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>> Welcome, all.
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And thank you for joining us for today's
webinar, Protecting Our Children and Youth
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from COVID-19: Information for Parents,
Caregivers and Community Partners.
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I am Roslyn Holliday Moore, Deputy Director
for Programs with the Office of Minority Health
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at the US Department of Health and Human
Services, and your webinar moderator.
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Before we begin, please be advised that
the findings, opinions and conclusions
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from this webinar are those
of the speakers and presenters
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and do not necessarily represent the official
position of the US Department of Health
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and Human Services also referred to as HHS,
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or the US Centers for Disease
Control and Prevention, or CDC.
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CDC does not endorse any one
organization, service or product,
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and no such endorsements should be implied.
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Now for a few points about today's webinar.
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Reasonable accommodation is provided through
closed captioning in English and Spanish.
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If you need these services, please
click the link in the chat box.
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We will also post the link in
the chat throughout the webinar.
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Spanish and Khmer interpretation
will be accessed
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by clicking the interpretation button
located at the bottom right of your screen.
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Make sure to select listen in
Spanish or listen in Khmer,
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which connects you with an interpreter.
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Our panelists will now repeat
these translation instructions
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in Spanish and Khmer for our guests.
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Lisa?
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Zoom features available during the webinar
include the Q&A, which stands for questions
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and answers, box located at
the bottom of your Zoom screen.
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You can type in submit your questions
throughout the webinar in the Q&A box.
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If you have a specific question
for any presenter,
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please include that speaker's
first name before your questions.
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Please note that we will not be
able to answer all questions today.
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We will however post answers to
questions not answered during the webinar
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on the webinar web page.
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Please check this page regularly
over the coming week.
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A link to the webinar webpage
is now in the chat box.
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Zoom poll questions will also be
launched throughout today's webinar.
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Four questions will be asked to
help us learn more about you.
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Participation is voluntary,
and we welcome your feedback.
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Today's webinar is being recorded
and the recording will be posted
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on the webinar webpage in the coming weeks.
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Please check back regularly.
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Today's agenda includes opening remarks, two
panels -- panel one will be a superhero learn
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and act on COVID-19 vaccination
for children and youth.
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Panel two, community superheroes working to
protect children and youth from COVID-19.
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Then closing remarks.
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We're now moving to opening remarks
from Rear Admiral Felicia Collins,
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Deputy Assistant Secretary for Minority
Health and the Director of the HHS Office
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of Minority Health where she leads the
office in its mission of improving the health
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of racial and ethnic minority populations.
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Although Rear Admiral Collins
could not join us in person today,
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she recorded this video to share with you.
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>> Hello, everyone, and thank
you for joining today's event.
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It is my pleasure to join colleagues from across
the Department of Health and Human Services,
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including our cohosts, the Centers
for Disease Control and Prevention,
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and esteemed community partners
and pediatric experts.
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I am Dr. Felicia Collins and I have the honor
of serving as the Deputy Assistant Secretary
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for Minority Health within the
Department of Health and Human Services,
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and the Director of the Department's
Office of Minority Health.
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The Office of Minority Health is
focused on helping to reduce differences
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in health outcomes, or health
disparities, for racial and ethnic minority
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and American Indian and Alaska
Native communities.
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On a more personal level, I describe
myself as a pediatrician by training
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and a public health practitioner at heart.
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I have focused my career on addressing
health disparities experienced by racial
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and ethnic minorities, children, and other
underserved and vulnerable populations.
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Thus, I really appreciate this opportunity
to help spread the message of the importance
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of COVID-19 vaccination for all
children, including our youngest.
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Today's webinar is part of the efforts that stem
from the Biden-Harris executive order 13995,
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in which federal agencies are working together
to address the uneven and severe impact
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of COVID-19 in the nation's
underserved populations.
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Today, you'll hear accurate information about
how to protect all children from COVID-19.
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I am so pleased that everyone ages six
months and older can now get vaccinated
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against COVID-19, and everyone ages five
years and older can get a booster if eligible.
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Getting vaccinated against COVID-19 is a key
step in protecting our children and youth
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from getting very sick or dying from COVID-19.
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During today's webinar, you will hear
from speakers that include pediatric
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and vaccine experts and community partners
leading vaccine efforts for children and youth.
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They will share with you the CDC's
recommendations for COVID-19 vaccination
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for everyone ages six months and older,
including where to find resources
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and credible information on vaccine safety.
