36,536 are identified as Asian American, Native Hawaiian and Pacific Islanders, or AA and HPI. 835 00:59:36,536 --> 00:59:42,466 TCF has served the community for over 42 years and has provided culturally 836 00:59:42,466 --> 00:59:45,256 and linguistically tailored programs and services. 837 00:59:45,456 --> 00:59:52,186 Each year, we reach over 30,000 community members and serve over 3,000 clients. 838 00:59:52,306 --> 00:59:59,866 Over 95% of our clients are low-income and limited English proficient members. 839 00:59:59,866 --> 01:00:00,976 Next slide, please. 840 01:00:04,046 --> 01:00:08,906 I'm so excited to share with you all the collective effort that the Cambodian Family 841 01:00:08,906 --> 01:00:13,016 and our community partners have done together to increase children vaccination. 842 01:00:13,416 --> 01:00:18,046 We know that this work cannot be done alone and cannot be done in silo. 843 01:00:18,046 --> 01:00:24,516 We have closely worked with over 25 partners, including the OCAPI taskforce, 844 01:00:24,516 --> 01:00:31,596 County Health Department, MECCA, OCAPICA, temples, churches, small business owners 845 01:00:31,596 --> 01:00:37,666 and more to provide culturally and linguistically responsive outreach, education, 846 01:00:37,916 --> 01:00:43,996 navigation, facilitation referrals and linkages to vaccine appointment and case management 847 01:00:43,996 --> 01:00:50,376 and also the dissemination of the COVID-19 information and resources. 848 01:00:50,426 --> 01:00:55,916 We reach out to community members in over 20 different languages and we have just culturally 849 01:00:55,916 --> 01:01:00,106 and linguistically responsive outreach and education such as door-to-door 850 01:01:00,106 --> 01:01:04,336 and community canvassing, cultural events such as Cambodian New Year, 851 01:01:04,336 --> 01:01:10,606 tech festival with social media, after school youth program, colocation of services and more. 852 01:01:10,606 --> 01:01:14,256 I just want to share with you a story. 853 01:01:14,336 --> 01:01:18,186 We had a mother of two children, two years old and five years old. 854 01:01:18,526 --> 01:01:22,656 She came to our center for assistance with applying for food stamps and Medicaid. 855 01:01:22,766 --> 01:01:27,626 Because of the service, our health navigator was able to inform her 856 01:01:27,626 --> 01:01:30,846 about the importance of getting her vaccinated. 857 01:01:30,846 --> 01:01:36,806 She had a lot of concerns, and one of which is the side effects which she was scared 858 01:01:36,806 --> 01:01:41,736 that her children could not take it and she could not take time off from work to take care 859 01:01:41,736 --> 01:01:43,826 of her children if they get sick. 860 01:01:44,096 --> 01:01:48,316 Also, her primary care provider has never mentioned anything 861 01:01:48,316 --> 01:01:50,596 about getting her children vaccinated. 862 01:01:50,596 --> 01:01:56,736 However, after a week or so, providing her with education and support in Khmer language, 863 01:01:56,736 --> 01:02:01,406 in her own language, she talked to her husband, and she had decided 864 01:02:01,406 --> 01:02:06,236 to have both her two years old and five years old children vaccinated. 865 01:02:06,236 --> 01:02:11,816 I am so pleased that both of her children are now vaccinated, and they all were very happy. 866 01:02:12,286 --> 01:02:15,826 The mom came back to us and thanked us for helping her navigate 867 01:02:15,826 --> 01:02:18,736 through the process and addressing her concern. 868 01:02:18,916 --> 01:02:23,216 This is a very important lesson learned, that the entry point 869 01:02:23,216 --> 01:02:29,626 to getting children vaccinated also come from colocation of social and health services. 870 01:02:30,146 --> 01:02:34,086 Using the California Department of Public Health vaccination data rate, 871 01:02:34,086 --> 01:02:38,916 we have also employed a zip code-based strategy where we go out to the zip codes 872 01:02:38,916 --> 01:02:41,276 that have the lowest vaccination rate. 873 01:02:41,276 --> 01:02:45,186 We have also partnered with small business owners and food trucks 874 01:02:45,186 --> 01:02:47,556 to increase vaccination among children and youth. 875 01:02:47,696 --> 01:02:50,496 For example, at our designated vaccination clinic, 876 01:02:50,496 --> 01:02:56,236 we were able to get a Vietnamese food truck to come out and provide free food to children 877 01:02:56,236 --> 01:02:58,906 and their families to get vaccinated. 