White people have been vaccinated against COVID-19 at a higher rate than other racial or ethnic groups in 蜜柚直播, even though they have had the lowest overall rate of COVID-19 cases per capita during the pandemic.
The 蜜柚直播 Department of Health Services didn鈥檛 expect the racial and ethnic makeup of vaccinated people to align with the makeup of the general population 鈥渄ue to the phased approach of vaccine distribution,鈥 according to a disclaimer on the department鈥檚 online chart of COVID-19 vaccine administration.
Health experts point out that the older population, which is populated by more whites, was given vaccine priority because age is such a big risk factor for severe COVID-19 illness. So it鈥檚 not surprising that the overall makeup of vaccinated people skews whiter.
On Friday, however, the 蜜柚直播鈥檚 top health official, Dr. Cara Christ, walked back the health department鈥檚 disclaimer that vaccine distribution in the state isn鈥檛 expected to align with the racial and ethnic makeup of the state鈥檚 general population.
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鈥淭hat probably should come down off of our website. I鈥檒l talk to the team,鈥 she said. 鈥淣ow that we are vaccinating the general population and we鈥檝e had multiple weeks where everybody has been eligible, that disclaimer probably should come off of our website.鈥
On March 24, 蜜柚直播 opened vaccine eligibility to everyone 16 and older.
While this opened up vaccines to more people of color, the state鈥檚 cumulative vaccine distribution has remained misaligned with the makeup of the state鈥檚 general population.
鈥淚 don鈥檛 know that I have an anticipated timeline, if ever, that it will exactly match the demographics of this state,鈥 Christ said.
The data do have some caveats, she said. For example, not all federal and Indian Health Service facilities are reporting vaccine data to the state health department.
Christ said the percent of vaccinated people who are Native American may never fully match the percentage of Native Americans in the general population.
The Native American population is disproportionately represented among COVID-19 cases, hospitalizations and deaths in 蜜柚直播, according to the , which flagged these data for likely representing a racial disparity.
Native Americans are also under-represented in the vaccinated population, according to the state鈥檚 data. But the percentage of Native Americans who have been vaccinated is higher than the percentage of Backs and Latinos who have been vaccinated in 蜜柚直播.
Christ gave other explanations for the misalignment too.
鈥淲e know that we鈥檝e got vaccine hesitant populations. So while we鈥檙e working with the leaders of those communities to really increase messaging and increase the communication and the encouraging of getting the vaccine, I don鈥檛 know that they ever will meet the state demographics for those,鈥 Christ said, adding that the state will continue to help increase access to vaccines in underserved areas.
In 蜜柚直播, nearly 37% of whites, 25% of Native Americans, 22% of Blacks and 17% of Latinos have been vaccinated with at least one dose of vaccine, according to population estimates from the 2019 five-year American Community Survey and the state鈥檚 vaccine data.
Health experts also look for racial disparities by comparing the makeup of vaccinated people with the makeup of the general population.
Latinos or Hispanics represented about 13% of all vaccinated people in 蜜柚直播, but they make up 31% of the general population.
Blacks represented 2% of vaccinated people, but they are about 4% of the general population.
Native Americans represented about 2% of vaccinated people in the state, but they also make up about 4% of the general population.
And whites represented 48% of vaccinated people, but they are about 55% of the general population.
The state didn鈥檛 have race and ethnicity data on 398,231 vaccinated people, or 13.6% of those vaccinated, as of Friday.
The way the health department categorizes other groups by race and ethnicity doesn鈥檛 align with how the U.S. Census Bureau categorizes the general population by race and ethnicity.
The misalignment is not caused by race alone, said Dr. Joe Gerald, an associate professor with the University of 蜜柚直播鈥檚 College of Public Health. 鈥淚t鈥檚 not race, per se, but rather the conditions and structural inequities that these groups face. Some of it may be, they may be more likely to live in an area where there鈥檚 a healthcare provider shortage. That kind of thing. So, it may be unrealistic to expect them to ever catch up fully.鈥
Gerald pointed out that this trend is also evident in colorectal cancer screenings too, which is a prevention measure, much like a vaccine is. It鈥檚 something that people who are sick can get to stay healthy.
Every year since 2000, white people 50 to 75 years old got this screening at a higher rate than any other racial or ethnic group.
The same type of barriers that would prevent a person of color from getting this type of cancer screening would also prevent that person from getting a COVID-19 vaccine, he said, adding that it鈥檚 not a perfect comparison, but a reasonable one.
鈥淭here鈥檚 this correlation between race and income, education, occupation and living conditions, such that Hispanics, for example, may always face more barriers to vaccination than whites. And they may never catch up and may never be vaccinated at the same proportion as they are in the population,鈥 Gerald said.
It was logical to prioritize older people for the COVID-19 vaccine due to the strong correlation between age and severity of disease, Gerald said.
Health experts widely agree that this strategy led to disproportionately vaccinating white people at a higher rate because the older population is whiter.
鈥淥ne might say, 鈥榳ell that鈥檚 not racism, that鈥檚 fair,鈥欌 Gerald said.
While public policy didn鈥檛 overtly exclude people of color from getting vaccinated, structural racism did put them at a disadvantage, he said.
鈥淲here the structural racism comes into play with a strategy that鈥檚 fully age based is that minorities, on average, don鈥檛 have an equal opportunity to live to the same age,鈥 he said, adding at the types of barriers that people of color face have an impact on life expectancy.
鈥淎nd so they鈥檙e going to be disproportionately shut out,鈥 he said. 鈥淪o yes, the prioritization schema did disadvantage minority groups.鈥
Herd immunity occurs when a high percentage of the community is immune to a disease (through vaccination and/or prior illness), making the spread of this disease from person to person unlikely.
Photos: COVID-19 vaccinations in 蜜柚直播, Pima County
COVID-19 vaccination clinic, retirement community