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They will also share information on the
risks, benefits and myths associated
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with COVID-19 vaccinations
for children and youth.
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They will have recommendations
on what to ask a health provider
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about COVID-19 vaccination if
your child has a disability.
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And you will hear how community partners
are working to protect youth and children
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with disabilities, and Black, Latino,
American Indian/Alaskan native, Asian American
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and Native Hawaiian and Pacific
Islander children and youth who live
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in communities disproportionately
impacted by COVID-19.
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I want to encourage each of you to share the
information shared today in your communities.
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Getting the free COVID-19 vaccination will
help our children and everyone in our circle.
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Thanks again to each of you for
joining us, and enjoy the webinar.
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>> Thank you, Rear Admiral Collins.
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Now for our first poll of today.
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Please use your computer, cell phone
or other device to tell us what region
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in the US best describes where you live.
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Those are rapid responses coming in.
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We have 30 seconds for this time.
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So please take a moment, let us know.
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It's almost like a race, seeing which
region has the most representation.
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But I can tell you it's very impressive.
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Well, we're about at time.
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And so let's see.
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What have we learned about you?
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We have 25% of the audience from the Midwest,
26% of the audience from the Northeast,
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29% of the audience from the southeast, 8%
from the southwest and 12% from the west.
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Thank you so much for your time
and sharing that information.
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And now we move to the next slide as we
begin discussion for our first panel.
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It will be moderated by Captain Anitra
Johnson, an expert at the national level
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for policy planning at the
Administration for Children and Families.
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>> Thank you, Miss Moore.
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Our first panel, Be A Superhero: Learn and Act
on COVID-19 Vaccinations for Children and Youth,
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will cover the impact of
COVID-19 on children and youth,
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including vaccination recommendations, how you
can access COVID-19 vaccines in your community,
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and how you use Vsafe.cdc.gov, a
smartphone-based tool that checks in on you
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and your child after receiving
a COVID-19 vaccination.
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The second portion of the panel will
explore COVID-19 risk implications
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by race, ethnicity and disability.
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Parents and caregivers will also learn
strategies for vaccinating children and youth
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with disabilities and resources
for all children,
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youth and young adults impacted by COVID-19.
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Next slide.
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Our first presentation comes from
Commander Kevin Chatham-Stephens.
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Dr. Chatham-Stephens is a medical epidemiologist
and pediatric preparedness expert at CDC
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and currently serves on CDC's COVID-19 response
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as the pediatric vaccine
planning and implementation lead.
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Dr. Chatham-Stephens, I will
hand it over to you.
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>> Great. Good afternoon, and thanks so much
for the opportunity to chat with you all today.
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As mentioned, I'm a pediatrician at CDC,
but I'm also a father of two kiddos,
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both of whom have received their
COVID-19 vaccines and boosters.
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Next slide, please.
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So I'll start off by describing the tragic
toll that COVID has had on children.
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It's really important to understand this
toll to help reinforce the importance
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of protecting children through these vaccines.
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Some of the direct impacts of COVID on children
include that children can get COVID-19,
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spread it to others and become seriously ill.
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And unfortunately, there's
no way to tell in advance
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if a child will get a mild
case or a severe case.
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Since the pandemic began, more than 13 million
children have been diagnosed with COVID,
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2.5 million of them under five years of age.
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In addition, there have been
over 65,000 hospitalizations,
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and tragically over 800 deaths in children.
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And future surges will continue to impact
children with unvaccinated children remaining
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at higher risk of severe outcomes.
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And some of the indirect impacts of COVID
on children include missed opportunities
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for sports, playdates or other activities that
can further contribute to worsening of mental
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or emotional health, decreased school or
daycare attendance, which can lead to widening
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of these existing educational gaps, and
decreases in routine childhood vaccinations.
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Next slide, please.
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Fortunately, we now have a safe and
effective COVID-19 vaccine available
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for all children ages six
months of age and older.
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These vaccines provide a critical
opportunity to prevent severe illness,
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especially among those disproportionately
impacted by COVID,
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including those from certain racial
and ethnic minority groups and children
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with underlying medical conditions,
disabilities or special healthcare needs.
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Children get an age-appropriate smaller
dose with each of these vaccines compared
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to doses given to older children.
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And the dose is based on the age of
the child on the day of vaccination.
