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In Far Rockaway, Queens, New York’s furthest flung neighborhood, COVID vaccine’s a tough sell

Nearly 460 residents of the seaside neighborhood have died of COVID-19 — one of every 146 people who live there, one of New York City’s highest death rates. Yet no other place in the city has a lower percentage of vaccinated people.

Registered nurse Anna Yadgaro (left) talks with Elva Rosario before giving her the second dose of the Moderna COVID-19 vaccine at the Joseph P. Addabbo Family Health Center in Far Rockaway, Queens, New York.
Registered nurse Anna Yadgaro (left) talks with Elva Rosario before giving her the second dose of the Moderna COVID-19 vaccine at the Joseph P. Addabbo Family Health Center in Far Rockaway, Queens, New York.
Mary Altaffer / AP

NEW YORK — If there’s one place where people could be said to fear the coronavirus more than they fear a vaccination needle, it’s the Far Rockaway section of Queens.

Nearly 460 residents of the seaside neighborhood have died of COVID-19 — one of every 146 people who live there, one of New York City’s highest death rates.

Yet no other place in the city has a lower percentage of vaccinated people — in recent days, only 29% of those living in Far Rockaway’s 11691 ZIP code had gotten even one vaccine dose, according to data from the New York City Health Department. That compares to a rate of 49% citywide and nationally.

The situation in the community of about 67,000 people illustrates the challenges health officials face in many places as they try to overcome COVID vaccine hesitancy fueled by mistrust, misinformation and fear.

“We have a good amount of people that still don’t want to get vaccinated for whatever reason,” said Diana Catalan, a health clinic manager involved in the Far Rockaway inoculation effort whose father, a neighborhood resident, died of the virus in February.

According to Catalan, some people say they want to wait a few months before getting inoculated to see how vaccinated friends and family respond to the shots.

Some have heard unfounded conspiracy theories that the vaccine is dangerous. Others just feel no urgency, figuring they’ve escaped the virus so far.

Catalan said she was anxious to get her father a shot at the Joseph P. Addabbo Family Health Center, where she works. But he got the virus before the vaccine became available to people his age — 62.

“He was very young, and he had no chronic illnesses,” Catalan said.

More than an hour’s subway ride from Manhattan, Far Rockaway sits between a bay and a strip of urban beach on the eastern end of Queens seashore beneath the flight path for nearby Kennedy Airport.

Like a lot of places where vaccination rates lag, a majority of residents are Black or Hispanic. Among some Black Americans, there’s great distrust in the medical establishment and government because of a history of discriminatory treatment.

“People are naturally going to be scared of anything offered by the medical community, especially because of what we’ve seen through health care and what that has looked like for low-income Black and Brown communities disadvantaged in the state,” said Khaleel Anderson, a New York Assembly member who represents the area.

Joseph P. Addabbo Family Health Center clinical director Diana Catalan (right) goes over Elva Rosario’s paperwork with her before she is inoculated with the second dose of the Moderna COVID-19 vaccine.
Joseph P. Addabbo Family Health Center clinical director Diana Catalan (right) goes over Elva Rosario’s paperwork with her before she is inoculated with the second dose of the Moderna COVID-19 vaccine.
Mary Altaffer / AP

For some Latinos, delaying getting vaccinated often comes down to logistics, such as work schedules or fear of negative immigration consequences.

And a section of Far Rockaway is home to a community of Orthodox Jews, a group that, like white evangelical Christians, also has seen more vaccine skepticism.

Initially developed in the 19th century as a beach resort community, Far Rockaway is poorer than most of New York — a mix of public housing, seaside apartment towers and suburban-style single-family homes, all physically isolated.

Its inoculation rate stands in stark contrast with the situation a few miles west in Breezy Point, a whiter, more affluent section of the Rockaway Peninsula where 75% of people have received their first dose.

Michelle Chester preparing the Moderna COVID-19 vaccine at Northwell Health’s Long Island Jewish Valley Stream hospital on Dec. 21 in Valley Stream, New York. She administered the first COVID shot in New York.
Michelle Chester preparing the Moderna COVID-19 vaccine at Northwell Health’s Long Island Jewish Valley Stream hospital on Dec. 21 in Valley Stream, New York. She administered the first COVID shot in New York.
Eduardo Munoz / Getty Images

“Far Rockaway is always the forgotten community,” said Michelle Chester, who was raised in the neighborhood and happened to administer the first COVID-19 vaccine dose in New York state.

