More than 1.6 million doses of COVID-19 vaccines have been administered in Los Angeles County, but equity in the distribution of the shots continues to vex health officials, with vaccination rates among eligible Black residents lagging far behind other ethnic groups, according to data released this week.
According to figures released Friday by the county Department of Public Health, Black residents represented just 5.2% of all people who had received at least one dose of COVID-19 vaccine as of mid-February, while 33.5% were white, 23.1% Latino/a and 19.1% Asian.
Only 24% of Black residents aged 65 and older have received at least one dose of the vaccine, compared to 42.8% of white residents 65 and up.
During a virtual briefing Friday, Dr. Paul Simon, the county health department’s chief science officer, presented a countywide map highlighting vaccination rates in individual communities.
“There are marked inequities in vaccination coverage across the county, with the lowest coverage rates in South L.A., East L.A., several regions of the San Gabriel Valley, the east San Fernando Valley and the Antelope Valley, as well as several pockets near the ports and below West Hollywood,” Simon said.
He acknowledged that the coverage rates were calculated based on each area’s overall population, not the number of people actually eligible to receive the shots. But he said despite that limitation, “the findings are deeply concerning and provide further illustration of the deeply rooted health inequities that exist in our society.”
Simon said the county is planning a number of steps to address the inequities, such as prioritizing the establishment of more vaccination sites in areas with the lowest rates, expanding mobile vaccination services to serve older residents and people with limited ability to travel to vaccine sites. The county is also reserving doses so they can be administered in under-served communities, with 6,000 to 7,000 doses expected to be reserved next week for South Los Angeles and 1,000 to 2,000 in the Antelope Valley, he said.
“These inequities are unjust and unacceptable and demand renewed efforts to address them,” Simon said.
The county also plans to reserve appointment slots at its various vaccination sites for residents of under-served communities, and it will be increasing efforts to help residents schedule appointments.
Efforts have previously been made to ensure easy access to vaccinations for residents of traditionally underserved areas, notably through the placement of mass-vaccination sites in locations such as the Forum in Inglewood, the county Office of Education in Downey and the Pomona Fairplex.
But Simon noted that while he had no specific numbers, it was clear that sites like the Forum — despite being targeted for residents of that area — were administering shots to people from more affluent neighborhoods who traveled to the location.
“I don’t have to look at the numbers to be aware. I’ve worked at several of the Mega PODs (points of distribution) and it really was quite striking,” Simon said. “… It’s an observation that many have made that many people receiving vaccinations at these large Mega PODs were not from the neighborhood.”
He said it is difficult to immediately address the issue, but when the state’s “My Turn” appointment system becomes the universal standard for reserving a vaccination slot, it may be possible to ensure times are being reserved solely for local or underserved communities.
Simon said the county is also trying to increase its work with community leaders to help counter what he called continuing misinformation about the safety of the vaccines that is likely contributing to low vaccination rates.
According to figures provided by Simon, the county has administered a total of 1,205,738 first doses of the vaccine, along with 471,162. That means 15.5% of the county’s population aged 16 and over have received at least one dose, and 6% are fully vaccinated.
Simon said there are still issues with vaccine supply, although the county’s sites were largely spared from the weather-related delivery problems that forced the Los Angeles city vaccination sites to close this week.
Health officials have been warning of a difficult month ahead in terms of access to vaccines, with the already jammed appointment system expected to get even more crowded March 1 when essential workers such as teachers, food service workers and law enforcement become eligible for shots. In mid-March, everyone aged 16 and over with a serious underlying health condition will become eligible.
Gov. Gavin Newsom on Friday said the state in March will begin reserving 10% of the overall supply of vaccines to be administered to teachers, as part of an effort to speed a return to in-person classes.
Simon said he did not envision that restriction causing major issues in the county, since health officials planned to allocate “a significant percentage” to teachers and the other categories of essential workers.
Meanwhile, COVID case numbers have continued to trend downward in the county, although still well above the levels seen prior to the winter surge that began in November.
The county reported another 150 deaths on Friday, while Long Beach announced five fatalities and Pasadena added three, raising the overall death toll to 19,670.
Another 2,459 cases were confirmed by the county, while Long Beach reported 62 and Pasadena nine, lifting the cumulative number from throughout the pandemic to 1,176,843.
Hospital patient numbers continued to decline, with state figures showing a total of 2,498 people hospitalized in Los Angeles County as of Friday, with 760 people in intensive care. That compares to 2,640 overall patients and 808 ICU patients on Thursday. In early January, there were more than 8,000 people hospitalized in the county.