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For our younger children, the Moderna
vaccine is for children six months
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to five years old, and is a two-dose series.
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And the Pfizer vaccine is
for children six months
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to four years old and is a three-dose series.
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We have a variety of vaccine resources on the
CDC webpage, including information for children
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who have a weakened immune system.
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Next slide, please.
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Our goal was to ensure that all
children have access to the vaccines.
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Similar to the vaccine program for children five
to 11 years old, we're working to ensure vaccine
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for children under five years
old is widely available
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in different locations throughout communities,
really trying to meet children and families
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where they are as much as possible.
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However, there will be some key
differences between this vaccine program
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and the vaccine program for
children five to 11 years old.
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For example, about 1/3 of 5- to
11-year-olds were vaccinated in pharmacies.
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We anticipate most children under five years old
will be vaccinated in their primary care clinic.
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So pediatricians, family practice doctors
and nurses and local health departments,
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especially in rural areas, Indian Health
Service and tribal health clinics,
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and federally qualified health centers
and rural health clinics will continue
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to serve critical roles in
contributing to vaccine equity.
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We do still anticipate that pharmacies
will play a critical role, for example,
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in having vaccine available
at nights, on weekends
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and on holidays when clinics may be closed.
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We encourage parents and caregivers to
reach out to their child's pediatrician
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or family practice doctor, their local
health department and local pharmacy to ask
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if they have the COVID-19 vaccines.
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Parents can also check vaccines.gov to search
for nearby providers offering the vaccine.
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In addition to the doctors, nurses, pharmacists
and others who will be vaccinating children,
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we anticipate that settings such as
childcare programs like Head Start
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and other support programs like
WIC will be critical partners
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in helping disseminate messaging on the vaccine,
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given their roles as trusted
messengers to families.
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They can also help link children
to vaccine providers,
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which many already do for
routine childhood vaccines.
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Next slide, please.
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One reason we anticipate most
children will be vaccinated
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by their regular healthcare
providers is that this is
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where children typically receive other vaccines.
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As an example, for the 2020 to 2021 flu season,
approximately 80% of children six months
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through four years old received their
flu vaccination in their doctor's office.
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This is compared to very low
percentages of children this age
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who were vaccinated at a pharmacy.
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And we know that pediatricians,
family practice doctors
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and nurses are often the most trusted
sources of information for families,
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and can help answer any questions
family have regarding the vaccines.
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And giving COVID-19 vaccines in doctor's offices
is optimal, since it also enables children
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to receive routine childhood vaccines,
screenings for a variety of issues,
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including developmental and vision screening,
and families and children to get counseling
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on a variety of topics such as
nutrition and injury prevention
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that help children thrive in a safe environment.
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Next slide, please.
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Here we wanted to show some of the resources
available for parents and caregivers.
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We have updated various web pages, including
an FAQ page, and the Six Things to Know
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about COVID-19 Vaccination for Children page.
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These pages discuss some common
questions from parents, including,
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is COVID-19 vaccination for children safe?
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We also posted a page aimed at parents on
vaccinating children with disabilities.
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In addition, we have fact sheets
available in a variety of languages.
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These and other resources are available
at the link at the bottom of the slide.
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Next slide, please.
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And finally, parents and caregivers
can enroll children in the Vsafe
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after vaccination health checker,
which provides personalized
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and confidential health check-ins
after COVID-19 vaccination.
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Vsafe is accessible to all COVID-19
vaccine recipients, uses text messages
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and is available in multiple languages.
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Parents can register at vsafe.cdc.gov.
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Next slide, please.
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So once again COVID-19 can cause
severe disease and death among children
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and COVID-19 vaccination is a critical
opportunity to prevent severe illness and death.
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Thank you for the opportunity to present.
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>> Thank you, Dr. Chatham-Stephens.
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The resources shared by Dr.
Chatham-Stephens have been placed
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in the chat box for your convenience.
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Next, we'll move on to our next
presenter, Dr. Marshalyn Yeargin-Allsopp,
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a developmental pediatrician and
senior medical officer at CDC,
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where she currently leads
the COVID disability team.
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Dr. Yeargin-Allsopp will address
COVID-19 in children with disabilities.
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Dr. Yeargin-Allsopp.
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>> Hello, everyone.
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I like to thank the organizers for inviting me
to speak about Protecting our Children and Youth
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from COVID-19: Impact and
Implications for Children
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and Youth with Developmental Disabilities.
