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Why Puerto Rico leads the U.S. in COVID vaccine rates, and what states can learn : NPR

Individuals stroll by way of Outdated San Juan in Puerto Rico in March as tourism on the island continues to surge.

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Spencer Platt/Getty Photos


Individuals stroll by way of Outdated San Juan in Puerto Rico in March as tourism on the island continues to surge.

Spencer Platt/Getty Photos

The best price of COVID-19 vaccination in the US isn’t in a liberal-leaning Northeastern or West Coast state.

It is in Puerto Rico, the place more than 73% of the total population is fully vaccinated. The U.S. nationwide common is simply over 57%.

The excessive vaccination price stands in distinction to Puerto Rico’s initial vulnerability to the coronavirus. 4 years after Hurricane Maria destroyed the electrical energy grid, energy outages nonetheless happen recurrently. Many municipalities face a scarcity of well being care services and staff.

The U.S. territory responded with a number of the strictest pandemic measures within the nation, together with nonessential enterprise closures, stay-at-home orders and masks mandates.

Mónica Feliú-Mójer is the director of communications and science outreach for the non-profit group, Ciencia Puerto Rico, and says that folks responded fairly effectively to the measures.

“There was a lot concern with, when the pandemic began, that we’ve got such a fragile well being care system,” she instructed NPR’s Audie Cornish on All Issues Thought of.

The conference middle in San Juan hosted Puerto Rico’s first COVID-19 mass vaccination occasion on March 31, 2021.

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Ricardo Arduengo/AFP by way of Getty Photos


The conference middle in San Juan hosted Puerto Rico’s first COVID-19 mass vaccination occasion on March 31, 2021.

Ricardo Arduengo/AFP by way of Getty Photos

“There’s plenty of concern that the pandemic may trigger it to break down. So I feel everybody just about rallied to do what wanted to be carried out in order that we may preserve that well being care system from collapsing and, , from having the worst occur in Puerto Rico.”

The excessive vaccination price additionally correlates with one of many nation’s lowest COVID-19 group transmission charges, based on data from the Centers for Disease Control and Prevention, and one of many nation’s lowest take a look at positivity charges, hovering round 2%.

The top of the scientific coalition advising Puerto Rico on COVID-19 (and the founding father of Ciencia Puerto Rico), Daniel Colón-Ramos, says this correlation isn’t a coincidence.

“It represents plenty of saved lives,” Colón-Ramos told CNN.

“It is actually in regards to the reality there are lots of of individuals — if not 1000’s — proper now strolling round someplace in Puerto Rico they usually would not be there if it wasn’t for these efforts.”

What the mainland can study from Puerto Rico

Feliú-Mójer says one purpose for the success with vaccination is a distinction in political tradition to the mainland United States. Within the continental U.S., Republicans have constantly fought mask-wearing rules and vaccine mandates, citing private liberty.

“We do not see that correlation between political ideologies and folks’s willingness to get vaccinated or use masks,” she stated. “It is not like the problem of COVID and vaccination hasn’t been politicized. It is simply been politicized another way, not when it comes to identities or ideologies, political ideologies.”

Whereas Feliú-Mójer notes that there are small however vocal anti-vaccine teams in Puerto Rico, she additionally factors to a “actually good” historic acceptance of vaccines. She says a secret’s participating individuals on their values, beliefs or identities reasonably than permitting them to contribute to polarization. One other is fostering solidarity within the public well being effort.

“Now we have to take differentiated methods to achieve totally different audiences and perceive what drives them to get vaccinated or not,” she stated. “After which I feel broad coalitions … totally different teams of individuals and segments of society in Puerto Rico got here collectively to work in direction of stopping COVID-19, vaccinating individuals towards COVID-19. And I feel these broad coalitions are going to be actually vital to get vaccination ranges larger in the US.”

Its successes apart, Feliú-Mójer famous that COVID-19 has nonetheless killed over 3,200 individuals in Puerto Rico. And she or he stays involved about vaccine fairness – notably in rural communities, or amongst older adults who cannot get out of their properties or do not know how you can make an appointment. She says the excessive total vaccination price can conceal gaps in protection.

Dr. Susana Schwarz inoculates a person on the Puerto Rico Conference Heart throughout the first mass vaccination occasion in San Juan, Puerto Rico in March.

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Dr. Susana Schwarz inoculates a person on the Puerto Rico Conference Heart throughout the first mass vaccination occasion in San Juan, Puerto Rico in March.

Ricardo Arduengo/AFP by way of Getty Photos

“It’s important to look past that large quantity,” she stated in a separate interview with NPR. “However then you definately take a look at sure municipalities like Loíza, a city in coastal northern Puerto Rico that is predominantly Black and [a] very poor municipality. Their vaccination rate is about 55%. And so while you take a look at a number of the social determinants that impression communities like Loíza, then they are not doing as effectively.”

According to the 2020 census, the poverty price in Puerto Rico stands at 43.5%, whereas the official poverty rate within the U.S. is way decrease, at 11.4%. The census additionally counted a inhabitants simply shy of three.3 million individuals — greater than 21 states.

These are vital numbers to contemplate in weighing Puerto Rico’s total vaccination success, says Daniel Colón-Ramos, the Yale medical college professor and adviser to the Puerto Rican authorities.

“The expertise with vaccines in locations like Puerto Rico and the Navajo [N]ation exhibits that when sources are distributed equitably AND when native scientists and well being care leaders are in a position to direct their very own methods, they’ll carry out higher than most US jurisdictions,” Colón-Ramos wrote on Twitter.

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