878 01:02:58,906 --> 01:03:03,676 Achieving vaccine equity is not just about getting people vaccinated. 879 01:03:03,676 --> 01:03:08,556 The Cambodian Family and our partners are also addressing the social determinants of health 880 01:03:08,716 --> 01:03:13,176 by supporting children and their family with their basic and immediate needs 881 01:03:13,176 --> 01:03:18,486 such as rental assistance, internet access, mental health counseling services, 882 01:03:18,716 --> 01:03:22,166 public enrollment and public charter education. 883 01:03:22,346 --> 01:03:22,976 Next slide, please. 884 01:03:28,046 --> 01:03:30,756 I would like to share with you some of the process outcomes 885 01:03:30,756 --> 01:03:33,876 of our collective effort to support children vaccination. 886 01:03:33,976 --> 01:03:38,556 As you can see photo on the left, we have a taco truck coming, a food truck coming 887 01:03:38,556 --> 01:03:42,136 out to provide food to our vaccinated children and family. 888 01:03:42,236 --> 01:03:45,146 We have reached over 20,000 people and have 889 01:03:45,146 --> 01:03:50,366 over 9,900 limited English proficient community member and cheered 890 01:03:50,366 --> 01:03:53,376 and access COVID-19 vaccine and booster. 891 01:03:53,376 --> 01:03:56,756 So parents, caregivers, you are not alone. 892 01:03:56,756 --> 01:03:57,976 Next slide, please. 893 01:04:00,446 --> 01:04:04,266 As you can see in this photo, we conducted door-to-door canvassing, 894 01:04:04,266 --> 01:04:09,756 talked to the street vendor, laundromat client, donut store owner and many more. 895 01:04:09,966 --> 01:04:10,976 Next slide, please. 896 01:04:13,256 --> 01:04:15,716 And that has concluded my presentation. 897 01:04:15,826 --> 01:04:16,976 Thank you so much. 898 01:04:22,096 --> 01:04:23,076 >> Thank you, Vattana. 899 01:04:23,586 --> 01:04:29,416 Thanks to each of our community's superhero presenters, such powerful stories and work 900 01:04:29,416 --> 01:04:33,346 that you're doing to protect our children and youth from COVID-19. 901 01:04:33,346 --> 01:04:36,846 I'm sure that everyone in attendance today received a lot of great information 902 01:04:36,846 --> 01:04:40,706 that you can take back to your communities and share with your own families. 903 01:04:40,856 --> 01:04:46,196 I would now like to ask all of our presenters a few questions that we have received. 904 01:04:46,796 --> 01:04:51,276 As a reminder, you can submit your questions using the Q&A box located 905 01:04:51,276 --> 01:04:52,986 at the bottom of your screen. 906 01:04:53,396 --> 01:04:58,386 We will do our very best to respond to as many questions as time allows. 907 01:04:58,526 --> 01:05:02,016 We will also post answers to questions not answered during today's webinar 908 01:05:02,016 --> 01:05:03,866 on the webinar webpage. 909 01:05:03,866 --> 01:05:08,956 Please check this page regularly over the coming week. 910 01:05:08,956 --> 01:05:12,176 A link to the webinar page is now being placed in the chat box. 911 01:05:12,176 --> 01:05:17,736 So to our panelists, first to Julissa, what are some of the biggest challenges 912 01:05:17,736 --> 01:05:20,976 in providing equitable care to the pediatric population? 913 01:05:24,066 --> 01:05:25,646 Oh, that's a good question. 914 01:05:25,646 --> 01:05:28,496 Public health departments, everyone wants to go back 915 01:05:28,676 --> 01:05:32,556 to what was normal to them way back in 2019. 916 01:05:32,556 --> 01:05:34,656 The status quo need to go. 917 01:05:34,656 --> 01:05:39,846 We must understand that for us to live by that word, the status quo need 918 01:05:39,846 --> 01:05:42,906 to go, we have to be the disrupter. 919 01:05:42,906 --> 01:05:44,316 We have to be the disrupter. 920 01:05:44,316 --> 01:05:50,576 And that creates conflict among cultural brokers and public health departments. 921 01:05:50,576 --> 01:05:52,136 Let's look at the message. 922 01:05:52,136 --> 01:05:53,066 What's wrong? 923 01:05:53,066 --> 01:05:57,306 Why is it that our community is vaccinated at less than 50% in Colorado? 924 01:05:57,306 --> 01:06:01,716 I don't know in your states, but based on the statistics that you guys shown, 925 01:06:01,806 --> 01:06:04,526 we're not doing great in many, many states. 926 01:06:04,526 --> 01:06:08,026 So let's look at the message and don't kill the messenger. 