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I'm speaking to you from the perspective
of a developmental pediatrician,
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but also as a mother, grandmother, auntie,
cousin, girlfriend, and a member of a community
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that has been disproportionately
affected by COVID-19.
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Next slide.
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This is not news.
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This table shows the risk of
COVID-19 cases, hospitalizations
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and deaths by race and ethnicity.
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The comparison is other races
and ethnicities to whites.
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As you see, the risk in the Asian
population is low, lower than for whites.
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But the risk for COVID-19 in American Indian,
or Alaska Native, Black or African American
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and Hispanic or Latino individuals
is high in all these groups,
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with a risk of hospitalizations and
deaths being two to three times higher.
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Next slide.
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What about our children?
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These graphs are for cases and we know that
the number of cases reported is an undercount.
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For children birth to four years of age,
the percentage of cases for Hispanic,
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American Indian, Alaska Native, Black
and multiple race children is higher
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than their various percentages
in the US population.
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The same is true for the number of COVID-19
cases in children five to 11 years old,
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with perhaps the exception of Black
children, but the lines are very close.
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Next slide.
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Here we're looking at the percentage of children
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with developmental disabilities
by race and ethnicity.
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4.3% of children were white, and
4.3% of children were Hispanic.
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However, 5.1% were Black children, and
5.9% were American Indian, Alaska Native.
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Therefore, we see that the
prevalence was higher for Black
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and American Indian, Alaska Native children.
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Next slide.
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You may wonder why children with disabilities
may be more likely to get COVID-19.
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There are several reasons.
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First of all, because of the need to be in
close contact with others who may have COVID-19.
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For example, a family member
or caregiver may be sick.
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Other reasons include that it may be hard for
a child to understand information about how
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to stay safe from COVID-19, such as
wearing a mask and socially distancing.
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And it may also be hard for the child
to explain when he or she feels sick.
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Next slide.
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As we heard, COVID-19 vaccine
is safe and effective.
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For children with disabilities,
getting vaccinated can be challenging.
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However, we have some tips to provide
vaccination in ways that are easier
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for children with developmental disabilities.
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Some options include being vaccinated in their
parent or caregiver's vehicle or quiet areas.
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Longer appointments for children
who may need more time,
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and sensory modifications
during vaccination appointments.
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Trusted care providers can
work with parents to learn
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and address specific concerns with vaccination.
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Next slide.
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We also know that COVID-19 has
impacted all of us in many ways.
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This slide shows ways that parents can
help their children cope with being
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in the COVID-19 environment we now live in.
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You can strengthen relationships by spending
outside time together and getting active.
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Help with routines by creating
a chart or calendar,
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and include family nights in your routine.
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Help manage stress and anxiety
by practicing deep breathing
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and other techniques to help with relaxation.
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A vision or dream board can be helpful
to think about goals for the future.
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Next slide.
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In addition to helping parents and
caregivers understand these challenges,
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the COVID-19 parental resources kit also
includes recommendations and resources
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to help parents, children, adolescents
and young adults during the pandemic.
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Next slide.
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Additional CDC resources
are included on this slide.
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Next slide.
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I encourage all of you to go on the CDC website
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and visit the many different resources
we have on children and COVID-19.
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I think parents will find a lot of
helpful information on our website.
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Next slide.
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Thank you for the opportunity to share
with you today and for your attention.
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>> Thank you, Dr. Yeargin-Allsopp.
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To learn more about our panel speakers
or to access the resources shared
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in today's presentations, visit www.cy118119.com/
protect-children under the Resources section.
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Now let us ask our presenters a few
questions that we have received.
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As a reminder, submit your questions using the
Q&A box located at the bottom of your screen.
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We will do our best to respond to
as many questions as time allows.
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We will also post answers to questions
not answered during today's webinar
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on the webinar webpage.
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Please check this box.
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Please check this page regularly
over the coming weeks.
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A link to the webinar webpage
is now in the chat box.
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00:24:52,056 --> 00:24:53,696
First question is for you, Dr. Chatham-Stephens.
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Why is it important for children
to get a COVID-19 vaccine
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>> So just like adults, children and teens
can get very sick from COVID, have both short-
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and long-term health problems, and
can also spread COVID to others.
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And as I mentioned before,
unfortunately, there's no way to tell
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in advance how COVID will
affect certain children.