Otilia Aragon, a resident of The Fountains at La Cholla retirement community, reaches out to touch the face of her daughter Melinda Aragon-Morales, a pharmacist with CVS, who administered the Moderna vaccine to her mother during a Coronavirus (COVID-19) vaccination clinic at The Inn At The Fountains, 5830 N Fountains Ave., on Feb. 9, 2021. "I was really excited," Morales said about administering the vaccine to her mother, "especially in this kind of setting where we haven鈥檛 been able to see [family] in a long time." Morales had not seen her mother in several months due to the ongoing pandemic. The clinic is the first of two days where the 585 residents and staff at the retirement community will receive vaccinations for COVID-19.
COVID-19 vaccinations, University of 蜜柚直播 Mall

People are directed into the line at the University of 蜜柚直播's COVID-19 drive-thru vaccination facilities on the UA Mall in 蜜柚直播, Ariz., February 5, 2021.
COVID-19, clinic, TCC

The line wends though the parking lots and along the southeastern doors and windows outside the 蜜柚直播 Convention Center as hundreds wait in line for hours to get the first shot of the COVID-19 vaccine, 蜜柚直播, Ariz., February 4, 2021. The age cut off for vaccination was lowered to 70 years of age.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Resident Victor Braun laughs with a CVS Pharmacy health care worker after getting his first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. The facility's residents and staff were part of a two day vaccination program in conjunction with CVS Pharmacy and monitored by the in-house personnel from TMCOne clinic.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

A health care worker with CVS Pharmacy preloads a syringe with the first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. The facility's residents and staff were part of a two day vaccination program in conjunction with CVS and monitored by the in-house personnel from TMCOne clinic.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Gordon Starr quickly gets his first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. Starr was among the facility's residents and staff taking part in a two day vaccination program in conjunction with CVS Pharmacy and monitored by the in-house personnel from TMCOne clinic.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Nurse Jose Cruz helps member Nelda Clark get her next appointment photographed and stored in her phone after she got her first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. The facility's residents and staff were part of a two day vaccination program in conjunction with CVS Pharmacy and monitored by the in-house personnel from TMCOne clinic.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