927 01:06:08,026 --> 01:06:09,646 Don't go after the messenger. 928 01:06:10,006 --> 01:06:12,836 Be grateful to the messenger that they have the guts 929 01:06:12,836 --> 01:06:17,176 to say exactly what it is happening in the community. 930 01:06:17,176 --> 01:06:19,756 Like I say again, the status quo need to go. 931 01:06:19,886 --> 01:06:21,606 We must disrupt systems. 932 01:06:21,606 --> 01:06:26,896 Systems in the first place were made for the Anglo community. 933 01:06:26,896 --> 01:06:28,056 These systems don't work. 934 01:06:28,056 --> 01:06:33,216 I don't know if we need to work on the systems or recreate systems. 935 01:06:33,216 --> 01:06:36,386 But we need to do something about it. 936 01:06:36,386 --> 01:06:38,636 And we keep saying the status quo need to go. 937 01:06:38,636 --> 01:06:42,196 Most of us need to live by this word. 938 01:06:42,646 --> 01:06:45,406 What does it mean, the status quo need to go in? 939 01:06:45,406 --> 01:06:47,256 And are you willing to put the work? 940 01:06:47,256 --> 01:06:49,606 Are you willing to put your blood out there? 941 01:06:49,606 --> 01:06:51,796 Because leading is bleeding, my friends. 942 01:06:51,886 --> 01:06:56,846 So yes, my biggest challenge is that everyone wants to go back to normal. 943 01:06:56,846 --> 01:06:59,696 They want to do what they were doing in 2019. 944 01:06:59,966 --> 01:07:01,126 That has to go. 945 01:07:01,126 --> 01:07:02,646 Thank you very much. 946 01:07:04,046 --> 01:07:04,686 >> Thank you, Julissa. 947 01:07:04,846 --> 01:07:09,746 Captain van Lew, are there any examples of specific techniques that worked well 948 01:07:09,746 --> 01:07:13,956 to increase vaccination rates in children within the Indian Health Service? 949 01:07:16,086 --> 01:07:18,596 >> Thanks for that question. 950 01:07:18,596 --> 01:07:22,336 I would say as Julissa mentioned, we need to do something different. 951 01:07:22,336 --> 01:07:24,826 And we have been able to do that with COVID-19. 952 01:07:24,826 --> 01:07:27,316 We found some really unique strategies that worked well. 953 01:07:27,316 --> 01:07:31,606 That's going into the community, being their cultural centers. 954 01:07:31,606 --> 01:07:35,136 And specifically, there was one situation in the Navajo area 955 01:07:35,526 --> 01:07:38,236 where we have phenomenal teen vaccination rates. 956 01:07:38,236 --> 01:07:42,896 And when we asked more questions about how that was able to happen, 957 01:07:42,896 --> 01:07:47,946 how Navajo made that difference, part of it was meeting with the community where they are. 958 01:07:48,066 --> 01:07:53,706 They are huge basketball fans, and so many vaccines were administered at sporting events, 959 01:07:53,706 --> 01:07:56,396 where there's a lot of child and adolescent individuals. 960 01:07:56,396 --> 01:08:02,726 So it's really exciting to see terrific opportunities taken in the community 961 01:08:02,726 --> 01:08:09,936 and cultural community at sporting events, and doing things outside of the typical standard 962 01:08:09,936 --> 01:08:12,956 of care, which is just presenting to a physician's office. 963 01:08:16,046 --> 01:08:16,666 >> Thank you. 964 01:08:16,666 --> 01:08:22,476 Dr. Hatcher, are there any changes you made at the beginning of the pandemic that are still 965 01:08:22,476 --> 01:08:26,136 in place and that you think will last into the future? 966 01:08:28,046 --> 01:08:30,306 >> Yeah, I love this question. 967 01:08:30,306 --> 01:08:34,606 So the status quo has to go I think is the theme here. 968 01:08:35,136 --> 01:08:40,016 We kind of -- I mentioned earlier, we got creative with parking lot tests, 969 01:08:40,016 --> 01:08:46,506 so doing testing and vaccinations, meeting folks in their cars. 970 01:08:46,506 --> 01:08:49,096 Drive up pharmacy has been a huge hit. 971 01:08:49,096 --> 01:08:52,486 And our customer owners have been really appreciative of that. 972 01:08:52,486 --> 01:08:54,416 So I think our intention is to continue that. 973 01:08:54,866 --> 01:08:59,606 Especially in the Alaskan winter that's super cold, people don't want to come in. 974 01:08:59,906 --> 01:09:02,036 Doing more with our home visit team. 975 01:09:02,036 --> 01:09:06,186 We have providers and nurses that go into the homes and can bring vaccines to the homes 976 01:09:06,186 --> 01:09:11,046 and bring medications to the homes, and virtual care. 977 01:09:11,046 --> 01:09:14,656 So we did a lot of virtual care before, but we're doing way more now, 978 01:09:14,656 --> 01:09:17,966 especially for our behavioral health visits. 