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Abstract
During the coronavirus disease 2019 (COVID-19) pandemic, we have witnessed profound health inequities suffered by Black, Indigenous, and People of Color (BIPOC). These manifested as differential access to testing early in the pandemic, rates of severe disease and death 2–3 times higher than white Americans, and, now, significantly lower vaccine uptake compared with their share of the population affected by COVID-19. This article explores the impact of these COVID-19 inequities (and the underlying cause, structural racism) on vaccine acceptance in BIPOC populations, ways to establish trustworthiness of healthcare institutions, increase vaccine access for BIPOC communities, and inspire confidence in COVID-19 vaccines.
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1 Division of Infectious Diseases, University of Nebraska Medical Center, Omaha Nebraska, USA
2 Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, New York, USA
3 Department of Pharmacy, University of Maryland Medical Center, Baltimore, Maryland, USA
4 Division of Infectious Diseases, Meharry Medical College, Nashville, Tennessee, USA
5 Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana, USA
6 The Coalition for Epidemic Preparedness Innovations, Washington, District of Columbia, USA
7 Division of Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA
8 Division of Infectious Diseases, John Cochrane VA Medical Center, St. Louis, Missouri, USA
9 Department of Medical Education and Clinical Sciences, Washington State University, Seattle, Washington, USA
10 Expert Stewardship Inc., Newport Beach, California, USA
11 Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
12 Philadelphia College of Osteopathic Medicine, School of Pharmacy, Suwanee, Georgia, USA
13 University of Texas at El Paso School of Pharmacy, El Paso, Texas, USA
14 Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
15 South Shore Infectious Disease & Travel Medicine Consultants, P.C., Bay Shore, New York, USA
16 Division of Pediatric Infectious Disease, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
17 Northwestern University Feinberg School of Medicine and Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois, USA
18 Department of Pharmacy Practice, Loma Linda University School of Pharmacy, Loma Linda, California, USA