Monthly Vaccination Report – August 2021

Allegheny County Health Department Monthly Vaccination Report – August 2021

August 25, 2021 ALLEGHENY COUNTY MONTHLY VACCINATION REPORT Data as of August 14, 2021 Report Date: August 25, 2021

Purpose: COVID-19 vaccination began in Allegheny County and the US in late Dec 2020. For the first few months, vaccine demand far exceeded supply. We now have the opposite – more supply than demand. As the COVID-19 pandemic demonstrated, existing racial and ethnic inequities resulted in disparate exposure risks and outcomes. Since vaccines are the best method available to reduce the risk of COVID- 19, it is essential that everyone have equitable access to evidence-based information about the vaccine and to the vaccine itself. Therefore, the purpose of this county specific vaccination report, which will be updated monthly, is to examine our local data to determine if, where and for whom there are lower rates of vaccination to allow ACHD to work with community partners to target the ongoing vaccination response.

Methods

Beginning in mid-May 2021, the PA Department of Health began to share deidentified vaccination data at the individual level with local county and municipal health departments. The data are shared as weekly updates. The data source is the state immunization information system (SIIS). All COVID vaccine providers in the state are required to enter the vaccine data into SIIS, most commonly through an electronic transfer.

Data contain unique identification number, age at vaccine/s, date of vaccine/s, vaccine brand, ZIP code of residence, and clinic code (where the vaccine was administered).

Data are assessed to determine vaccination rates by race, age group, ethnicity, race and gender, ethnicity and gender, ZIP code, as well as ZIP code and race/ethnicity to determine areas and characteristics of the populations with fewer vaccinations per capita. If race, ethnicity, gender, or age were unknown, then they were excluded from analysis. All population data excludes individuals under the age of 10 who are not eligible for the COVID-19 vaccine.

To view weekly number of new hospitalizations and deaths, ACHD used data collected from the Pennsylvania National Electronic Disease Surveillance System (PA-NEDSS).

To create demographic rates, Allegheny County population data by demographic characteristics (e.g. race, age group, ethnicity, race and gender, as well as ethnicity and gender) were obtained via census.gov.

Example: Count of Individuals at least Partially Vaccinated by Race/Race Pop. (Age 10+) * 10,000

To create rates at the ZIP code level, population data was obtained via Social Explorer which provides American Community Survey data from the U.S. Census (5-Year 2019 Estimate, December 2020).

Example: Count of Individuals at least Partially Vaccinated by ZIP/ZIP Pop. (Age 10+) * 10,000

Vaccinations, Cases, New Hospitalizations, and Deaths by Week (through week of Aug 14)

The number of vaccines per week given to county residents peaked in late March 2021. Despite declining numbers since mid-April 2021, over 3,000 vaccines continue to be provided to Allegheny County residents each week. As of the week ending 8/14/21, 771,848 individuals were vaccinated in Allegheny County. ACHD estimates that 64% of Allegheny County eligible* residents are fully vaccinated with an additional 6% partially vaccinated.

* eligible is based on the population that is 10 years of age and older even though children aren’t eligible until age 12 and older. Ten and older is used because that is the available population level data; we do not have population level data for 12 and older.

As more people were vaccinated, both hospitalizations and deaths declined. However, as of the week ending 8/14/21, Allegheny County is experiencing another wave of cases, new hospitalizations, and deaths per week, likely due to the highly contagious and easily transmissible Delta variant. The CDC Nowcast model estimates that the Delta variant makes up 81.7% of specimens collected between 8/8/21 – 8/14/21 within HHS Region 3 (Delaware, District of Columbia, Maryland, Pennsylvania, West Virginia, and Virginia).