Local officials initially said limited access to vaccination sites was one factor contributing to the low numbers. Throughout May, though, there were at least four places where people were able to get shots in the three square miles that constitute Far Rockaway. And a large, state-run mass vaccination site is just a few subway stops away, at Aqueduct Racetrack.

Still, Chester, who no longer lives in Far Rockaway but visits her mother there on weekends, said of nearby inoculation sites, “That information is not getting to the community.”

The city opened a new vaccination hub near the neighborhood in April, hoping to boost access.

“Having the permanent site really helps push us in the right direction,” Anderson said.

Angelita Ramo, goes over her vaccination card while waiting for licensed practical nurse Karja Austin to inoculate her with the second dose of the Moderna COVID-19 vaccine at the Joseph P. Addabbo Family Health Center in the Far Rockaway neighborhood of the Queens borough of New York.
Angelita Ramo, goes over her vaccination card while waiting for licensed practical nurse Karja Austin to inoculate her with the second dose of the Moderna COVID-19 vaccine at the Joseph P. Addabbo Family Health Center in the Far Rockaway neighborhood of the Queens borough of New York.
Mary Altaffer / AP

Misinformation has complicated vaccination efforts, especially among those in the area who are skeptical of the speed with which the vaccine was manufactured.

Marimar Alvarado, 24, decided against getting the COVID-19 vaccine, along with the rest of her family. In Spanish, she referred to the vaccine as the “Mark of the Beast,” an ominous sign in the New Testament’s Book of Revelation signaling the end times. The fringe conspiracy theory has spread among some Christians.

Somer Saleh, a family therapist at New Horizon Counseling Center in Far Rockaway, said that, among her vaccine-hesitant clients, she’s noticed there’s “misinformation on what the actual vaccine contains” and “wild conspiracy theories.”

In Far Rockaway’s Jewish community, some women are fearful of getting the vaccine because of debunked claims the vaccine affects fertility, said Moshe Brandsdorfer, executive director of the Jewish Community Council of the Rockaway Peninsula, which provides vaccine education through online outreach. He also said that those who already had COVID-19 don’t really feel the “urge” to get vaccinated.

People without legal status in the United States are also fearful of getting vaccinated because they’re hesitant to give personal information, local health workers said. The brief pause on Johnson & Johnson’s one-shot dose, while health authorities considered a potential link to rare blood clots, also turned people away, they said.

Still, the Addabbo center’s Far Rockaway branch has been vaccinating between 30 and 80 people a day.

Earlier this month, it began offering additional vaccine slots on weekends, which is “helpful to capture the working-class people who can’t afford to take off a weekday,” Anderson said.

Addabbo is seeing results from the weekend sessions. In one weekend alone in mid-May, more than 200 people got the vaccine at the clinic’s Far Rockaway location.

Angelita Ramos, a 47-year-old Spanish teacher, recently got her second Moderna shot after having put off getting vaccinated.

“I was scared,” she said. “To be honest, I said, ‘Let me see how it’s going to work out.’”

Ramos said seeing other teachers getting vaccinated convinced her to get the shot.

Elva Rosario, 79, also got her second dose recently. She often walked by the vaccine site but didn’t think the vaccine was necessary since she was never infected.

Rosario said she wasn’t afraid of COVID-19, saying that, when you’re her age, the virus “hits you like a rock.”

In some parts of New York, the city has hired people to go door-to-door to promote the shots. The state and city have also been offering incentives including free fries at Shake Shack and a week of free subway rides.

To really ramp up vaccination rates, personalized outreach in the community is necessary, said Miriam Vega, Addabbo’s chief executive officer.

“This final batch of people that we want to reach in order to reach herd immunity is going to take a lot of work,” Vega said.

And she doesn’t think things like advertisements alone can do the trick.

“It’s the human one-on-one interaction that matters,” she said.

Queens borough President Donovan Richards agrees.

In a tight-knit community like Far Rockaway, Richards said, “If they don’t see their neighbor getting the vaccine, they aren’t getting it.”

Registered nurse Anna Yadgaro inoculates Juana Mejia with the Moderna COVID-19 vaccine at the Joseph P. Addabbo Family Health Center in Far Rockaway.
Registered nurse Anna Yadgaro inoculates Juana Mejia with the Moderna COVID-19 vaccine at the Joseph P. Addabbo Family Health Center in Far Rockaway.
Mary Altaffer / AP
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