Latinos are especially reluctant to get flu shots '“ how a small clinic in Indiana found ways to overcome that

(The Conversation is an independent and nonprofit source of news, analysis and commentary from academic experts.) Pamela M. Aaltonen, Purdue University and Jennifer Coddington, Purdue University (THE CONVERSATION) Every year, tens of millions of Americans avoid the flu vaccine. During the 2019-2020 flu season, fewer than half of U.S. adults got the shot. The Latino population is more reluctant than most other groups to get the flu vaccine and often pays a high price with their health. An analysis by the Centers for Disease Control and Prevention of 10 flu seasons showed the Latino community had the third highest flu-related hospitalization rates of any demographic group. As professors and researchers who study public health, we want to know why the Latino population, in particular, is so wary of the vaccine. Here are a few reasons: Latinos worry about whether the shot is safe. They wonder if it works. They question whether it’s actually needed. Confidence in the vaccine is a major predictor of influenza vaccination among Latina women. Getting a flu shot not only stops the spread of the flu. It might also be an indicator of who is willing to get a COVID-19 vaccine ‘” and conversely, who is not, and why. So it is more important than ever to understand why large groups of people are reluctant to get vaccinated ‘” and what might be done to earn their trust. We think our experience at a clinic in rural Indiana might shed some light on this important issue. Historically low rates, despite high rewards Reports from the 2019-2020 influenza season say that 38% of Latino adults were immunized, compared to 41% of Blacks, 42% of American Indian or Alaska Natives, 52% of Asians and 53% of whites. However, when children are included in the calculation rates, numbers for Latinos go up; Latino children are typically immunized with greater frequency than their parents. Those receiving the shot have fewer lost work and school days. They reduce the risk of seeking medical intervention by 40% to 60%. That includes visits to crowded emergency rooms. In communities with known influenza virus circulation, vaccinations decreased pediatric hospitalizations by 41%. For adults, vaccines reduce the likelihood of admission to an intensive care unit by 82%. Those with the lowest influenza vaccine rates are also disproportionately affected by COVID-19. Since both illnesses show some of the same symptoms, testing is needed to distinguish one disease from the other. This will divert health care personnel from other tasks. Hospitals already crowded with COVID-19 patients will be asked to make room for those with severe influenza. This is particularly important this year, as health care providers scramble to prevent the possible ‘œtwindemics’� of influenza and COVID-19. Even during normal times, the Latino community may be at increased risk of exposure to the flu virus; many have jobs in crowded work environments, like meat packing plants, warehouses and agriculture enterprises. [Get the best of The Conversation, every weekend. Sign up for our weekly newsletter.] A rural community steps up The Family Health Clinic in Monon, Indiana, a rural community in White County, Indiana, has worked to build trust with the local Latino population by taking some relatively simple steps. The clinic, recognized by the U.S. government as a place that provides high-quality care to a traditionally underserved population, is staffed by nurse practitioners. Partnering with the Purdue University School of Nursing, the Family Health Clinic serves a clientele that is 52% Latino.