Vaccinations by Demographic Characteristics

COVID-19 Vaccination Rates By Age Group as of Week Ending 8-14-21 Individuals at least Est. Population Vaccination Rate per Age Group (years) Partially Vaccinated (2019); Age 10+ 10,000 10 to 19* 57,573 132,549 4,344 20 to 29 103,998 166,598 6,242 30 to 39 118,419 176,327 6,716 40 to 49 96,540 134,981 7,152 50 to 59 116,481 154,438 7,542 60 to 69 140,651 166,598 8,443 70+ 138,070 159,302 8,667 COVID-19 Vaccination Rates by Race x Gender and Ethnicity x Gender as of Week Ending 8-14-21 African American Female 33,310 76,380 4,361 African American Male 25,213 63,563 3,967 Asian & Pacific Islander 6,141 22,193 2,767 Female Asian & Pacific Islander 5,677 22,813 2,488 Male Native American Female 250 900 2,778 Native American Male 268 790 3,391 White Female 293,685 455,737 6,444 White Male 249,531 427,270 5,840 Hispanic Female 7,422 11,479 6,465 Hispanic Male 7,205 11,686 6,165 Not Hispanic Female 283,755 554,285 5,119 Not Hispanic Male 238,483 512,393 4,654 *Based on eligible population 12 and older (numerator) and population 10+ (denominator) in Allegheny County 5

Vaccination rates increase by age group – from 41% among people aged 10-19 years to 86% among people 70 years and older with at least one dose of the vaccine. White people in Allegheny County are the highest vaccinated race at 61%, with White females representing the highest vaccinated race and gender group at 63%. Asian and Pacific Islanders are the lowest vaccinated race at 25% with AAPI males being the lowest vaccinated race and gender group at 23%. Among *ethnicity and gender, Hispanic females are the highest vaccinated ethnicity and gender group at 63%, while Not Hispanic males tend to be the lowest vaccinated group at 46%.

*see Data Limitations section

Vaccination Rates by Zip Code and Race by ZIP Code

ZIP-code Areas with Lowest Vaccination Rates as of 8/14/21* Individuals at Est. Population Vaccination Rate ZIP code Area Name least Partially (2019); Age 10+ per 10,000 Vaccinated 15104 Braddock 3,243 7,721 4,200 15110 Duquesne 1,925 4,578 4,205 15233 Manchester 1,639 3,812 4,300 15219 Central Business District 6,646 15,266 4,353 15132 McKeesport 8,298 19,027 4,361 15148 Wilmerding/Wall 968 2,095 4,621 15140 Pitcairn 1,322 2,596 5,092 15213 North Oakland 14,022 27,359 5,125 15210 Mt. Oliver 12,081 23,057 5,240 15204 Chartiers/Windgap 3,854 7,307 5,274 * Among ZIP codes with at least 1,000 residents, age 10+ 6

ZIP-code Areas with Lowest Black Vaccination Rates per 10,000 as of 8/14/21* Black Individuals at Est. Black Pop. Black Vaccination Rate ZIP code Area Name least Partially (2019); Age 10+ per 10,000 Vaccinated 15101 Allison Park 174 657 2,648 15110 Duquesne 735 2,640 2,784 15104 Braddock 1,319 4,435 2,974 15233 Manchester 596 2,001 2,979 15132 McKeesport 1,792 6,010 2,982 15106 Carnegie 340 1,111 3,060 15143 Sewickley 258 814 3,170 15112 East Pittsburgh 326 959 3,399 15102 Bethel Park 218 632 3,449 15136 McKees Rocks 1,060 3,015 3,516 * Among ZIP codes with at least 500 Black residents; age 10+

ZIP-code Areas with Lowest AAPI Vaccination Rates as of 8/14/21* AAPI Individuals at Est. AAPI Pop. AAPI Vaccination ZIP code Area Name least Partially (2019); Age Rate per 10,000 Vaccinated 10+ 15210 Mt. Oliver 215 1,279 1,681 15243 Mt. Lebanon/Scott/Upper St. Clair 126 742 1,698 15215 Aspinwall/Sharpsburg/O’Hara 124 630 1,968 15217 Squirrel Hill 642 3,225 1,991 15219 Central Business District 114 570 2,000 15213 North Oakland 872 4,337 2,011 15101 Allison Park 159 790 2,013 15108 Coraopolis 281 1,362 2,063 15232 Shadyside 413 1,838 2,247 15238 Fox Chapel/Blawnox/O’Hara 226 961 2,352 * Among ZIP codes with at least 500 AAPI residents, age 10+

