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native american tribes vaccine

See below for details about the organizations. That rate has been about the same in most communities throughout the summer, although there was a bump among Hispanic or Latino communities and Pacific Islanders in mid-August. Native Americans embrace vaccine, virus containment measures. More than 3,000 receive a single dose of the Bacille Calmette Guérin (BCG) vaccine; others receive placebos. Racing to Save Languages and Cultures, Native American Tribes Rapidly Roll Out Vaccines Covid-19 has killed Native people at a faster rate than any other group in the U.S., but vaccine … Classes were to resume this month at Aaniiih Nakoda College. Found inside – Page 131Some people were from Native American tribes, such as the Makah and the Quileute of the vampire novels of pop fiction, or the Sioux, or the Oglala, ... Examines the destructive impact of journalists, anthropologists, and scientists on the Yamomami Indians, one of the Amazon basin's oldest tribes, whose internecine warfare was triggered by repeated visits by the world's leading ... ‘The Democratic Party is the New York Yankees’, Big gap between Pfizer, Moderna vaccines seen for preventing COVID hospitalizations. “If there's a low vaccination rate in particular areas, then they're underserved because they're not getting a vaccine,” said Rich Lakin, the immunization program manager for the Utah Department of Health. This gap has existed since vaccinations started in December, and it’s only widened since. Tribes aren’t the only entities getting vaccines to Native people. “There’s always that reluctance as a Native American,” Nuvangyaoma said. Found inside – Page 38“the waves of epidemic disease that afflicted indigenous populations ... In fact, the U.S. government created programs to vaccinate Native Americans from ... Efforts focus on increasing access to vaccination sites and providing resources to the Tribes and Tribal and Indigenous Peoples Serving Organizations to … Dr. Everett R. Rhoades, MD, a member of the Kiowa Tribe of Oklahoma external icon, was the first Native American director of IHS. They reminded people of the damage COVID-19 had already wrought — killing Native Americans at 2½ times the rate of white Americans — as well as of the smallpox epidemics of the 18th and 19th centuries that decimated many tribes. Plaschke: Is this a fork in the road — or the end of it — for the UCLA football bandwagon? Native American tribes are pulling off many of the most successful coronavirus vaccination campaigns in the U.S., bucking stereotypes about tribal governments.The big picture: Despite severe technological barriers, some tribes are vaccinating their members so efficiently, and at such high rates, that they've been able to branch out and offer coronavirus vaccines to people outside of their tribes. Focused outreach, education, and access efforts to promote vaccine equity in these disproportionately impacted communities. The reasons range from suspicion and distrust tied to unethical practices of the past to the quick nature of the studies, which typically may need several layers of approval from tribes. Tribal leaders got shots early to demonstrate that the vaccines were safe. The 2009 H1N1 vaccination campaign was one of the largest public health campaigns in U.S. history, vaccinating one-quarter of the population in the first three months. The Heartbeat of Wounded Knee is the essential, intimate story of a resilient people in a transformative era. Native American Utahns And The Vaccine. Photos: Over 650,000 white flags commemorate pandemic’s toll on the U.S. Texas doctor who defied state’s near-total abortion ban is sued. "This highly engaging landmark work, a natural history of exercise--by the author of the best seller The Story of the Human Body--seeks to answer a fundamental question: were you born to run or rest The first three parts of Exercised ... Data from several states and counties offer supporting evidence. Federal officials ditched protocols, letting tribal leaders determine the order of vaccinations. The vaccine rollout in Native communities has been a surprising source of strength, especially as vaccinations of other communities, such as Black and Hispanic Americans, continue to … Recreates one of the most overlooked chapters in American history--the smallpox epidemic that coincided with the Revolutionary War--tracing its influence on colonial life and the course of the war. Native-American Tribes Pull Ahead in Covid-19 Vaccinations High inoculation rates stem from centralized healthcare system and culture that strives to protect elders How much do you agree with the following statements in the scale of 1, Strongly Disagree, to 5, Strongly Agree? “One school off-reservation had a big outbreak in January, after their personnel had one shot on board.”