by Carol J. Bova

Reporter Sabrina Moreno asked Dr. Danny Avula at a Virginia Department of Health (VDH) teleconference on March 26 if Virginia planned to do what Maryland’s governor had done a few weeks previously in reserving a portion of doses at each of its COVID-19 vaccination sites “for priority populations, you know, Black and Latino populations, lower income areas, to kind of help with that equitable distribution.”

Dr. Avula, who is state vaccine coordinator, said:

We’ve been doing a lot of that in a lot of our mass vaccination events… We do a combination of weighting our pre-registration… Say for example, if we have a 2,000-person event in Richmond, we would set a certain number of those slots for people that are on the wait list, and then a certain number of those slots for people on the wait list who are African-Americans, so that we can more mirror the demographics of the population.

He went on to say that different health districts might vary in their weighting methodology, “but we definitely have been weighting the preregistration lists for African-American and Latino communities. And I think it’s made a difference.”

Avula pointed to an increase African-American vaccinations as a percentage of the total from 13% to 14% over the previous two weeks. He observed that in Prince William County, “We’ve got a number of slots a day, about 200 slots a day that we are reserving outside of the preregistration process for those racial equity-targeted kind of interventions.”

That fits with other statements he has made.

Preregistration is a deterrent for some folks, whether it’s not being tech savvy enough to navigate a site, or being really wary of putting all of your information on a government-run website… It’s clear that there are segments of our community who aren’t going to register through that pathway. And so, we’ve definitely created different avenues, both through the reservation of slots in areas where we have a little more flexibility to do walk-ups, having a certain segment of a clinic available to walk-ups that are generated through that specific outreach.

Avula mentioned “doing a lot more work on the ground to address issues of vaccine hesitancy” with contractors Greene Street and Elite. He didn’t mention the cost or other contract details. A look at the eVa state procurement site provides some insight into the VDH plans.

Greene Street VDEM contract 3/24/21 $1.56 million.
For a project manager, administrative associate, and ten Diversity, Equity, and Inclusion Outreach Coordinators to support each VDEM region with outreach efforts, particularly for historically underserved populations. (Coordinators hourly salaries $230.25 to 325. for 560 hours of work each.)

  • to assist with vaccination event efforts in these communities and working with trusted messengers to develop targeted messaging.
  • to assist the Joint Information Center (JIC) with reporting to the Director of Community Outreach under the Health Equity Task Force. March 4, 2021 – June 30, 2021.

Greenstreet Advertising – 2/24/21 Contract $1 million.

  • 6-month plan of tasks, goals, metrics -A strategic outreach plan to target Virginia’s Black communities -Monthly plan of outreach initiatives
  • Six months (01/29/21), July 30, 2021 or end of Declared State of Emergency, whichever comes first.

Greene Street Communications 12/21/20 Contract $325,342.84.

  • 6 – Large Billboard Campaign in select regions (not highway) (Central VA, Northern VA and Hampton Roads) with targeted audiences for 4 weeks.
  • 6 – Large Billboard Campaign in select regions (Highway) (Central VA, Northern VA and Hampton Roads) with targeted audiences for 4 weeks.
  • 4 weeks – Geofencing digital ad campaign targeting select regions (Central VA, Northern VA and Hampton Roads) with targeted audiences for 4 weeks
  • Broadcast radio ad campaign targeting select regions (Central VA, Northern VA and Hampton Roads) for 4 weeks. Estimates of weekly advertising costs are based on location using top performing radio stations. 2 ads per region 15 spots from Monday through Friday and 5 spots on the weekend. Spanish language versions created for Spanish radio.
  • Radio.com streaming platform ad campaign targeting select regions (Central VA, Eastern VA, Northern VA and Hampton Roads) for 4 weeks. **Radio.com platform which reaches 68 million users across the US. For VA, we can geo target the streaming campaign to the Commonwealth of Virginia at a $10 NET CPM for a :30 second commercial. For example, 1,000,000 impressions @$10 cpm is $10,000.
  • Language Translation Services Translation services will vary greatly depending on the content and quantity of language translations needed. Greene Street proposes an initial budget for the intended scope of work.
  • 3 Diversity, Equity and Inclusion Subject Matter Experts 50 hours each at $200 to 285/hr
  • 1,260 hours others, per diems and hotel accommodation

