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Health & Fit Two HBCU presidents joined Covid-19 vaccine trials to highlight the importance of Black participation

13:35  18 september  2020
13:35  18 september  2020 Source:   cnn.com

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When the presidents of two historically Black colleges announced they were participating in a Covid-19 vaccine trial, they hoped to encourage other African Americans to do the same to ensure that an eventual vaccine has been tested on -- and is effective for -- people of color.

a person in a blue shirt: HOLLYWOOD, FLORIDA - AUGUST 07: Lisa Taylor receives a COVID-19 vaccination from RN Jose Muniz as she takes part in a vaccine study at Research Centers of America on August 07, 2020 in Hollywood, Florida. Research Centers of America is currently conducting COVID-19 vaccine trials, implemented under the federal government's Operation Warp Speed program. The center is recruiting volunteers to participate in the clinical trials, working with the Federal Government and major Pharmaceutical Companies, that are racing to develop a vaccine to potentially prevent COVID-19. (Photo by Joe Raedle/Getty Images) © Joe Raedle/Getty Images HOLLYWOOD, FLORIDA - AUGUST 07: Lisa Taylor receives a COVID-19 vaccination from RN Jose Muniz as she takes part in a vaccine study at Research Centers of America on August 07, 2020 in Hollywood, Florida. Research Centers of America is currently conducting COVID-19 vaccine trials, implemented under the federal government's Operation Warp Speed program. The center is recruiting volunteers to participate in the clinical trials, working with the Federal Government and major Pharmaceutical Companies, that are racing to develop a vaccine to potentially prevent COVID-19. (Photo by Joe Raedle/Getty Images)

Instead, they've been met with widespread skepticism from people who point to the United States' history of unethical medical experiments on Black people.

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Presidents Walter Kimbrough of Dillard University and Reynold Verret of Xavier University sent letters to their university communities earlier this month saying they decided to participate in a Phase 3 trial of a vaccine in development by Pfizer.

"Overcoming the virus will require the availability of vaccines effective for all peoples in our communities, especially our black and brown neighbors," they wrote.

"It is of the utmost importance that a significant number of black and brown subjects participate," they wrote, "so that the effectiveness of these vaccines be understood across the many diverse populations that comprise these United States."

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Health experts have stressed the importance of a diverse pool of volunteers in Covid-19 vaccine trials, especially because the pandemic has disproportionately impacted communities of color.

"I just kept seeing all of the articles that indicated we don't have good representation," Kimbrough told CNN. "People are making the case that you don't know if it works for all populations if you don't have a robust sample."

But the response has been largely negative, he said, with some people comparing him to a "lab rat."

"I think overwhelmingly people are skeptical," he said.

He pointed to distrust among some African Americans stemming from the Tuskegee syphilis study. Critics on social media also cited the study, commonly known as the Tuskegee Experiment.

Beginning in the 1930s, it involved doctors with the US Public Health Service deliberately leaving Black men untreated for syphilis so they could study the course of the infection. They did this despite the fact that penicillin emerged during the course of the study as a viable and effective treatment.

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Kimbrough and Verret acknowledged Tuskegee and other "unethical examples of medical research" in their letter -- instances that had undermined "trust in health providers and caretakers" among African Americans.

A recent survey by the Pew Research Center found that while Black Americans face higher risks from Covid-19, they're more hesitant to trust medical experts and sign up for a potential vaccine.

In an interview on SiriusXM earlier this month, Dr. Anthony Fauci stressed that skepticism from minority communities needed to be met with transparency. He also cited Tuskegee as a big reason for the distrust.

"The track record of how government and medical experimenters have treated the African American community is not something to be proud of," he said.

'I completely understand the fear'

Kimbrough and Verret are not alone. When Dawn Baker, a Black news anchor at CNN affiliate WTOC in Savannah, Georgia, said she joined the trial for a Moderna vaccine candidate, skeptics also brought up the Tuskegee experiment.

One said Baker had "lost her mind."

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"I can't fight (the history). I completely understand the fear," Baker told CNN's Poppy Harlowe. But Baker trusted her doctor of more than 30 years who asked her to participate.

"To me it was a wonderful opportunity to be a part of the solution," she said. "So I just really feel that what needs to happen is, before we get into these vaccine studies, there needs to be some effort made with the minority community to actually explain and acknowledge there is a problem and what's going on there."

Verret agreed that Tuskegee and "many other similar events" needed to be acknowledged. But there are "people like myself around the table," he said, who are asking questions and vetting the trials.

Systemic racism exists in the US, he told CNN's Brianna Keilar.

"But at the same time, that should not preclude us from making sure that we have access to something that is necessary to save the lives of our people, especially given that African Americans and other people of color are dying and suffering from Covid-19 at disproportionate rates," Verret said.

Kimbrough said some backlash has stemmed from claims that their letter was a "mandate," when they only wanted their communities to "just think about it."

"But it's hard to tell somebody to think about something you're not willing to do yourself," he said.

Kimbrough had his first appointment with researchers on August 25. He had to complete an orientation explaining the trial and each step. He was also given a Covid-19 test using a nasal swab. Then he was given an injection -- but he doesn't know if he received the vaccine candidate or a placebo.

Otherwise, once a week an app on Kimbrough's phone asks him to complete a survey, detailing how he feels and whether he as any symptoms. He went back for a second injection this week, and will have to go back periodically.

But like Baker, Kimbrough is glad to be doing his part.

"I'm just tired of all this," he said of the pandemic. "I'm ready to get back to some sense of normalcy and a vaccine will be part of that."

We Will Not Have a Vaccine by November .
No matter what the president says, the timeline is not possible.This is, in Trump Land, what passes for a conservative estimate. “We think we can probably have it sometime during the month of October,” the president told reporters earlier this month. Trump went as far as to call Redfield’s timeline “incorrect information, because a vaccine would really be ready sooner: “We’re ready to go immediately as the vaccine is announced, and it could be announced in October. It could be announced a little bit after October.

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