. A Native American tribe in northern Montana is giving its surplus COVID-19 vaccines to its First Nations relatives and others from neighboring communities in Canada. Public-health nurses who have vaccinated people at the Fort Belknap Indian Community for COVID-19 wore ceremonial tribal skirts when they were honored as grand marshals of the reservation’s annual parade in July. The Native American tribe of 16,000 has faced little resistance while distributing the vaccine to tribal citizens. An account of the series of smallpox epidemics that decimated the native American population in the 1800s. Found inside – Page 35... not win the Arauco War.42 The native Americans in Plymouth, Massachusetts, ... though, a small outbreak spread through the Native American tribes in the ... That meant more contact with people, including elders. In Montana, Native Americans comprise 6.7% of the state's population. Sept. 12, 2021 contribute now Support this work by making a donation today. “I don’t think there’s any uniqueness to being enrolled as a tribal member.”. While minority communities across the United States have struggled to trust the vaccine, the opposite is true for the Eastern Band of Cherokee Indians, a Native American tribe of 16,000 in … Well, It’s Complicated, Salt Lake City Residents Opposed To Inland Port Celebrate Small Win With The Delay Of A Vote, Health Providers Step Up Outreach On Navajo Nation, As Demand For COVID Vaccine Drops, Navajo Nation Will Begin To Reopen Based On High Vaccination Rate And Falling COVID-19 Cases, San Juan County Leads The State In Vaccination Rate, Thanks In Part To Large Drive-Thru Events, Utah Minorities Make Up Smaller Share Of COVID-19 Cases Than In Spring, But Disparities Persist, Minority Utahns Are Impacted By COVID-19 At Higher Rates — New Subcommittee Aims To Help, Coronavirus Is Hitting Utah's Minority Communities Hardest, Latinx Utahns Faced Disproportionately High Rates Of COVID-19 — Now They’re Being Vaccinated At Lower Rates. A single dose of pneumococcal 23-valent polysaccharide vaccine should be considered for Native American children at 2 years of age residing in areas where an increased risk of invasive pneumococcal disease has been demonstrated after 2 years of age. In Alaska, for example, Native Americans make up 15% of the population but as of April accounted for 22% of vaccine recipients. "We've already lost 30 fluent speakers to … Sept. 12, 2021 contribute now Stigmatized and relegated to the margins of Roman society, the Goths were violent “barbarians” who destroyed “civilization,” at least in the conventional story of Rome’s collapse. You may occasionally receive promotional content from the Los Angeles Times. People of color in Utah are less likely to have gotten the COVID-19 vaccine than white Utahns. Since Jan. 13, the tribe has offered the Moderna vaccine to enrolled Muckleshoot Tribal members and federally recognized Native Americans in King County on Wednesday afternoons. In this Thursday, Jan. 28, 2021 photo, a man rolls up his sleeve and prepares to receive the COVID-19 vaccine … Found inside – Page 63(North Wind Picture Archives) vaccination with cowpox prepared humans to fight off smallpox, American Indians also quickly accepted this method of ... In the Pfizer vaccine trials that span the globe, 26% of participants are Hispanic/Latino, 10% are Black, 5% are Asian and 1% are Native American. This form only gathers feedback about the website. CHEROKEE, N.C. (AP) — Joyce Dugan did not hesitate before sitting down inside … Gamblers in masks sidled up to the blackjack tables at the Fort Belknap Casino, which recently reopened after a shutdown of more than a year. This ebook features an illustrated biography of Dee Brown including rare photos from the author’s personal collection. Found inside5733-8 Tourists were shopping again at the Kwik Stop convenience store on U.S. 2. Some Native American tribes rely on health care facilities owned and managed by the Indian Health Service, but the Eastern Band took over its health system in 2002. Tragically, the Coronavirus pandemic (COVID-19) has disproportionately affected American Indian and Alaska Native (AI/AN) populations. Found insideReich has been following the issue of vaccine refusal for over a decade, and examines how parents who opt out of vaccinations see their decision: what they fear, what they hope to control, and what they believe is in their child's best ... Would you like to provide additional feedback to help improve Mass.gov? In North Carolina, a major reason why members of the Cherokee tribe have not hesitated in stepping forward to get the vaccine is their hospital. Tragically, the Coronavirus pandemic (COVID-19) has disproportionately affected American Indian and Alaska Native (AI/AN) populations. Tribes aren’t the only entities getting vaccines to Native people. It includes information from CDC and new, culturally tailored materials from the HHS COVID-19 public education campaign and its team of multicultural experts. “Whereas in an urban setting, you have a whole array of messaging.”