ZIP-code Areas with Lowest Hispanic Vaccination Rates as of 8/14/21* Hispanic Est. Hispanic Individuals at Hispanic Vaccination ZIP code Area Name Pop. (2019); Age least Partially Rate per 10,000 10+ Vaccinated 15226 Mt. Lebanon/Brookline 179 533 3,358 15068 New Kensington 222 658 3,374 15227 Baldwin/Brentwood 271 685 3,956 15206 Sharpsburg 502 1,239 4,052 15210 Mt. Oliver 358 854 4,192 15213 North Oakland 465 926 5,022 15212 Perry South/Brighton Heights 328 648 5,062 15237 Ross/McCandless 440 787 5,591 15146 Monroeville 357 524 6,813 15217 Squirrel Hill 556 802 6,933 * Among ZIP codes with at least 500 Hispanic residents, age 10+

Neighborhoods in the City of Pittsburgh and the Mon Valley appear to be sites where the overall vaccination rates appear to be lowest in the county. In the City of Pittsburgh, AAPI vaccination rates per 10,000 are very low especially in ZIP codes with a relatively high population of AAPI individuals (15213, 15217, 15232, and 15210). In the Mon Valley, Black vaccination rates per 10,000 appear to be very low especially in ZIP codes 15110, 15132, 15104, and 15112. Suburban areas outside (or just within) the City of Pittsburgh appear to be locations with both relatively high populations of Hispanic individuals and also areas with Hispanic vaccination rates at or below 50% as reflected in ZIP codes 15226, 15068, 15227, 15206, 15210, and 15212. 9

Vaccination Rates Per 10,000 for Allegheny County by ZIP Codes as of 8/14/2021

Total Individuals Vaccination Residency Partially Est. Population Fully Vaccinated at least Partially Rate Per 10,000 Zip Code Vaccinated 2019; Age 10+ Vaccinated (Age 10+)

15006 185 23 208 399 5,213

15007 208 15 223 623 3,579

15014 1,330 137 1,467 2,744 5,346

15015 814 71 885 1,111 7,966

15017 9,997 950 10,947 14,171 7,725

15018 324 32 356 772 4,611

15020 91 8 99 142 6,972

15024 5,165 459 5,624 7,876 7,141

15025 8,551 806 9,357 14,661 6,382

15026 1,800 175 1,975 2,899 6,813

15028 76 13 89 175 5,086

15030 413 56 469 952 4,926

15031 279 34 313 459 6,819

15034 810 84 894 1,590 5,623

15035 969 98 1,067 1,760 6,063

15037 5,430 439 5,869 9,514 6,169

15044 17,665 1,427 19,092 24,207 7,887

15045 1,840 208 2,048 3,800 5,389

15046 1,259 111 1,370 2,318 5,910

15047 183 17 200 94 21,277

15049 521 45 566 842 6,722

15051 216 28 244 455 5,363

15056 614 44 658 1,030 6,388

15064 158 21 179 246 7,276

15065 5,462 502 5,964 10,398 5,736

Total Individuals Vaccination Residency Partially Est. Population Fully Vaccinated at least Partially Rate Per 10,000 Zip Code Vaccinated 2019; Age 10+ Vaccinated (Age 10+)

15068 18,597 1,793 20,390 33,667 6,056

15071 6,258 653 6,911 9,692 7,131

15075 88 15 103 169 6,095

15076 452 88 540 629 8,585

15082 174 33 207 166 12,470

15084 4,271 483 4,754 8,946 5,314

15086 279 99 378 462 8,182

15088 208 18 226 410 5,512

15090 15,604 1,284 16,888 20,271 8,331

15101 15,576 1,185 16,761 22,349 7,500

15102 18,765 1,714 20,479 26,303 7,786

15104 2,843 400 3,243 7,721 4,200

15106 10,505 1,111 11,616 17,634 6,587

15108 23,543 2,207 25,750 36,591 7,037

15110 1,664 261 1,925 4,578 4,205

15112 1,243 183 1,426 2,441 5,842

15116 8,868 700 9,568 12,685 7,543

15120 9,229 1,069 10,298 16,348 6,299

15122 10,044 943 10,987 17,787 6,177

15126 3,887 293 4,180 6,280 6,656

15129 6,321 600 6,921 9,440 7,332

15131 4,319 423 4,742 7,186 6,599

15132 7,332 966 8,298 19,027 4,361

15133 2,873 256 3,129 5,567 5,621

15135 2,411 230 2,641 4,858 5,436

15136 11,120 1,155 12,275 19,999 6,138

Total Individuals Vaccination Residency Partially Est. Population Fully Vaccinated at least Partially Rate Per 10,000 Zip Code Vaccinated 2019; Age 10+ Vaccinated (Age 10+)