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00:25:15,496 --> 00:25:18,366
And although children with underlying
medical conditions are more likely
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to become severely ill from
COVID, even healthy children
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without underlying medical
conditions can have severe illness.
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And after getting COVID, children can experience
a wide range of ongoing health problems,
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also known as long COVID, that can include
both physical and mental health complications
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that can affect their quality of life.
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00:25:36,186 --> 00:25:40,276
So once again, vaccinating children six months
of age and older provides the best defense
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against serious outcomes related to COVID-19.
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>> Thank you for that response, sir.
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Now, Dr. Yeargin-Allsopp, let's follow
up with why have different races
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00:25:51,996 --> 00:25:55,976
and ethnicities been disproportionately
affected by COVID-19?
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00:25:59,046 --> 00:26:01,336
>> Thank you for that question.
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00:26:01,336 --> 00:26:07,056
The answer to the question involves
understanding the social determinants of health.
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00:26:07,056 --> 00:26:09,706
And what do we mean by the
social determinants of health?
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00:26:10,326 --> 00:26:19,516
Those are the conditions in the environments
where people are born, live, learn, work, play,
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00:26:20,066 --> 00:26:25,436
worship, and age, that affect a
wide range of health, functioning
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00:26:25,436 --> 00:26:28,856
and quality of life outcomes and risk.
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00:26:28,856 --> 00:26:34,006
Racial disparities in health
existed before the pandemic.
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The pandemic just exposed these disparities.
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Racial and ethnic minorities have
more underlying health conditions,
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less access to quality healthcare, live in more
crowded conditions, are more on the front lines
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00:26:50,226 --> 00:26:55,866
as essential workers, have less access
to nutritious foods, and in general,
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have more opportunities for exposure
to COVID-19 and less opportunities
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00:27:01,846 --> 00:27:04,976
for prevention, mitigation and treatment.
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00:27:08,046 --> 00:27:09,186
>> Thank you for that response.
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00:27:10,776 --> 00:27:12,566
Dr. Chatham-Stevens, I have one for you.
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Are these vaccines safe for children?
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>> Yes, the COVID-19 vaccines are safe.
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These vaccines are being monitored
under the most comprehensive
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00:27:21,846 --> 00:27:26,016
and intense Vaccine Safety
Monitoring Program in US history.
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00:27:26,016 --> 00:27:31,636
And hundreds of millions of children, teens and
adults have already received a COVID-19 vaccine.
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In addition, before recommending the vaccines to
children, scientists conducted clinical trials
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with thousands of children to make sure
that the vaccines are safe and effective.
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In terms of side effects, some of the reported
side effects tend to be mild, temporary,
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and similar to other side effects
experienced after routine vaccination.
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And some children have no side effects at all.
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Some of the serious health events after COVID-19
vaccination in children are fortunately rare,
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and when they are reported occur most
frequently within a few days after vaccination.
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So just to keep in mind, children cannot
get COVID-19 from getting vaccinated.
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COVID-19 vaccines don't alter DNA in any way.
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And there's no evidence that COVID-19
vaccines cause any problems with fertility
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or becoming pregnant in the future.
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So the known risks of getting COVID
and the possible severe complications,
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such as long-term health
problems, hospitalization
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and even death outweigh the potential risks of
having a rare serious reaction to vaccination.
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>> Thank you so much.
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Dr. Yeargin-Allsopp, are people from racial
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and ethnic minority groups dying
from COVID-19 at younger ages.
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>> Yes, studies have shown,
unfortunately, people from racial
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and ethnic minority groups are
dying from COVID-19 at younger ages.
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In addition to the social determinants
of health, which I mentioned previously,
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they're often younger when they develop chronic
medical conditions, such as asthma, obesity,
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sickle cell disease and diabetes.
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And they're also more likely to have
more than one medical condition.
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>> Thank you for that.
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00:29:13,786 --> 00:29:15,676
I think I have time for one more question.
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Dr. Chatham-Stephens, I'll have one for you.
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Can children get the COVID-19 vaccine at
the same time as they get other vaccines?
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>> Yes, children can get COVID-19 vaccine
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and other vaccines including a
flu vaccine at the same time.
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We know that some children have fallen behind
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on their routine childhood vaccines during
the COVID-19 pandemic, so we're really trying
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00:29:37,546 --> 00:29:40,226
to encourage pediatricians
and families to work together
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00:29:40,226 --> 00:29:43,846
to make sure children get their
COVID-19 vaccines and get caught
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up on their routine vaccines, especially
ahead of the back to school season.