979 01:09:17,966 --> 01:09:22,846 And it's so much easier for someone to take a 15-minute break to talk to their therapist 980 01:09:22,846 --> 01:09:24,996 than to take a half a day off work to come in. 981 01:09:24,996 --> 01:09:29,296 So virtual care and really just sort of meeting people where they are. 982 01:09:29,296 --> 01:09:33,216 That's the common theme I'm hearing here, which I think is really important. 983 01:09:33,216 --> 01:09:34,596 So thank you for that question. 984 01:09:35,256 --> 01:09:36,246 >> Absolutely. 985 01:09:36,246 --> 01:09:39,616 Thanks. And it is great to meet people exactly where they are. 986 01:09:39,616 --> 01:09:46,176 So with that, Miss Watts-Davis, what strategies did you use to engage the faith community 987 01:09:46,176 --> 01:09:49,946 in supporting the COVID-19 childhood vaccination efforts? 988 01:09:51,046 --> 01:09:55,766 >> Well, again, as I said, we really began to have a relationship, 989 01:09:56,076 --> 01:10:00,426 again through relationships already existing with our churches. 990 01:10:00,426 --> 01:10:01,996 And that's going to be really important. 991 01:10:01,996 --> 01:10:05,706 Figure out things that you can actually do with your faith-based community, 992 01:10:05,706 --> 01:10:09,806 as opposed to just always going to them when you want something from them. 993 01:10:10,096 --> 01:10:12,096 That's true with any partner. 994 01:10:12,096 --> 01:10:15,776 No one wants to just always feel like they're just being used just because you've now thought 995 01:10:15,776 --> 01:10:17,636 about them when you weren't thinking about them before. 996 01:10:17,636 --> 01:10:22,466 Establish those contacts now, so that -- 997 01:10:22,466 --> 01:10:25,466 again, our faith communities are still a big influencer, 998 01:10:25,466 --> 01:10:27,156 particularly in the African American community. 999 01:10:27,186 --> 01:10:29,586 They still hold a lot of influence. 1000 01:10:29,586 --> 01:10:32,336 And people, when I talk about credible messengers, again, 1001 01:10:32,336 --> 01:10:36,826 those are many of your pastors, many of your community leaders, 1002 01:10:36,856 --> 01:10:38,646 your neighborhood association leaders. 1003 01:10:38,946 --> 01:10:42,326 Leaders who are on the ground, as I say, continue to have boots on the ground, 1004 01:10:42,596 --> 01:10:46,926 who people in the community actually know and trust. 1005 01:10:46,996 --> 01:10:50,066 And that's really, really very important. 1006 01:10:50,066 --> 01:10:51,986 Much of the faith-based community is that. 1007 01:10:52,156 --> 01:10:57,396 And involving them in being able to make that difference was really very, very important, 1008 01:10:57,516 --> 01:10:59,656 because we already had a relationship with them. 1009 01:10:59,936 --> 01:11:03,206 But getting them to expand the activities that they were doing 1010 01:11:03,206 --> 01:11:04,816 in the community to make a difference. 1011 01:11:07,116 --> 01:11:08,236 >> Thank you. 1012 01:11:08,236 --> 01:11:09,696 So Vattana, over to you. 1013 01:11:09,696 --> 01:11:13,496 What is your organization's intergenerational approach 1014 01:11:13,496 --> 01:11:15,966 to promoting COVID-19 vaccines for children? 1015 01:11:17,046 --> 01:11:18,646 >> Thank you for the question. 1016 01:11:18,646 --> 01:11:23,626 Our Asian American, Native American, Pacific Islander community is so diverse. 1017 01:11:23,836 --> 01:11:27,586 Within our community, they have always 35 subgroups. 1018 01:11:27,586 --> 01:11:31,786 So imagine that you have to tailor those outreach and education to different groups. 1019 01:11:31,786 --> 01:11:37,016 So the outreach and education strategy do not look the same in each community. 1020 01:11:37,016 --> 01:11:42,006 For example, the Cambodian community that we work with, the majorities are immigrants 1021 01:11:42,006 --> 01:11:45,276 and limited English proficient, and they work in restaurants 1022 01:11:45,276 --> 01:11:47,786 and donut stores to provide for their family. 1023 01:11:47,786 --> 01:11:51,866 So most of the time the children are taken care of by their grandparents. 1024 01:11:51,946 --> 01:11:56,406 So when we conduct outreach and education to increase children vaccination, 1025 01:11:56,586 --> 01:11:59,566 we include grandparents of target groups. 