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 1 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. 2 3 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). 4 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+ 7 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+ 8 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.