Good evening. Thank you for all of the expertise you bring and for brining what clarity you can to this confusing and frustrating time. I appreciate these presentations immensely.

Thank you, Greg! I spread this information far and wide to my community.

@dare2bwell

https://www.facebook.com/dare2bwell

Rona currently health care workers are able to be vaccinated through County run points of dispensing but they are also able to get vaccinated through their health care providers.

You can visit our website to see who some providers in Alameda County are vaccinating currently https://covid-19.acgov.org/vaccines

Thank you Neetu

We look at Race/Ethnicity• Geography• Socioeconomic factors• Critical populations

Today's presentation will include a presentation on the Vaccine Equity Strategy

Is this Powerpoint Deck on the ACPHD website yet? Can a link be provided, please?

All vaccines should go to the County to distribute then they can give more to agencies who are doing a good job getting shots in people's arms. My local Lucky store is getting the vaccine in two weeks- dumb!

Slides are available here: https://covid-19.acgov.org/community-advisory-group and direct link: https://covid-19.acgov.org/covid19-assets/docs/vaccines/community-vaccine-advisory-committee-meeting-slides-2021.01.26.pdf

Hi Gabriela: We have mobile vaccine going to long term care facilities, clinics in addition to the FQHCs and our County PODs, located at Castro Valley Library and St. Rose hospital. More sites coming.

Dana, we don't have to wait until all of 1A have received vaccination, only until demand stops to drop.

Diana we'll cover some of this later in the presentation

If you or someone you care about is disabled and/or higher weight and has been delaying urgent medical care, testing, or treatment, please join the HUNDREDS of respondents sharing stories at http://tinyurl.com/NBIDsurvey1.

Thank you Liza

@Lisa Zarodney child care is still in Phase 1b, Tier 2. Thank you for joining us

People with disabilities are not currently being appropriately prioritized.

@Haley hester we have a meeting this week with Mildred from the Black Nurses' Association to figure out how we can partner--thank you for offering!

@Jenn we should address/bring up in the next section re: the PODs

Jenn, we started with Acute hospitals, Kaiser and Sutter, FQHCs and other Community Health Centers and pharmacies that can do mobile vaccination in long term care facilities.

Californians Receiving I/DD Services Had 60% Lower COVID Case Rate Than Population, But 2.8 Times Higher Fatality RateLandes, S.D., Turk, M.A., & Wong, A.W.W.A (2020).

"Developmental Disabilities Heighten Risk of Covid Death” New York Times- November 11,2020https://www.nytimes.com/2020/11/10/health/covid-developmental-disabilities.html?searchResultPosition=4

Given the concern about the disability community (which should be a priority), how is RCEB being engaged?

Thank you for some initial insights on the PODs/hospital partnerships

People are being told they are high risk and should isolate - high-risk folks with disabilities / conditions/higher weight have been going without care such as cancer screenings since March 2020. This is a critical equity issue and it disproportionately impacts Black, Latinx, Indigenous and other folks. These folks cannot wait until their age brackets - that is asking people at high need of medical care to wait a year and a half for any medical care. Thanks for listening.

@Carla Keener- to my knowledge, RCEB has been engaged with ACPHD along with CCL, but as Ms. Nicholau stated earlier, advocacy efforts to place the IDD and Disability Community under greater consideration is ongoing at the state level through the State Council on Developmental Disabilities

If we are truly committed to equity, our goal should not be for the sign-ups & populations to match. Given that Latinx and Black households have been hit way harder, our goal should be for those populations to be signed up at far higher percentages than their percentage of the population.

@Larissa Adam Agree 100%

At this moment, our main limiting factor is vaccine supply. We are looking at mobile options in impacted neighborhoods in mid- to late-February if we have enough vaccine.

Yes and thank you, Larissa. Alameda County will also be monitoring % signed up for vaccine and % vaccine doses administered compared to % of cases, hospitalizations, and deaths by race/ethnicity.

Any idea if the supply over the next 1-2 months will permit the vaccination of 7000+ people per day, as planned?

@Tammy - super happy to hear that % signed up & % doses administered will be compared to % of cases/deaths/etc. - thank you!

Livermore Latinx area needs attention too.

How do potential partners sign up to host pods we have several schools in the most affected areas, families trust schools , and schools can communicate and make folks comfortable

Can someone address how the turn to age-based targeting doesn’t contradict the need to target specific communities bearing disproportionate risk?

Hi All! For our attendees in the audience with hands raised, we currently take our Q&A from the audience through the chat and through the Q&A feature--we have folks answering questions live right now and working to get through the chat as well. Hopefully you can type your question through the Q&A! If it is an issue of accessibility, we will do our best to carve out time for that if we can.