1026 01:12:00,086 --> 01:12:05,136 Also, in our culture, the father is viewed as the head of the household 1027 01:12:05,136 --> 01:12:09,446 and play a significant role in make making a lot of family decision, 1028 01:12:09,446 --> 01:12:13,326 including health for the family, including children health as well. 1029 01:12:13,326 --> 01:12:18,706 That's why we also include the father as our target participant for outreach education. 1030 01:12:18,706 --> 01:12:23,386 So we include it in part -- we want to make sure that all the families are on board 1031 01:12:23,386 --> 01:12:26,326 when we talk about children vaccination. 1032 01:12:26,666 --> 01:12:31,396 As I mentioned earlier about a story of a mother, she had to go back to her husband -- 1033 01:12:31,396 --> 01:12:33,406 can I get my children vaccinated? 1034 01:12:33,406 --> 01:12:38,226 Right? If the husband said no, the children probably would not have the opportunity 1035 01:12:38,226 --> 01:12:39,616 to get vaccinated. 1036 01:12:39,616 --> 01:12:42,736 So how do we get talking to the father as well? 1037 01:12:42,736 --> 01:12:45,786 Right, because usually the father is the head of the household. 1038 01:12:45,786 --> 01:12:49,846 How do we include that father as part of the decision making process, 1039 01:12:49,846 --> 01:12:52,196 and also education targeted group as well? 1040 01:12:52,336 --> 01:12:52,856 Thank you. 1041 01:12:53,396 --> 01:12:54,276 >> Absolutely. 1042 01:12:54,316 --> 01:12:56,866 Understanding the family dynamic is key. 1043 01:12:56,866 --> 01:12:59,736 So Julissa, back to you. 1044 01:12:59,736 --> 01:13:05,276 Tell us what culturally sensitive strategies do you use to reach Black, indigenous, 1045 01:13:05,276 --> 01:13:07,706 people of color or BIPOC communities? 1046 01:13:09,256 --> 01:13:12,286 >> What cultural strategies? 1047 01:13:12,286 --> 01:13:17,616 Like Miss Watts-Davis, reaching out to the Catholic churches. 1048 01:13:17,616 --> 01:13:21,726 50% of Latinos in Colorado are Catholics. 1049 01:13:21,726 --> 01:13:25,896 So we must approach the Archdiocese and everyone who's working here. 1050 01:13:25,896 --> 01:13:31,846 That's one theme that we all agree on, is getting to the churches, 1051 01:13:31,846 --> 01:13:37,766 getting where the people are at, and vaccinating them with their own cultural values. 1052 01:13:37,806 --> 01:13:42,576 So the strategies I have used is from going and knocking doors-to-doors, 1053 01:13:42,576 --> 01:13:46,236 also walking with a palletaro, which means the ice cream man, 1054 01:13:46,236 --> 01:13:50,346 and making sure that everybody hears that ice cream man is here, 1055 01:13:50,346 --> 01:13:54,716 but also that we have a COVID-19 vaccine clinic coming up soon. 1056 01:13:54,716 --> 01:13:59,726 So we have to understand what the community's thinking, right? 1057 01:13:59,726 --> 01:14:07,336 Those first arrivals, new Americans, mixed status families, what are their fears? 1058 01:14:07,396 --> 01:14:12,896 Why is it that we professionals want the people to come to us, 1059 01:14:12,896 --> 01:14:19,146 have a table and wait for them to come to us? 1060 01:14:19,146 --> 01:14:22,536 And if they don't come to us, then we're like, "Well, we're here. 1061 01:14:22,536 --> 01:14:23,836 We're serving everyone. 1062 01:14:23,836 --> 01:14:32,546 We're cultural competent, we're cultural aware." 1063 01:14:32,546 --> 01:14:36,936 That's not necessarily true. 1064 01:14:36,936 --> 01:14:40,596 The cultural approach is to meet the community where they're at, 1065 01:14:40,596 --> 01:14:46,056 respect their culture, understand their culture. 1066 01:14:46,056 --> 01:14:50,836 So if I don't understand an Asian community and African American community, 1067 01:14:50,866 --> 01:14:52,426 I will go to a cultural broker that looks like those families, 1068 01:14:52,456 --> 01:14:53,386 and then get into those communities. 1069 01:14:53,416 --> 01:14:54,166 You know, who do we think we are? 1070 01:14:54,196 --> 01:14:56,146 Just because we're professionals, providers, to go to the communities and say, 1071 01:14:56,176 --> 01:14:56,956 "Well, we're here, we did our best. 1072 01:14:56,986 --> 01:14:57,856 This is cultural relevant approach. 1073 01:14:57,886 --> 01:14:58,936 This is diversity, equity and inclusion," 1074 01:14:58,966 --> 01:15:00,376 which everyone loves those words, and no one lives by it. 1075 01:15:00,406 --> 01:15:02,356 So, you know, those are the cultural approaches that I had had with my community. 