15137 4,742 544 5,286 8,988 5,881

15139 4,496 411 4,907 5,865 8,367

15140 1,167 155 1,322 2,596 5,092

15142 1,254 138 1,392 1,191 11,688

15143 13,936 1,158 15,094 18,937 7,971

15144 2,049 230 2,279 3,597 6,336

15145 2,977 437 3,414 6,120 5,578

15146 16,734 1,871 18,605 25,011 7,439

15147 8,430 918 9,348 15,962 5,856

15148 827 141 968 2,095 4,621

15201 8,610 726 9,336 11,796 7,915

15202 10,948 1,034 11,982 17,829 6,721

15203 6,241 687 6,928 9,784 7,081

15204 3,476 378 3,854 7,307 5,274

15205 13,054 1,404 14,458 19,042 7,593

15206 17,123 1,704 18,827 26,903 6,998

15207 5,439 641 6,080 9,452 6,433

15208 4,716 591 5,307 8,662 6,127

15209 7,190 664 7,854 10,772 7,291

15210 10,666 1,415 12,081 23,057 5,240

15211 6,038 596 6,634 9,635 6,885

15212 13,971 1,337 15,308 24,696 6,199

15213 12,199 1,823 14,022 27,359 5,125

15214 6,520 681 7,201 11,925 6,039

15215 7,631 801 8,432 11,334 7,440

15216 13,664 1,359 15,023 20,060 7,489

Total Individuals Vaccination Residency Partially Est. Population Fully Vaccinated at least Partially Rate Per 10,000 Zip Code Vaccinated 2019; Age 10+ Vaccinated (Age 10+)

15217 18,057 1,630 19,687 24,733 7,960

15218 7,831 746 8,577 11,994 7,151

15219 5,727 919 6,646 15,266 4,353

15220 11,083 1,155 12,238 15,881 7,706

15221 15,183 1,809 16,992 27,397 6,202

15222 3,464 373 3,837 5,246 7,314

15223 3,920 314 4,234 5,893 7,185

15224 6,277 619 6,896 9,951 6,930

15225 550 77 627 953 6,579

15226 7,969 777 8,746 12,245 7,143

15227 16,343 1,625 17,968 25,012 7,184

15228 11,873 1,116 12,989 15,704 8,271

15229 8,742 692 9,434 11,708 8,058

15232 7,504 901 8,405 11,295 7,441

15233 1,485 154 1,639 3,812 4,300

15234 9,100 848 9,948 12,318 8,076

15235 18,388 2,089 20,477 30,789 6,651

15236 19,671 1,690 21,361 25,412 8,406

15237 28,840 2,344 31,184 37,678 8,276

15238 8,801 883 9,684 11,619 8,335

15239 12,024 1,034 13,058 18,273 7,146

15241 14,272 1,370 15,642 18,173 8,607

15243 9,402 943 10,345 11,711 8,834

Data Limitations

The data include 11% of people who have race classified as “Unknown,” as well as 30% of people who have ethnicity classified as “Unknown.” Also, compared to county-level data, “Multiple/Other” race is overrepresented—9.2% of all individuals vaccinated compared to 3.4% of Allegheny County’s population (American Community Survey 5-Year Estimate 2019). It is not known if people of “Multiple/Other” are misclassified or if they are underrepresented in U.S. Census data.

To assess whether unknown is equally distributed across races, a correlation was conducted at the ZIP code level. It was found that race described less than 5% of the variance of unknown race in each ZIP code, which is not statistically significant.

Currently, ACHD does not receive identifiable vaccine data from the PA Department of Health to reconcile the vaccine data. When ACHD receives identifiable vaccine dataset, ACHD will be able to improve the quality of the race and ethnicity data. In addition to not having an identifiable vaccine dataset, challenges remain for ACHD’s capability to determine vaccination status for recent cases, hospitalizations, and deaths. The PA Department of Health is currently making efforts to match vaccine data from SIIS with case data from PA-NEDSS, in which ACHD will eventually receive access. This will allow ACHD to more efficiently and accurately report breakthrough cases to the public.