Hi Pastor Arlene: Right now, we are looking for sites we can use multiple days per week for the next many months that have electricity, wi-fi and ability to handle 1000 people per day. We are planning 6 neighborhood PODs to open in mid-to late-Feb and need to choose sites that work logistically for protecting the vaccine temperature.

Following up on Jenn's comment, First 5's Neighborhoods Ready for School has many of the most impacted zip codes in common with those shown on the map earlier. We are open to be in thought partnership on how to leverage those four (4) community anchors.

The former Sunset HS Site - now Cherryland Elementary and Hayward Adult school- is a very large site and two blocks from Hayward BART station

State' Advisory group link https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Community-Vaccine-Advisory-Committee.aspx

Inquiries may be sent to COVID19vaccineoutreach@cdph.ca.gov

Hi Nicole: The State has not released much detail about this change; it looks to us like after Phase 1B tier 1, we stop vaccinating by job. Construction workers do not appear in Tier one.

Seating!

Accessibility: Seating that is fat-friendly for people who cannot stand in lines. Reaching people who are not able to easily leave their homes. Appointments so that people who need oxygen and specialized transport can plan how to get there.

In addition to what has been stated-- access to language interpretation, including ASL.

State of California's COVID-19 Feedback Form: https://www.surveymonkey.com/r/COVID19CAGOV

For large PDS, make sure that safety and sanitation protocols are set up and followed strictly. So vulnerable populations like elderly are not exposed by being at the PODs

Provide the vaccine in a safe and familiar place. Think outside the box on this.

Pop up clnics

Thanks all for these ideas and input.

Consideration of those with sensory sensitivities (sites w controlled noise, lights, crowds)

Large settings will be more dangerous for folks at high risk and will be hard on people with anxiety disorders, etc. Try to provide a variety of types of settings, including some crowd-limited settings.

MEGA pods seem to be opposite of equity minded approach.

Restaurants, bars?!

I wonder if there are public information/promotion campaigns, such as offering people who are getting a vaccine a button that they can wear, put on a bag, and so forth to normalize receipt of the vaccine

County sign up site is NOT accessible w screen readers, but

Vaccinate in beauy shops and barber shops also. Nail salons!

People should be made aware what herd immunity actually is, how vaccines contribute to it, and how this puts communities on a timeline to reopen.

Share short videos on Facebook. Maybe even start a "vaccine hesitancy" FB page that we all can link to and share.

Just a reminder, we have a set of FAQs available here https://covid-19.acgov.org/vaccines-faq

Oops, Q&A is. When will site b updated. Why wasn't it done at beginning.

Perhaps there can be outreach to the Nail Salon Workers Collaborative group since some of those connections are pre-existing?

Make the process easier on site. Please don't make the process where people show up and they have to complete several pages of intake form. That causes barriers to many limited English proficient community members

Agree with ROna. At On Lok we advertise on Chise TV a lot

Chinese!

Thanks all. And my team will be kicking off outreach in March. Utilizing art to deliver the message. Be blessed

There are many local media personalities that folks look to as both a trusted messenger and can support the communications/outreach strategy.

And the GOTV effort!

State web site for signing up IS accessible, so publish that one

Engage the Divine 9 for reaching African American community...

Great points, Leslie, re using models and approaches that worked well w Census outreach

Yes, Dr Carey, re approach to black and brown communities

In my primary care practice, I've found that introducing the idea of vaccination, affirming someone's choice, expressing respect if they say no, asking for specific concerns can keep the door open for later. If someone expresses concern about structural racism, I express agreement and ask what, if anything, we might do to help earn their trust.

Will essential workers in phase 1b, tier 1 be vaccinated before, after, or concurrently with those age 65+?

CBOs need best practice policies re employees who refuse to be vaccinated. Right now many are battling with their insurance companies about liability, and those battles may lead to many employees of color being fired. CBOs need guidance.

There is no reason why people can’t go door to door with masks.

Also at On Lok we utilize non-English language newspapers., This is especially useful for the over 65 age group

Status of the speakers bureau if groups would like a presentation? Online request form?

Julie we are looking at rolling out the populations slightly staggered, by a week or so -- mostly we will be doing them simultaneously.

Also, when addressing the needs in API community, PLEASE keep in mind that API is an umbrella of MANY groups. We need disaggregated data to get a clearer picture of the needs within API groups. And each group needs to be approached with tailored message\

Dana -- yes, you can make small adjustments.

Thank you!