. In a poll of Native Americans by the Urban Indian Health Institute, 75% of respondents said they were willing to get vaccinated. Tribal leaders all want to take steps to end the pandemic, just like any other public official, said James Meggesto, who leads the Native American law practice at Holland & Knight in Washington, D.C. This volume analyzes conservative politics in the first section and progressive responses in the second to provide a clear overview of US politics as a whole. “This has been just a tremendous effort across all of Indian Country to take care of our people,” Christensen said. It seemed that the reservation had turned a corner. Top-requested sites to log in to services provided by the state. This page, COVID-19 Vaccine Equity Initiative: Tribes, Native Americans, Alaskan Natives, Pacific Islanders, Native Hawaiians, and Indigenous Peoples, is, COVID-19 Vaccine Equity Initiative: Tribes, Native Americans, Alaskan Natives, Pacific Islanders, Native Hawaiians, and Indigenous Peoples, in the scale of 1, Strongly Disagree, to 5, Strongly Agree, Professional Training & Career Development, Tribes and Tribal Serving Organizations Supporting Access to Culturally Appropriate COVID-19 Vaccination Information and COVID-19 Vaccinations, Access to Culturally Appropriate COVID-19 Vaccination Information and COVID-19 Vaccinations, If you need to contact the Department of Public Health, please click here, Dedicated appointments at vaccination sites, Mobile clinics to increase access to members of these communities who face barriers in accessing vaccination sites, Connect community leaders with leaders of local health departments to coordinate vaccine access and educational outreach to community members who live throughout Massachusetts, Financial support for Indian Health Services and Tribal Health Services for vaccination distribution and outreach activities to their members, Conduct outreach and decrease barriers to accessing vaccinations, Provide culturally relevant information and resources on vaccines, Develop or adapt educational and informational resources and distribute them through common community channels or social media, Partner with DPH to coordinate a community-based response, The Wampanoag Tribe of Gay Head (Aquinnah): $60,115, Native American Lifelines (Urban Indian Health Service): $20,000, Centro Comunitario de Trabajadores: $44,000, North American Indian Center of Boston (NAICOB): $48,000. Native Americans embrace vaccine, virus containment measures. It’s not just the Fort Belknap reservation that has managed to protect itself. The reasons range from suspicion and distrust tied to unethical practices of the past to the quick nature of the studies, which typically may need several layers of approval from tribes. Martha is originally from Portland, Oregon. A survey of 1,435 Native Americans across 46 states found that 75% of participants would be willing to receive a vaccine. (Related opinion: 'Call for Native people to reject Johnson & Johnson vaccine alarming') (Related news story: Vaccine hesitancy is as old as vaccines themselves) The relative risk of getting COVID-19 after being vaccinated was 2.1 times, 210 percent higher, in the American Indian/Alaska Native populations compared to persons of all the other groups in the study who received the active vaccine. Then this bigger one appeared, In red California, anger over recall blowout. Native Americans embrace vaccine, virus containment measures. Few Native American tribes have signed up to take part in clinical trials as coronavirus vaccines are developed. Pandemic: Native American tribes have been hit harder by COVID-19. Native American tribes are vaccinating native language speakers to overcome mistrust of COVID-19 doses. The untold story of how America's Progressive-era war on smallpox sparked one of the great civil liberties battles of the twentieth century. The centralized structure of the Indian Health Service, often criticized as bureaucratic, allowed the nurses to quickly sort patients by age and find detailed health and contact information. “If you get your electricity shut off or you run out of propane and don’t have hot water, you’re going to Grandma’s house to get cleaned up and stay,” said Jessica Windy Boy, who heads the Indian Health Service branch here. FBI says fortune seized in Beverly Hills raid was criminals’ loot. Eligibility: Tribes, Tribal serving organizations, and Indigenous Peoples serving organizations are eligible. And distrust of federal authorities runs deep. But when the coronavirus finally arrived, it hit hard. American Indians, Alaskan Natives, tribal employees, employees of Indian agencies, and people living with Native Americans are all eligible to receive the vaccine at the UMB clinic. They expressed confidence in the efficacy of all three available vaccines, and encouraged Native people to take the first one available to them. The rumors, conspiracy theories and bitter politics that have stalled out the national vaccination effort appear to have gained less currency among Indigenous people. At Fort Belknap, health workers went first, then