As Covid Shots for Kids Stall, Appeals Are Aimed at Wary Parents

For weeks, the school principal had been trying to convince Cosey to allow her children to get Covid shots.

Ms. Cosey was still firm. A hard no.

The principal of Garrison Elementary School in Washington, D.C. swatted away the.

Since the federal government gave the go-ahead for the vaccine for children 5 through 11 months ago, Mr. Kip has been calling the school's parents, texting and cajoling. The vaccine is the most important thing happening this year to keep kids in school.

Eighty percent of Garrison Elementary's 250 students now have at least one shot, thanks to Mr. Kiplinger's skill as a parent-vax whisperer.

The rate of vaccination for America's 28 million children in the 5-to-11 age group is still lower than health experts think. According to a new analysis by the Kaiser Family Foundation, only 18.8% of the population have received one dose of the vaccine.

There is a stark difference of rates among states. In Vermont, 52 percent of children are fully vaccine free, while in Mississippi it is 6 percent.

It will take a long time to get the kids vaccine, according to a senior vice president at Kaiser who specializes in global health policy. It will take persistence like that of Mr. Kiplinger to reach parents.

The surge in demand for the Pfizer-BioNTech vaccine lasted only a few weeks after it was authorized for younger children. It peaked just before Thanksgiving and has since stopped. It now has between 50,000 and 75,000 new doses a day.

Dr. Kates said he was surprised at how quickly the vaccine interest waned.

ImageKemika Cosey with her children, Zurie, left, and Zamir, students at Garrison. The principal nagged her for weeks to get them Covid shots. “But it’s a good nag,” she said.
Kemika Cosey with her children, Zurie, left, and Zamir, students at Garrison. The principal nagged her for weeks to get them Covid shots. “But it’s a good nag,” she said.Credit...Erin Schaff/The New York Times

Public health officials say that persuading parents to get their children vaccinations is crucial to containing the Pandemic and sustaining in-person education. Unvaccinated elementary school children remain a large, turbulent source of spread, as 74 percent of Americans who are 18 and older are now fully vaccination. Traveling to and from school on buses, traversing school hallways, bathrooms, classrooms and gyms, they can act as viral vectors countless times a day.

Many parents give reasons for their hesitation. They are susceptible to rampant misinformation because of their innate protective wariness. Many working parents struggle to find time to get their children to the clinic, doctor's office or drugstore for a vaccine as they struggle to find time.

Local health departments and schools in communities with strong adult opposition to vaccines do not promote the shots for children for fear of backlash. The child-size doses may not be available in the pharmacy.

Despite the proliferation of Covid-crowded hospitals, sick children and the highly contagious aspect of Omicron, many parents are still swayed by last year's surge that were generally not as rough on children as adults.

Health communication experts blame that view on the early confusion around Omicron, which was initially described asmild, but also as a variant that could pierce a vaccine's protection.

Many parents thought that the shots were meaningless. The vaccines have been shown to protect against severe illness and death, but they are not as effective in preventing infections with Omicron.

The American Academy of Pediatrics reported last week that caseloads of children who have been diagnosed with Covid keep rising. After nearly two years of the Pandemic, we know that the disease has not always been mild in children, and that is why we need to increase the rates of vaccine.

Proponents of Covid shots are increasing their efforts to convince parents. Talking points for doctors and parents have been put together by the American Academy of Pediatrics. Kaiser has a vaccine information site. The incoming president of the National Foundation for Infectious Diseases is a nurse-practitioner who answers vaccine questions from parents, teenagers, and radio talk show hosts.

ImageOnly 18.8 percent of the country’s 28 million children ages 5 through 11 are fully vaccinated against Covid, a rate even lower than experts had feared.
Only 18.8 percent of the country’s 28 million children ages 5 through 11 are fully vaccinated against Covid, a rate even lower than experts had feared.Credit...Jim Wilson/The New York Times

Pro-vaccine parents can take advantage of a free online training course from the school of public health. It gives vaccine facts, resources and techniques to engage them.

To ground the purpose of the vaccine in real-world experience, one tip is to share personal stories about Covid. It is possible to tell friends and family when children get Covid shots.

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Rupali Limaye, who studies vaccine messaging and developed the course, said that giving parents tools to persuade others about Covid shots could improve uptake rates, particularly now that some hesitant parents are rejecting the advice of pediatricians. She calls themvaccine ambassadors, because they have more time and exert less of a power dynamic than doctors.

Mr. Kiplinger has been Garrison's principal for five years. He went through the same mental gymnastics before he decided to get his sons vaccine.

At lunchtime, he badgers students by asking them to raise their hand if they have gotten a Covid shot, applauding them and urging them to keep prodding their folks.

He admitted that he is a real pain in the ass.

ImageMr. Kiplinger of Garrison Elementary calls parents daily about Covid shots, which he sees as crucial to keeping classes safely in person.
Mr. Kiplinger of Garrison Elementary calls parents daily about Covid shots, which he sees as crucial to keeping classes safely in person.Credit...Erin Schaff/The New York Times

Black and Hispanic families have been brutalized by Covid, whose children make up about 80 percent of the school's population. Mr. Kiplinger understands that as a white man, he has limited standing to ask these parents to trust vaccines and so has been wrangling Black pediatricians to supply medical information as well as endorsements.

Hesitancy is understandable given the history of medical distrust in communities of color.

Many parents told him they couldn't take off work to take their children to get shots. Mr. Kiplinger coordinated with a city program to hold Covid vaccine clinics in the school's cafeteria during the caregivers-friendly hours of 3:30 p.m. to 7 p.m. He holds and hugs children as they close their eyes and extend their arms.

Ms. Cosey, the Garrison parent who had resisted Mr. Kiplinger's pleas for weeks, worried that the vaccine could cause her son's allergies.

She took the children to the school clinic. Her doctor had encouraged her, but she also gave credit to Mr. Kiplinger. She chuckled. Her fifth graders has been at Garrison since kindergarten.

At the school's clinic, Mr. Kip took a million pictures. He was very excited that I came in.

Mr. Kiplinger wants to convert the vaccine holdouts at Garrison. At the most recent vaccine clinic, he stood by as a mother argued over the phone with her husband.

We have another clinic coming up soon, and I hope that he will come around.