James Sugg gets his first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. Shannon Ruedlinger, executive director of the facility said that 250 doses were scheduled to be administered to staff and residents there during their two day vaccination program.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Member Terrence Carden get his first dose of the Moderna COVID vaccine on the second day of a two program at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. Shannon Ruedlinger, executive director of the facility said that 250 doses were scheduled to be administered to staff and residents there during their two day vaccination program.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Constance Jill Hofer gets her first dose of the Moderna COVID vaccine at Hacienda at the Canyon, 蜜柚直播, Ariz., January 27, 2021. Shannon Ruedlinger, executive director of the facility said that 250 doses were scheduled to be administered to staff and residents there during their two day vaccination program. Vaccinations were administered in conjunction with CVS and members monitored by the facility's in-house TMCOne nurses.
COVID-19 vaccinations, PIma County, Hacienda at the Canyon

Right now, Pima County is in Phase 1B of its vaccination plan and is inoculating people 70 and older, and law enforcement, education and child care providers.
COVID-19 vaccinations, Pima County

Clifford Daigler, registered nurse, receives a Pfizer COVID-19 vaccine at 蜜柚直播 Medical Center, 5301 E. Grant Rd., in 蜜柚直播, Ariz. on Dec. 17, 2020. Banner-University Medical Center and 蜜柚直播 Medical Center began administering Pfizer鈥檚 COVID-19 vaccines to healthcare workers in Pima County. TMC administered 1,100 total vaccines between their two clinic sites in the first day of vaccinations, said Claudia Koreny, director of pharmacy for TMC.
COVID-19 vaccinations, Pima County

Needles containing the Moderna vaccine in the 蜜柚直播 Medical Center drive-thru tent at, on Jan. 5, 2021.
COVID-19 vaccinations, Pima County

Ann Boice receives the Coronavirus (COVID-19) vaccine during the administration vaccination to members of the public who meet the 1B priority eligibility of at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

Annie Waits, a volunteer nurse and vaccinator, administers the Moderna vaccine to a patient in the drive-thru program at the 蜜柚直播 Medical Center, on Jan. 5, 2021.
COVID-19 vaccinations, Pima County

Steve Patalsky, left, associate director of pediatric bone-marrow transplant, goes over information about the COVID-19 vaccine with Sayea Jenabzadeh, nurse anesthetist, inside the COVID-19 vaccine observation stage at Banner-University Medicine North, 3838 N. Campbell Ave., in 蜜柚直播, Ariz. on Dec. 17, 2020. The first round of Pfizer's COVID-19 vaccines were given to healthcare workers at Banner-University Medical Center and 蜜柚直播 Medical Center.
COVID-19 vaccinations, Pima County

Amy Lopez, left, registered nurse in peri-operative service, and her husband Dr. Mike Lopez, anesthesiologist, talk while waiting for their 15 minutes observation period after receiving their COVID-19 vaccine at 蜜柚直播 Medical Center, 5301 E. Grant Rd., in 蜜柚直播, Ariz. on Dec. 17, 2020. The first round of Pfizer's COVID-19 vaccines are given in Pima County to healthcare workers at Banner-University Medical Center and 蜜柚直播 Medical Center. "It felt like a normal shot," said Amy Lopez. When asked if they were nervous, Dr. Mike Lopez answered "I was ready to be patient one."
COVID-19 vaccinations, Pima County

Samantha Penn, pharmacist, waits in line with other healthcare workers while people get checked-in for their COVID-19 vaccination appointments at 蜜柚直播 Medical Center, 5301 E. Grant Rd., in 蜜柚直播, Ariz. on Dec. 17, 2020.
COVID-19 vaccinations, Pima County

After receiving the second Pfizer COVID-19 vaccine in Pima County, Melissa Zukowski, medical director of emergency department at Banner-University Medicine 蜜柚直播, gives a thumbs-ups to her daughter Sophia Smallwood, left, at Banner-University Medicine North, 3838 N. Campbell Ave., in 蜜柚直播, Ariz. on Dec. 17, 2020.
COVID-19 vaccinations, Pima County

Leticia Riesgo, a City of 蜜柚直播 employee, helps check people into the vaccination clinic for Phase 1B.1.b Prioritized Essential Workers at the 蜜柚直播 Convention Center, on Jan. 21, 2021. The TCC clinic administered 686 out of a projected 600 vaccines on Jan. 20. They were over 300 vaccinations at midday on Jan. 21.
COVID-19 vaccinations, Pima County