Greene Street Communications 12/21/20 Contract $280,302.66. More billboards
Greene Street Communications 12/12/20 Contract $247,890.96. More billboards
Total: Greene Street $3,416,233.26

Elite Business Strategies 3/8/21 Contract $6,031,259.

    • Support vaccine distribution to serve minority populations in the Commonwealth of Virginia
    • Systematically managing necessary resources and partnerships to formulate a successful outreach campaign of COVID vaccination literacy, education, and awareness, particularly among vulnerable populations
    • Help reduce the spread of COVID-19 throughout the Commonwealth with a laser focus on marginalized and minority communities
    • Increase the number of those being vaccinated throughout the Commonwealth, including reluctant communities
    • Driving the Commonwealth’s ambassador program that can support a sustainable vaccination plan to inspire confidence in making the decision to be vaccinated

Total for both companies: $9,447,492.26

Notice a pattern here?

Weighting preregistration vaccine lists for African-American and Latino communities.

Reserving slots outside of the preregistration process for “racial equity targeted kind of interventions.”

Support each VDEM region with outreach efforts, particularly for historically underserved populations.

Reporting to the Director of Community Outreach under the Health Equity Task Force

Strategic outreach plan to target Virginia’s Black communities.

Diversity, Equity and Inclusion Subject Matter Experts.

Support vaccine distribution to serve minority populations.

A laser focus on marginalized and minority communities.

I suppose we could squeeze Native Americans and Asians in under minority communities, but can reluctant and vulnerable communities include white Virginians? Sure doesn’t look that way.

And the worst of this is that the Virginia Department of Health doesn’t even know the race or ethnicity of 910,315 people who’ve had at least one dose of vaccine, or the 217,324 vaccinated since the last breakdown of the demographics. That’s 1,127,639 unknown of 2,633,689 – 43%.

Whatever happened to the idea of one nation, indivisible, with liberty and justice for all? Get rid of the divisiveness and concentrate on our shared humanity as Virginians. Prioritizing one racial group or another for vaccinations isn’t going to shut this virus down. We’re all in this together.


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Comments

27 responses to “Northam’s Vaccine Quotas”

  1. Stephen Haner Avatar
    Stephen Haner

    Billboards? The most worthless form of advertising? Billboards?

    1. Nancy Naive Avatar
      Nancy Naive

      You Sir, clearly never stopped at South of the Border.

      Say that to the Mouth of the South.

      1. Stephen Haner Avatar
        Stephen Haner

        That is the one and only function where a billboard is not a waste of money….come see us at Exit XYZ, 20 miles ahead. Oh, these contracts demand a bit more examination. I’d like to confirm they were paying $200 per hour and up, but if so we need to know who’s cousin or child got the job….

        1. Nancy Naive Avatar
          Nancy Naive

          I’ll add a few more. Missing person billboards, and those for ambulance chasers. Apparently, they work.

        2. StarboardLift Avatar
          StarboardLift

          Surprising how many people shopping for home in new real estate development cite “billboard” as reason for their visit. And direct mail pieces.

  2. Carol raises a very important question: Is it legitimate to reserve vaccines for favored demographic groups? I agree with her that race-based vaccine quotas are reprehensible — a new form of racism — but I’ll concede that the question is complex, and it’s worth exploring.

    First, one could argue that in order to effectively combat the virus, every segment of society needs to be vaccinated. We don’t want pools of unvaccinated people where the COVID-19 virus is still running rampant. It’s in society’s interest to close the vaccination gap.

