DENVER — Howard Jones, who’s 83, was on the phone for three to four hours every day trying to sign up for a coronavirus vaccine.
Jones, who lives alone in Colorado Springs, doesn’t have the internet, and that’s made it much more difficult for him to make an appointment. It took him about a week. He said the confusion has added to his anxiety about catching what could be a life-threatening disease at his age.
“It has been hell,” Jones said. “I’m 83 and to not have the use of a computer is just terrible.”
As states across the U.S. roll out the COVID-19 vaccine to people 65 and older, senior citizens are scrambling to figure out how to sign up to get their shots. Many states and counties ask people to make appointments online, but glitchy websites, overwhelmed phone lines and a patchwork of fast-changing rules are bedeviling older people who are often less tech-savvy, may live far from vaccination sites and are more likely to not have internet access at all, especially people of colour and those who are poor.
Nearly 9.5 million seniors, or 16.5% of U.S. adults 65 and older, lack internet access, according to U.S. Census Bureau data. Access is worse for seniors of colour: more than 25% of Black people, about 21% of Hispanic people and over 28% of Native Americans 65 and older have no way to get online. That’s compared with 15.5% of white seniors.
In the San Francisco Bay Area, Dr. Rebecca Parish has been dismayed by the bureaucratic process and continued calls for help from seniors. One of her patients, who’s 83, called her in tears, unable to navigate the online appointment system at Rite Aid. A 92-year-old woman called her before dawn this week after reading about her in a newspaper, telling her, “I’ll do anything to get this vaccine.”
So Parish took things into her own hands. She reached out to Contra Costa County and acquired 500 doses to vaccinate people this weekend at a middle school in Lafayette, California. She’s working with nonprofits to identify seniors who don’t live in nursing homes and risk falling through the cracks. All her appointments have been claimed, but she’ll start taking them again once more doses are available.
Some health officials have been trying to find other solutions to ease the confusion and help senior citizens sign up, just as the Trump administration urged states this week to make the nation’s 57.6 million seniors eligible for the COVID-19 vaccine.
Some places have found simple ideas work. In Morgantown, West Virginia, county health officials used a large road construction sign to list the phone number for seniors to call for an appointment. Others are considering partnering with community groups or setting up mobile clinics for harder-to-reach populations.
Some seniors may be waiting to hear from their doctor. But there are limits to using health care systems, pharmacies or primary care providers to reach underserved people who don’t have the internet, said Claire Hannan, executive director of the Association of Immunization Managers.
She said the two coronavirus vaccines available in the U.S. and their low-temperature requirements “don’t lend themselves to being sent out to rural areas.”
In McComb, Mississippi, where 77.5% of residents are Black and almost half the population lives below the poverty line, 71-year-old Mary Christian made an appointment online with her son’s help. But the only available sites are at least an hour away from she lives.
“I’m 71 years old, and my kids are not going to be happy for me driving 1 to 200 miles away to get a vaccine,” said Christian, who has diabetes.
Some medical systems, like UCHealth in Colorado, are trying to partner with community groups to get vaccines to underserved populations, like seniors.
Dr. Jean Kutner, chief medical officer of UCHealth University at Colorado Hospital, said she’s volunteering at a clinic hosted by a church that brings in the vaccine and helps build trust between health care workers and residents.
For now, UCHealth schedules appointments online, but Kutner said a COVID-19 hotline is in the works because of the volume of calls from seniors.
“Seniors are comfortable with the phone side of things, so that that’s not really a technological barrier for them,” said Gretchen Garofoli, an associate professor at West Virginia University’s School of Pharmacy.
But even a Colorado health provider setting up vaccine clinics for underserved communities, Salud Family Health Centers, said their phone lines can’t handle the volume of calls they’re receiving and encouraged people to go online.
When calling for an appointment is an option, finding a number is often only possible online.
That was the problem for Jones, the 83-year-old in Colorado. A retired service member, he considered reaching out to Veterans Affairs but couldn’t find a phone number.
He asked for help from a friend, who gave him several numbers. One led to Angela Cortez, head of communications for AARP in Colorado.
AARP has been flooded with calls from seniors like Jones who don’t have the internet and need help navigating the websites of health departments, care providers and vaccine sign-up forms, Cortez said.
“It’s not like you can show up somewhere and get vaccinated,” Cortez said. “And if you don’t have access to a computer, you’re at a disadvantage.”
Even Cortez had trouble as she tried to help Jones. She called numbers listed on the Colorado health department website and several Safeway stores after Jones heard friends were vaccinated there.
Eventually, Cortez was told to sign up online.
“I’m an employee of AARP, one; and two, I’m the communications director — I’m a trained journalist — and I have a computer, three, and I can’t even get through to anybody,” she said.
A friend was finally able to get Jones an appointment for Saturday. But he’s frustrated that he had “to go through side channels” instead of doing it himself.
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Naishadham reported from Phoenix. Associated Press reporter Janie Har in San Francisco and data journalist Larry Fenn in New York contributed to this report. Nieberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a non-profit national service program that places journalists in local newsrooms to report on undercovered issues.
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This story has been corrected to show that there are 57.6 million seniors in the U.S., not 54 million, according to Census Bureau data.
Patty Nieberg And Suman Naishadham, The Associated Press
The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.
It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.
Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”
Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.
Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.
A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.
On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.
Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”
But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”
“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.
Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.
Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.
Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.
“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.
“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”
This report by The Canadian Press was first published Sept. 13, 2024.
Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.
HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.
The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.
Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.
“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”
The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.
A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.
Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.
“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.
Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.
The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.
“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.
This report by The Canadian Press was first published Sept. 11, 2024.
ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.
Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.
Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.
Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.
The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.
“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.
Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.
Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.
Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.
A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.
This report by The Canadian Press was first published Sept. 10, 2024.
