{"id":48306,"date":"2021-02-26T01:28:00","date_gmt":"2021-02-26T08:28:00","guid":{"rendered":"https:\/\/dh.durangoherald.com\/tj\/why-do-rural-colorado-counties-have-higher-vaccination-rates\/"},"modified":"2026-03-31T03:42:33","modified_gmt":"2026-03-31T09:42:33","slug":"why-do-rural-colorado-counties-have-higher-vaccination-rates","status":"publish","type":"post","link":"https:\/\/dh.durangoherald.com\/tj\/why-do-rural-colorado-counties-have-higher-vaccination-rates\/","title":{"rendered":"Why do rural Colorado counties have higher vaccination rates?"},"content":{"rendered":"\n

\"Ben
Ben Powell, a registered nurse, administers a COVID-19 vaccine dose to Kate Largent as Spencer Cone keeps track of the doses given during the Greater Ignacio COVID-19 Vaccination Clinic held Feb. 13 at Ignacio Middle School.<\/span>Jerry McBride\/Durango Herald<\/span><\/figcaption><\/figure>\n<\/p>

Across much of the Front Range and Colorado\u2019s other biggest counties, securing a coronavirus vaccine remains an arduous endeavor. Overloaded websites. Lengthy wait lists. Hair-pulling frustration.<\/p>\n

But, in Southwest Colorado, the state\u2019s smallest county has a different problem: It has run out of people to vaccinate, at least for now.<\/p>\n

Barely two months after shots started going into arms, San Juan County, with a single incorporated town \u2013 Silverton \u2013 as its seat, has inoculated nearly 80% of those currently eligible. The 230 people fully vaccinated may not be a lot in terms of raw numbers, but they account for about 32% of the county\u2019s population.<\/p>\n

\u201cAnyone who was eligible within (the current) criteria so far in our community, and has wanted it, has received it,\u201d county spokeswoman DeAnne Gallegos said, noting the county is still finishing the second round of shots for those currently eligible.<\/p>\n

More than 1 million Coloradans have received at least one vaccine dose, and disparities in who\u2019s getting vaccinated have begun to emerge. People of color and those from low-income communities are getting vaccinated at far lower rates than white Coloradans. But in a twist from the typical narrative of urban-rural disparities, many rural Colorado counties have the highest rates of getting vaccine administered.<\/p>\n

The Colorado Sun analyzed data about vaccine administration provided by the Colorado Department of Public Health and Environment. To ensure the numbers didn\u2019t show just a one-time blip, The Sun first asked for data Feb. 9 and then asked again last week.<\/p>\n

The numbers consistently show rural counties leading in the number of doses administered per 1,000 people, with San Juan in first place both weeks, followed by Mineral County in the southwest and Sedgwick County in the far northeast. Hinsdale, Kiowa, Chaffee, Archuleta, Costilla, Las Animas and Huerfano counties, all rural, rounded out the top 10 in both data sets.<\/p>\n

Those 10 counties averaged about 425 doses administered per 1,000 people in last week\u2019s data. By comparison, Denver, the state\u2019s largest county, ranked 44th with 190 doses administered per 1,000 people. The seven counties in the Denver metro area averaged 192 doses administered per 1,000 people.<\/p>\n

\u201cWe\u2019re so little,\u201d Gallegos said of San Juan County, \u201cso it\u2019s a little petri dish. We can accomplish things a little easier than larger communities.\u201d<\/p>\n

Supply remains constrained<\/div>\n

State officials also believe size matters when understanding why rural counties are more successful at getting the vaccine administered.<\/p>\n

\u201cIt all boils down to population,\u201d said Brig. Gen. Scott Sherman, the Colorado National Guard officer leading the state\u2019s vaccine campaign. \u201cThat\u2019s just plain and simple.\u201d<\/p>\n

The reason partially has to do with shipping logistics. The smallest amount of vaccine the state can ship somewhere is 100 doses \u2013 that\u2019s 10 vials of the Moderna vaccine, which fit into a carton smaller than a shoebox.<\/p>\n

For a clinic in a large, urban area that may be looking to vaccinate thousands of people a day, that\u2019s a drop in the bucket. But for vaccine providers in small communities, those doses can make a big dent in the demand.<\/p>\n

\u201cThey actually have more vaccine on hand than they have for a particular population,\u201d Sherman said.<\/p>\n

Because the quantities needed in rural areas are tiny compared with the need in urban counties, the state also has sent the vaccine in bigger, one-time chunks. That allows the small counties to be more flexible in how the vaccine gets distributed or to move more quickly to get people vaccinated when a new eligibility phase opens up.<\/p>\n

\u201cWe are able to work it out with them, so we will give them a disproportionate amount so they can have their clinic but they might not get any the next week,\u201d CDPHE Executive Director Jill Hunsaker Ryan told lawmakers last month about the state\u2019s distribution efforts in rural counties.<\/p>\n

The strategy sometimes even leaves rural counties with a surplus of vaccine \u2013 untapped vials and no arms at the ready. Then the state has had to step in and move those doses to different counties that aren\u2019t as ahead in their vaccinations.<\/p>\n

\u201cWe\u2019re like, \u2018Hey, time out, we actually need to move that vaccine to other locations that don\u2019t have their 70-and-above population done,\u2019 because there\u2019s just not enough vaccine,\u201d Sherman said.<\/p>\n