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00:29:50,066 --> 00:29:50,336
>> Thank you.
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Perfect timing with kids going back to school.
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Thank you, Dr. Chatham-Stephens
and Dr. Yeargin-Allsopp
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for sharing such great information.
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Miss Moore, back to you.
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00:30:04,076 --> 00:30:06,056
>> Thank you, Captain Johnson.
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00:30:06,056 --> 00:30:08,456
And that was great information.
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We're also at a point, so please turn on
your computer, cell phone or other device.
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00:30:15,246 --> 00:30:19,606
Be ready for our poll question number two.
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00:30:19,606 --> 00:30:25,366
In relation to this webinar,
what role best describes you?
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00:30:25,366 --> 00:30:30,096
We have 30 seconds for collecting
all our answers.
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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.
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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.
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00:31:12,126 --> 00:31:20,576
And 11% identify as young adult,
and 46% of you identifying as other.
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00:31:21,186 --> 00:31:27,976
So with that, we're going
to move to the next slide.
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00:31:34,046 --> 00:31:38,576
And our next panel will be
moderated by Miss Shayla Anderson,
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00:31:38,576 --> 00:31:43,436
who is a senior police Public Health Advisor
in the Office of Behavioral Health Equity
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00:31:43,436 --> 00:31:46,786
at the Substance Abuse and Mental
Health Services Administration.
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00:31:52,076 --> 00:31:53,946
>> Thank you, Miss Moore.
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00:31:54,066 --> 00:31:59,966
In this next panel, you will learn information,
available resources and strategies from leaders
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00:31:59,966 --> 00:32:05,756
of community-based organizations who are working
daily to protect children and youth living
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00:32:05,756 --> 00:32:10,406
in communities disproportionately
impacted by COVID-19.
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00:32:11,146 --> 00:32:21,876
To learn more about our speakers today,
please visit www.cy118119.comt/ protect-children.
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00:32:22,836 --> 00:32:25,926
Now let's meet our speakers
for today's community panel.
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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.
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00:32:40,046 --> 00:32:40,756
>> Hello, everyone.
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00:32:40,956 --> 00:32:46,116
>> Next we'll have Captain Holly van
Lew, who is currently deputy lead
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00:32:46,116 --> 00:32:50,986
of the Indian Health Services
COVID-19 Vaccine Task Force.
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00:32:55,086 --> 00:32:59,376
Followed by Dr. Amy Hatcher,
who serves as Medical Director
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00:32:59,426 --> 00:33:02,176
for the Valley Native Primary Care Center
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00:33:02,176 --> 00:33:06,936
and several rural community health centers
operated by South Central foundation.
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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
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00:33:19,966 --> 00:33:26,296
at the Ella Austin Community Center, which
operates in 18 states and three US territories
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00:33:26,296 --> 00:33:29,976
to improve behavioral health
and empower community residents.
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00:33:33,046 --> 00:33:36,586
Next, we have Mr. Vattana
Peong, Executive Director
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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.
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00:33:48,416 --> 00:33:53,046
So with that, let's begin our first
presentation in the order of introduction.
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00:33:53,836 --> 00:33:55,976
Julissa Soto, I'll now turn it over to you.
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00:33:58,246 --> 00:34:00,916
>> Hello, everyone, and thanks for the invite.
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00:34:01,056 --> 00:34:02,536
Next slide, please.
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00:34:03,916 --> 00:34:14,886
My name is Julissa Soto and I am an
independent health equity consultant
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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
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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
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00:34:30,746 --> 00:34:31,886
to quality, equitable and affordable care.
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00:34:31,916 --> 00:34:34,136
We are a leader in the transformation and
transcreation of Colorado's healthcare system
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00:34:34,166 --> 00:34:36,596
by using our leadership and expertise in health
plan operations, integrating healthcare delivery
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00:34:36,626 --> 00:34:37,496
and population health management.
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00:34:37,526 --> 00:34:37,976
Next slide, please.
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00:34:38,236 --> 00:34:44,486
Our culture is inclusive, and our
staff and contractors are diverse,
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00:34:44,536 --> 00:34:47,636
with many people coming from
a range of backgrounds.
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00:34:47,636 --> 00:34:48,976
Next slide, please.
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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
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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.
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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.
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