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More SC health care workers refused or deferred COVID-19 vaccine than expected
COLUMBIA, S.C.
Health care workers hesitant about receiving the COVID-19 vaccine have contributed to the sluggish pace of vaccinations in South Carolina, which ranks 47th among states in its vaccine administration rate, according to the Centers for Disease Control and Prevention.
The South Carolina Hospital Association, which advocates on behalf of the state’s hospital systems, is pushing for the relaxation of vaccination guidelines in part because hospitals are struggling to find enough frontline employees who want to be vaccinated.
“During the past few weeks, many individuals meeting Phase 1a criteria have refused to receive the vaccine or have asked to defer their opportunity to receive it until a later date,” SCHA spokesman Schipp Ames said.
He said hospitals had asked that the state Department of Health and Environmental Control allow them to begin vaccinating individuals outside their own health systems after finding that vaccine vials often contained more doses than originally anticipated and that fewer eligible individuals than expected were willing to receive a vaccine.
As of Friday, just under 71,000 of the 350,000 South Carolinians who fall into Phase 1a, the state’s initial vaccination stage that encompasses front line health care workers and long-term care facility residents and staff, had received a first dose of vaccine, according to DHEC.
Another 84,000 have scheduled a vaccination appointment, the agency said.
During a meeting Thursday with DHEC officials, executives from a number of South Carolina’s largest hospital systems requested more flexibility to inoculate residents outside the Phase 1a designation, citing the failure of health care workers to sign up for vaccinations.
Patrick Cawley, chief executive officer of Medical University of South Carolina Health, said the hospital system’s initial vaccine response rates tracked with studies that show that people split roughly into three categories: those who get the vaccine immediately, those who take a wait-and-see approach and those who decline the vaccine.
“There’s been a couple dozen studies done. And we’re finding it roughly goes like this,” he said at Thursday’s board meeting.
“A third take the vaccine right away. They’ll schedule it almost as soon as they can get it. And then a third, don’t schedule right away. That’s the group that doesn’t, they say they want it, but they don’t want to take it right away. And they’re scheduling on the end of our scheduling. And then you got about a third who are not going to take it right now. They’re saying absolutely no.”
Brannon Traxler, DHEC’s public health director, said Friday the agency does not know how many health care workers have opted not to receive the vaccine, but said the issue of vaccine hesitancy was on its radar and something it had been “working very hard to overcome and combat” through education.
DHEC officials have made the safety of the COVID-19 vaccine a frequent talking point on the agency’s regular media briefings, and in mid-December state epidemiologist Linda Bell, a top DHEC official, released a statement tailored specifically to vaccine-hesitant Black South Carolinians encouraging them to take the vaccine.
“Unfortunately, groups that have the most skepticism are the same groups that have the highest rates of hospitalizations and deaths,” Bell said. “We now have the ability to do our part to protect ourselves and others to end this pandemic by getting vaccinated. When it’s my turn, I’ll be among the first waiting in line to roll up my sleeve and get vaccinated.”
Physicians at some of South Carolina’s largest health systems made similar statements when publicizing the arrival of the vaccine at their facilities last month, but hospital spokespeople have been less willing to talk about vaccine hesitancy within their system’s own ranks.
When asked how many employees had opted not to receive the vaccine, representatives from MUSC, Lexington Medical Center and Prisma Health either said they did not know or declined to answer, responding instead by providing how many employees had received the vaccine.
“Currently 66% of our MUSC teams have received the first dose of the vaccine,” spokesman Montez Seabrook responded via email when asked about comments the hospital’s vice president made to DHEC about vaccine hesitancy. “We are extensively educating our teams about vaccine efficacy and safety to address any hesitancy concerns.”
Lexington Medical spokeswoman Jennifer Wilson said Tuesday that about 75% of the 8,000 people the hospital offered a vaccine had been vaccinated or were scheduled for a vaccination.
She said the 25% who had not responded to the vaccine offer had not necessarily declined to receive it, and that she did not know how many employees had refused the vaccine.
A spokeswoman for Prisma Health, the state’s largest hospital system, said it wasn’t possible to say how many employees had opted not to receive a vaccine because the federal vaccination system only records how many vaccines have been administered.
As of Tuesday, Prisma had vaccinated more than 10,000 health care workers and was dosing more than 1,000 people per day, spokeswoman Tammie Epps said.
The Kaiser Family Foundation, which is conducting ongoing research into the public’s attitudes about COVID-19 vaccinations, last month released the results of a survey that found 27% of respondents said they definitely or probably would not get vaccinated, even if the vaccine was free to the public and scientists had deemed it safe.
People who work in health care settings were slightly more likely to say they would decline the vaccine than the average respondent, with 29% reporting they would not get vaccinated, the survey found.
Vaccine hesitancy was highest among Republicans, people ages 30 to 49, rural residents and Black adults.
The primary reasons respondents gave for their reluctance to receive the vaccine included concerns about side effects, lack of trust in its safety and effectiveness, and fear over the role of politics in the development process, the study found.
About half of Black adults who said they planned to decline the vaccine cited a general aversion to vaccinations and concern that doses of the COVID-19 vaccine might infect them with the virus, according to the survey.