\"Dinger
Dinger the Colorado Rockies mascot, lower left, greets people lined up in their cars for the UCHealth COVID-19 mass vaccination clinic in the Coors Field parking lot Jan. 30. UCHealth partnered with the Governor&#x2019;s Office, Colorado Department of Public Health and Environment and the Colorado Rockies to administer the vaccine over two days to 10,000 people, 70 years and older.<\/span>Andy Cross\/The Denver Post pool<\/span><\/figcaption><\/figure>\n<\/p>
\u2018One person at a time\u2019<\/div>\n

But there\u2019s also another explanation for why rural areas are succeeding. It\u2019s about the bonds of their communities.<\/p>\n

\"Jollon\"
Jollon<\/span>du1-i-syn<\/span><\/figcaption><\/figure>\n<\/p>

Rural counties are used to pulling together to overcome big challenges, said Liane Jollon, executive director of San Juan Basin Public Health, which includes La Plata and Archuleta counties.<\/p>\n

Fires. Floods. Blizzards. \u201cIf there is a big event, we\u2019re going to be pretty isolated,\u201d she said.<\/p>\n

When the pandemic hit, leaders in La Plata and Archuleta counties wasted no time standing up their emergency response. Starting the first week in March, they began holding stakeholder calls two to three times per week to talk about the logistics of responding to the virus. By the second week in March, government and school officials had added more regular calls to discuss policy challenges.<\/p>\n

The collection of groups included in the emergency response kept growing \u2013 child care centers, nursing homes, community-service organizations. They developed testing plans. They worked on outreach to often-marginalized communities, such as people experiencing homelessness or those who don\u2019t speak English. And, when the vaccine arrived, they quickly pivoted that work into getting everyone a shot when it was their turn.<\/p>\n

There are now 15 providers signed up to administer vaccine across SJBPH\u2019s two counties. They include hospitals and medical clinics. But they also include the Upper Pine River Fire Protection District in Bayfield, which is using its weekly 100-dose allotment to quickly get through the few thousand people in its area.<\/p>\n

SJBPH worked with CDPHE and local leaders to set up a clinic in Ignacio, where the headquarters of the Southern Ute Tribe is located. The clinic vaccinated 514 people in a single day and followed a tribal clinic run earlier in the week. A volunteer group working with the health department runs a vaccine clinic every Saturday at the La Plata County Fairgrounds.<\/p>\n

Jollon said vaccine providers in the area are holding weekly calls to figure out how to divide up the work, and the health department is willing to help move around as little as a vial or two at a time to make sure the vaccine gets to where it\u2019s most needed.<\/p>\n

The result is that more than 50% of the 65-and-older population in La Plata and Archuleta counties have already received their first dose of vaccine. And, when vaccinations opened to educators earlier this month, the counties were able to get 75% of them their first shot within a week.<\/p>\n

\u201cI really do think a smaller community appears to have some advantages here,\u201d Jollon said. \u201cBut if we break everything down into small communities, this is how we\u2019re going to do this, one person at a time.\u201d<\/p>\n

\"A
A steady flow of people attended the Greater Ignacio COVID-19 Vaccination Clinic on Feb. 13 at Ignacio Middle School.<\/span>Jerry McBride\/Durango Herald<\/span><\/figcaption><\/figure>\n<\/p>
Playing hurry-up-and-wait<\/div>\n

The success, though, has also created some challenges.<\/p>\n

It\u2019s not just residents who are getting vaccinated in San Juan County. Gallegos, the county spokesperson, said she\u2019s heard of people driving from as far as Denver and Boulder \u2013 a six-hour trip in good conditions \u2013 because they can\u2019t get an appointment closer to home. The county hasn\u2019t yet started separating out data between residents and non-residents, and the state is not requiring proof of residence or other tracking information for those getting vaccinated, so as long as someone is eligible, they can theoretically get a shot wherever they can get an appointment.<\/p>\n

\u201cWe have been touting to the community, no matter who you are, if you\u2019re interested, call us,\u201d Gallegos said.<\/p>\n

However, state health officials have said they prefer counties with extra doses to send them to places that need more. That means until the state opens up more eligibility criteria, San Juan County will be at a \u201cstandstill\u201d in its vaccine progress, Gallegos said. Many residents became eligible for the vaccine because they volunteer as firefighters or EMS workers, \u201cbecause that\u2019s how you roll in a small community,\u201d Gallegos said.<\/p>\n

But she said it would help to have more independence in choosing who can get the vaccine and when. As a tourist-driven county, with a weekly physician\u2019s assistant clinic and no hospital, Gallegos said the county\u2019s biggest coronavirus risks come from outsiders who interact with restaurants and recreation companies. Yet many of those workers won\u2019t be eligible for the vaccine until the state opens up Phase 1. B.3, which is expected to happen in a few weeks. Gallegos says that may be too late; peak ski season is February and March.<\/p>\n

\u201cWe don\u2019t have medical infrastructure, so keeping COVID out of our community obviously has been an incredibly high priority,\u201d Gallegos said.<\/p>\n

If vaccines were in ample supply, the state would be happy to let counties who finish one phase move on to the next. But that\u2019s not yet the case, Sherman said, and there are still plenty of people around Colorado who are eligible but haven\u2019t received their vaccine yet.<\/p>\n

At least 767,803 people had received one vaccine dose as of Feb. 19, with 348,031 receiving both doses. And the state is more than four-fifths of the way to its goal of getting first doses to 70% of those 70 and older, officials said in a news conference Feb. 18.<\/p>\n

\u201cWe\u2019ve made some progress,\u201d Sherman said. \u201cIt\u2019s just keeping people focused on getting vaccine distributed to the right place at the right time.\u201d<\/p>\n

The Colorado Sun is a reader-supported, nonpartisan news organization dedicated to covering Colorado issues. To learn more, go to coloradosun.com<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

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