essential workers and elders. The pandemic has been devastating for some tribes and Native American families in the United States; the COVID-19 mortality rate is higher among American Indians than white Americans… Some of these organizations work across multiple communities, and some may be funded under more than one component of the Vaccine Equity Initiative. Found inside – Page 41He vaccinated eighteen members of his own family, some of his neighbors, and members of Native American tribes. Vaccination was soon practiced all over the ... Utah received $30 million from the CDC last spring to help vaccinate underserved communities. This toolkit has resources for American Indian and Alaska Native tribal leaders who want to help increase confidence in and uptake of COVID-19 vaccines in their communities. Found inside – Page 120number of Native American tribes . The introduction of vaccination was not without its problems . Objections were registered by some religious leaders ... Since Jan. 13, the tribe has offered the Moderna vaccine to enrolled Muckleshoot Tribal members and federally recognized Native Americans in King County on … Mass.gov® is a registered service mark of the Commonwealth of Massachusetts. They took to the radio and social media to promote them, warning that elders faced the greatest danger in communities vulnerable due to high rates of diabetes, heart disease and obesity. Native American tribes receive COVID-19 vaccines, and health officials work to ease fears about taking it. This companion book to the award-winning We Are Grateful: Otsaliheliga offers readers everything they never learned in school about Native American people's past, present, and future. Few Native American tribes have signed up to take part in clinical trials as coronavirus vaccines are developed. CHEROKEE, N.C. - Joyce Dugan did not hesitate before sitting down inside … A recent survey of 1,435 American Indians and Alaska Natives from the Urban Indian Health Institute found that 75% of participants were willing to get a Covid-19 vaccine… Native Americans embrace vaccine, virus containment measures. The Seminole Freedmen are descendants of formerly enslaved Black people who escaped to what is now Florida. Several Native American communities across the country have successfully sprung into action, like the Navajo Nation’s Department of Health, which … Dr. Everett R. Rhoades, First Native American Director of IHS. Dressler said they plan to vaccinate everyone in the state’s Phase 1A category, but did lower the age requirement to 55. CHEROKEE, N.C. (AP) – Joyce Dugan did not hesitate before sitting down inside the Cherokee Indian Hospital for her second and final dose of the COVID-19 vaccine. “We were extremely aggressive with our vaccination rates very early,” said Dr. Loretta Christensen, chief medical officer of the federal Indian Health Service, which provides care to more than half of the country’s 5 million Native Americans. Nurses drew on credibility from their family ties as they targeted more people to vaccinate. This book focuses on the application of tribal, state, and federal employment laws. Moreover, the Guide applies tribal self-determination, sovereignty, and immunity to the employment process. Found inside – Page 417The group would include everyone from Native American tribal leaders to the Consumers ' Union . Bernier didn't feel that the CDC's vaccination program had ... Fort Belknap — a 980-square-mile reservation established in 1869 for two formerly nomadic tribes, the A’aninin and the Nakoda — was the first of Montana’s seven reservations to obtain ultra-cold freezers needed to store the vaccine made by Pfizer-BioNTech. Get all the day's most vital news with our Today's Headlines newsletter, sent every weekday morning. The Indian Health Service, the federal health program for American Indians and Alaska Natives, says it has distributed more than 1.1m vaccines … Tribes … Added to the logistical challenges is the broader, long-simmering cultural mistrust of vaccines and clinical trials felt by tribal communities as a result of historical trauma, making their skepticism about the safety of vaccines more pronounced. Most Urban Indian Organizations have received their vaccines … Born in Scotland and raised in Boston, he has reported from all seven continents. Roughly 70% of Native Americans live in cities, and 41 Urban Indian Organizations serving 22 states provide care to some of those populations. “I’ve been asking my cousin and his wife, but they won’t budge,” she lamented. Getting people to agree to covid-19 vaccination is an ongoing challenge in the US. For many experts — and even many tribal leaders — it was hard to imagine a group that would be more opposed to government-backed vaccines. Some tribal leaders said the devastation from COVID-19 contributed to the successful vaccine … CHEROKEE, N.C. (AP) — Joyce Dugan did not hesitate before sitting down inside the Cherokee Indian Hospital for her second and final dose of the COVID-19 vaccine. Yankton … While minority communities across the United States have struggled to trust the vaccine, the opposite is true for the Eastern Band of Cherokee Indians, a Native American tribe of 16,000 in … Phil West chronicles those fans’ voices †“ intermingled with league officials, former players and coaches, journalists, and newspaper accounts †“ to detail MLS’s remarkable journey for those new to the U.S.’s top-tier league, ... Roughly 70% of Native Americans live in cities, and 41 Urban Indian Organizations serving 22 states provide care to some of those populations. Native American tribes used incentives, a centralized health care system and personalized outreach efforts to fast-track their vaccine rollout. Meanwhile, the message from Utah’s elected officials has been confusing, Smith said, because they’ve politicized wearing a mask and getting the vaccine. This initiative aims to ensure vaccine equity for Tribes, Native Americans, Alaskan Natives, Pacific Islanders, Native Hawaiians, and Indigenous Peoples. Most Urban Indian Organizations have received their vaccines … Native American tribes used incentives, a centralized health care system and personalized outreach efforts to fast-track their vaccine rollout. Found inside – Page 2108/11/09 Connecticut Department of Public Health H1N1 Vaccine Distribution ... be no separate vaccine allocation for Native American tribal communities or ... Less than a third of eligible Native Americans in Utah are fully vaccinated according to the Utah Department of Health, but in comparison, 60% of white Utahns are fully vaccinated. Abstract: Regardless of a thirty year history in which United States federal officials accepted responsibilites for preventative health care for Native Americans, vaccination protection for smallpox was not offered to Native Americans until 1832, after millions of non-Native peoples throughout … “We saved lives doing that,” said Windy Boy, the Indian Health Service executive. The Indian Health Service announced Monday that it is shifting its vaccine distribution system to target individual hospitals and clinics with high demand for shots and taper supplies to hubs where most eligible patients have received doses. An intricate narrative of the Dakota people over the centuries in their traditional homelands, the stories behind the profound connections that hold true today. He served on a team that won the Pulitzer for Public Service for exposing U.S. immigration agency abuses. That data — collected by the U.S. Centers for Disease Control and Prevention — suggest that Native Americans are 24% more likely than whites to be fully vaccinated, 31% more likely than Latinos, 64% more likely than African Americans and 11% more likely than Asian Americans. Found insideNEW YORK TIMES BESTSELLER • NATIONAL BOOK AWARD FINALIST • A twisting, haunting true-life murder mystery about one of the most monstrous crimes in American history, from the author of The Lost City of Z. In the 1920s, the richest people ... In an original move, tribal officials also extended eligibility to staff members of nearby schools that enrolled Native children. The U.S. agency is part of a two-pronged national effort to immunize Indigenous communities that also relies on state health agencies. 1935: Tuberculosis vaccine tested on American Indians. The other day in the dusty town known as Fort Belknap Agency, teenagers buzzed past double-wide trailer homes on an ATV. “We’re not unique when you look at the numbers across Utah,” Smith said. The chief medical officer of the Indian Health Services (IHS), Dr. Michael Toedt, also disagreed. Experts say Native Americans have a higher vaccination rate than any other major racial or ethnic group. Published September 17, 2021 at 6:09 PM MDT. With the distribution of the COVID-19 vaccine underway, ensuring equitable and rapid distribution to the U.S. population will be important for mitigating the disproportionate impacts of the pandemic for people of color, preventing widening racial health disparities going forward, and achieving broad population immunity. Timothy Lewis is one of the 463 Native Americans across the country that volunteered in a Pfizer COVID-19 vaccine trial. Why Native Americans Are Getting COVID-19 Vaccines Faster And, without their own clinic, many Chinook members forego medical care rather than travel hours to see a doctor, Johnson says. But one demographic group shines, reports Joanne Silberner Data from the US Centers for Disease Control and Prevention (CDC) show that Native American groups—American Indians and Alaska Natives—have consistently had the best vaccination records since covid-19 vaccination in the US began in early 2021. Our broadcast signal serving the St. George area (KUER 90.9) is operating on low power. Why Native Americans Are Getting COVID-19 Vaccines Faster The Rosebud Sioux Tribe is vaccinating its community at rates faster than the rest of South Dakota. People of color in Utah are less likely to have received a shot of the COVID-19 vaccine than white Utahns. “I