A person walks past a sign for the vaccination clinic for Phase 1B.1.b Prioritized Essential Workers at the 蜜柚直播 Convention Center, on Jan. 21, 2021.
COVID-19 vaccinations, Pima County

Iris Delfakis, oncology nurse navigator for the 蜜柚直播 Cancer Center, looks to other nurses as she waits to receive a Pfizer COVID-19 vaccine from nurse Cristina Torres.
at Banner-University Medicine North, 3838 N. Campbell Ave., in 蜜柚直播, Ariz. on Dec. 17, 2020. The first round of Pfizer鈥檚 COVID-19 vaccines are given in Pima County went to healthcare workers at Banner-University Medical Center and 蜜柚直播 Medical Center.
COVID-19 vaccinations, Pima County

蜜柚直播 Police Officer聽Roman Acosta聽is administered the Moderna vaccine at a Coronavirus (COVID-19) vaccine clinic at the 蜜柚直播 Convention Center located at 260 S. Church Ave., on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

Tal Caspi, a volunteer, answers questions for members of the public before they receive their first vaccine shot for the coronavirus at the Kino Sports Complex, 2500 E. Ajo Way in 蜜柚直播, Ariz., on January 18, 2021. Members of the public who fall into the Phase 1B group are eligible for the vaccine at this time. Phase 1B includes people over 75 years old, educators and first responders.
COVID-19 vaccinations, Pima County

Tom Woythal, 85, and his wife, Elizabeth, 82, wait for their opportunity to receive a vaccination shot for the coronavirus at the Kino Sports Complex, 2500 E. Ajo Way in 蜜柚直播, Ariz., on January 18, 2021. Woythal says he had been waiting 55 minutes but was happy to wait. Members of the public who fall into the Phase 1B group are eligible for the vaccine at this time. Phase 1B includes people over 75 years old, educators and first responders.
COVID-19 vaccinations, Pima County

A patient looks over paperwork while waiting 15 minutes after receiving the Coronavirus (COVID-19) vaccine at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

蜜柚直播 Police Department Chief Chris Magnus receives the Moderna vaccine at a Coronavirus (COVID-19) vaccine clinic at the 蜜柚直播 Convention Center located at 260 S. Church Ave., on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

People wait in the to be given the Coronavirus (COVID-19) vaccine as members of the public who meet the 1B priority eligibility are now being allowed to receive the vaccination at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

People eligible for the 1B phase of Coronavirus (COVID-19) vaccination stand in line outside the 蜜柚直播 Medical Center's Marshal Center to receive the shot, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

A pharmacist prepares a Coronavirus (COVID-19) vaccine to be administered to members of the public who meet the 1B priority eligibility of at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

Sgt. Michael Moseley receives the Coronavirus (COVID-19) vaccine during the administration of the vaccination to members of the public who meet the 1B priority eligibility of at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

People eligible for the 1B phase of Coronavirus (COVID-19) vaccination stand in line outside the 蜜柚直播 Medical Center's Marshal Center to receive the shot, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

Pharmacists prepare Coronavirus (COVID-19) vaccinations to be administered to members of the public who meet the 1B priority eligibility of at 蜜柚直播 Medical Center's Marshal Center, on Jan. 15, 2021.
COVID-19 vaccinations, Pima County

Mike Collier, a volunteer doctor with the Medical Reserve Corps, administers a Coronavirus (COVID-19) vaccine while working his shift in the drive-thru vaccination program at the 蜜柚直播 Medical Center, on Jan. 8, 2021.
COVID-19 vaccinations, Pima County

鈥淲e thought this would be a more efficient and timely process,鈥 says 蜜柚直播 AARP director Dana Kennedy. 鈥淒id they overpromise?鈥
COVID-19 vaccinations, Pima County

Pharmacist Keith Boesen (right) drops off needles containing the Coronavirus (COVID-19) vaccine at the station of Mike Collier (left), a volunteer doctor with the Medical Reserve Corps, during the drive-thru vaccination program at the 蜜柚直播 Medical Center, on Jan. 8, 2021.