1076 01:15:02,386 --> 01:15:03,556 I go knock on people's doors, introduce myself. 1077 01:15:03,586 --> 01:15:04,906 I don't say my big degrees titles, nothing like that. 1078 01:15:04,936 --> 01:15:06,376 I'm just Julissa from the block trying to save your life. 1079 01:15:06,406 --> 01:15:06,976 So thank you very much. 1080 01:15:07,046 --> 01:15:07,276 >> Awesome. 1081 01:15:07,276 --> 01:15:08,656 Thank you so much. 1082 01:15:08,656 --> 01:15:13,706 And I think we have time for maybe one more question. 1083 01:15:13,706 --> 01:15:16,546 So Vattana, I'm going to put back to you. 1084 01:15:16,546 --> 01:15:23,696 What is one key lesson learned that you have obtained from your local collaborative work 1085 01:15:23,696 --> 01:15:25,976 in promoting vaccinations for children? 1086 01:15:27,086 --> 01:15:27,946 >> Thank you. 1087 01:15:28,066 --> 01:15:34,586 Like I mentioned earlier, one of the biggest lessons learned that we have received 1088 01:15:34,586 --> 01:15:38,616 through our partnership and the work in community is that the entry point 1089 01:15:38,616 --> 01:15:42,086 to getting children vaccinated and also other community members, 1090 01:15:42,086 --> 01:15:47,656 especially LEP community members, also come from colocation of social and health services. 1091 01:15:47,656 --> 01:15:50,426 People would not come to you, "I want to get vaccinated." 1092 01:15:50,426 --> 01:15:52,336 Not that really, but they would come for, 1093 01:15:52,336 --> 01:15:56,616 "I want to apply for food stamps, I need to apply for Medicaid. 1094 01:15:56,616 --> 01:16:00,426 I would like to get some immigration paperwork done." 1095 01:16:00,426 --> 01:16:06,026 And using that like location of services and talk about the importance of getting 1096 01:16:06,026 --> 01:16:09,266 that themselves and their children vaccinated is very important. 1097 01:16:09,266 --> 01:16:13,576 So if you are from a community-based organization, search around your area 1098 01:16:13,576 --> 01:16:18,546 to see what are the social services providers, and how you can increase that partnership. 1099 01:16:18,546 --> 01:16:21,566 And the last thing about partnership with small business owners, 1100 01:16:21,566 --> 01:16:26,996 especially ethnic minority owned business, to how we can work together between the public, 1101 01:16:27,076 --> 01:16:31,096 the private, the business, and also the community-based organization 1102 01:16:31,096 --> 01:16:32,406 to increase vaccination. 1103 01:16:32,536 --> 01:16:37,516 For example, I was able to talk to a food truck owner, "Can you bring the food and then I tried 1104 01:16:37,516 --> 01:16:40,306 to write a couple more grants to support that kind of thing?" 1105 01:16:40,306 --> 01:16:44,086 So this is a true partnership within your area as well. 1106 01:16:44,086 --> 01:16:49,906 So you can localize them within those strategies within your area and see who's part 1107 01:16:49,906 --> 01:16:55,346 of the community that wants to build a better health and wellbeing for the community. 1108 01:16:55,346 --> 01:16:55,916 Thank you. 1109 01:16:57,046 --> 01:16:58,676 >> Thank you again, Vattana. 1110 01:16:58,816 --> 01:17:02,776 And thank you to all of our panelists, our superhero presenters. 1111 01:17:02,776 --> 01:17:05,396 You guys are amazing for the work that you're doing. 1112 01:17:05,396 --> 01:17:09,066 And thanks to the audience for those amazing questions. 1113 01:17:09,066 --> 01:17:11,696 I would now like to turn it back over to Miss Moore. 1114 01:17:15,086 --> 01:17:16,376 >> Thank you, Miss Anderson. 1115 01:17:16,656 --> 01:17:21,746 And yes, now are you ready for poll question number three? 1116 01:17:21,866 --> 01:17:29,066 If so, please get your computer, cell phone and other device ready to answer. 1117 01:17:29,336 --> 01:17:32,616 How did you hear about this webinar? 1118 01:17:37,086 --> 01:17:42,256 Community organization, government entity, other way, social media, email. 1119 01:17:42,256 --> 01:17:48,786 Don't forget to scroll down using the bar on the right to make sure you see all the choices 1120 01:17:48,786 --> 01:17:51,246 that we've outlined for you, including other. 1121 01:17:59,046 --> 01:18:02,666 Really appreciate everyone's quick response to this. 1122 01:18:09,046 --> 01:18:09,796 Almost there. 