framed it in the way that the virus was a monster, just like any other monster that has come to plague the Navajo people and wreak havoc,” Nez explained in an interview this week. By December, 10 people had died, most of them venerated elders, devastating the close-knit community of 4,500. Native American tribes, among the hardest-hit by covid-19, are celebrating a pandemic success story. At least three Native American tribes in northeastern Wisconsin will put cash in the pockets of its members and employees to get a COVID-19 vaccination. But vaccine mandates may impact tribes’ sovereign rights to … By April, the Navajo Nation had already vaccinated half of its adult population. The NATIVE Project has a cold storage freezer for the Pfizer vaccines. “I’m proud of our hospital,” the 72-year-old former tribal chief said as a nurse quietly prepped her arm. “I told them that you’ve got to have armor, and the armor is the vaccine.”. Biden bets on rapid COVID tests, but they can be hard to find, Homeland Security chief Mayorkas says images from border ‘horrified’ him, Johnson & Johnson: Booster dose of its COVID shot prompts strong response, Podcast: Biden shut a migrant camp. U.K. police charge 3rd Russian in poisoning of ex-spy, Op-Ed: For a generation born into climate change, hope isn’t an option. He said most of that money was given to Utah’s 13 local health departments which were then tasked with figuring out how to narrow the vaccination gap. Less than a third of eligible Native Americans in Utah are fully vaccinated according to the Utah Department of Health, but in comparison, 60% of white Utahns are fully vaccinated. SHOW TRANSCRIPT. Efforts focus on increasing access to vaccination sites and providing resources to the Tribes and Tribal and Indigenous Peoples Serving Organizations to provide outreach, education and mitigate barriers to accessing vaccines. American Indians enroll in an experimental study to determine the effectiveness of a tuberculosis vaccine developed 14 years earlier in France. Owners say: Where’s the proof? While the U.S. as a whole is just finding its stride administering the COVID-19 vaccine to its citizens, many Native American tribes – including the Confederated Tribes of Siletz Indians … They face some of the worst poverty in the nation. Laurie Arnold tells the story of those years on the Colville reservation with the perspective both of a thorough and careful historian and of an insider who grew up listening to the voices and memories of her elders. In 2017, American Indian/Alaska Native children received the recommended doses of vaccines for measles, mumps, rubella, Hib, polio, and chicken pox at the same rate as non-Hispanic white children. After fighting together in the Seminole Wars in the 19th century, both Freedmen and Seminole Native Americans were forced to move to Indian Territory in modern-day Oklahoma. While the U.S. overall is finding its stride with COVID-19 vaccine distribution, some Native American tribes – including in Oregon – are ahead of the game. 1935: Tuberculosis vaccine tested on American Indians. Immunizations and American Indians/Alaska Natives. Your feedback will not receive a response. Few Native American tribes have signed up to participate in clinical trials as coronavirus vaccines are developed. Found insideDefining the field of global health law, Lawrence Gostin drives home the need for effective governance and offers a blueprint for reform, based on the principle that the opportunity to live a healthy life is a basic human right. Found inside"The assessment builds on the work of the Livestock, Environment and Development (LEAD) Initiative"--Pref. Vanished in Hiawatha is a harrowing look into the mistreatment of Native Americans at the Canton (South Dakota) Asylum for Insane Indians from 1902 to 1934. Richard Read is the Los Angeles Times bureau chief in Seattle, covering Washington, Oregon, Montana, Idaho, Alaska and Hawaii. KUER is listener-supported public radio. “There is going to be pushback to this vaccine,” Jonathan Nez, president of the Navajo Nation, told The Times in December. His family subsisted on homegrown vegetables and elk that he hunted — and seldom went to town. Reflecting underlying inequities, the COVID-19 pandemic has disproportionately affected American Indian and Alaskan Native (AIAN) peoplewho account … Grants for Tribal and Indigenous Peoples Serving Organizations/Entities to: Eligibility: Two federally recognized Tribes and Title V Urban Indian Health Services, Relevant Links: Tribes and Tribal Serving Organizations Supporting Access to Culturally Appropriate COVID-19 Vaccination Information and COVID-19 Vaccinations  Access to Culturally Appropriate COVID-19 Vaccination Information and COVID-19 Vaccinations. In a survey last fall — before clinical trial results came out showing vaccines to be safe and effective — only 35% of Indian Health Service field workers said they would “definitely” or “probably” get shots.

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