Identities as predictors of vaccine hesitancy during the COVID‐19 pandemic

Vaccine hesitancy is variable across individuals and contexts. Theoretical work suggests that group membership should differentially affect attitudes and behavior related to COVID-19 vaccines, as individuals draw on their identities and experiences relevant to their social groups to deal with uncertainty concerning the vaccines. The present work uses longitudinal survey data to explore how identity predicted vaccination attitudes in the U.S. before COVID-19 vaccines were widely available and which role-based or contextual variables influenced early vaccination decisions. We replicate these patterns in hesitancy with a larger and more racially diverse sample and identify whether encouragement from people with shared identities was important when participants made the decision to be vaccinated. Before the vaccines were widely available, higher SES predicted less hesitancy toward the COVID-19 vaccines, while being Black and/or having more conservative political orientation predicted more hesitancy. More conservative political orientation was a predictor of vaccine hesitancy across racial identities. While rationale for mistrust may vary by identity, vaccine trust is a significant predictor of early vaccination, and it is influenced by local norms surrounding the COVID-19 vaccines. Encouragement from shared group members was more important for women, liberal individuals, and younger individuals in making the decision to be vaccinated.

SARS-CoV-2 Is Not Special, but the Pandemic Is: The Ecology, Evolution, Policy, and Future of the Deadliest Pandemic in Living Memory

The COVID-19 pandemic is extraordinary, but many ordinary events have contributed to its becoming and persistence. Here, we argue that the emergence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus, which has radically altered day-to-day life for people across the globe, was an inevitability of contemporary human ecology, presaged by spillovers past. We show the ways in which the emergence of this virus reiterates other infectious disease crises, from its origin via habitat encroachment and animal use by humans to its evolution of troublesome features, and we spotlight a long-running crisis of inequitable infectious disease incidence and death. We conclude by describing aspects of SARS-CoV-2 and the COVID-19 pandemic that present opportunities for disease control: spaces for intervention in infection and recovery that reduce transmission and impact. There are no more "before times";therefore, we encourage embracing a future using old mitigation tactics and government support for ongoing disease control. [ FROM AUTHOR]

On race, human variation, and who gets and dies of sepsis

COVID-19 has highlighted a brutal reality known for decades, that Black, Indigenous, and People of Color bear a disproportionate burden of US annual sepsis cases. While plentiful research funds have been spent investigating genetic reasons for racial disparities in sepsis, an abundance of research shows that sepsis incidence and mortality maps to indicators of colonial practices including residential segregation, economic and marginalization sepsis, and denial of care. Here we argue that sepsis risk is an immunological embodiment of racism in colonial states, that the factors contributing to sepsis disparities are insidious and systemic. We show that regardless of causative pathogen, or host ancestry, racialized people get and die of sepsis most frequently in a pattern repeatedly reiterated worldwide. Lastly, we argue that while alleviation of sepsis disparities requires radical, multiscale intervention, biological anthropologists have a responsibility in this crisis. While some of us can harness our expertise to take on the ground action in sepsis prevention, all of us can leverage our positions as the first point of contact for in depth human biology instruction on most college campuses. As a leading cause of death worldwide, and a syndrome that exhibits the interplay between human physiology, race and environment, sepsis is at the nexus of major themes in biological anthropology and is a natural fit for the field's curriculum. In adopting a discussion of race and sepsis in our courses, we not only develop new research areas but increase public awareness of both sepsis and the factors contributing to uneven sepsis burden.