    Given the trillions of dollars being thrown around, I don’t have a problem with the Northam administration devoting nearly $10 million to combat vaccine reluctance in black and Hispanic communities. Society benefits when everyone gets a vaccine.

    But are black and Hispanic communities the only sub-populations that have expressed suspicion of the vaccine? No. Polls have shown that conservatives, Republicans and Trump voters are almost as suspicious of the vaccine as blacks. These voters tend to skew white, working-class and rural. Has anyone studied if there are pockets of non-vaccination people in rural Virginia counties? If they exist, why aren’t advertising campaigns targeted them as well?

    Carol has made the point that race is not a contributor to vulnerability to the virus. The big risk factors are obesity, diabetes, hypertension, and related diseases. These diseases tend to be more prevalent in lower-income communities regardless of race. Why aren’t we, then, targeting communities based on the prevalence of risk factors regardless of race?

    Northam is implementing a new form if racism by (a) targeting some racial groups but not others to overcome vaccine resistance, and (b) allocating some vaccines on the basis of race. He could achieve the same social good by targeting risk factors instead. But, no. It is now fashionable to discriminate against whites to close the statistical disparities that preoccupy our elites. The principle that “racism” and race-based “discrimination” are bad no longer applies. You just have to be a member of the preferred group.

    1. LarrytheG Avatar
      LarrytheG

      Okay – so a friend got notice from VDH that since she had a risk factor, she could get the shot. They were not asking about race… so how is that “targeting” race?

      And more important – what do the numbers who are actually vaccinated show? Do they confirm the hypothesis that Northam is “targeting” race?

      1. WayneS Avatar

        “Do they confirm the hypothesis that Northam is “targeting” race?”

        The contracts mentioned in the article confirm the “hypothesis” that Northam is targeting people of certain race(s) for vaccination. The word “target” or “targeted” is used in the description of tasks for three of the four contracts, and the phrase “laser focus” is used in the fourth. These terms are used in the context of concentrating efforts on “marginalized and minority communities”, and in one case “Virginia’s Black communities”.

        So, yes, governor Northam is “targeting race”, as you put it.

        1. LarrytheG Avatar
          LarrytheG

          Agree… But also ” “marginalized and minority communities”, is a legitimate “target” for priority – black or not.

          Perhaps there IS too much emphasis overtly on race … it does seem to cause negative reactions.

          1. WayneS Avatar

            ” But also ” “marginalized and minority communities”, is a legitimate “target” for priority – black or not.”

            Yes, but on this issue you seem to be a fair-minded person with no axes to grind.

            To an elite racist wracked with white-guilt such as our governor, “marginalized and minority” is always synonymous with “black”.

          2. LarrytheG Avatar
            LarrytheG

            Could be Northam is doing penitence for blackface but OTOH , the phrase “marginalized and minority communities” is pretty widespread these days in government, NGO as well as corporate.

            A lot seems to have changed after the death of George Floyd and other related incidents.

            I’m not convinced that most non-Conservatives are opposed to it or that it will give Conservatives wins in elections.

      2. DJRippert Avatar
        DJRippert

        The number of people actually vaccinated is a function of two things – availability and willingness. The availability should be based on risk. Willingness is a personal choice.

        1. StarboardLift Avatar
          StarboardLift

          1. Willingness
          2. Access

    2. Dick Hall-Sizemore Avatar
      Dick Hall-Sizemore

      It is difficult, if not impossible, to target the obese, diabetics, and folks with hypertension. So, the state targets demographic groups in which those conditions, with accompanying poverty, are prevalent. I agree that there are whites that fit this description, but they are not as concentrated. One concern would be rural populations. Are there any indications that folks in rural areas are showing hesitancy to get vaccinated?

      Furthermore, it has been clear that Blacks and Hispanics have been disproportionately affected by the virus. This is not due to their being Black or Hispanic, but due to their being the ones most likely to be working in areas where they are exposed to the virus.

