The national numbers are clear: the US vax rate has fallen two-thirds from its April peak, and the White House July 4 goal appears unlikely.

But the state-by-state situation is very different, as our team of reporters learned. Here’s what we found.

🧵

washingtonpost.com/health/2021/06…
First, there’s a clear split, as @dtkeating has chronicled

- Thirteen mostly coastal states have already vaxxed 70% of adults w at least one dose (the July 4 goal)

- An additional 15 states, plus DC, are over 60% and will likely hit the goal

- But the rest are lagging behind Image
Second, even in places where most people still aren’t vaxxed, demand has cratered (and forced new tactics).

In Hamilton County, Tenn. — where more than half of the county’s 370,000 residents remain unvaccinated — officials are pivoting away from mass sites, @moody found. Image
That dynamic — which @Beckerreports also found in Utah and @bobbyross detailed in Oklahoma too — is prompting a growing shift toward mobile units, pop-up sites and one-off vaccination clinics ImageImage
The good news is COVID is on the retreat in US, as cases, deaths plunge.

But for unvaccinated Americans, the pandemic is still raging, as @dtkeating @lmshap chronicled.

And given the sustained decline, per graphic on right, it’s not clear what will turn the vax rate around. ImageImage

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More from @ddiamond

8 Jun
BREAKING: Mastercard Foundation is donating *$1.3 billion* to buy vaccines for more than 50M people in Africa, expand vaccine distribution and manufacturing on the continent, boost Africa CDC. washingtonpost.com/health/2021/06…
The @MastercardFdn gift — one of the largest during pandemic — goes toward areas of great need.

Africa CDC aiming to vaccinate 60% of continent by end of 2022. So far, fewer than 2% of population has gotten shots.

(In United States, we are over 50% with at least one dose.)
Global health and development experts like @krishna_u @glassmanamanda praised the Mastercard Foundation gift and @AfricaCDC’s role.
Read 4 tweets
3 May
NEW: Meet the vaccine skeptics who changed their minds. (And why they did it.)

Public health experts — and White House officials — are studying their conversions, hoping to learn how to win over millions of Americans who are still in the “no” camp.

washingtonpost.com/health/2021/05…
Also NEW: the @deBeaumontFndtn and @GOPDoctors teamed up on a series of pro-vaccine public service announcements, set to go out today and shared with The Post.

Here’s @RepMMM, former Iowa state health director, making the case to her constituents.
The former skeptics rattled off the exact moments when they changed their minds, crediting doctors’ messages or turning points like:

— an episode of @BrianLehrer’s show
— @DrPaulOffit going on CNBC
— the NY Yankees requiring fans to show proof of vaccination (or a negative test)
Read 5 tweets
18 Apr
NEW: Rather than get vaccinated, some Americans are buying blank CDC cards — or making their own — to pretend they’ve gotten shots.

Inside the race between scammers and regulators — and how CDC’s decision to use a paper card created openings for fraud. washingtonpost.com/health/2021/04…
One eBay user sold more than 100 blank CDC vaccination cards in the past two weeks, including a card obtained by The Post.

The account belongs to a Chicago-area pharmacist, who confirmed it was his account but denied he made the sales.

washingtonpost.com/health/2021/04…
Why paper cards, anyway?

Officials said CDC initially envisioned a comprehensive digital solution to help people track shots (and made no mention of cards), like in these July 2020 slides obtained by The Post — but ran out of time and needed a fail-safe. washingtonpost.com/context/cdc-sl…
Read 5 tweets
16 Apr
BREAKING: Biden officials rescind approval for Texas’ Medicaid waiver.

Trump officials approved the $100B-plus plan in last week of administration. Federal officials now say they “materially erred” in giving OK.

washingtonpost.com/health/2021/04…
Then-CMS chief Seema Verma told Texas that the state’s request didn’t need to go through normal rule-making process.

But public health advocates said it was an attempt to lock in Trump-era changes — and that granting Texas a 10-year extension was a gambit to bypass Biden. Image
Read 4 tweets
9 Apr
I’ve reported since last year on Trump officials’ efforts to change CDC scientific reports to better align with Trump’s own claims on coronavirus.

Today’s @COVIDOversight release fills in some timeline gaps, and I wanted to flag some key moments in a short thread.
1. Even in covid early days, Trump officials leaned on government experts to change their language and findings.

Trump in April installing longtime ally MICHAEL CAPUTO to oversee HHS comms ramped up those efforts. (Caputo recruited friend PAUL ALEXANDER as a scientific adviser.)
2. Across the summer, Caputo, Alexander and others battled with top doctors, which reporters began to reveal.

@bylenasun @jdawsey1 detailed how Alexander berated then-CDC director Redfield; @owermohle showed Alexander trying to muzzle Fauci from talking about kids’ covid risks.
Read 9 tweets
15 Mar
About half of GOP voters tell pollsters they don’t want vaccine.

But after two-hour focus group with @FrankLuntz, many hardcore Trump voters changed their mind.

I watched them go from no to yes. Here’s how @DrTomFrieden, @GovChristie and others did it. washingtonpost.com/health/2021/03…
One big takeaway: Trump voters said they didn’t want to hear from politicians, not even Trump.

Kevin McCarthy’s pitch to the voters — including saying he got mad at pharma companies for waiting til after the election — seemed to only boost their doubts.
Perhaps unsurprisingly, a widely hailed pro-vaccine ad with former presidents Obama, Bush, Clinton and Carter (but not Trump) was roundly panned by the focus group.

You can watch the Trump voters watching it in real-time and getting frustrated by the message.
Read 6 tweets

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