1123 01:18:15,046 --> 01:18:17,856 Just a few seconds left. 1124 01:18:28,316 --> 01:18:30,976 Okay, it looks like the poll has ended. 1125 01:18:34,266 --> 01:18:39,776 And so now we can see that we have 24% learning 1126 01:18:39,776 --> 01:18:44,356 from community-based organizations, 38 from government entities. 1127 01:18:45,606 --> 01:18:49,096 We say social media was able to attract 1%. 1128 01:18:49,186 --> 01:18:54,576 25% from email, and 3% from family or friends. 1129 01:18:54,576 --> 01:18:57,956 And again, we have about 8% coming from other. 1130 01:18:58,056 --> 01:19:02,456 So we're going to try and find out who other really involves. 1131 01:19:02,456 --> 01:19:06,896 And with that we also thank you for participating in this poll. 1132 01:19:07,266 --> 01:19:11,096 Getting ready to move on to our closing remarks. 1133 01:19:11,096 --> 01:19:16,226 It will come from Dr. Leandris Liburd, Associate Director 1134 01:19:16,226 --> 01:19:19,236 for Minority Health and Health Equity at the CDC. 1135 01:19:19,236 --> 01:19:24,946 In this capacity, she leads and supports a range of critical functions in the agency's work 1136 01:19:24,946 --> 01:19:28,086 with minority health, health equity and women's health. 1137 01:19:28,406 --> 01:19:30,976 Dr. Liburd, the virtual floor is now yours. 1138 01:19:31,046 --> 01:19:36,946 >> Good afternoon, everybody and thank you so much, Miss Moore. 1139 01:19:38,596 --> 01:19:45,476 As she said, I am Leandris Liburd, and I get the pleasure and the privilege of working 1140 01:19:45,476 --> 01:19:48,986 with the Centers for Disease Control and Prevention. 1141 01:19:48,986 --> 01:19:55,996 And on behalf of our interagency workgroup, I'd like to thank and congratulate all 1142 01:19:55,996 --> 01:20:01,666 of our speakers for the essential work they're doing and accomplishing 1143 01:20:01,666 --> 01:20:03,896 in communities around the country. 1144 01:20:03,896 --> 01:20:12,186 You all are indeed superheroes, and I have been so impressed and so inspired by all 1145 01:20:12,186 --> 01:20:17,186 of the presentations and the questions, and just the participation today. 1146 01:20:17,896 --> 01:20:24,416 We would all agree that protecting our children from severe illness associated 1147 01:20:24,416 --> 01:20:28,426 with COVID-19 infections is a national priority. 1148 01:20:29,396 --> 01:20:37,556 Parents, grandparents, caretakers, community-based organizations and institutions 1149 01:20:37,606 --> 01:20:45,496 that serve children and adolescents, along with others who advocate every day for the health 1150 01:20:45,496 --> 01:20:50,836 and wellbeing of all youth, take seriously the decision 1151 01:20:50,836 --> 01:20:55,436 to get our babies, children and teens vaccinated. 1152 01:20:55,966 --> 01:21:01,356 We understand and agree that this decision must be based 1153 01:21:01,356 --> 01:21:06,036 on the best available science and be accessible. 1154 01:21:06,536 --> 01:21:11,736 Our goal today was to make leading experts available to you 1155 01:21:12,046 --> 01:21:16,826 to provide credible information and answer your questions. 1156 01:21:17,636 --> 01:21:22,826 We also wanted you to hear about programs going on around the country 1157 01:21:22,826 --> 01:21:26,976 to increase vaccination coverage among children of color. 1158 01:21:30,046 --> 01:21:36,326 We hope you walk away with new ideas and greater vaccine confidence, 1159 01:21:37,156 --> 01:21:42,276 that your questions were answered and your concerns allayed. 1160 01:21:43,496 --> 01:21:50,536 Put any remaining questions in the chat and we will do all we can to get an answer for you. 1161 01:21:50,986 --> 01:21:56,116 Thank you, audience, for participating in today's webinar. 1162 01:21:56,586 --> 01:22:00,736 More than 1,100 people joined us today. 1163 01:22:01,056 --> 01:22:08,476 Wow. I also want to thank all of the operating divisions within the Department of Health 1164 01:22:08,476 --> 01:22:14,856 and Human Services and their community partners who joined us today. 1165 01:22:15,046 --> 01:22:18,996 Special thanks go to the webinar planning team. 1166 01:22:19,366 --> 01:22:28,156 And I want to acknowledge Desiree Robinson, Shawn Azolakoffer, Havsatu Berry 1167 01:22:28,486 --> 01:22:36,816 and Snaha Kameresh for their pristine coordination, creativity and execution 1168 01:22:36,816 --> 01:22:42,176 of the many levels of decision making needed to make today possible. 