      1. WayneS Avatar

        “Furthermore, it has been clear that Blacks and Hispanics have been disproportionately affected by the virus. This is not due to their being Black or Hispanic, but due to their being the ones most likely to be working in areas where they are exposed to the virus.”

        Excellent point. Perhaps the extra money and effort should be spent on encouraging vaccination of, and vaccinating, individuals who have service-sector jobs where the chance of exposure is high, rather than concentrating so much on race alone.

      2. DJRippert Avatar
        DJRippert

        “It is difficult, if not impossible, to target the obese, diabetics, and folks with hypertension.”

        Really? Maybe ask the primary care physicians to schedule calls (or Zoom conferences) with their patients that are obese, diabetic of have high blood pressure? Let the doc certify that those patients should be made a priority. Maybe have the pharmacies send notices to people with insulin or blood pressure prescriptions documenting that have been under treatment for some time. Let those notices be the basis for prioritization. Maybe put scales at inoculation sites?

        C’mon, man. That targeting would not have been difficult and certainly would not have been impossible.

      3. DJRippert Avatar
        DJRippert

        “Furthermore, it has been clear that Blacks and Hispanics have been disproportionately affected by the virus.”

        So, Barack and Michelle Obama should cut the line while a 50 year old White waitress from Clifton Forge should be told to just shut up and wait?

        1. LarrytheG Avatar
          LarrytheG

          or 80 year old grandma?

          there are no good or satisfying answers even for those who are not looking t make trouble about it!

  3. Nancy Naive Avatar
    Nancy Naive

    Equal outcomes. And, so far the outcome for minorities has been dismal. Besides, if 50% of Republican men are foregoing the inoculation then there is sufficient excess to prioritize thusly.

    1. N2; If true shouldn’t our equitable-focused tax money go to target those 50% GOP men as well? And vaccines be reserved for them too? Or is this demographic not worth equity targeting? And if so — why?

      1. Stephen Haner Avatar
        Stephen Haner

        The key is the word that begins with R.

        1. Nancy Naive Avatar
          Nancy Naive

          Regressive? Repressed? Reversed? Mos’ definitely, Bob.

      2. Nancy Naive Avatar
        Nancy Naive

        This is a country of choice. If your bakery doesn’t want to bake a wedding cake for a gay couple, that’s your choice. If your bar reserves the right to not serve persons without a COVID passport, that’s your … oh wait. No, I guess that’s not true in Florida.

        Supply and demand. If demand in Republican districts drop, supply is diverted to minority areas.

    2. Stephen Haner Avatar
      Stephen Haner

      I think you are feeding into Carol’s point. If the problem is that population not getting the message or making it to the clinics, don’t you think a different strategy might be utilized? Give me $200 bucks an hour to go hang out in beer joints or Hardee’s parking lots to encourage the reluctant…do drive-thru clinics for pick-ups only!

      By listening to the press briefing, which of course was a press briefing so reporters heard it, she confirmed what I’ve suspected: Favorable treatment to particular groups. Rationing of supply. Given the thumb on the scale, and their low response rate, those groups must really not want to do this either.

      I REALLY will want to know how many doses have been destroyed while “walk ins” were turned away at vaccination sites.

    3. CJBova Avatar

      It all depends on how you play the numbers: Virginia COVID Deaths as of March 14, 2021 showing actual percentages of total deaths by race/ethnicity.
      As of 5 PM 4-2-21,
      number + or – and change in % of total deaths
      White deaths increased by 172 up 0.2%
      Black increased by 90 up 0.4%
      Latino decreased by 4 down 0.2%,(from VDH adjustment that reduced total by 99 deaths)
      Asian up by 21 0.1% of total deaths,
      Other/Two or more No change
      Native American up by 2 up 0.1%
      Unknown 12 fewer deaths, down by 0.1%

      1. Nancy Naive Avatar
        Nancy Naive

        Normalized.

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