1169 01:22:43,336 --> 01:22:51,176 Captain Anitra Johnson and Shayla Anderson, thank you for your sustained engagement 1170 01:22:51,286 --> 01:22:57,676 with all aspects of the planning, from concept to implementation of the webinar. 1171 01:22:57,676 --> 01:23:03,166 I also extend my heartfelt gratitude to my cochair 1172 01:23:03,166 --> 01:23:11,186 of the interagency workgroup Roslyn Moore, for supporting this activity and promoting it 1173 01:23:11,186 --> 01:23:13,376 across the department and beyond. 1174 01:23:13,916 --> 01:23:22,786 And a special mention of Dr. Keisha Lindsay for the many months of leadership she provided 1175 01:23:22,786 --> 01:23:28,756 to planning this webinar and making sure today would be a reality. 1176 01:23:30,626 --> 01:23:37,746 Many health disparities are largely preventable, and the current disparities 1177 01:23:37,746 --> 01:23:46,456 in vaccination coverage among children of color and children with disabilities can be prevented. 1178 01:23:47,586 --> 01:23:55,266 So thank you to everyone for all you do to bring health equity to your community. 1179 01:23:55,816 --> 01:23:59,846 I will now hand the program back to Miss Moore. 1180 01:24:02,046 --> 01:24:07,446 >> Thank you, Dr. Liburd, for your thoughtful call for action and recognition 1181 01:24:07,446 --> 01:24:10,686 of all the effort that led to this moment. 1182 01:24:10,786 --> 01:24:14,076 And now we're moving to our final poll for today. 1183 01:24:14,116 --> 01:24:19,666 Please get your computer, cell phone or other device ready to answer. 1184 01:24:19,986 --> 01:24:22,266 Please let us know how we did. 1185 01:24:22,996 --> 01:24:27,816 This webinar helped me to improve my knowledge about the importance 1186 01:24:27,816 --> 01:24:31,016 of COVID-19 vaccination for children. 1187 01:24:31,016 --> 01:24:33,376 And so here are some options. 1188 01:24:33,376 --> 01:24:40,186 Strongly agree, agree, neutral disagree, strongly disagree. 1189 01:24:40,976 --> 01:24:42,646 We appreciate all feedback. 1190 01:24:42,646 --> 01:24:44,576 We learn from it and we'll do better, 1191 01:24:44,786 --> 01:24:48,856 and where things have gone well, just continue in that direction. 1192 01:24:49,146 --> 01:24:54,976 We have 30 seconds for this as we are moving towards the end of this session. 1193 01:24:57,046 --> 01:25:00,086 Really appreciate everybody giving us feedback. 1194 01:25:00,186 --> 01:25:02,466 See the numbers rolling in. 1195 01:25:02,656 --> 01:25:04,546 The poll will end shortly. 1196 01:25:09,146 --> 01:25:10,386 We're winding down. 1197 01:25:22,076 --> 01:25:24,746 And we're about at a stop. 1198 01:25:29,046 --> 01:25:35,936 So we have 40% strongly agreeing that the information was helpful, 45% saying they agree, 1199 01:25:35,936 --> 01:25:39,396 that they've learned a lot about what they need to know. 1200 01:25:40,026 --> 01:25:48,316 13% neutral, 2% disagree and 1% strongly disagree, that this is not what they needed. 1201 01:25:48,316 --> 01:25:49,916 And so we'll do better next time. 1202 01:25:53,046 --> 01:25:58,906 Moving on, we now know that we are at a point where, as Dr. Liburd said, 1203 01:25:58,906 --> 01:26:02,276 it's time for us to take action, move forward. 1204 01:26:02,466 --> 01:26:07,306 So thank you for participating in our final poll, and for joining us 1205 01:26:07,306 --> 01:26:12,836 on the Protecting our Children and Youth from COVID-19: Information for Parents, 1206 01:26:12,836 --> 01:26:16,126 Caregivers, and Community Partners webinar. 1207 01:26:16,126 --> 01:26:20,256 Before you leave, please remember to visit the webinar web page 1208 01:26:20,366 --> 01:26:31,936 at www.cy118119.com/ protect-children, for fact sheets in seven different languages 1209 01:26:31,936 --> 01:26:34,326 and resources shared from today's webinar. 1210 01:26:34,736 --> 01:26:39,596 Please check the website regularly for the recording of today's webinar, 1211 01:26:39,726 --> 01:26:46,486 which will be posted within the next few weeks, and a list of answers 1212 01:26:46,886 --> 01:26:49,986 to questions you asked on today's webinar. 1213 01:26:49,986 --> 01:26:58,306 For questions or comments about today's webinar, email, omhhe@cdc.gov for additional information. 1214 01:26:58,306 --> 01:27:02,976 And with that, I wish everyone a great weekend, and thank you again. 国产精品久久久久久一级毛片